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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER <br />{)/mall 4 Cinelc, PlIat•ft'r <br />On the Nvrtb Score of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />ADDRESS S- i L� \" , Lose <br />►,e <br />PERMIT NO.'S. — 3�r1 DATES Z 1L CONTRACTORS <br />City Ordinance No, 210 requires that each on -site savings treatment system in Oronc• ' tepscted on a regular basis. The on4ste tlesaa/e <br />treatment system at the above addreu has oven inspected and appear: to fall into the cateW , necked below. <br />(This is ❑ an existing system �ir new construction) <br />Meets or exceeds current City standards in al! respects relating to design, construction, and location. Appears to be operating <br />properly. <br />02 Does not meet NI current City standards for new construction (1978 Code) but in most respects i potters to be designed, <br />located, and constructed generally in accordance with previous cokes. System appears to be functioning properly; no major <br />upgreding of the system is required at this time. <br />3 Driers not mast current City standards in many respects relating to design, construction, or Ixation. Appears to be operating <br />_duquately at this time, but has is relatively high potential for future problems. No major upgrading of system is required at <br />this time. <br />4 Systani rr,,y or may not meet current City asndards for design, construction or location, but is fawng to properly treat and <br />dispose of the current input, and is endeng►ring a water supply, or is a source of pollution to s rrf . e or groundwater%, or is <br />creating a safety hazard, or is otherwise creating a public nuisance. Palau contact the City Impectot to discuss system repair/ <br />roplacen nt procedures. If Itainfield replacement is necessary, soil testing will usually be required nd a design and site plan <br />must be submitted for review. Your contractor must obtain a permit before work is started. <br />SYSTEM CONDITION 1 m Checked items may require your action) <br />tion indicates <br />Purnpout not needed at this time. <br />TI'Solids 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 dirtieryfing to surface. Tanks must be pumped <br />within 48 ho o N,minata surface discharge. <br />❑ Inspection . ers rr,isaing—tanks could nor be inspected. <br />Inspection rl sun 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 yeas, they shoud' he pumped out now. <br />❑ Inspection pipe is located directly oser tank baffle. (Don not <br />give accurate measurement of solids accumulation.) If tanks <br />have not been pumped out within the last three yaws, they <br />should be pumped out now. <br />Dr-ainf ield inspection indicates: <br />Wa:nfieid is dry, no surfacing evidart. <br />Some evidence of surfacing, not critical Val. <br />❑ Drainfield is saturated and visitly discharging untreated <br />effluent to the surface, This condition may require replace- <br />ment or additions to drainfield. C .ntect the City Inspector <br />immediately. Repairs must be como;sted within 90 days. <br />❑ Drainfield extent and condition un<nown. <br />SITE CHARACTERISTICS <br />Limiting Site Factors <br />Potential fnr System Failure <br />Site Capabilities for <br />❑ Slope <br />Idepends o,, soil types, water <br />Future Expans.on <br />❑ So+; <br />tatli&eind custom condition) <br />❑ High water table <br />Low <br />, <br />atair <br />� <br />❑ Lot size <br />❑ Medium <br />oor <br />❑ Lake, wetland, or stream <br />❑ High <br />❑ Inadequate <br />❑ Drains" <br />❑ System is causing visible <br />surface discharge. <br />COMMENTS <br />r I.tG LI_St .�)LI Ih- <br />Date of Inspection Septic System InspaMor <br />Note: In the event that this inspection report is used to satisfy th • requirernents for a mcntgM+or other transfe of property, be advised that <br />this report does not guarantee or certify that an existing system will continue to function prof erly, but is merel an opinion of the adequacy <br />of the system under current conditions based on the available tnton aeon <br />This report must be kept on the with system location and pumping record% <br />WHITE COPY I Inspector's File GOLD COPY I Homeown <br />