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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the Nortb Sbore n j' <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNER L/�1'i�� L� �-;r'11 1!'iF'� ADDRESS A—L-�l P� <br />PERMIT NO.'S. S DATES !" �Z Z-S CONTRACTORS <br />City Ordinance No. 210 requires that each on -site sewage treatment system in Orono be inspected on a regular basis. The on -site sewage <br />treatment system at the above address has been inspected and appears to fall into the category checked below. <br />(This is fa an existing system ❑ new construction) <br />1 Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating <br />properly. <br />RiY 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, <br />�1 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 />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 future problems. No major upgrading of system is required at <br />this time. <br />❑ 4 System mvv or may not meet current City standards for 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 surface or groundwaters, or is <br />creating a safety hazard, or is otherwise creating a public nuisance. Please confect 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.( m Checked items may require your action) <br />Tank inspection indicates: ❑ Inspection pipe is located dire:tly over tank baffle. (Does not <br />❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks <br />Solids accumulation in tanks indicates they should be pump- have not been pumped out within ;he last three yews, they <br />ed out this year to help prevent future problems, should be pumped out now. <br />❑ Solids accumulation in tanks is at a critical level. Tanks Drainfield inspection indicates: <br />should be pumped out as soon as possible. J9 Drainfield is dry, no surfacing evident. <br />❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing, not critical yet. <br />within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated <br />❑ Inspection risers mining —tanks could not be inspected. effluent to the surface. This condition may require replace - <br />Inspection risers 14" die, pipe) must be installed in each tank ment or additions to drainfield. Contact the City Inspector <br />at next pumpout. If tanks he" not been pumped out within immediately. Repairs must be completed within 90 days. <br />the last three years, they should be pumped out now. ❑ Drainfield extent and condition unknown. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />❑ High water table <br />❑ Lot size <br />❑ Lake, wetland, or stream <br />❑ Drainage <br />COMMENTS <br />Date of Inspection <br />Potential for System Failure <br />Site Capabilities for <br />(depends on soil types, water <br />Future Expansion <br />table, and system condition) <br />14 Adequate <br />G4 Low <br />❑ Fair <br />❑ Medium <br />❑ Poor <br />❑ High <br />❑ Inadequate <br />❑ System is causing visible <br />surface discharge. <br />is System <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 properly, but is merely an opinion of the adequacy <br />of the system under current conditions based on the available 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 />