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'i , On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 � _ � � 1335 S. Brown Rd. Crystal Bay, MN 56323 473-7357 OWNER ��'i'� �� JW��kS�/►'1 ADDRESS 1 gZn L�.�evir,�,� T�r,-uc� PERMIT NO.'S. �l� DATES "' �� J CONTRACTORS `��'�'lll ��'� City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage treatment system at the above address has been inspecYed 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,apo location.Appears to be operating properly. �'`�,2 Does not meet all current City standards for �ew construction (1978 Code) but in most respects appears to be desig�ed, )`�' located, and constructed generally in accordance with previoua codes.System appears to be functioning properly;no major upgrading of the system is required at this time. � 3 Dces not meet current City standards in ma�y 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 upgreding!of system is required at this time. � 4 System may or may not meet current City standards for design,construction or locatio�,but is tailing to properly treat and dispose of the current input,and is endangering a water supp�y,or is a source of pollution to surface or groundwaters,or is creating a safety hazard,or is otherwise creati�g a public nuisance.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 action) `� Tank inspection indicates: JKJ Inspection pipe is located directly over tank baffle.(Dces not ( " - ❑ Pumpout not needed at this time, grve 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 Dr 'n " Id inspection indicates: should be pumped out as soon as possible. �rainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped �❑ Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated ❑ Inspection risera 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. Co�tact 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. ❑ Drainfield extent and condition unk�own. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope Idepends on soil types,water Future Expansion ❑ Soil tabl�„apd system cQndition) � �dequate ❑ High water table ��`��w ❑ Fair ❑ Lot size �0 Medium O Poor O�ake,wetland,or stream ❑ High ❑ Inadequate ��,rainage O System is causing visible surface discharge. COMMENTS: -�l _ � Date of Inspection 5eptic Sy 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 fuhction properly,but is merely an opinion ot 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