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On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT POST OFFICE BOX 66 � . � � 1335 S. Brown Rd. Crystal Bay,MN 55323 473-7357 OWNER ��//�n� ADDRESS �� '1'� �� PERMITNO.'S. �� DATES ��-6� CONTRACTORS � �/X1�_ �'�� City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inapected on a regular basis.The onsite sewage ueatment system at the above addre�hss been i�apected and appears to fall into the category checked below. (This ia � an existing system ❑ new consuuction) �� Meets or ext�eds current City atandards in all respects relating to design,construction,and location.Appean to be operating prope�ly. � 2 Does not meet all current City standerds for new construction (1978 Code) but in most respects appears to be designed, loceted, and constructed generally in accordance with previous codes.System appears to be functioning properly;no major upgreding of the system is required at this time. � 3 Does not meet current City standards in many respects relating to design,construction,or location.Appears to be operating adequately at this time,but has a relatively high potential 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 groundwaters,or is creating a safety hazard,or is otherwise creating a public nuieance.Please contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan must be submitted for review.Your contractor must obtain a permit before work is started. SYSTEM CONDITION (m Checked items may require your actionl Tank'nspection indicates: ❑ Inapection pipe is located directly over tank beffle.(Dces not ,�Pumpout not needed at this time. give accurate measurement of solids eccumulation.l If ta�ks ❑ Solids eixumulation in tanks indicstes they ahould be pump- have not been pumped out within the last three years,they ed out this year to hslp prevent future probtems. should be pumped out now. ❑ Solids accumulation in tanks ia at a critical level, Tanks Drainfield inspection indicates: should be pumped out as soon ss possible. ,� Drainfield is dry,no surfscing evident. ❑ Systam is diacharging to surface. Tanb must be pumped ❑ Some evidence of surfaci�g,not critical yet. within 48 hours to eliminate aurface discharge. ❑ Orainfield is saturated and visibly discharging untreated ❑ Inapection riaers misting—tanka could not be inapected, effluent to the aurface, This co�dition may require replace- Inspection risera (4"dia.pipe)muat be installed in each tank ment or additione to drainfield. Contact Me City Inspector at next pumpout. If tankt have not been pumped out within immediately.Repaira must be completed within 90 days. the last three years,�ey should be pumped out now, ❑ Drainfield extent and condition unknown, SITE CHARACTERISTICS Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (dePends on soil rypes,water Future Expansion ❑ Soil table,and system condition) �Adequate O High water table �Low Fair ❑ Lot size Medium ❑Poor ❑ Lake,wetland,or stream ❑ High . ❑ Inadequate ❑ Drainage ❑System is causing visible surface dischar�. COMMENTS: � � Date of Inspection Septic System Inspector 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 this report does not guarantee or certify that an existi�g system 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