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<br /> On the North Shorc of
<br /> Lake Mi�anetonkcr
<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 /> E ,.N,,� �—� rr ,i ,
<br /> OWNER �Vl�� �1'Y�I'�/�� ADDRESS ����:� ._.���:�; �:i`?i1�t34'1 1<,GGi.C� f '�„Yl� -�.k-�i
<br /> PERMIT NO.'S. DATES 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 /> ireatment system at the above address has been i�spected and appears to fall into the category checked below.
<br /> (This is ❑ 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 (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 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 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.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 ( � Checked items may require your action)
<br /> T nk i�spection indicates: ❑ Inspection pipe is located directly over tank baffle. (Does not
<br /> �Rumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
<br /> ❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years, they
<br /> ed out this year to help prevent future problems. should be pumped out now.
<br /> ❑ Solids accumulation in tanks is at a critical level. Tanks Drainfi Id inspection indicates:
<br /> should be pumped out as soon as possible. �Drainfield is dry,no surfacing evident.
<br /> ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
<br /> within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
<br /> ❑ inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace-
<br /> Inspection risers (4" dia. pipe) must be installed in each tank ment or additions to drainfieid. Contact the City Inspector
<br /> at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days.
<br /> the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown.
<br /> SITE CHARACTERISTICS:
<br /> Limiting Site Factors Potential for System Failure Site Capabilities for
<br /> ❑ Slope (depends on soii types,water Future.Expansion
<br /> ❑ Soil table,and system condition) ;��•Adequate
<br /> ❑ High water table ❑ Low � ❑ Fair
<br /> ❑ Lotsize �Medium��'.�� y�-�_;-v,j¢�f���'� ,;y�;; � ❑ Poor
<br /> ❑ Lake,wetland,or stream ❑ High ` ❑ Inadequate
<br /> ❑ Drainage ❑ System is causing visible
<br /> surface discharge.
<br /> COMMENTS:
<br /> �-,z-- �-�� % _ :�,
<br /> �,, ,
<br /> Date of Inspection `� Septic Syste spector
<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 properly,but is merely an opinion of the adequacy
<br /> of the system�nder 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
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