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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER __ )I I�G:►lt,t - <br />PERMIT NO.'S. <br />DATES <br />Oil !ht' A'clrrlr s1lope of <br />Like atilt ner o uka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />0 t4 cit rrdy-id <<l <br />T� <br />ADDRESS l "V "!." , r 1 MT 0 — <br />CONTRACTORS — <br />City Ordinance No. 210 requires that each on-site sewage treatment system in Orono he inspected on a regular basis. The onsite sewage <br />treatment system at the above address has been inspected and appears to fall into the category checked below. - <br />�7iV 11}C T', E` <br />"?5 ,S,cheo) Fries.nA'ta <br />(This is �T an existirsg system ❑ new construction) 11Z''LrLk`IV <br />(J if c } i 0 A. %/I <br />0 1 Meets or exceeds current City standards in all respects relating to design, construction, and location. Ap6ears to be operating <br />properly. <br />Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, <br />located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major <br />upgrading of the system is required at this time. <br />O 3 Does not meet current City standards in many respects relating to design, construction, or location. Appears to be operating <br />adequately at this time, but has a relatively high potential for lulsue problems No major upgrading of system is required at <br />this time. <br />Q4 System may car may not meet current City standards for design, construction of location, but is jading to properly treat and <br />dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or grounrhvaters, or is <br />creating a safety harard, or is otherwise creating a public nuisance. Please contact the City Ingsector to discuss system repair/ <br />replacement procedures. If dramlield replacement is necessary. sod testing will usually be required, and a design and site plan <br />must be submitted for reviewyour contractor must obtain a permit before work is started. <br />SYSTEM CONDITION,( fX Checked items may require your action) <br />Tank inspection indicates. <br />❑ Pumpout not needed at this time. <br />❑ Solids accumulation in tanks indicates they should be pump - <br />d out this year to help prevent future problems. <br />❑ Solids accumulation in tanks is at a critical level. Tanks <br />should be pumped out a soon as possible. <br />❑ System is discharging to surface. Tanks must be pumped <br />within 48 hours to eliminate surface discharge. <br />❑ Inspection risers missing—tanks could not be inspected. <br />Inspection risen (4" dial. pipe) must be installed in each tank <br />at next pumpoul. If tanks have not been pumped out within <br />the last three years, they should be pumped out now. <br />SITE CHARACTERISTICS <br />Limiting Site Factors <br />❑ <br />Slope <br />❑ <br />Sod <br />❑ <br />High water table <br />❑ <br />Lot site <br />❑ <br />Lake. we Land, or stream <br />❑ <br />Drainage <br />��JJn <br />Inspection pipe is located directly over tank ball:a. (Does not <br />ve accurate measurement of solids accumulation.) If tanks <br />have not been pumped out within the last three years, they <br />should be pumped out now. <br />Diainheld inspection indicates. <br />❑ Drainfield is dry, no surfacing evident. <br />❑ Some evidence of surfacing, not critical yet. <br />❑ Drainfield is saturated and visibly discharging untreated <br />effluent to the surface. This condition may require replace- <br />ment or additions to drarnbeld. Contact the City Inspector <br />immediately. Repairs must be completed within 90 days. <br />^190ramfold extent aaiaFaardiY/nt unknown./ $p pv /Ic' <br />Potential for System Failure <br />(depends on sod types, water <br />table. and system condition) <br />❑ Low <br />❑ Medium <br />❑ High <br />❑ System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />❑ Adequate <br />❑ Fair <br />❑ Poor <br />❑ Inadequate <br />COMMENTS A'..ir.1i+..e 1i 1/�=//((„f/ <br />TUdJl ..:114 4,/" i [Yet, 122-13 r.4..fdrt:'hr (:I / <br />1 . r,)r, <br />Date of Inspection <br />Note In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of properly, be advised that <br />this report does not guaranine or certify that an existing system will con, -nue to function properly, but is merely an opinion of the adequacy <br />of the sVslem under current conditions bawd on the available information. <br />This report must be kept on the piemises with system location and pumping records. <br />WHITE COPY I Inspector's File GOLD COPY I Homeowner <br />