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Oya the North Shore of
<br /> Lakc Mi�tnetorzkc�
<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
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<br /> OWNER I�D��.12-i�'.� l`����I,�d_� ADDRESS I!i!'Si'_� JD�.t�I-� �>t'��Wr'+ ��Fi��'+� ; I��Ch��l_�i;��.
<br /> PERMIT NO.'S. �J`��`' 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 /> treatment system at the abovenaddress has been inspected and appears to fall into the category checked below.
<br /> (This is �an existing system ❑ new construction)
<br /> � � 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 /> Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle. (Does not
<br /> ❑ Pumpout 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 criticai level. Tanks Drainfield inspection indicates:
<br /> shouid 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 drainfield. Contact the City Inspector
<br /> at next pumpout. If tanks have not been pumped out within . 1immediately.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 soil types,water Fu,tur �Expansion
<br /> ❑ Soil table,and system condition) dequate
<br /> ❑ High water table ❑ Low ❑ Fair
<br /> � Lot size �Medium �'�r,!.L r;+J✓Sri°r�� =��'/� ❑ Poor
<br /> ❑ Lake,wetland,or stream ❑ High � " ❑ Inadequate
<br /> ❑ Drainage ❑System is causing visible
<br /> surface discharge.
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<br /> connnnENTs: GF{n�v ,�C.�G�-GI,,J ,�J�I1.c�,;U f_.�u„���� .�J s ���,-v�; G+ e.� l" ` � ���'��
<br /> L�L��r,/��Y�/��I�,'�1�4 �� �''h��'/_/Y✓�t( ���'iill c�t'' � ��i�r/�/ ���i ��/�;i� %j{ �� ;j��/ �'L%/1/'� !/� t_
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<br /> Date of Inspection ` Septic Systerr�. pector
<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 wili 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
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