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On tbe North Shore of <br /> Lake Minrretoy�ka <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 '���'IVI.i S K i�vri I I ►'L ADDRESS ZIo�oS �tJX Sfl'e�-f� Wu� ZC��Cc� <br /> PERMIT NO.'S. �7`�� DATES �C"-�� 7� CONTRACTORS ������ly�%y� j3��%% <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 and appears to fall into the category checked below. <br /> (This is `KI an existing system ❑ new construction) <br /> / � <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 tor 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 potlution 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 critical level. Tanks D ain 'eld inspection indicates: <br /> should be pumped out as soon as possibie. �Orainfield 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 /> connnnErvrs: (J/.�ti� ��Q�12G���t���n. �;�i�1 (�',�-��v L�Gt�� � i�l r �ti� � /n �97� <br /> r�,stl c.� r�E�..viac,z��� rx-ti� �r ���;ir.�(�,�� � 7�r_�y�yre�����U ��1���: �%2�'�u �-�� �l e��1,4 <br /> .- <br /> 7"�'�` "��� i�� - ,�' � <br /> Date of Inspection _ ptic System I p tor <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 availabie 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 />