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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />PoLu� � V(r�tnl�. �kL <br />OWNER _ ADDRESS <br />Off the Norlib Sbore of' <br />Lake a1inneto►►ka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />'f i . k- <br />PERMIT NO.'S. iQ-7 DATES - �' -- CONTRACTORS I-00 H' <br />City Ordmance 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 above address has been inspected and appears to fall into the category checked below. <br />(This is )k an existing system ❑ new construction) <br />D1 Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears ro be operating <br />properly. <br />Tim 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, <br />�s located, and constructed generally in accordance with previous codes. System appears to be functioning properly: nu major <br />Upgrading of the systera 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 M <br />this time. <br />D 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 gioundwaters, or is <br />creasing a safety hazard, or is otherwise creating a public nuisance. Please contact the City Inspector to discuss system repaul <br />replacement procedures. If drainfield replacement is necessary, soil testing wiii usuahv he required, and a design and site plan <br />must be submitted for review. Your contractor must obtair a permit before w_trk is sta-ted. <br />SYSTEM CONDITION 1 m Checked items may require your action) <br />Tank inspection indicates' <br />Pumpout not needed at this time. <br />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 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" 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 />❑ Inspection pipe is located directly over tank haffle. (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. ct rv�z <br />04 Drainfield is dry, no surfacing evident. �`' "" <br />❑ Some evidence of surfacing, not critical wet. <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 />❑ Drainfield extent and condition unknown, <br />SITE CHARACTERISTICS. <br />Limiting Site Factors <br />Potential for System Failure <br />Site Capabilities for <br />IS Slope <br />(depends on soil types, water <br />Future Expansion <br />❑ Adequate <br />❑ Soil <br />table, and system condition) <br />K Fair <br />❑ High water table <br />❑ Low <br />® Medium <br />❑ Poor <br />❑ Lot sire <br />❑ Lake, wetland, or stream <br />❑ High <br />1� Inadequate <br />❑ Drainage <br />❑ System is causing visible <br />surface discharge. <br />— <br />COMMENTS. <br />— — <br />— — ---- <br />Date of Inspection <br />--- 'Septic SVstc 1 pector <br />Note In the event that this inspection report is used to satisfy the requirenients for a mortgage or other transfer of property, be advised that <br />this report does not guaran.ee or certify that an existing system will continue to functton properly, but is merely an opinion of the adequacy <br />of the system under current conditions based on the a%adable information. <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY ' Inspector's Fit(, GOLD COPY / Homeowner <br />0 <br />