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CITY OF ORONO � O� Municipal Offices O � O Post Office Box 66 Crystal Bay, MN 5 5323-0066 � � ON—SITE SEWAGE TREATMENT r�`, � INSPECTION REPORT ti ��kESH��'�G owner: �I/i� �P1P_� Address: � � ��fA)Y'� I��. �. �� Permit #'s: I'�l�nf� Dates: " Contractors: G��l�(i'�yr�/1-� , City ordinance number 100 requires that each on-site sewage treatment system in Orono be inspected on a regular basis. The on-site sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is� an existing system [ ] new construction) SYSTEM CONFORMITY (1-3): � 1 "CODE SYSTEM"-A system which meets all the location, design, and construction standards of the current City Codes, and uhich is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 2 "CONFORMING SYSTEM"-A system uhich does not meet alt the location, design, and construction standards of the current City Codes, but uas installed according to the code in effect at the time of installation, and which is operating satisfactorily by treating and disposing of the entire current sewage input without discharging any pollutants into ground or surface waters. 3 "NON-CONFORMING SYSTEM"-A prohibited system; a system located within a designated 100-year floodplain; any system which may or may not meet all the location, design, and construction standards of the current City Codes and which is failing for any reason; and a� system uith less than 3 feet of unsaturated soil or sand �between the distribution device and the limitin� so—iC"c�53Fa r 5 ics. .•-- ; (T��h��e limiting soil characteristic f�(l has or [ ] has not been identifietl 'at��th�is tim�e lf the lir�ifing soil �' characteristic has not been identi+fied, this classification may be subject to revision'.) TANK CONDITION (5-10): Tank inspection indicates: 5 Purtipout not needed at this time. b Solids accumulation in tanks indicates they should be pumped out this year to help prevent future problems. 7 Solids accumulation in tanks is at a critical level. Tanks should be pumped out as soon as possible. 8 System is discharging to the surface. Tanks must be pumped out uithin 48 hours to eliminate surface discharge. 9 Inspection risers missing-tanks could not be inspected. lnspection risers (4" dia. pipe) must be installed in each tank at next pixnpout. If tanks have not been pumped out uithin the last three years, they should be pumped out now. 10 Inspection pipe is located directly over tank baffle (does not give accurate measurement of solids accumulation). If tanks have not been pumped out within the last three years, they should be pumped out now. DRAINFIELD CONDITION (11-14): D�ra,�field inspection indicates: CLY Drainfield is dry, no surfacing evident. 12 Some evidence of surfacing, not critical yet. 13 Drainfield is saturated and visibly discharging untreated effluent to the surface. Contact the City Inspector immediately. Repairs must be completed uithin 90 days. 14 Drainfield extent and condition unknown. LIMITING SITE FACTORS (slope,setbacks,etc.): ' (� h POTENTIAL FOR SYSTEM FAILURE (depends on soils,water table,etc.): �i��r!!/1Cr1 CO ENTS:' � ~ � � , � � L� ) i/` � �• ' <' � :� � r _ .� . Date of Inspection Sep c System Inspector 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 this report does not guarantee or certify that an existing system uill continue to function properlyi but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the prE�nises with the system locatien and pumping records. WHITE COPY/Inspectors File YELLOW COPY/Homeowner