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. <br /> On the North Shore o f <br /> Lake A�Iinnetonka <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 aL.��y/ �-�R" ADDRESS �'"^' � • <br /> .�- �' <br /> PERMIT NO.'S. DATES CONTRACTORS " <br /> City Ordinance No. 210 requires that each on-site sewage treatmAnt system in Orono be inspected on a regular basis.The on�site sewage <br /> treatment system at the above address has been inspected and appeers to faN into the category checked below. <br /> (This is ❑ an existing system ❑ new construction) <br /> � � Meets or exceeds current City standards in sli respecu r�lating to design,construction,and location.Appears to be operating <br /> properly, <br /> I� 2 Oces not meet ali current City standards for new construction (1978 Code) but in most respects appears to be designed, <br /> �19� located, and constructed generally in accordance with previous codes.System appears to be functioni�g properly;no major <br /> upgrading of the system is required at thia time. <br /> � 3 Does not meet current City stendards 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 and <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 ereating a public nuisence.Please contact the City Inspector to discuss system repair/ <br /> replacement procedures. If drainfield replacement is.necessary,soil testing will usually be required,and 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�equire your action) <br /> Tank'nspection indicates: � ❑ Inspection pipe is located directly over tank baffle.(Dces not <br /> �Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks <br /> ❑ Solids aecumulation 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. Tanks Drainfield inspection indicates: <br /> ahould be pumped out as soon as poasible. �Drainfield is dry,no surfacing evident. <br /> ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. <br /> within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated <br /> ❑ Inspection ri�rs missing—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 w additions to drainfield. Contact the City Inspector <br /> at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days. <br /> the last three years,they should be pumped out now. 0. Drainfield extent and co�dition 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 /> ❑ Soil table,and system condition) �Adequate. <br /> ❑ High water table � Lovfr �Fair <br /> � Lot size �Medium ❑Poor <br /> ❑ Lake,wetland,or stream ❑ High ❑ Inadequate <br /> ❑ Drainage ❑System is causing visible <br /> aurface diseharge. <br /> COMMENTS: � <br /> �a <br /> Date of Inspection eptic System Inspector <br /> Note: In the event that this inspection report is used to satisfy the requiYements 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 opinion of the adequacy <br /> of the system under current conditions based on the available information. <br /> This report must be kept on the premises wiih system location and pumping records. <br /> WHITE COPY/Inspector's File GOLD COPY/Homeowner <br />