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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. � � � � Crystai Bay, MN 55323 473-7357 OWNER �1/rn� v� �r7�P��'h ADDRESS �/�_L�f� ��/� PERMIT NO.'S. ��Q- DATES ` CONTRACTORS � City Ordinance No.210 requires that each on-site sewage treatment system in Oro�o be inspected on a regular basis.The on-site sewage treatment system at the above address has been i�spected and appears to fall into the category checked below. (This is � an existing system ❑ new construction) � 1 Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. �2 Dces not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, located, and conatructed generally in accordance with previous 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 i� 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 i�put,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is creating a safety hazsrd,or is otherwise creating a public�uisance.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) , T�nk'�spection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not � �Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks Solids aecumulation in tanks indicates the y shoufd be pum p- have not been pum p ed out within the Isst three years,the y ed out this year to help prevent future problems. should be pumped out now. ❑ Solida accumulation in tenks is at s criticat level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible. � Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped Some evidence of surfaci�g,not critical yet. within 48 hours to eliminate surface discharge. O Dreinfield is saturated and visibly discharging untreated ❑ Inspection risera missing—tanks could not be inspected, effluent to the surface. This condition mey require replace- Inapection risero l4"dia. pipe)muat be instelled 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. ❑ Drainfield exte�t and condition unk�own. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion ❑ Soil table,and system condition) ❑ Adequate ❑ High water table ❑ Low '�Fair ❑ Lot size �Medium O Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑System is causing visible surface discharge. � � COMMENTS:� S ✓ P O CD Gfr�' O — �- • sv�l� Date of I�spection 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 dces not guarantee or certify that an existing system will continue to functio�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