HomeMy WebLinkAbout8-21-24 Septic InspectionEnde Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone: 763-4284489
email: infona,endeseptic.com
Maintenance Inspection Form
❑ TristanABrandon ❑ Scott ❑ Kurt ❑ Robert
p11 Maintenance ❑ Emergency ❑ Other /-�sposa�Ircation: 14 Land ap ❑ Treatment plant
Date: g— 21 — Z`j
Invoice
Name: �- t.
h
o
Description:
Address: $ GHG(
Total Cost of Service:
City/State/Zip: C- #_Q
I S p,i N
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 4tNo
❑ Yes ((No
❑ Yes ) No
Gallons: 1.000
In Septic/holding Tank #2
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tank
❑ Yes &No
❑ Yes Ao
❑ Yes ANNo
Gallons: a oo
Did you measure the accumulation of scum and sludge? &Yes ❑ No
Access point: tACover/maintenance hole; if so, were covers secured in place? t Yes ❑ No
Access point: =spection pipe; if through pipe, did homeowner sign off
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 ❑ YesC"o
Tank #2 ❑ Yes No
Pump Tank ❑ YeA No
System
❑ Structural integrity
❑ Structural ' egrity
❑ Structural integrity
Almound
❑ Risers leaking
❑ Risers le ing
❑ Risers leaking
❑ 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:
4,7 fove Oh