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011 Ih,. \,i11/, .Short of <br />take t mm-ionka <br />ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT 0 F POST OFFICE BOX 66 <br />O O 1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473-7357 <br />OWNER - �1J ADDRESS 1 11�; -kal< l -- <br />PERMIT NO.'S. �� ��-- DATES _41— - -. .-_ __ CONTRACTORS 7h' AJ. <br />City Ordinance No. 210 requires that eac i on -site sewage treatment system in Orono be. inspected on a regular basis. The on -site sewaye <br />treatment system at the above address has been inspected and appears to fall into the category checked below. <br />(This ,s [9 an existing system ❑ new construction) <br />1 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 ru, new construction (1978 Code) but in most respects appear! to be designed, <br />located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major <br />upgrading of the system is required at this time. <br />❑ 3 Does not meet current City standards tit many respects relating to design, construction, or location. Apt Hears to be operating <br />adequately at this time, but has a relatively high potential for future problems. No major oMr„ding of system is required at <br />this time. <br />4 System may or may not meet current City standards for design, construction or location, but is fading to properly treat ant) <br />dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwatets, or is <br />creating a safety hazard, or is otherwise creating a public nuisance Please contact the City Inspector to discuss system repair/ <br />replacement pre=edures. 11 dramfreld 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 ( [,Z Checked items may require your action) <br />Tank inspection indicates <br />r❑ Pumpout not needed at this time. <br />W 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 pum{x<d 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 rise,, missing —tanks could not be inspected. <br />'nsiw•, -,sets (4•• dha. 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 />Cl Inspection pipe is located directly over tank ba!fle. (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 he pumped out now. <br />Drainfield inspection indicates. <br />U 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 diamfield. Contact the City Inspector <br />immediately Repaus must be completed within 90 Mays. <br />❑ Drainfield extent and condition unknown. <br />SITE CHARACTERISTICS <br />Limiting Site Factors <br />Potential for System Failure <br />Site Capabilities for <br />❑ Slope <br />(depends on sod types. water <br />Future Expansion <br />L Sod <br />table, and system condition) <br />U Adequate <br />❑ High water table <br />Low <br />Fair <br />❑ Lot size <br />Medium <br />] Poor <br />❑ Lake, wetland, or stream <br />❑ High <br />Ci Inadequate <br />❑ Drainage <br />❑ System is causing visible <br />surface oiseharge. <br />COMMENTS <br />--- <br />Date of Inspection <br />�ptic�vstem Inspector <br />Note In the event that this inspection rettott is used to satisfy the requitements lot a mortgage or other transfer of property, be advised that <br />*his report does not guarantee or certify that in existing system nnhnue to function properly, but is merely an opinion of the a(jequacy <br />of the system under cut rent conditions based tin the avadabld inforn. <br />This report must be kept tin the prenuses wit•. At ion and pumping records. <br />WIIITE COPY % Inspector's I' de n COPY ( Homeowner <br />_%L <br />