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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 � ADDRESS PERMIT NO.'S. � DATES ��v �/ CONTRACTORS City Ordinance No. 210 requires that each on-site sewage treatm�nt system in Orono be inspected on a regufer basis.The on3ite 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 r�lating to design,co�struction,and location.Appears to be operating properly. � 2 Does not rrieet all curreni City standards for new construction (7978 Code) but in most respects appears to be designed, located, and constructed general�y in accordance with previous codes.System appears to be functioning properly;no major upgrading of the system 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. �4 System may 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 contect the City Inspector to discuss system repair/ replacement procedures. If drainfield replacement is.nec�ssary,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 measurement of solids accumulation.) If tanks O Solids aecumulation in tanks indicates they should be pump- have not been pumped out within the last three years,they ed out this year to hetp prevent future problems. should be pumped out now. ❑ Solids accumulation i� tanks is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soon as possible. ❑ Dcainfield 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. �Drainfield is ssturated and visibly discharging untreated �Inspection risers missing—tanks eould not be inspected. � effluent to the surface. This co�dition may require replace- Inspection risers (4" dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector at next pumpout. If tanks have not been pumped out within immediately._Repairs must be completed within 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 (depends on soil types,water Future Expansion ❑ Soit taWe,and system condition) �Adequate. ❑ High water table 0 Low � Fair ❑ Lot size ❑Medium ❑Poor ❑ Lake,wetland,or stream ❑ High � � Inadequate ❑ Drainage �System is causing visible s ace 'seharge. COMMENTS: 'uf�� P/ __�� Date of Inspection ptic System Inspector 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 this report does not guarantee or certify that an existing system will continue to function properly,but is merely an opinion of the adequacy of the system under current conditio�s based on the available information. This report must be kept on!he premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner