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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 _J��i-/I �1 Sln.l7l1S[� ADDRESS /�B�'�,�-�✓ �V✓�tC� PERMITNO.'S. a�� DATES b+S�9 CONTRACTORS 5��✓�'h City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inspected on a regufar basis.The on-site sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is � an existing system ❑ new construction) � � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. � 2 Does not meet all current City standerds for new construction (1978 Code) but in most respects appears to be designed, located, and constructed generaliy in accordance with previous codes.System appears to be functioning properly;no major upgrading of the system is required at this time. � 3 Dces not meet current City atandards 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 endan�ring 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 nuisence.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 obtai�a permit before work is started. SYSTEM CONDITION ( m Checked items may require your actio�) Tank inspection indicates: ❑ Inapection pipe is located directly over tank baffle.(Does not �Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks ❑ Solids accumulation in tanks indicates they should be pump- have not been pumped out within the last three years,they ed out this year to help prevent future problems. should be pumped out now. ❑ Solids accumulation in tanks is at a critical level. Tanks Orainfield inspection indicatea: should be pumped out as soon es possible. ,� Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. withi�48 hours to eliminate surface discharge. ❑ Drainfietd is saturated and visibly discharging untreated ❑ Inspection risero miuing—tanks could not be inspected, effluent to the surface. This condition may require replace- Inspection risera (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 been pumped out within immediately.Repairs must be completed within 90 days. the last three years,they should be pumped out now. O Drainfield extent and co�dition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion O Soil table,and system conditio�) ❑ Adequate ❑ High water table � Low �Fair ❑ Lot size ❑ Medium ❑Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑System is causing visible surface discharge. COMMENTS: /� �� Date of Inspection ptic 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 existing system will continue to function properly,but is merely an opinion of the adequacy of the system under current conditio�s 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