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Opt slid' i1 ortlr Shure a J. <br />Lake 31to t etuftka <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 A."JI , ADDRESS <br />PERMIT NO.'S. — DATES CONTRACTORS <br />City Ordinance No. 210 requires that each on -site sewage treatment system in Orono be inspected on a regular basis. The on -site sawage <br />treatment system at the above eddress has been inspected and appears to fall into the category checked below. <br />(This is A an existing system ❑ new construction) <br />D1 Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating <br />properly. <br />�s CZ 2 Does not meet all current City standards for new construction (197P Code) but in most respects appears to be designed, <br />4Wlocated, 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 />El3 Does not meet current City standards in many respects relating to design, construction, or location. Appears to he operating <br />adequately at this time, but has a -elatively high potential for future problems. No major upq: tiding of system is required at <br />this time. <br />El4 System may or may not meet current City standards for design, construction or location, but is lading to properly treat and <br />dispose of the current input, and is endangering a water supply, or is a source of pollution to surface_ or groundwaters, 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 procedures. It drainlield replacement is necessary, soil 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 ( m Checked items may require your action) <br />Tank inspection indicates: <br />Pump.,, 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 risers 14" dis. 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 shoull be pumped out now. <br />SITE CHARACTERISTICS. <br />Limiting Site Factors <br />❑ Slope <br />❑ Soil <br />❑ High water table <br />❑ Lot size <br />❑ Lake, wetland, or stream <br />❑ Drainage <br />COMMENTS <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 />W 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 drainlield. Contact the City Inspector <br />immediately. Repairs must be completed within 90 days. <br />❑ Drainfield extent and condition unknown. <br />Potential for System Failure <br />Site Capabilities for <br />(depends on soil types, water <br />Future Expansion <br />table, and system condition) <br />Adequate <br />9 Low <br />4 Fair <br />❑ Medium <br />❑ Poor <br />❑ High <br />❑ Inadequate <br />❑ System is causing visible <br />surface discharge. <br />Date of Inspection eptic System Inspector <br />Note In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of pruperty. be advised that <br />this report does not guarantee or certify that an existing system will continue to function properly, but is merely an opinion of the adequacy <br />of the system under current 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 />