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CITY OF ORONO <br />Municipal Offices <br />Post Office Box 66 <br />Crystal Bay, MN 55323-0066 <br />L <br />ON—SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />Owner: Z_e, t) V0, r) flirt Address: <br />Permit #'s: 3 Dates: Contractors: <br />City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. <br />The on-site sewage treatment system at the above address has been inspected and appears to fall into the category <br />checked below. <br />(This is [ ) an existing system 14—new, construction) <br />"CODE SYSTEM" -A system which meets all the location, design, and construction standards of the current City <br />Codes, and which is operating satisfactorily by treating and disposing of the entire current sewage input <br />without discharging any pollutants into ground or surface waters. <br />"CONFORMING SYSTEM" -A system which does not meet all the location, design, and construction standards of the <br />current City Codes, but was installed according to the code in effect at the time of installation, and which <br />is operating satisfactorily by treating and disposing of the entire current sewage input without discharging <br />any pollutants into ground or surface waters. <br />"NON -CONFORMING SYSTEM" -A prohibited system; a system located within a designated 100 -year floodplain; any <br />system which may or may not meet all the location, design, and construction standards of the current City <br />Codes and which is failing for any reason; and any system with less than 3 feet of unsaturated soil or sand <br />between the distribution device and_ the limiting soil characteristics. <br />(The limiting soil characteristic i� has or [ ) has not been identified at this time. If the limiting soil <br />characteristic has not been identified, this classification may be subject to revision.) <br />T inspection indicates: <br />(5/ Pui"t not needed at this time. <br />_S Solids accumulation in tanks indicates they should be pupped out this year to help prevent future problems. <br />7 Solids accumulation in tanks is at a critical level. `tanks should be pumped out as soon as possible. <br />8 System is discharging to the surface. Tanks must be pumped out within 48 hours to eliminate surface discharge. <br />9 inspection risers missing -tanks could not be inspected. inspection risers (4" dia. pipe) must be installed in each <br />tank at next pullpout. If tanks have not been pumped out within the last three years, they should be pumped <br />out now. <br />10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). <br />If tanks have not been pulped out within the last three years, they should be pupped out now. <br />D7field inspection indicates: <br />Drainfield is dry, no surfacing evident. <br />Some evidence of surfacing, not critical yet. <br />13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector <br />immediately. Repairs must be completed within 90 days. <br />14 Drainfield extent and condition unknown. <br />LIMITING SiTE FACTORS (slope.setbacks.etc.): <br />POTENTIAL FOR SYSTEM FAILURE (depends on soils.water table.etc.): <br />COMMENTS: <br />to of Inspection <br />c System Inspector <br />Note: in the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of <br />property, be advised that this report does not guarantee or certify that an existing system will continue to function <br />properly: but is merely an opinion of the adequacy of the system under current conditions based on the available <br />information. <br />This report must be kept on the premises with the system location and pumping records. <br />WHITE COPY Inspectors File YELLOW COPY Homeowner <br />