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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 _J;1�� � �� ��/� ADDRESS � ' � ST
PERMIT NO.'S. �� DATES `�`���- CONTRACTORS D��
City Ordinance No.210 requires that each on-site sewage treatment system in Orono be inspected on a regular basis.The on-site sewage
treatment system at the above address has been inspected and appears to fall into the category checked below.
(This is � an existing system ❑ new construction)
� � Meets or exceeds current City standards in ali 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,
�/� located, and const�ucted 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 location.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 or location, but is failing to properly treat a�d �
dispose of the current input,and is endangering a water supply,or is a source of pollution to surface or groundwaters,or is
creating a safety hazard,or is otherwise creating a public nuisance.P�ease contact ihe City Inspector to discuss system repair/
replacement procedures. If drainfield replacement is necessary,soil testing will usually be required,a�d 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 inspection indicates: ❑ Inspection pipe is located directly over tank beffle.(Does not
❑ Pumpout not needed at this time. give accurate measurement of solids accumulation.) If tanks
❑ Solida accumulation in tanks indicates they should be pump� have not been pumped out within the last three years,they
ed out this year to help prevent future problems. should be pumped out now.
❑ Solids accumulation in tanks is at a critical level. Tenks Drain ield inspection indicates:
should be pumped out as soon as possible. ��Drainfield is dry,no surfacing evident.
❑ Syatem is discharging to surface. Tanks must be pumped Some evidence of surfacing,not critical yet.
� within 48 hours to eliminate surface discharge. O Orainfield is saturated and visibly discharging untreated
'�Inspection risers miuing—tanks could not be inspected, effluent to the surface. 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 ou ' in immediately.Repairs must be completed within 90 days.
the last three years, ey 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 Future Expansion
O Soil table,and system condition) O Adequate
❑ High water table ❑ Low �Fair
❑ Lot size Medium ❑Poor
❑ Lake,wetland,or stream High ❑ Inadequate
❑ Drainage ❑System is causing visible
surface dis harge.
�
COMMENTS:� � �v
—O �
� y
Date of Inspection eptic 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 does not guarantee or certify that an existing system will continue to function properly,but is merely an opi�ion 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 a�d pumping records.
WHITE COPY/Inspector's File GOLD COPY/Homeowner