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ON-SITE SEWAGE TREATMENT <br />INSPECTION REPORT <br />f ■ r , <br />I O M (.) N ■ . <br />OWNER hc'UJHtT ADDRESS <br />Oit the North Shore of <br />Lake Minnetonka <br />POST OFFICE BOX 66 <br />13% S. Brown Rd. <br />Crystal Bay, MN 5^23 <br />473-7367 <br />PERMIT NO.'S.DATES CONTRACTORS <br />City Ordinance No. 210 requires ihai each on-site sewage treatment system in Orono be inspected on a regular basis. The on-site sewage <br />treatment system at the above MkJress has been inspected and appears to fall into the category checked below. <br />(This is Qan existing system □ new construction) <br />pn a Meets or exceeds current City standards in all respects relating to design, construction, and location. Appears to be operating <br />' properly. <br />^_.r!7| 2 Does not meet all current City standards for new construction (1978 Code) but in most respects appears to be design^. <br />*- located, and constructed generally in accordance with previous codes. System appears to be functioning properly: no maior <br />upgrading of the system is required at this time. <br />pnj 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 />nn d System may or may not meet current City standards for design, construction or location, but is failing to properly treat and <br />L-J ^ dispose of the current input, and is endangering a water supply, or is a source of pollutiori 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 plan <br />must be submitted for review. Your contractor must obtain a permit before work is started. <br />SYSTEM CONDITION ( (2) Checked items may require your action) <br />Tank inspection indicates: <br />—-O Pumpout not needed at this time. <br />□ 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 />G Inspection risers missing-tanks could not be inspected. <br />Inspection risers (4** 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 />□ Inspection pipe Is located directly over tank baffle. (Does not <br />give accurate measurement of solids accumulation.) If tanka <br />have not been pumped out within the last three years, they <br />should be pumped out now. <br />Drainfield inspection indicatet: <br />□ 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 />——G Drainfield extent and condition unknown. <br />SITE CHARACTERISTICS: <br />Limiting Site Factors <br />□ Slope <br />□ Soil <br />□ High water table <br />—^ Lot sire <br />□ Lake, wetland, or stream <br />□ Drainage <br />Potential for System Failure <br />(depends on soil types, water <br />table, and system condition) <br />□ Low <br />Medium <br />□ High <br />□ System is causing visible <br />surface discharge. <br />Site Capabilities for <br />Future Expansion <br />□ Adequate <br />c—e Fair <br />□ Poor <br />□ Inadequate <br />COMMENTS <br />r? <br />Date of Inspection <br />X <br />/^ptic Astern Inspector <br />Note: In the event that this inspection report it 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 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