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On the North Shore o f Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 1335 S. Brown Rd. � � � Crystal Bay, MN 55323 473-7357 OWNER [��5-��-1j'hGp.r+ ADDRESS -�� %.td►��`J PERMiT NO.'S. �3� DATES ��3�� CONTRACTORS - City Ordinance No.210 requires that each on-site sewage treatment system in Orono be i�spected on a regular basis.The on3ite sewage treatment system at the above address has been i�spected and appears to fall into the category checked below. (This is � an existi�g 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 standards for new construction (1978 Code1 but i� most respects appears to be designed, loceted, and constructed generally in accordance with previous codes.System appears to be functioning properly;no major upgrading of the system is required at this time. j j� 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 fai�ing 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 nuisance.Please contact the City I�spector to discuss system repair/ replacement proc:edures. 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: ❑ Inspection pipe is located directly over tank baffle.(Does not ❑ Pumpout not nee�d at this time. give accurate me�surement of solids accumulation.) If tanks O 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 criticel level. Tanks Drain ield 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 surfacing,not critical yet. � within 48 hours to eliminate surFace discharge. O Drainfield is saturated and visibly discharging untreated ns tion risen missing—tanks could not be inspected, effluent to the surface. This condition may require replace- Inspection n�ro ia pipe mu cank ment or additions to drainfield. Contact the City Inspector at�xt pumpou . n s ave not been pumped out within immediately.Repairs must be completed within 90 days. she_�,�et three vears thev she�ld he oumne out now. ❑ Drainfield extent and condition unknown. 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 ❑Poor ❑ Lake,wetland,or stream ❑ High O Inadequate ❑ Drainage ❑System is causing visible surface discharge. r COMMENTS: r r P� ✓ �+►� yt�h rYLs ��9l 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 existing system will continue to function properly,but is merely a�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 a�d pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner