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On the North Shore o f Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 � _ � � 1335 S. Brown Rd. Crystal Bay,MN 55323 � 473-7357 OWNER �(�,��1 AODRESS l��TC��'1 �l Y� PERMIT NO.'S. —{� DATES �� CONTRACTORS �r City Ordinance No.210 requires that each on-site tewage treatme�t system in Orono be inapected on a regular basis.The on�site sewage treatment system at the above address has been inspected and appeers to fall into the category checked below. (This is I� en exiating system ❑ new construction) �� Meets or exceeds current City atandards in all reapects relating to deaign,construction,and location.Appears to be operating W�►�Y• � 2 Does not meet all current City atandards for new construction (1978 Code) but in most respects appears to be designed, located, and constructed generally in accordance with previoua codes.System appeers to be fu�ctioning properly;no major upgredi�g of the syatem is required at this time. D3 Does nat mcet curcent City standards in many respects relating to design,construction,or locetion.Appears to be operating adequately at this time,but has a relatively high potentiai for future problems.No major upgrading of system is required at this time. � 4 System may or may not meet current City standards for design,construction or location,but is failing to properly treat and dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or g�oundwaters,or is creating a aafety hazard,or is otherwise creating a public nuisance.Please contect the City Inspector to discuss system repair/ replacement p�ocedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan muat be submitted for review.Your co�tractor must obtain a permit before work is atarted. SYSTEM CONDITION �m Checked items may require your action) Ta�k inapection indicetea: ❑ Inapection pipe is located directly over tenk baffle.(Does not $l Pumpout not needed at this time, give eccurate meesurement of solids accumulation.) If tanks ❑ Solida aecumulation in tanks indicatea they ahould be pump- have not been pumped out within the last three years,they ed out this year to nelp prevent future proWema. should be pumped out�ow. ❑ Solida eccumulation i� tanks is at a critical level. Tanks Drainfield inapection indicates: should be pumped out as soon as poasible. � Drainfield is dry,no aurfecing evident. ❑ System is diacharging to aurface. Tenka must be pumped ❑ Some evidence of surfecing,not critical yet. within 48 hou�s to eliminate surface discha►ge. O Drainfield i: ssturated and visibly diacharging untreated ❑ Inspection risers mis�ing—tanks could not be inspected, effluent to the surface. This condition may require replace- Inapection risen (4"dia.pipe)muat be inatsNed in each tank ment or additiona to drainfield. Contect the City Inspector at next pumpout. If tank:have not been pumped out within immediately.Repairs must be completed within 80 days. the last three years,they ahould be pumped out now. ❑ Dreinfietd extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potentisl for System Failure Site Capabilities for O Slope (depends on soil types,water Future Expansion ❑ Soil table and system condition) �.Adequate ❑ High water table �Low ❑ Fair ❑ Lot size O Medium ❑Poor ❑ Lake,wetland,or stream ❑ High . ❑ Inadequate ❑ Drai�age ❑System is causing visible surface discharge. COMMENTS: ��/�� Date of Inspection eptic System Inspector Note: I� the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be sdvised that this report does not guarantee or certify that an existing system will conti�ue to function properly,but is merely an opinion of the adequacy of the system under current conditioos based on the available information. This report must be kept on the premises with system locetion and pumping records. WHITE COPY/Inspector's File GOID COPY/Homeowner