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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 /��%'C�f'iYl �T�✓.�N\ ADDRESS ��r,.l �X� /�GT,i PERMIT NO.'S. r��' DATES !!'�� CONTRACTORS City Ordinan� No. 210 requires Mat each on-site sewage treatment system in Orono be inspected o�a regular basis.The onsite sewage treatment system at the above address has been inspected and appean to fall i�to the category checked below. (This is �an existing system ❑ new construction) �� Meets or exceeds current City standards in ali respects relating to deaign,constructio�,and location.Appears to be operating properly. � 2 Does not meet all current City standards for �ew construction (1978 Code) but in most respects appears to be designed, located, and constructed generally 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 nuisence.Ple�e contact the City Inspector to discuss system repair/ replecement 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 obtain a pErmit before work is started. SYSTEM CONDITION� m Checked items may require your action) Tank i�apection 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 ❑ Solids aecumulation in tanks indicates they should be pump- have not been pumped out within the Iast three years,they ed out this year to help prevent future problems. should be pumped out�ow. ❑ Solids accumulation in tanks is at a critical level, Tanks Drai field inspection indicates: should be pumped out as soon aa possible. �Drainfield is dry,no surfacing evident. ❑ System is discharging to surfac:e. Tanks must be pumped Some evidence of surfacing,not critical yet. ,..�{ within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visib�y discharging untreated � �F Inspection risers missin —tanks could no ' effluent to the surface. This condition may require replace- Inspection r' 4 dia. i )must be instaNed in each ta�k ment or additions to drainfield. Contact the City Inspector $i.ae�ct.i�um '� ' �um i�nmediately.Repairs must be completed within 90 days. the last three years,they ahould 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,v�ater Future Expansion ❑ Soil table and system conditipn) �Adequate ❑ High water table �Low ❑ Fair ❑ Lot size Medium � O Poor ❑ Lake,wetland,or stream ❑ High ❑ Inadequate ❑ Drainage ❑System is causing v�isible surface discharge. � COMMENTS: � /q �� ll-�'S�r ��-9f Date of Inspection S tic Syste Inspector 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 this report does not guarantee or certify that an existing system will continue ta function properly,but is merely a�opinion of the adequacy of the system under current conditions based on the available i�formation. This report must be kept on the premises with system location and pumping records. WHITE COPY/Inspector's File GOLD COPY/Homeowner