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Lake Minnetonka
ON-SITE SEWAGE TREATMENT
INSPECTION REPORT � POST OFFICE BOX 66
1335 S. Brown Rd.
� � � � Crystal Bay, MN 55323
473-7357
OWNER �/�- /���'-�a���n� ADDRESS T� ��T ��
PERMIT NO.'S. ��� DATES �� a�� CONTRACTORS
City Ordinance No. 210 requires that each on�site sewage treatment system in Orono be inspected on a regular basis.The onsite sewage
treatment system at the above address has been inspected and appears to fall into the category checked below.
(This is ,� en existing system ❑ new construction)
�� Meets or exceeds current City standards in all respects relating to design,construction,and location.Appears to be operating
properly.
� 2 Does not meet all current City standards for new construction (1978 Code► but in most respects appears to be designed,
loceted, and constructed generally in accordance with previous codes.System appears to be functioning properiy;no major
upgrading of the system is required at this time.
� 3 Does not meet current City standards in many respects relating to design,construction,or locatio�.Appears to be operating
adequately at this time,but has a relatively high potential for future problems. No major upgrading of system is required at
this time.
� 4 System may or may not meet current City standards for design,construction ot location,but is fai�i�g to properly treat and
dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is
creati�g a safety hazard,or is othervvise creating a public nuisance.Please contact the City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,and a design and site plan
must be submitted for review.Your contractor must obtain a permit before work is started.
SYSTEM CONDITION ( m Checked items may require your action)
Tank i�spection indicates: � ,]� Inspection aice is located irectiv ever tank haffle.(Dces not
❑ Pumpout not needed at this time, g'i� accurate measurement of solids accumulation.) If tanks
❑ Solids aecumulation in tanks indicates they should be pump- pum ou w�t in t e as ree yesrs,t ey
ed out this year to help prevent future problems. sFiouTd'�e pum
❑ Solids accumulation in tanks is at a critical level. Tanks Drain ield inspection indicatea:
should be pumped out as soon as posaible, ��rainfield is dry,no surfacing evident.
❑ System is discharging to surface. Tanks must be pumped ❑ Some evidence of surfacing,not critical yet.
within 48 hours to eliminate surface discharge. ❑ Drainfield is saturated and visibly discharging untreated
❑ Inspection risero misaing—tanks could not be insprected, effluent to the surfece, This condition may require replace•
Inspection risers (4"dia. pipe)must be installed in each tank ment or additions to drainfield. Contact the City Inspector
at next pumpout. If tanks have not been pumped out within immediately.Repairs must be completed within 90 days.
the last three years,they should be pumped out now. ❑ Drainfield extent and condition unknown.
SITE CHARACTERISTICS:
Limiting Site Factors Potential for System Failure Site Capabilities for
❑ Slope (depends on soil types,water Futu e Expansion
❑ Soil table a�d system condition) �Adequate
�High water table �low ❑ Fair
❑ Lot size ❑ Medium O Poor
❑ Lake,wetland,or stream ❑ High ❑ Inadequate
❑ Drainage ❑System is causing visible
surface di char e
COMMENTS: ��Ce �- ��A �� � / �
/ � �
�
S,�9/ ,�
Date of Inspection Septic System Inspector
Note: In the event that this inspection report is used to satisfy the requirements for a mortgage or other transfer of property,be advised that
this report dces not guarantee or certify that an existing system will continue to function properly,but is merety an opinion of the adequacy
of the system under current conditions based on the available information.
This report must be kept on the premises with system location and pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner