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On the North Shore of Lake Minnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 1335 S. Brown Rd. � � � Crystal Bay, MN 55323 473=7357 OWNER �/G�'ITiL'��j'�p�/'.TI� ADDRESS �I��/U, _Y'b�� LXr - J PERMIT NO.'S. ` DATES CONTRACTORS ` City Ordina�ce No.210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage t�tment system at the above address has been inspected and appears to fall into the category checked beiow. (This is � an existing system ❑ new constructio�) � � Meets or exceeds current City standards in ali respects relating to design,construction,end location.Appears to be operating properly. � 2 Does not meet all current City standards for new construction (1978 Codel but in most respects appears to be designed, Iocated, and constructed generally in sccordance with previous codes.System appears to be functioning properly;no major upgrading of the system is required at thia 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 property treat and dispose of the current input,and is endangeri�g 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 contractor must obtai�a permit before work is started. SYSTEM CONDITION ( m Checked items may require your action) Tank'nspection indicates: ❑ Inspection pipe is located directly over tank beffle.(Dces not �Pumpout not needed at this time, give accurate measurement of solids accumulatio�.) If ta�ks ❑ 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 help prevent future problems. should be pumped out now. ❑ Solids accumulatio� in tanks is at a critical level. Tanks Drainfield inspection indicates: should be pumped out as soon as possibte. ❑ Drainfield is dry,no surfacing evident. ❑ System is diacharging 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 discharging untreated ❑ Inspection risers missing—tanks could not be inspected, effluent to the surface, This condition may require replace- Inspection risers (4"dia.pipe)muat be installed in each tank ment or additions to drain �e . ontact e i at next pumpout. If tanks have not been pumped out within imm iat ne�rs m��.r��.,.+,.,iere.+...�.ti..,on as. the laat three years,they should be pumped out now. ❑ Drai�field extent and condition unknown. SITE CHAHACTERISTICS: Limiting Site Factors Potential for System Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion O Soil table,and system conditio�) ❑ Adequate ❑ High water table ❑ Low �Fair ❑ lot size ❑ Medium ❑Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage �System is causing visible surface discharge. COMMENTS: �/�jD Date of Inspection Septic System Inspector Note: In the event that this i�spection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that this report does�ot guarantee or certity that an existing system will continue to function properly,but is merely an opinio�of the adequacy of the system under current conditions based on the available information. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner