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ON SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On if.n’ \oith Shore of <br />Lake Miinieioiika <br />( I T V <br />ORONO <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNER ToUmso ADDRESS __P>ft.O<-OA3 f^oAvO So. <br />PERMIT NO.S.DATES CONTRACTORS <br />City Ordinance No. 210 requires thai each on-site sewage treatment systerr u ono be inspected on a regular basis. The on-site sewage <br />treatment system at the above address has Ijecn inspected and appears to fait into the cut« gory checked below. <br />(This IS 2^ an existing system □ new construction) <br />I ^ Meets or exceeds current City standards in all resf>ects relating to design, construction, and location. Appears to be operating <br />‘—' properly. <br />02 Does not meet all current City standards for new constiuction (1978 Code) but in most respects appears to be designed, <br />located, and constructed gerufrally in accordance with previous codes. System appears to be functioning properly; no major <br />upgrading of the system is required at this time. <br />2 Does not meet current City standards in many respects relating to design, construction, 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 lor design, construction or location, but is failing to properly treat and <br />dispose of the current input, and is endangering a water sujiply, or is a source of pollution to surface or groundyvaters. Of is <br />creating a safety hazard, or is otherwise creating a public nuisance. Please contact the City Inspector to discuss system repair/ <br />replacement procedures. If drainfield leplacement is necessaiy. soil testing will usually be requited, and a design and site plan <br />must be submitted for review. Your contractor must obtain a permit before work is started. <br />SYSTEM CONDITION ( 0 Checked items may require your action) <br />Tank inspection indicates: <br />□ Pumpout not needed at this time. <br />^Ss^^bds accumulation in tanks indicates they should be pump­ <br />ed out this year to help prevent future problems. <br />□ Solids accumulation in tanks is at a critical level. Tanks <br />should be pumped out as soon as possible. <br />□ System is discharging to surface. Tanks must be pumped <br />within 48 hours to eliminate surface discharge. <br />□ Inspection risers missing-tanks could not be inspected. <br />Inspection risers (4" dia. pipe) must be installed In each tank <br />at next pumpout. If tanks have not been pumped out within <br />the last three years, they should be pumped out now. <br />□ Inspection pipe is located directly over tank baffle. (Does not <br />give accurate measurement of solids accumulation.) If tanks <br />have not been pumped out within the last three years, they <br />should be pumped out now. <br />Drainfield inspection indicates <br />STOrainfield is dry, no surfacing evident. <br />□ Some evidence of surfacing, not critical yet. <br />□ Drainfield is saturated and visibly discharging untreated <br />effluent to the surface. This condition may require replace­ <br />ment or additions to diainfield. Contact the City Inspector <br />immediately. Repairs must be completed within 90 days. <br />□ Drainfield extent and condition unknown. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />□ Slope <br />□ Soil <br />□ High water table <br />□ Lot size <br />□ Lane. ...**and, or slreaifl <br />□ Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />□ Low <br />^ Medium <br />High <br />G System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />^Adequate <br />□ Fair <br />□ Poor <br />□ InarJequate <br />COMMENTS ^^JSTe;'0^— :a:ia Qcz crr~ <br />Date of Inspection ic System Inspector <br />Note In the event that •' s inspection report is used to satisfy the requirements for a mortgage or other transfer of property, be advised that <br />this report does not guara itee or certify that an existing system will continue to function properly, hut is merely an opinion of the adequacy <br />of the system under cui’e >( conditions based on the available information. <br />This report must be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner <br />I