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On the North Shore o f <br /> Lake Minnetonka <br /> ON-SITE SEWAGE TREATMENT <br /> INSPECTION REPORT � POST OFFICE BOX 66 <br /> 1335 S. Brown Rd. <br /> � � � Crystal Bay, MN 55323 <br /> 473-7357 <br /> OWNER _J;1�� � �� ��/� ADDRESS � ' � ST <br /> PERMIT NO.'S. �� DATES `�`���- CONTRACTORS D�� <br /> City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage <br /> treatment system at the above address has been inspected and appears to fall into the category checked below. <br /> (This is � an existing system ❑ new construction) <br /> � � Meets or exceeds current City standards in ali respects relating to design,construction,and location.Appears to be operating <br /> prOperly. <br /> {� 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, <br /> �/� located, and const�ucted generally in accordance with previous codes.System appears to be functioning properiy;no major <br /> upgrading of the system is required at this time. , <br /> � 3 Does not meet current City standards in many respects relating to design,construction,or location.Appears to be operating <br /> adequately at this time, but has a relatively high potential for future problems. No major upgrading of system is required at <br /> this time. <br /> � 4 System may or may not meet current City standards for design,construction or location, but is failing to properly treat a�d � <br /> dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is <br /> creating a safety hazard,or is otherwise creating a public nuisance.P�ease contact ihe City Inspector to discuss system repair/ <br /> replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,a�d a design and site plan <br /> must be submitted for review.Your contractor must obtain a permit before work is started. <br /> SYSTEM CONDITION (m Checked items may require your action) <br /> Tank inspection indicates: ❑ Inspection pipe is located directly over tank beffle.(Does not <br /> ❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks <br /> ❑ Solida accumulation in tanks indicates they should be pump� have not been pumped out within the last three years,they <br /> ed out this year to help prevent future problems. should be pumped out now. <br /> ❑ Solids accumulation in tanks is at a critical level. Tenks Drain ield inspection indicates: <br /> should be pumped out as soon as possible. ��Drainfield is dry,no surfacing evident. <br /> ❑ Syatem is discharging to surface. Tanks must be pumped Some evidence of surfacing,not critical yet. <br /> � within 48 hours to eliminate surface discharge. O Orainfield is saturated and visibly discharging untreated <br /> '�Inspection risers miuing—tanks could not be inspected, effluent to the surface. This condition may require replace- <br /> Inspection risers (4"dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector <br /> at next pumpout. If tanks have not been pumped ou ' in immediately.Repairs must be completed within 90 days. <br /> the last three years, ey out now. ❑ Drainfield extent and condition unknown. <br /> SITE CHARACTERISTICS: <br /> Limiting Site Factors Potential for System Failure Site Capabilities for <br /> ❑ Slope (depends on soil types,water Future Expansion <br /> O Soil table,and system condition) O Adequate <br /> ❑ High water table ❑ Low �Fair <br /> ❑ Lot size Medium ❑Poor <br /> ❑ Lake,wetland,or stream High ❑ Inadequate <br /> ❑ Drainage ❑System is causing visible <br /> surface dis harge. <br /> � <br /> COMMENTS:� � �v <br /> —O � <br /> � y <br /> Date of Inspection eptic System Inspector <br /> 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 <br /> this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opi�ion of the adequacy <br /> of the system under current conditions based on the available information. <br /> This report must be kept on the premises with system location a�d pumping records. <br /> WHITE COPY/Inspector's File GOLD COPY/Homeowner <br />