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On the North Shore o f <br /> Lake Mi�anetonka <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 /> OWNER ��1�I���Cy�'� ADDRESS _J� �r�1�i✓ <br /> / / <br /> PERMIT NO.'S. �� DATES 1��3 77 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 above address has been inspected a�d appears to fall into the category checked below. <br /> (This is �an existing system ❑ new construction) <br /> ,�'J� � 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 curre�t 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,a�d a design and site plan <br /> must be submitted for review.Your contractor must obtain a permit before work is started. <br /> SYSTEM CONDITION ( m Checked items may require your action) <br /> Tank"nspection indicates: ❑ Inspection pipe is located directly over tank baffle. (Does not <br /> �Pumpout not needed at this time, give accurate measureme�t 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 Drai field 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 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 Future Expansion <br /> ❑ Soil table,and system condition) �-Adequate <br /> ❑ High water table Low � Fair <br /> ❑ Lot size �Medium � Poor <br /> ❑ Lake,wetland,or stream ❑ High � Inadequate <br /> ❑ Drainage ❑ System is causing visible <br /> surface discharge. <br /> COMMENTS: <br /> �-/9-91 <br /> Date of Inspection eptic System Inspector <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 />