HomeMy WebLinkAbout4465 Bayside Rd Orono Septic InspectionEnde Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone: 763-428-4489
email: info(aendeseptic.com
0 Maintenance ❑ Emergency ❑ Other
Maintenance Inspection Form
❑ Tristan R Brandon ❑ Scott ❑ Kurt ❑ Robert
Disposal location: ❑ Land ap ❑ Treatment plant
Date: 5— O — d 7
Invoice
Name: (ac b &r- Asa i�
Description:
Address: 4 S 6 t I cam¢,. Fd
Total Cost of Service:
City/State/Zip: Q forNo
Payment Method: ❑ Check ❑ Cash ❑ Credit
Tank (check if present)
Tank leaks below the
Tank leaks above the
Maintenance hole cover is
❑ St rural integrity
designed operating
designed operating
damaged, cracked,
❑ Riser eaking
depth
depth
unsecured, or appears to be
❑ Baffles
❑
El Baffles
structurally sound
)I Septic/holding Tank #1
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
❑ Non-domestic ste
❑ Ponding/surfacing
Septic/holding Tank #2
❑ ❑ No
❑ ❑ No
❑ ❑ No
Gallons:
❑ Yes ❑ No
❑ Pretreatment Tank
❑ Yeso
❑ Yes do
ElYes NO
Gallons:
Tj4 Pump Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Did you measure the accumulation of scum and sludge? %Yes ❑ No 10%
Access point: ❑ Cover/maintenance hole; if so, were covers secured in place? ❑ Yes ❑ No
Access point: ❑ Inspection pipe; if through pipe, did homeowner sign off ? ❑ Yes ❑ No
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 comments below.
#1 ❑ Yes ❑ No
ank #2 ❑ Yes ❑ No
mp Tank ❑ Yes ❑ No
S in
❑ St rural integrity
❑\En-dome'c
❑ St tural integrity
❑ Moun
❑ Riser eaking
❑❑
Risers aking
❑ Elevated infield
❑ Baffles
❑
El Baffles
❑Pressure be
❑ Non -dome waste
❑❑
Electrical is s
❑ Trenches
❑ Non-domestic ste
❑ Ponding/surfacing
❑ Effluent filter clea d?
❑ Other:
❑ Yes ❑ No
Comments: 3 4ert.r OLd
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