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I <br />■I; <br />f <br />i; <br />t <br />I <br />s <br />y <br />I- <br />is■> <br />ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />1 ' > N <br />0« t/jc North Sbotre of <br />Lake Miiiitetottka <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNER Cf<rls£'vi <br />PERMIT NO.'S.Mb DATES <br />________ ADDRESS ^ 5 Fc)l Li~_________ <br />/O /3 4>7____________ CONTRACTORS Blmcr <br />Ordi»»inc« No. 210 raquirtf that each oh-sita Mwwge treatment system in Orono be inspected on a regular basis. The on-site sevsoge <br />traatment system at the aboy address has been inspected and appears to fall into the category checked below. <br />(This is ^an existing system □ new construction) <br />n 1 Naatt or excaeds current City standards In all raspecu relating to design, construction, and location. Appears to be operating <br />properly. <br />2 Does not meat 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 rrtajor <br />upgrading of the system is required at this time. <br />ri 3 c*'"**’* 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 />rn 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 current input, and endangering a water supply, or is a source of pollution to surface or groundwaters, or is~ ...................................... ■ lource oi poiiuiion lo suriace or grounowaters. or is <br />* wNty hasard. or is otherwise creating a public nuisance. Please contact the City Inspector to discuss system repair/ <br />replacement procedures. If drainlield 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 ( GO Checked itenis may require your action) <br />Tank inspection indicates. <br />□ Pumpout not needed at this timen iwewio ei mis rime. accurate measurement of solids accumulation.) If tanks <br />U S^ids a^mulation in tanks indicates they should be pump. have not been pumped out within the last three years, they <br />Mfl AU# fKitt tJAWV Kmln rsrms await -------e-* _a____■ _a •_ _ a <br />inspection pipe is located directly over tank baffle. (Does not <br />give accurate measurement of solids accumulation.) If tanks <br />ad out this year to halp prevent future problems. <br />□ Solids accumulation in tanks is at a critical level. Tanks <br />should be pumped out at toon as possible. <br />Q 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 />liHpoction risers (4” 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 />should be pumped out now. <br />Dra^ield inspection indicates: <br />BCDrainfield is dry. no surfacing evident. <br />/□ Some evidartce 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 extant and cofHlition unknown. <br />SITE CHARACTERISTICS <br />LirnUiog Site Factors <br />D^Slope <br />□ Soil <br />□ High water tMiie <br />□ Lot size <br />p Ukg, wetland, or stream <br />□ Drainage <br />Potential for System Failure <br />(depends on toil types, water <br />tabl^and system condition) <br />□ High <br />□ System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />□ Ad^uate <br />^Fair <br />□ Poor <br />□ Inadequate <br />COMMENTS: /Ou V M Ciri/lLj j i ^/.] y i ^ ^ . Jcuxf < <br />L\)k C^i/7/)u i u , tl) <br />rf p/ii/ A_________________________y ' <br />Au,4 mo <br />^ Date 6f Inspection ^J^<ept7c Syttem^liftf <br />r <br />Fspector <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 />mis 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 current conditions based on the available information. <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner <br />lifa^AaaassfkBesn^.