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HomeMy WebLinkAbout690 Pinehurst Court - Septic Pumping Report✓rrir crc"Jur �� 7 �.k_ Septic Service, LLC 1205 LaBeaux Ave NE St_ Michael, MN 55376 Maintenance lnspoction Form MPCA Lit,. 19 t:,17,4 Mwntainer Q JIm Duane N-ick Phone. 763-497-2764 l • Email: duanesepticCcenturylink_net tnrvnInr- DATE - Z /- C- Name: Pumping Fee: ; Address: airs: 4 ' City/State/Zip: pLonFee' Payment Method: ❑ Check ❑ Cash ❑ Credit f Service: - - - Maintenance hole cover is dam7aged Tank leaks below the Tank leaks above the cracked, unsecured, or appear Tank (check if present) designed operating depth designed operating depth structurally unsound 0-Septic/holding Tank #1 ❑ Yes Ca -No ❑ Yes ❑—No ❑ Yes ❑- Nlo Gallons: ❑ Septic/holdng Tank #2 El Yes �o ❑ Yes 0—No ❑ Yes D—No Gallons: ❑ Pretreatment Tank O Yes O No 0 Yes n No fl Yes G Zyo Gallons: G'PumP Tank O Yes t7�lo Ej Yes s�o Q 'Yes Gallons: HowAccessed.0a_tntenance Hole ScumiSludge Measured Maintenance Holes Securely Replaced: Reason Fov Pumping: ❑Other (see attached) ❑ Yes 2-No D-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. rank m1 ❑ Yes 0-No I Tank #2 ❑ Yes 0-No Pump Tank ❑ Yes ErNo 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/Surtacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Tients: a/ Site Disposal: Lime: ❑ Land Application: ❑ Wastewater Treatment Plant Gallons Temperature: Temperature: Plowed. ❑ Yes pH: pH: F