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tlu !lit' .\1)1Ih Sir uJ <br />/.ike tfumetnuk.. <br />ON -SITE SEWAGE TREATMENT CITY <br />INSPECTION REPORT If F POST OFFICE BOX 66 <br />O . O O 1335 S. Brown Rd. <br />ilk Crystal Bay, MN 55323 <br />473-7357 <br />OWNER __-Z�L1��� .sL �__nl ADDRESS &22:4 <br />PERMIT NO.'S. - DATES —_— CONTRACTORS <br />City Ordinance No. 210 requires that each on -site sev.age treatment system in Orono be wspected on a regular basis. The on -site sewage <br />treatment system at the above address has been ,nspected and appears to fall into the category checked below. <br />I1 his is 0 an existing system ❑ new construction) <br />1 Meets or exceeds current r.. ttandards in all respects relating to design, construction, and location Appears to he olierating <br />properly. <br />02 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be desiyud, <br />located, and constructed generally in accordance with previous codes. System appears to be functioning properly: no ria)or <br />upgrading of the system is ret, red at this time. <br />El3 Does not meet current City standards in many respects elating 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 (equired at <br />this time. <br />El4 System may or may not meet runent 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 sour;e of pollution to surface or groundwatets, or .s <br />creating a safety hazard, or is otherwise creating a public i.cesdnce. Please contact the City Inspector to discuss system repair/ <br />replacement procedures. If draintiefd replacement is necessary, sod testing will usually be required, and a destgo and site plan <br />must be submitted lot review. Your contractor must obtain a permit before work .; started. <br />SYSTEM CONDITION f m Checked ,tems may require our action) <br />Tank inspection indicates <br />❑ Pumpout not needed at this time. <br />❑ Solids accumulation in tanks indicates they should :)e pump- <br />ed out this year to help prevent futit- problem .. <br />❑ Solids accumulation in tanks i, at a critical level. Tanks <br />should be pumped out as s wn 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" dia. pipe) must be installed in each tank <br />at next pumpout. If tanks have not Wen pumped out within <br />the last three years, they should be pumped out now. <br />SITE CHARACTERISTICS <br />Limiting Site Factors <br />❑ Slope <br />❑ Sod <br />❑ High water table <br />❑ Lot size <br />❑ Lake, wetland, or stream <br />❑ Drainage <br />❑ Inspection pit a is located directly over tank baffle. (Does not <br />aive accurate measurement of solids accumulation.) If tanks <br />have not been pumped out within the lest three years, they <br />should be pumped out now. <br />Drain field inspection indicates <br />Grainfield 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 drainfield. Contact the City Inspector <br />immediately. Repairs must be completed within 90 days. <br />❑ Dramfield extent and condition unknown. <br />Potential lot System Fadu;9 <br />Idepends on soil types, vat, r <br />table, and system condition) <br />Xr Low <br />❑ Medium <br />❑ High <br />❑ System is causing visible <br />surf a discharge <br />Site Capab. ..es for <br />FutExpansion <br />ur <br />Adequate <br />❑ Fair <br />(1 Poo. <br />t I Inadequate <br />COMMENTS �% —kl —iIJrl � <br />Arne cam,!/ ems. <br />Date of Inspection &eptic System Inspector <br />Note. In the event that this inspection report is used to satisfy the tPiluirements for a mortgage or other trarsfer of utopetty, be advised that <br />this report does not guarantee or certify that an existing system rntf continue to function properly, but .s merely an opinion of the adequacy <br />Of the system under current conditions based on the available information <br />This report must he kept on uir premises with system location and purnpinq records <br />WHITE COPY Inspei to, % Fite GOLD COPY i Homeowner <br />