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On the North Shore of Lake�Iinnetonka ON-SITE SEWAGE TREATMENT INSPECTION REPORT � POST OFFICE BOX 66 1335 S. Brown Rd. � � � Crystal Bay, MN 55323 473-7357 OWNER ADDRESS /�J�'►'�✓U . PERMITNO.'S. DATES �3�6-� CONTRACTORS City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inapected on a regular basis.The onsite sewage treatment system at the above addrest hss been inspected and appears to fall into the category checked below. IThis is � an existi�g system ❑ new construction) � � Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating properly. � 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, located, and conatructed generally in sccordance with previous codea.System appears to be functioning properly;no major upgrading of the system is required at this time. � 3 Does not meet current City standerds in many respects relating to design,construction,or location.Appears to be operating adequately at this time,but has a reiatively 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 ia otherwise creating a public nuisance.Ptease contact the City Inspector to discuss system repair/ replacement procedures. If drainfield replaceme�t 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 accurete me.esurement of solids accumulation.) If tanks ❑ Solids aecumulation in tanks indicates they should be pump- have not been pumped out within the lest three years,they ed out this year to help prevent future problems, should be pumped out now. ❑ Solids accumulation in tanka ia at a critical level, Tanks Drainfield inspection indicatea: should be pumped out as aoon as posaible. ❑ Drainfield is dry,no surfacing evident. ❑ System is discharging to surface. Tanks must be pumped � �g Some evidence of surfacing,not critical yet. within 48 hours to eliminate surface discharge. �L�F-Drainfield is saturated and visibly discharging untreated �Inspection risers missing—tanks could not be inspected. ��- is con �t�on may reqwre replace- Inspection risera (4"dia.pipe)muat be inatalled in each tank ment or additions to drainfield. ntact e �ty nspector at next pumpout. If tanks have not been pumped out within ' hin ays. the last three years,they ahould be pumped out now. O Drai�field extent and condition unknown. StTE CHARACTERISTICS: Limiting Site Factors Potential for Syatem Failure Site Capabilities for ❑ Slope (depends on soil types,water Future Expansion ❑ Soil table,and system condition) Adequate 0 High water table ❑ Low �Fair ❑ Lot size ❑ Medium ❑Poor ❑ Lake,wetla�d,or stream ❑ High ❑ 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 mortga�or other trensfer of property,be advised that this report does not guarantee or certify that an existing system will conti�ue to function properly,but is merely an opinion of the adequacy of the system under current 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