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On the North Sbore of Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 1335 S. Brown Rd. � � � � Crystal Bay,MN 55323 473-7357 OWNER �y�1�1'1 �v� ADDRESS � l`� PERMIT NO.'S. DATES ��g� CONTRACTORS �WIL City Ordinance No.210 requires that each on-site aewage treatment system in Orono be inspected on a regular basis.The onsite sewage ueatment system at the above address has been inspected and appears to fail into the category checked below. (This is '� an existing system ❑ new construction) � � Meets or excee�current City standards in all respects relating to design,construction,a�d location.Appears to be operating properly. � 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, located, and constructed generaily in accorda�ce with previous codes.System appears to be functioning properly;no major upgrading of the systern is required at this time. � 3 Does not meet current City standards in many respects relating to design,conatruction,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 mey or may not meet current City standards for design,construction or location,but is failing 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 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 contrector must obtain a permit before work is started. SYSTEM CONDITION ( m Checked icems may require your action) Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not ❑ Pumpout not needed at this time, give accurate me�urement 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 thia year to help prevent future problems, should be pumped out�ow. ❑ Solids accumulation in tanks is at a critical level. Tanks Drai ield i�spection indicatea: should be pumped out as soon es posaible. �Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet. within 48 houn to eliminate surface discharge. ❑ Drainfield is saturated and visibly diacharging untreated �� Inspection risers missing—tanks could not be inspected. effluent to the surface. This condition may require replace- Inspection risere (4"dia.pipe)must be instaRed in each tenk ment or additions to droinfield. Contact Me City Inspector at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed withi�90 days. the last three years,they should be pumped out now, ❑ Drainfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope Idepends on soil types,water Future Expansion ❑ Soil table,and system condition) ❑ Adequate ❑ High water table Low f�'fair ❑ Lot size '�Medium O Poor ❑ Lake,wetland,or stream O High O Inadequate ❑ Dreinage ❑System is causing visible surface discharge. COMMENTS: � r f—S 1!� � �-�9/ � � � Date of Inspection eptic 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 locatio�and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner