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i <br />ON SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />( • : V <br />ORi )N< <br />OWNER a AODRESS i <br />On the Sortb Shore of <br />l.ak*' yinnetonko <br />POST OFFICE BOX 66 <br />1336 S. Brown Rd. <br />Ctystal Bay, MN 55323 <br />473-7357 <br />f Rt > LiVi Qocici <br />PERMIT NO.'S.DATES CONTRACTORS <br />spected on a regular basis. The on>site sewage <br />ked below. <br />? <br />□ 2 <br />□ 3 <br />□ 4 <br />City Ordinance No. 210 requires that each on*site sewage treatrhtnt system in Oro«' <br />treatment system at the above address has been inspected and appeacis to fail ».ito the catC‘* <br />(This is^t3^n existing system □ new construction) <br />n \ Meets or exceeds current City standards m all respects relating to design, construction, and location. Appears to be ofieratin^ <br />properly. <br />Does not meet all current C:»ty standards for new construction 11978 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 maior <br />upgrading of the system is required at this time. <br />Does not meet current City standards in many respects relating to design, construction, or location. Appears to be oi>erating <br />adequately at this time, but has a relatively high potential for future problems. No rnaior upgrading of system is required at <br />this time. <br />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 endangerirsg a water supply, or it a source of pollution to surface or groundwaters, 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 i>ermit before work is started. <br />SYSTEM CONDITION ( Q) 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 />ed out this year to help prevent future problems. <br />G Solids accumulation in tanks is at a critical level. Tanks <br />should be pumped out as soon as possible. <br />O System is discharging to surface. Tanks must be pumped <br />^within 48 hours to eliminate surface discharge. <br />Ni£^ Inspection risers missing—tanks could not be inspected. <br />/^Inspection risers 14" 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 be pumped out now. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />□ Slope <br />□ Soil <br />□ High water table <br />□ Lot sire <br />□ Lake, svetland. or stream <br />□ Drainage <br />□ Inspection pipe is located directly over tank baffle. (Does not <br />give 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 />Drainfield inspection indicates <br />D Drainfield is dry. no surfacing evident. <br />G Some evidence of surfacing, not critical yet. <br />G Drainfield is saturated and visibly discharging untreated <br />effluent to the surface. This condition may require replace­ <br />ment or additions to drainfield. Contact the City Inspector <br />immediately. Repairs must be completed within 90 days. <br />Drainfield extent and condition unknovm^ Z' <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />G Low <br />G Medium <br />G High <br />G System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future^ xpansion <br />"^TS^kdequate <br />^Fair <br />G Poor <br />G Inadequate <br />COMMENTS; /l i f /iC —bitit C-HUlLliI/, jb— <br />h -3V <br />Date of Inspection Septic Sj^ai^m Inspector <br />Note In the event that this inspection report 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 profierly. but is merely an opinion of the adequacy <br />of the system under current conditions based on the available infoimation. <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector*s File GOLD COPY / Homeowner