HomeMy WebLinkAbout625 Deborah Drive - Septic Pumping Report (53)Ende Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone: 763-4284489
email: infopendeseptic.com
Maintenance Inspection Form
❑ Tristan J� Brandon ❑ Scott ❑ Zach ❑ Robert
Maintenance ❑ Emergency ❑ Other �I� Dispp�l location: ❑ Land ap,& T atment plant
Date:
Invoice
Name:
Description: 522
Address: C 9x r, v
Total Cost of Service: S DO
City/State/Zip: Oro ko
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 I No
❑ Yes No
❑ Yes I.No
Gallons: p
Septic/holding Tank #2
❑ Yes �] No
❑ Yes '�No
❑ Yes 01 No
Gallons:
\
r
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Ofump Tank
❑ Yes 19.No
❑ Yes OKNo
❑ Yes A No
Gallons:
Did you measure the accumulation of scum and sludge?.biYes ❑ No
Access point: cM,,Cover/maintenance hole; if so, were covers secured in place? ^Yes ❑ No
Access poinF.-17'lnspection pipe; if through pipe, did homeowner sign offs"—❑ res�
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 ICNo
Tank #2 ❑ Yes J8,No
Pump Tank ❑ Yes JANo
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
Mound
❑ Risers leaking
❑ Risers leaking
❑ Risers leaking
Elevated drainfield
❑ Baffles
❑ Baffles
❑ Baffles
❑ Pressure bed
�Nqp-domestic waste
❑ Non -domestic waste
❑ Electrical issues
❑ Trenches
W(�c�
❑ Non -domestic waste
❑ Ponding/surfacing
d
❑ Effluent filter cleaned?
❑ Other:
❑ Yes ❑ No
Comments: east h fl uS l re S
Ende Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone: 763-4284489
email: infopendeseptic.com
Maintenance ❑ Emergency ❑ Other
i_ w
Maintenance Inspection Form
❑ Tristan k Brandon ❑ Scott ❑ Zach ❑ Robert
Disposal location:4 L#no ap ❑ Treatment plant
k) A 0A1 Y1
Date: � V 2 (i_
Invoice
Name: L a /h/
Description:
Address: r (,
Total Cost of Service: 757e C?
City/State/Zip: ro
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 No
❑ Yes I No
❑ Yes E"o
Gallons: 1, 806tS
Septic/holding Tank #2
❑ Yes 2,&
❑ Yes 6.(No
❑ Yes No
Gallons:
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
❑ Pump Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Did you measure the accumulation of scum and sludge? 4 Yes ❑ No
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 ? ^—pro
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 4 No
Tank #2 ❑ Yes 4(No
Pump Tank ❑ Yes No
System
❑ Structural integrity
❑ Structural integrity
❑ Structural i grity
El Mound
❑ Risers leaking
❑ Risers leaking
❑ Risers lea ng
❑ Elevated drainfield
❑ Baffles
❑Baffles
❑Baffles
❑�y,Pressure bed
❑ Non -domestic waste
❑ Non -domestic waste
OE lec cal issues
lSL.TIenches
❑ N -domestic waste
❑ Ponding/surfacing
❑ Effluent filter cleaned?
❑ Other:
❑ Yes ❑ No
Comments: