My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
Septic Pumping 7-17-24
Orono
>
Property Files
>
Street Address
>
W
>
Willow Drive South
>
1005 Willow Dr S - 10-117-23-24-0012
>
Septic
>
Septic Pumping 7-17-24
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/13/2024 10:06:30 AM
Creation date
8/13/2024 10:06:18 AM
Metadata
Fields
Template:
x Address Old
House Number
1005
Street Name
Willow
Street Type
Drive
Street Direction
South
Document Type
Septic
PIN
1005
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
Page 1 of 1
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
DV�E� <br />Septic Service, LLC <br />1205 LaBeaux Ave NE <br />St. Michael, MN 55376 <br />DATE —7-- 1 i ` " <br />Maintenance Inspection Form <br />MPCA Lic. #L4286 <br />Maintainer U Jim <br />ick <br />® Phone: 763-497-2764 <br />® Email: duaneseptic@centurylink.net <br />INVOICE <br />Pumping Fee: <br />Name: <br />sn <br />Long Pull Fee: <br />Address: i <br />l i <br />l -Oki <br />Repairs: <br />City/State/Zip: <br />Total Cost of Se ce: <br />Payment Method: ElCheck El Cash <br />❑ Credit <br />j <br />i 33 <br />Tank (check if presen <br />Tank leaks below the <br />Tank leaks above the <br />Maintenance hole cover is damaged, <br />cracked, unsecured, or appears to be <br />designed operating depth <br />designed operating depth <br />structural) unsound <br />Septic/holding Tank #1 <br />Yes <br />No <br />Gallons: t:D <br />❑ Yes No <br />❑ Yes No <br />❑ <br />EI-Septic/holding Tank #2 <br />El Yes No <br />❑ Yes No <br />El Yes <br />�- <br />�o <br />Gallons: t3� <br />❑ Pretreatment Tank <br />❑ Yes ❑ No <br />❑ Yes ❑ No <br />❑ Yes <br />❑ No <br />Gallons: <br />Pump Tank <br />❑Yes No <br />❑Yes No <br />❑Yes <br />No <br />Gallons: �-J <br />How Accesseq9f Maintenance Hole <br />❑ Other (see attached) <br />Scum/Slu e Measured <br />d'Yes ❑ Nof <br />Maintenance oles Securely Replaced: <br />Yes ❑ No <br />Reason For Pumping: <br />i <br />Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., <br />cr ked tanks, missing baffles, broken covers, etc.? If so, explain in comments low. <br />Tank #1 ❑ Yes pllqo <br />Tank #2 ❑ Yes o <br />Pump Tank ❑ Yes 2rNo <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Njgfind <br />❑ Risers leaking <br />❑ Risers leaking <br />❑ Risers leaking <br />OElevated drainfield <br />❑ Baffles <br />❑ Baffles <br />❑ Baffles <br />❑ Pressure bed <br />❑ Non -domestic waste <br />❑ Non -domestic waste <br />❑ Electrical issues <br />❑ Trenches <br />❑ Non -domestic waste <br />❑ Ponding/Surfacing <br />❑ Effluent Filter/screen <br />❑ Other: <br />Cleaned? ❑ Yes ❑ No <br />Comments: <br />Disposal: 21Land Application: ❑ Wastewater Treatment Plant <br />Disposal Site: <br />Lime: <br />Gallons 22,_ r_-0 <br />Plowed: ❑ Yes o <br />Time: 3 33--7 <br />Temperature: <br />pH: t z _-t > 12 <br />Time: L(Z 7 <br />Temperature: L `1,`C <br />pH: \ 1, -& > 12 ❑ <br />01 <br />IN <br />-`.� �'� <br />,,,�-�-�- ,�`'� sue. � ,✓�''�-� �`'- s%47 <br />
The URL can be used to link to this page
Your browser does not support the video tag.