My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
11-10-2021 Septic Pumping Report
Orono
>
Property Files
>
Street Address
>
D
>
Deer Run Trail
>
2860 Deer Run Trail - 04-117-23-24-0014
>
Septic
>
11-10-2021 Septic Pumping Report
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/22/2023 5:10:53 PM
Creation date
11/15/2021 11:30:23 AM
Metadata
Fields
Template:
x Address Old
House Number
2860
Street Name
Deer Run
Street Type
Trail
Address
2860 Deer Run Tr
Document Type
Septic
PIN
0411723240014
Supplemental fields
ProcessedPID
Updated
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
Septic Service, LLC <br />1205 LaBeaux Ave NE <br />St. Michael, MN 55376 <br />BATF 1 1— t a ---7 t <br />Maintenance Inspection Form <br />MPCA Lic. # 654 <br />Maintainer Jim <br />O Duane <br />-Nick <br />• Phone: 763-497-2764 <br />• Email: duaneseptic@centurylink.net <br />INVOICE <br />Pumping Fee: <br />Scum/Sludge Measured <br />Maintenance Holes Securely Replaced: <br />Name: <br />❑ Other (see attached) <br />❑ Yes ©HIT6 <br />.J �� cry <br />M Ct ^L 14 <br />C .- ryl A �' <br />c V\ ✓1 <br />❑ Risers leaking <br />Long Pull Fee: <br />❑ Baffles <br />❑ Baffles <br />Address::/ <br />❑ Pressure bed <br />❑ Non-domestic waste <br />❑ Non-domestic waste <br />❑ Electrical issues <br />❑ Trenches <br />ZrJ (,- C �L-(e-.r� <br />h,. %A V, <br />❑ Non-domestic waste <br />Other Repairs: <br />City/State/Zip: <br />❑ Other: <br />Cleaned? ❑ Yes ❑ No <br />/ <br />6 �'YN� <br />Total Cost of Servicer <br />�C 4� <br />Payment Method: ❑ Check ❑ Cash <br />❑ Credit <br />( 3 <br />Z S— <br />Tank leaks below the <br />Tank leaks above the <br />Maintenance hole cover is damaged, <br />Tank (check if present) <br />designed operating depth <br />designed operating depth <br />, crackedunsecured, or appears to be, <br />structural) <br />unsound <br />❑optic/holding Tank #1 <br />-0 <br />-No <br />Gallons: t ZS <br />❑ Yes <br />S- <br />❑ Yes Er <br />❑ Yes <br />C -}—No <br />C9-Septic/holding Tank #2 <br />❑Yes <br />❑Yes C]—No <br />❑Yes <br />L�'h7o <br />Gallons: ,� <br />iZJ <br />❑ Pretreatment Tank <br />Gallons: <br />❑ Yes <br />❑ No <br />❑ Yes ❑ No <br />❑ Yes <br />❑ No <br />dump Tank <br />D Yes <br />fo <br />❑Yes C—f�10 <br />❑Yes <br />Cd'iVo <br />Gallons: t Zs� <br />How Accessed: EMaintenance Hole <br />Scum/Sludge Measured <br />Maintenance Holes Securely Replaced: <br />Reason For Pumping: <br />❑ Other (see attached) <br />❑ Yes ©HIT6 <br />Q-'�,es ❑ No <br />M Ct ^L 14 <br />Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., <br />cracked tanks, missina baffles, broken covers, etc.? if so, explain in comments below. <br />Tank #1 ❑ Yes o <br />Tank #2 El 9,No <br />Pump Tank ❑ Yes o <br />System <br />❑ Structural integrity <br />❑ Structural integrity <br />❑ Structural integrity <br />ound <br />E] Risers leaking <br />❑ Risers leaking <br />❑ Risers leaking <br />❑ Elevated 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: ❑ Land Application: ❑ Wastewater Treatment Plant <br />Disposal Site: <br />Lime: <br />Gallons <br />Plowed: ❑ Yes <br />❑ No <br />Time: <br />Temperature: <br />pH: <br />>12 ❑ <br />Time: <br />Temperature: <br />pH: <br />>12 ❑ <br />• I► r� ` / ,moi Q� :. ' • " � ._R • �.�.� <br />
The URL can be used to link to this page
Your browser does not support the video tag.