HomeMy WebLinkAbout2555 Fox Street - Septic Pumping ReportEnde Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
❑ Tristan dfBrandon ❑ Scott ❑ Zach ❑ Robert ❑ Alyssa
Phone: 763-428.4489
email: infoAvendeseptic.com
Maintenance Inspection Form
maintenance ❑ Emergency* Other �rf/!� D' p s 1 I c on: El Land ap t Treatment plant 1
_ (1-1
4 rS
IV
Date: S
Payment Method
Name�1L G .10
❑ Check
Address: V k S _
❑ Credit card - Venmo
City/State/Zip: u 14
❑ Cash
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 f f No
❑ Yes rNo
❑ Yes �] No
Gallons: Z S-o is
Septic/holding Tank #2
❑ Yes I,No
❑ Yes <No
❑ Yes �I No
Gallons:
Pretreatment Tank
❑ Yes IrNo
❑ Yes �No
❑ Yes No
Gallons:
kPump Tank
❑ Yes "o
❑ Yes ANo
❑ Yes �No
Gallons:
Did you measure the accumulation of scum and sludge? 4 Yes ❑ No
Access point: Oq Cover/maintenance hole. If so, were covers secured in place? A' Yes ❑ No
Access point: t3'lirtspection pipe. If so, through pipe, did homeowner sign off ?-B-sfes$Ido
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 V No
Tank #2 ❑ Yes XNo
Pump Tank ❑ YesA No
System
❑ Structural integrity
❑ Structural 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?
geOther-
0 Yes ❑ No
Comments: