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On the Nortb Shore of <br />Lake Minnetonka <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 />✓'�%t �YY- ADDRESS 1L/C� �_.r� �7vIPs� >�/rJ. <br />OWNER <br />PERMIT NO.'S. ' »� DATES f l�'J� % 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 sewage <br />treatment system at the above address has been inspected and appears to fall into the caregory checked below. <br />(This is Qe an exis•ing 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 be designed, <br />located, and constructed generally in accordance with previous codes. System appears to be functioning properly; no major <br />upgrading of the system is requirtd at this time. <br />a3 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 />D4 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 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. If drainfield replacement is necessary, soil testing will usually be required, and a design and site -Ian <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 />❑ Pumpout not needed at this time. <br />U1 Solids accumulation in tanks indicates they should be pump- <br />ed 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" dia. 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 should 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 />Date of Inspection <br />❑ Inspection pipe is located directly over tank baffle. IDoes 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 />1A 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 drainfield. Contact the City Inspector <br />immediately. Repairs must be completed within 90 days. <br />IJ 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 />❑ Low <br />❑ Fair <br />14 Medium <br />56 Poor <br />❑ High <br />❑ Inadequate <br />❑ System is causing visible <br />surface discharge. <br />S tic System Inspector <br />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 <br />this report does not guarantee or certify that an existing system will continue to function properly, but is merely an opinicn of the adequacy <br />of the system under current conditions based on the av-dable information. <br />This report roust be kept on the premises with system location and pumping records. <br />WHITE COPY / Inspector's File GOLD COPY / Homeowner <br />