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Ofi t1.�e North Shorc of
<br /> I.akc Mlnnetorak�a
<br /> ON-SITE SEWAGE TREATMENT
<br /> INSPECTION REPORT ,� POST OFFICE BOX 66
<br /> � _ s • 1335 S. Brown Rd.
<br /> Crystal Bay, MN 55323
<br /> 473-7357
<br /> �_� , .
<br /> � � I ��%� � I l '�-;• � '-'� �.�r . :C����-���'1 �ir��t,�:') F" ..iCi
<br /> OWNER � .�Fl� rC ! �r::}�,, ADDRESS � t' t%� /'�i1i`f
<br /> ...../_'� . � r '�'lJ'�� ..__"_." '. .
<br /> PERMIT NO.'S. � DATES � CONTRACTORS
<br /> City Ordinance No, 210 reyuires that each on-site sewage treatment system in Orono be inspected on a reguiar basis.The on-site sewage
<br /> treatment system at the above address 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 upgrsding 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 faiiing 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 pubiic nuisance.Please contact the City Inspector to discuss system repair/
<br /> replacement procedures. If drainfield reptacement is necessary,soil testing will usualty 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 /> �❑ umpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
<br /> olids accumulation in tanks indicates they should be pump• have not been purnped out within the last three years, they
<br /> f
<br /> '� ed out this year to help prevent future problems. shouid be pumped out now.
<br /> ❑ Solids accumulation in tanks is at a critical level. Tanks prainf' 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 ❑ Same 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 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 soil types,water Fu�uye'Expansion
<br /> ❑ Soil table,and system condition) �L9�•Adequate
<br /> ❑ High water table ❑ Low � � Fair
<br /> ❑ Lot size '�fledium ❑ Poor
<br /> ❑ �ake,wetla�d,or stream /L� High ❑ Inadequate
<br /> ❑ Drainage ❑ System is causing visible
<br /> surface discharge.
<br /> COMMENTS: Si.�S�(?t-�—�S ;�)�4:1� �;r�.L ,�q}���,-�1� %� ����r( �� r r�"� ��' ����'[��. ��.
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<br /> Date of Inspection , �Se t'ic System Inspeet6r
<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 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 /> ,���/.� 3�9
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