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On the North Shore of Lake AMinnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT POST OFFICE BOX 66 � . � � 1335 S. Brown Rd. Crystal Bay,MN 55323 473-7357 OWNER �YYI/ /'/r �-Ar�� ADDRESS _�S T7/ih� t'c/Y,/� !!�. PERMIT NO."S. ��5 DATES D�"v` CONTRACTORS T�vPs �x�, City Ordinance No.210 requirea that each on�site sewage matment system in Orono be inspected o�a regular bsais.The onsite sewage trestment system at the above address haa been inapected and appear:to fsll into the cetegory checked beiow. (This is �4 an exiating system ❑ new consuuction) � � Meets or exceeds current City atanderds in all reapects relating to deaign,construction,and location.Appeers to be operating properly. � 2 Does not meet all current City standards for new conatructio� (1978 Code) but in most respects appears to be designed, Ixeted, and constructed generally in accordanoe with p�evious codes.System appears to be functioning properly;no major upgrading of the system is required at this time. � 3 Does not meet current City standards in many respects relating to design,construction,or locatio�.Appears to be operating adequately et thia time,but h�a relatively high potenti�l for future problems. No major upgrading of system is required at this time. � 4 System may or msy not meet current City sta�dards for design,construction or location,but is failing to properly treat and diapose of the current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is c►eating a aafety hazard,or is otherwise creating a public nuisance,Please contact the City Inspecto�to discuss system repair/ replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan muat be submitted for review.Your contractor must obtain a permii before work is started. SYSTEM CONDITION ( m Checked items may require your action) Tank inspection indicetes: O Inapection pipe is located directly over tank bsffle.(Does not �Pumpout not needed at this time, give accurate m�surement of solida accumulation.) If tanks ❑ Solids aecumulation in tanks indicat�they ahould be pump� have not been pumped out within the last three years,they ed out this year to help prevent future problema. ahould be pumped out now. ❑ Solids eccumulation in tanka ia at a critical level. Tanks Drainfield inspection indicatea: should be pumped out as�on as poaaible. � Orainfield is dry,no surfacing evident. ❑ System is diacharging to surfa�x. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 houn to eliminate surfa�discharge. ❑ �rainfield is saturated and visibly discharging untreated ❑ Inspection riaer� miasing—tanks could not be inapected, effluent to the surface. This condition may require replece- Inapection ri�n (4"dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks have not bee�pumped out within immediately.Repairs must be completed within 90 days. the laat three years,they ahould be pumped out now. ❑ Drainfield extent and condition unknown. SITE CHARACTEFiISTICS: Limiting Site Factors Potential for System Failure Site Capabilitiea for ❑ Slope (dePends on soil types,water Future Expansion O Soil table and system condition) �Adequate ❑ High water table � Low O Fair ❑ Lot size ❑Medium ❑Poor O Lake,wetland,or stream ❑ High . O Inadequate ❑ Drainage ❑System is causing visible surface discharge. COMMENTS: � — !' Date of Inspection ptic System Inspector Note: I� the event that this inspectio� report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report dces not guarantee or certify that an existing systern will continue to function properly,but is merely an opinion of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner