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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the North Shore of <br />Lake Sftitnvtonka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNER _1149Y ! IRS' ADDRESS 7 ? N 1'_'.,jr44 Z1 <br />PERMIT NO.'S. <br />DATES -- <br />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 shove address has been inspected and appears to fad into the category checked below. <br />(This is e 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 />Dries not meet all current City standards for new construction 11978 Code) but in most respects appear, to be designed. <br />UUU 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 may or may not meet current City standards for design, construction or location, but is fading 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 harard, or is otherwise creating a public nuisance. Please contact the City Inspector to discuss system repair/ <br />replacement procedures. 11 drainfield replacement is necessary, sod testing will usually be required, and a design and site plan <br />must be submitted for review. Your contractor must obt�in a permit before work is started. <br />SYSTEM CONDITION ( [0 Checked items may require your action) <br />Tank inspection indicates. <br />Leff umpout not needed at this time. <br />❑ Solids accumulation in tanks indicates thei should be pump- <br />ed out this year to help prevent future problems. <br />❑ Solids accumulation in tanks is at a critical level. Tank,. <br />should be pumped out as soon as possible. <br />❑ System is discharging to surface. Tanks must be pumped <br />within 41:1 hours to eliminate surface discharge. <br />❑ InsPection risers missing —tanks could not be inspected. <br />Inspection risers 114" dia. pipel 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 he pumped out now. <br />SITE CHARACTERISTICS <br />Limiting Site Factors <br />❑ ape <br />❑ JOiI <br />❑ High water table <br />❑ Lot size <br />❑ Lake, wetland, or sir- ri <br />❑ Drainage <br />COMMENTS _ <br />❑ Inspection pipe is located directly over tank baffle. (Does nut <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 />❑ Drainfield is dry, no surfacing evident. <br />❑ Some wide -e 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 />y"r(nediately. Repairs must be completed within 90 days. <br />D ainfield extent and condition unknown. <br />Potential for System Failure <br />Idepends on sod types, water <br />table, and system condition) <br />} ed <br />Medium <br />❑ High <br />rl System is causing visible <br />surface discharge. <br />Site Capabilities for <br />F uture pension <br />A( equafe <br />r� Fair <br />�) Poor <br />U Inadequate <br />�. <br />Te of Inspection optic System Inspector <br />Note In the event that this inspection report is used to satisfy the requirements Ibr a mortgage or other tidnafei 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 wrrent conditions based un the available information <br />This report roust be kept on the p:enuses with system location and pumping records <br />WHITF C00Y , Inspector's File GOLD COPY 1 Homeowner <br />