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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER <br />PERMIT NO.'S. — <br />DATES — <br />Opt tbe North Sbore of' <br />Lake .Minnetoffka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473.7357 <br />ADDRESS ' 6'X -STREET <br />CONTRACTORS <br />City Ordinance No. 210 requires that each on -site sewage treatment system in Orono he inspected on a regular basis. The on -site savage <br />treatment system at the above address has been inspected and appears to fall into the category checked below. <br />(This is Q 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 />2 Does not meet all current City standards for new construction 11978 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 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 failing to properly treat and <br />dispose of the may 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 I 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 />'--E3 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 risen missing -tanks could not be inspected. <br />Inspection risers 14" die. pipe) must be installed in each tank <br />at next pumpout. If tanks have not been pumped out within <br />the last throe years, they should be pumped out now. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />❑ Slope <br />_-4D Sod <br />--a High water table <br />--Q Lot size <br />❑ Lake, wettapd, or stream <br />❑ 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 pumped out now. <br />Drainfield inspection indicates: <br />❑ Drainfield 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 />❑ Drainfield extent and condition unknown. <br />! n,' .;f11r/ .t rr.r Ci'f <br />Potential for System Failure <br />Site Capabilities for <br />(depends on soil types, water <br />Future Expansion <br />table, and system conditionl <br />❑ Adequate <br />❑ Low <br />-----0 Fair <br />---fir Medium <br />❑ Poor <br />❑ High <br />❑ Inadequate <br />❑ System is causing visible <br />surface discharge. <br />COMMENTS. _ ' [1-k /C ' 7 ,F ' _ F-r .'r.ff I AZZLL1 L' /'_ L <br />Auc.u-�,7— <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 guaranty 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 ind pumping records. <br />WHITE COPE I Inspector's File GOLD COPY / Homeowner <br />