HomeMy WebLinkAbout10-07-2022 Septic Maintenance InspectionEnde Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone: 763-428-4489
email: info@1,endeseptic.com
Maintenance ❑ Emergency ❑ Other .4nsp ec/tio7
Maintenance Inspection Form
❑ Tristan ❑ Brandon ❑ Scott ❑ Dylan ❑
Disposal location: ❑ Land ap ❑ Treatment plant
Date: l Z Z
Invoice -266
Name: Azr l `j n -f
Description: 'Seo ,Q� &OLp / tT
Address: 235-QCr hh I r
Total Cost of Service: Ov
City/State/Zip: v
Payment Method: ❑ Check ❑ Cash ❑ Credit
V
Tank (check if present)
Tank leaks below the
Tank leaks above the
Maintenance hole cover is
❑ Structural integrity
designed operating
designed operating
damaged, cracked,
Risers leaking
depth
depth
unsecured, or appears to be
❑ Baffles
❑ Baffles
❑ Baffles
structurally sound
Septic/holding Tank #1
❑ Yes �I'No
❑ Yes WNo
❑ Yes /No
Gallons: ss
❑ Non-domestic waste
❑ Ponding/surfacing
f�Septic/holding Tank #2
❑ Yes PNo
❑ Yes ;^0
❑ Yes /zNo
/ Gallons:
❑ Yes []No
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tank
❑ Yes ; No
❑ Yes No
❑ Yes /Z No
Gallons:
1)2
Did you measure the accumulation of scum and sludge?,XYes ❑ No
Access point: over/maintenance hole; if so, were covers secured in place? eYes ❑ No
Access point: ET107ection pipe; if through pipe, did homeowner sign off 2_.8-Yts—f410
Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e.,
cracked tanks, missing baffles, broken covers, etc.? If so, explain in coniments below.
Tank #1 Yes ❑ No
Tank #2 z4yes ❑ No
Pump Tank Xyes ❑ No
System
❑ Structural integrity
❑ tructural integrity
❑ Structural integrity
Mound
Risers leaking
Risers leaking
Risers leaking
❑ Elevated drainfield
❑ Baffles
❑ Baffles
❑ Baffles
❑ Pressure bed
❑ Non-domestic waste
❑ Non-domestic waste
❑ Electrical issues
❑ Trenches
❑ Non-domestic waste
❑ Ponding/surfacing
❑ Effluent filter cleaned?
❑ Other:
❑ Yes []No
Comments: