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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />OWNER L ILAr 4% a", <br />On the ,Vorth Shore of <br />Lake .tlinnetonkri <br />POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />ADDRESS <br />i <br />PERMIT NO.'S. g`J `1 DATES �'-' �L" CONTRACTORS <br />City Ordinance No. 210 requires that each on -site sewage treatment system in Orono be inspected on a regular basis. The oniite INV" e <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 />01 Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating <br />properly, <br />2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be designed, <br />located, and constructed generally in accordance with previous codes. System appears to to functioning properly. no major <br />upgrading of the system is required at this time. <br />D3 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 Cit., standards for design, construction or location, but ,s fading to properly treat and <br />dispose of the current input, and is endangering d water supply, or is a source of pollution to surface or groundwaters, or is <br />creating a safety hazard, or is otherwise creating a Lublic nuisance. Please contact the City Inspector to discuss system repair/ <br />replacement procedures. If drainfield replacement is necessary, sod testing will usually be required, 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 I (Z Checked items may require your action) <br />Tank inspection indicates. <br />® Pumpout not needed at this time. <br />❑ Solids 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" dis. pipe) must be installed in each tank <br />at next pump -out. If tanks have not been pumped out within <br />the jest 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 />CR Drainfield 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 drainfield. 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 Potential for System Failure <br />Site Capabilities for <br />❑ Slope (depends on soil types, water <br />Future Expansion <br />❑ Sod table, and w -err condition) <br />® Adequate <br />❑ High water table 0 Low <br />Cl Fair <br />❑ Lot sue ❑ biedwrin <br />❑ Poor <br />❑ Lake, wetland, or stream ❑ Hipp <br />❑ Inadequate <br />❑ Gramage ❑ System is osuskV ileWbie <br />surface dis*sm. <br />COMMENTS <br />iTilC 4/'fC-N' <br />Onto of Inspection Septic System Inspector <br />Note In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of <br />oroperty, be advised that <br />this report does not guarantee or certify that an existing system will continue to function properly, but is merely an <br />opinion of the adequacy <br />of the system under current conditions based on the available information <br />This report mist be kept on the urennses with system location and pumping records <br />WHITE COPY i It, elector's File GOLD COPY Homeowner <br />