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ON SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the Sortb Shore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay. MN 56323 <br />473-7357 <br />OWNER __ <br />3/eS'i <br />PERMIT NO.'S.^ mi <br />o, •> - <br />DATES <br />ADDRESS <br />i U -Hi <br />^b>o ^0 5* <br />CONTRACTORS <br />(aJ/ <br />City Ordinance No. 210 requires that each on site sewage treatment system in Orono be inspected on a regular basis. The on>silt <br />treatment system at the above address has been inspected and appears to fall into the category checked below. <br />Ca an e(This is G new construction) <br />I>.-Si <br />-G2 <br />existing system <br />Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be optretiflg <br />properly. <br />Does not meet all current City standards lor new construction (1978 Code) but in most respects appears to be diiigwad, <br />located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no <br />upgrading of the system is required at this time. <br />□ 3 Does not meet current City standards in many respects relating to design, construction, or location. Appears to be oparalMig <br />adequately at this time, but has a relatively high potential for future problems. No maior upgrading of system is required at <br />this time. <br />□ 4 System may or may not meet current City standards lor design, construction or location, but is failing to properly treat and <br />dispose of the current input, and is endangering a water supply, or is a source of pollution to su«face or groundiMatars, or is <br />creating a safety hazard, or is otherwise creating a public nuisance. Please contact the City Inspector to discuss system repair/ <br />replacement procedures. If drainfield replacement is necessary, soil testing will usually be required, and a design and site plan <br />must be submitted for review. Your contractor must obtain a permit before work is started. <br />SYSTEM CONDITION ( (2 Checked items may require your action) <br />Tank inspection indicates: <br />D Pumpout not needed at this time. <br />—G Sobds accumulation in tanks indicates they should be pump­ <br />ed out this year to help prevent future problems. <br />□ Solids accumulation in tanks is at a critical level. Tanks <br />should be pumped out as 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 risers (4*' die. pipe) must be installed in each tank <br />at next pumpout. If tanks have not been pumped out within <br />the last three years, they should he pumped out now. <br />G Inspection pipe is located directly over tank baHte. (I <br />give accurate measurement of solids accumulatioh.) If tanka <br />have not been pumped out within the laH iftrae yeart. Iliay <br />should ba pumped out now. <br />Drainfield inspection indicates- <br />— G Drainfield is dry. no surfacing evident. <br />G Some evidence of surfacing, not critical yet. <br />G Drainfield is saturated and visibly diachargina untreated <br />effluent to the surface. This condition may require replaoe* <br />ment or additions to drainfield. Contact the City Inepector <br />immediately. Repairs must be completed within 90 days. <br />□ Drainfield extent and condition unknown. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />—Slope <br />] Soil <br />High water table <br />Lot Size <br />—-G Lake, wetland, or stream <br />Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />—G Low <br />G Medium <br />G K.gh <br />G System is causing visible <br />surface discharge. <br />Site Capabilitiea for <br />Future Expansion <br />G Adequate <br />G Fair <br />----□ Poor <br />G Inadequate <br />COMMENTS <br />L / ‘7 ■i’4> <br />Date of Inspection If.// Septic System Inspector <br />iy <br />Note In the event that this inspection retw. is used to satisfy the requirements for a mortgage or other transfer of property, be advised that <br />this report does not guarantee or certify that an existing system will continue to function properly, but is merely an opinion of the adequacy <br />of the syilem under current conditions based on the avail^le information. <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector’s File GOLD COPY / Homeowner <br />'1 <br />H <br />>1