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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 /��✓C `7//J��PA� ADDRESS �a PERMITNO.'S. ��- DATES �`�y , CONTRACTORS� � "� ��e✓� City Ordinance No,210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage treatment system at the above address has been inspected and appears to fall into the category checked below. (This is � an existing system ❑ new construction) � � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appean to be operating properly. � 2 Does not meet all current City standards for new conatruction (1978 Code) but in most respects appears to be designed, located, and constructed generally in accordance 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,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. �y�/� 4 System may or may not meet current City standards for design,construction or location,but is failing to properly treat and J�• 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 othervvise creating a public nuisance.Please contact the City Inspector to discuss system repairl 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) Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not ❑ Pumpout not needed at this time. give accurate m�surement 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 this year to belp prevent future problems. should be pumped out�ow. ❑ Solids accumulation in tanks is at a critical level. Tanks Dreinfield inspection indicetes: � hould be pumped out as soon as possible, � Orainfield is dry,no surfacing evident. � stem is discharging to aurface. Tanks must be pumped Some evidence of surfacing,not critical yet. wit in 48 hours to e imm r . ��Drainfield is saturated and visibly discharging untreated ❑ Inspection risers missing—tanks could not be inspected, effluent to the su ece is con ition may require replace- Inspection risera (4"dia. pipe)must be installed in each tank ment or additions to drainfield. Contact e � spec or at next pumpout. If tanks have not bee�pumped out within �mm iately.Repairs must be comaleted within ays. the last three years,they ahould be pumped out now, ❑�ra�nfield extent and condition unknown. SITE CHARACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for O Slope (depends on soil rypes,water Future Expansion ❑ Soil table,and system condition) ❑ Adequate ❑ High water table ❑ Low `�Fair � Lot size ❑Medium ❑Poor ❑ Lake,wetland,or stream ❑ High 0 Inadequate ❑ Drainage �-System is causing visible surface discharge. COMMENTS: -- -9/ 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 tra�sfer of property,be advised that this report dces not guarantee or certify that an existing system will continue to function properly,but is merely an opi�ion of the adequacy of the system under curre�t 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