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ON -SITE SEWAGE TRcATMENT <br />INSPECTION REPORT <br />OWNER TOOrn K 4w � <br />PERMIT NO.'S. -- DATES _ 10 - >� —�q —.— CONTRACTORS �f11_( llr�Q r-)_—_ <br />City Ordinance No 210 requires that each on -site sewage treatment system in Orono ne inspected on a egular basis. The on -site sewage <br />treatment system at th, above edriress has beer inspected and appears to fa I into the category checked below. <br />(This is V an existing system ❑ new construction) <br />b1 Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating <br />Wl properly. <br />2 Does not meet all curre,it City standards for new construction 11978 Code) but in mos; respects appears to be designed, <br />located, and constructed generally in accordance with previous coues. 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 cor,-•ruction, or location. Appears to the operating <br />adequately at this time, but has a relative y hig'� potential for future problems. No major upgrading of system is required at <br />this time. <br />4 System may or may not meet current C.r, standards for design, construction ^r location, but is fadrny 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 groundv aters, of is <br />cr,tating a safety hazard, or is otherwise creating a public nuisance. Plea:e contact the City Inspector to discuss sys:em repair/ <br />replacement procedures. If dramheld replacement is necessary, sod testing will usually be required, and a d^sign and site plan <br />must be submitted for review. Your contractor must obtain a permit before work is started. <br />On the Nortb Sbore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />SYSTEM CONDITION ( [0 Checked stems 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 />ad 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" d pipe) must be installed in each tank <br />at next pumpout. If tanks have not been pumped out within <br />the last these years, they should be pumped out now. <br />SITE C14ARACTERISTICS <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />❑ High water table <br />❑ Lot sire <br />❑ Lake, wetland, or stream <br />❑ Drainage <br />ADDRESS rL320 I�c�tai 21 � t^,� <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 threeyeNt. tMy, <br />should be un! a out now— <br />Drainfield - _ <br />Urainfield inspection indicates - - <br />N 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 dramheld. Contact the City Inspector <br />immediately. Repairs must be completed within 90 days. <br />❑ Drainfield extert and condition unknown. <br />Potential fcr System Failure <br />Site Capabdstiex for <br />(depends on sod types, water <br />Future E xpansion <br />table, and system condition) <br />51 Adequate <br />FLovv <br />7 Fair <br />Medium <br />❑ Poor <br />❑ High <br />❑ Inadequate <br />❑ System is causing visible <br />surface discharge. <br />- pate of Inspection - --- -- Septic Syst or <br />Note In the event that Mis itllOKtlpil. teuort JL 11d to satisfy the requirement for am - trcn1er_pf 2!9j! y, be adeifM that <br />this r 1_dt�sef nOt gt.rtee or certify that an existing system will cOnhnW ,Uftct on properly, but is tMtNy an opinion oTtTsa lacy-- <br />of� ft system under current a pions based 6-n eviitMa trtfornsufth. — - - _ - --- - <br />This report must be kept on the pretnhp with system location and pimping records. <br />WHITE COPY f Inspector's File GOLD Cr`.- I / Homeowner <br />