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On the Newit Sbnre a f. <br />Lake .11 innetrtnka <br />ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT POST OFFICE BOX 66 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473.7357 <br />OWNER PiMad CA AZW1_ ADDRESS 7,2 �� • / , <br />PERMIT NO.'S. P DATES _g_59 0- 1L_ - CONTRACTORS �� - n <br />City Ordinance N equires that each on -site Awage treatmentsystem in Orono he inspected on a regula, b k %' on -site sewage <br />treatment system at the above address has been inspected and appears to fall into the category checked below. <br />IThes is A+ 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 for new construction (1978 Code) but in most respects appears to Ile designed, <br />located, and constructed generally in accordance with previous codes. System appears to be functioning properly, no mal'tr <br />upgrading of the system is required at this time. <br />03 <br />Does not meet current City standards inmany 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 for design, construction of location, but is lading to prop etly treat and <br />dispose of the current input, and is endangering a water supply, or is a source of pollution to surface or groundwalets, or is <br />creating a safety hazard, or is otherwise creating a public nuisance. Please contact Vie City Inspector to discuss system repass/ <br />replacement procedures. If dramfield replacement is necessary, sod testing will usually he 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 ( 0 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 />ad 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 rtS^ , IV' die. 1•• e) must be installed in each tank <br />at next pumpout. It tanks have not been pumped out within <br />the last three years, they should be pumped out now. <br />SITE CHARACTERISTICS <br />Limiting Site Factors <br />Cl Slope <br />D Sod <br />❑ High water table <br />❑ Lot size <br />D Lake, wetland, or stream <br />❑ Drainage <br />COMMENTS <br />11 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 />Draield inspection indicates m <br />Grainfield is dry, no surfacing evident. <br />❑ Some evidence of surfacing, not critical yet <br />❑ Dramfield is saturated and visibly discharging untreated <br />effluent to the surface. This condition may require repface. <br />ment or additions to diamlield. Contact the City Inspector <br />immediately. Repairs must be completed within 90 days. <br />❑ Dramfield extent and condition unknown. <br />Potential for System Failure <br />Site Capabilities lot <br />Idepends on soil types, water <br />F uttire E xuansion <br />table, and system condition) <br />1i Adequate <br />Low <br />of Fin <br />Cl Medium <br />; ] Poor <br />❑ High <br />❑ Inadequate <br />D System is e.ausrng visible <br />surface discharge. <br />_ <br />Date of Inspection ptee System 1, ,p rtor <br />Note In the event that this inspectinn report is used to satisfy the requirements for a mortgage or other trai,. be adv'sed that <br />this report toes not guaranlve or certify that an existing system will continue to function properly, but is merel, f the adege,acy <br />Of the system „nder current conditions based on the available information <br />This report must he kept tin flee premises with system location and pumpinq records <br />W411 F COPY i Inspectot's File 601 0 COPY - elunteowner <br />