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M <br /> On�the Noyth Shore of <br /> Lake Minnetonka <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 � � � ADDRESS �/� �/u� l��• <br /> PERMIT NO.'S. ��Da C' ' ' �� � � <br /> DATES � CONTRACTORS <br /> City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite se <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 /> ��71 � Meets or exceeds current City standards in all respects releting to design,construction,and location.Appears to be operating <br /> �d properly. <br /> � 2 Dces not meet aIl current City standards for new co�struction (1978 Code) but in most respects appears to be designed, <br /> located, and constructed 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�ot rrfeet current City standards in many respects relating to design,eonstruction,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 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.You�contractor must obtain a permit before work is started. <br /> SYSTEM CONDITION ( m Checked items may require your action) <br /> Ta�k inspection 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 bean 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 criticel level, Tanks , Drainfield inapection indicates: <br /> should be pumped out as soon as possible. ,� Drainfield is dry,no surfacing evident. <br /> ❑ System is discharging to surface. Tanka 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 tsnks 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 /> 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 �Low Fair <br /> O Lot size O Medium ❑Poor <br /> ❑ Lake,wetland,or stream ❑ High ❑ Inadequate <br /> ❑ Drainage O System is causing visible <br /> s rface i h �ge. � <br /> _`, i / / <br /> COMMENTS: �` r � �` � <br /> �S 'g3 P <br /> �-/�'� <br /> Date of Inspection Septic System Inspector <br /> Note: In the event that this inspection report is used to satisfy the reGuirements for a mortgage or Uther 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 opinio�of the adequacy <br /> of the system under current conditions based on the available information. <br /> This report must be kepron the premises with system location and pumping records. <br /> WHITE COPY/Inspector's File GOLD COPY/Homeowner <br />