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nr� the North Shore of <br /> Lake Mi��zsetorzka <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 D�/J�.1f� KuM��N ADDRESS .� lv�� �°,t S'T/�r 1 <br /> PERMIT NO.'S. � � � 5 DATES �� - -3 � Z ` CONTRACTORS WIAM �i2� <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 a dress 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 potentiat 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 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�s <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 reyuired,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 Dra�inf�i �spection indicates: <br /> should be pumped out as soon as possible. L�J'Drainfield is dry,no surfacing evident. <br /> ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. <br /> �,�"thin 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated <br /> L�f 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 pansion <br /> ❑ Soil table,a system condition) Adequate <br /> ❑ High water table Low ❑ Fair <br /> ❑ Lot size ❑ Medium O Poor <br /> ❑ Lake,wetland,or stream ❑ High ❑ Inadequate <br /> ❑ Drainage ❑ System is causing visible <br /> surface discharge. <br /> COMMENTS: <br /> Le t� r 1 <br /> Date of Inspection Septic Syst m Ins ctor <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 <br />