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On the North Shore o f <br /> Lakc Mirznetonka <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 �OL(q�CCS LJCca� �GYI. ADDRESS �f�<J :��x f'l�> �'V�+'ll.(.e. /� �/UGu..�Z-C[�CL <br /> ,�T <br /> PERMIT NO.'S. 'Bp� ��� DATES ���`3� `��� CONTRACTORS � �' r ' <�IZIGfl��ij <br /> City Ordinance No. 210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage <br /> treatment system at the above address has been inspected and appears to fall into the category checked below. <br /> (This is � an existing system ❑ new construction) <br /> / ' <br /> � � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating <br /> properly. <br /> 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, <br /> located, and co�structed generally in accordance with previous codes. System appears to be functioning properly; no major <br /> upgrading of the system is required at this time. <br /> � 3 Does not meet current City standards 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 creating a public nuisance.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 ( � Checked items may require your action) <br /> Tank inspection indicates: ❑ Inspection pipe is located directly over tank baffle.(Does not <br /> ❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks <br /> ❑ Solids accumulation 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 /> ❑ Sotids accumulation in tanks is at a critical level. Tanks Dra' Id inspection indicates: <br /> should be pumped out as soon as possible. �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 risers 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 or 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. ❑ Drainfield extent and condition unknown. <br /> SITE CHARACTERISTICS: <br /> Limiti g 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 Low '2S�S f�yp G�� �Fair <br /> ❑ Lot size �Medium 3 �Poor <br /> '�Lake,wetland,or stream ❑ High ❑ Inadequate <br /> ❑ Drainage ❑ System is causing visible <br /> surface discharge. <br /> COMMENTS: ��-' �G���� <br /> �- <br /> 2�'� /�r�� : � ' <br /> ate of Inspection � Septic SysterrrJAs ector <br /> 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 <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 with system location and pumping records. <br /> WHITE COPY/ Inspector's File GOLD COPY/Homeowner <br />