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On tlrr Nortlr .Soon, of <br />Lake .-Miuut•tuuka <br />ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />n <br />OWNER �� �f �- C� `>/K�E ADDRESS i :� /l� •� "�'�"/�'Uf�2 F_ . <br />PERMIT NO.'S. 1.�.-� Ll DATES -i� �� f2 CONTRACTORS <br />City Ordinance No. 210 requires that each on -site sewage trealnz.r•r sysr!!rn in Ororn lie inspected on a ieguiar bats. •i he on -site sewage <br />treatment system at the above address has been inspected and appears to fall into the category checked below. <br />(This is ❑ an existing system X new construction► <br />01 Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating <br />properly. <br />02 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 />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 (of future problems. No major upgrading cf 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 hazard, or is otherwise creating a public nuisance. Plena contact the City Inspector to discuss system repair/ <br />replacement procedures. If drainfield replacement is necessary, soil testing will usutlly 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 1 la Checked items may require your actionl <br />Tanr*tl on indicates: <br />pout not needed at this time. <br />s accumulation in tanks indicates they should he pumr <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 14" die, pipe) must be installed in each tank <br />at next pumpout. If tanks haw not been pumped out within <br />the last three yews, they should be pumped out now. <br />SITE CHARACTERISTICS. <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />❑ High water table <br />O Lot size <br />❑ Lake, wetland, or stream <br />0 Drainage <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 three years, they <br />should be ptenped out nnw. <br />field inspection indicates: <br />�'MrDrainfield is dry, no surfacing evident. <br />❑ Su..:^irvidenro of surfacing, not critical vet. <br />❑ Drainfield is saturated and visibly discharging untreated <br />effluent to the surface. This condition may require replace- <br />ment or additions to drainheld. Contact the City Inspector <br />immediately. Reprirs must be completed within 90 days. <br />❑ Drainfield extent and condition unknown. <br />Potential foi System Failure <br />(depends on %oil types, water <br />to .%,pnd system condition) <br />AIJ Low <br />❑ Medium <br />❑ High <br />❑ System is causing visible <br />surface dischargc. <br />COMMENTS _ <br />Site Capabilities for <br />Futur Expansion <br />WAdequate <br />❑ Farr <br />❑ oor <br />of nadequate <br />29Ei+� —_— - <br />Date of Inspection Septic System Inspector <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 property, 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 />WIIITE COPY / Inspector's File GOLD COPY / Homeowner <br />