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ON -SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />On the Nortb Sbore of <br />Lake Minnetonka <br />POST OFFICE BOX 88 <br />1335 S. Brown Rd. <br />Crystal Bay, MN 55323 <br />473.7357 <br />OWNER � �rk�n� ADDRESS /Lf � Lax '�% 1•'1lZ' <br />PERMIT NO.'S. 512 '�-JV_ DATES —h -� 67 CONTRACTORS 11 Z/Ad-1 2 <br />City Ordinance No. 210 •equires that each on -site sewage treatment system in Orono be inspected on a regular basis. The on site sewege <br />treatment system at the above address has been inspected and appears to fall into the category checked below. <br />(This is IN an existing system ❑ new construction) <br />0 1 Mean or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating <br />properly . <br />02 Does not meet all current City standards for new construction 11978 Code) but in most respects appears to be designed, <br />located, and constructed genwally in accordance with previous codes. System appears to be 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 City standards for design, construction or location, but is failing 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 groundwitars, 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. If drainfield 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 I [Z Checked items may require your action) <br />Tank inspection indicatas: ❑ Inspection pipe is located directly Over tank baffle, (Daft not <br />❑ Pumpout not needed at this time. give accurate rissasurerstent of solids accumulation.) If tanks <br />❑ Solids accumulation in tanks indicates they should be pump• haw not been pumped out within the last three years, they <br />ed out this year to help prevent future problems. should be pumped out now. <br />❑ Solids accumulation in tanks is at a critical level. Tanks Drainfiald inspection indicates: <br />should be pumped out at soon as possible, m Drainfield is dry, no surfacing evillant. <br />❑ System is discharging to surfed. Tanks mutt be pumped ❑ Some evidence of surfacing, not critical yet. <br />within 48 hours to eliminate surface discherge ❑ Drainfield is saturated and visibly discharging untreated <br />Inspection risers missing —tanks could .of be inspected. effluent to the surface. This condition may require replad• <br />Inspac N. p pee) must be installed in each tank rnent or additions to drainfield. Contect the City Inspector <br />at next pumpout. If tanks have not been pumped out within immediately. Repairs must be completed within 90 deys. <br />the INt three years, they should be pumped out now. ❑ Drainfield extent and condition unknown, <br />SITE CHARACTERISTICS. <br />Limiti-4 Site Factors Potential for System Failure <br />Site Capabilities for <br />❑ S :. to (depends on soil types, Ovate, <br />Future Expensson <br />❑ S.... table, and system conditions <br />❑ Adequate <br />❑ High water table a Low <br />I6 Fair <br />❑ Lot site ❑ Medium <br />❑ Poor <br />❑ Lake, wetland, or stream ❑ High <br />❑ Inadequate <br />❑ Drainage ❑ System is causing visible <br />surface discharge. <br />/ / <br />COMMENTS �nS L7/Crr . y r 5i'r� �y (� ,1i 01-e <br />VB:s►- <br />Date of Inspection <br />Septic System Inspector <br />Note In the event that this inspection eport is used to satisfy the requirements for a mortgage or other transfer of property, 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 nlormation <br />This report must be kept on the itemises with system location and pumping records. <br />WHITE COPY / Inspectors File GOLD COPY I Homeowner <br />