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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER <br />PERMIT NO.'S. DATES <br />ADDRESS <br />On tbe 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 />CONTRACTORS <br />City Ordinance No. 210 requires that each on-5ite sewage treatment system in Orono be inspected on a regular basis. The on-5ite sewage <br />treatment system at the above address has been inspected and appears to fall into thp category checked below. <br />(This is ~ an existing system D new construction) I8 Ocf'J""Jio-1se..s <br />Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating <br />properly. <br />Does not meet all current City standards for new construction (1978 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 major <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 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 />System may 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 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 permit before work is started. <br />SYSTEM CONDITION_( GZI Checked items may require your action) <br />Tank inspection indicates: <br />D Pumpout not needed at this time. <br />D Solids accumulation in tanks indicates they should be pump- <br />ed out this year to help prevent future problems. <br />D Solids accumulation in tanks is at a critical level. Tanks <br />should be pumped out as soon as possible. <br />D System is discharging to surface. Tanks must be pumped <br />within 48 hours to eliminate surface discharge. <br />D Inspection risers missing-tanks could not be inspected. <br />Inspection risers (4" dia. 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 />0 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 />0 Drainfield is dry, no surfacing evident. <br />0 Some evidence of surfacing, not critical yet. <br />0 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 />0 Drainfield extent and condition unknown. <br />Limiting Site Factors <br />D Slope <br />0 Soil <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />Site Capabilities for <br />Future Expansion <br />0 Adequate <br />tzl-Fair D High water table <br />D Lot size <br />D Lake, wetland, or stream <br />D Drainage <br />COMMENTS: <br />Date of Inspection <br />:@-Low <br />1ZtMedium <br />0 High <br />0 System is causing visible <br />surface discharge. <br />0 Poor <br />0 Inadequate <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