HomeMy WebLinkAbout8-21-24 Septic InspectionEnde Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone:763-428-4489
email: info(a)endeseptic.com
Maintenance Inspection Form
❑ Tristan11L.Brandon ❑ Scott ❑ Kurt ❑ Robert
I Maintenance ❑ Emergency ❑ Other ,, Disgosal location: qllLand ap ❑ Treatment plant
t
Date: (p— Z �� .Z
Invoice
1
Name:
Description:
� A
Address: �� 0 �i �S a w�
Total Cost of Service:
City/State/Zip: Dr0 Nd
Payment Method: ❑ Check ❑ Cash ❑ Credit
Tank (check if present)
Tank leaks below the
Tank leaks above the
Maintenance hole cover is
designed operating
designed operating
damaged, cracked,
depth
depth
unsecured, or appears to be
structurally sound
Septic/holding Tank #1
❑ Yes kNVo
❑ Yes LKNo
❑ Yes .4� No
Gallons: �j)Q t S
❑ Septic/holding Tank #2
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tank
❑ Yes Zlo
❑ Yes !$No
❑ Yes I% No
Gallons:
Did you measure the accumulation of scum and sludge? Jl Yes ❑ No
Access point: Cover/maintenance hole; if so, were covers secured in place? '47 Yes ❑ No
Access point:d3.istspection pipe; if through pipe, did homeowner sign off ?�B Pla
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.
Tank #1 ❑ Yes fi�No
Tank #2 ❑ Yes 7 No
Pump Tank ❑ YeskNo
System
❑ Structural integrity
grity
❑ Struct/leing
❑ Structural integrity
❑ Mound
❑ Risers leaking
❑ Risers
❑ Risersleaking
Elevated drainfield
❑ Baffles
❑ Baffle
❑ Baffles
❑ Pressure bed
❑ Non -domestic waste
❑ Non omestic waste
❑ Electrical issues
❑ Trenches
❑ Non -domestic waste
❑ Ponding/surfacing
❑ Effluent filter cleaned?
❑ Other:
❑ Yes ❑ No
Comments: