HomeMy WebLinkAbout480 Stubbs Bay Road North - Septic Pumping ReportEnde Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone: 763-428-4489
email: info t endeseptic.com
Maintenance ❑ Emergency ❑ Other
Maintenance Inspection Form
❑ Tristan P1 Brandon ❑ Scott ❑ Zach ❑ Robert
Disposal location: ❑ Land ap ?"Treatment plant
Date: — l —
Invoice
Name:
Description: 22
Address: O f
Total Cost of Service:
City/State/Zip:
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
*eptic/holdingTa
❑ Yes �o
❑ Yes Flo
❑ Yes 1?No
D#1
Gallons: ll O
�Septic/bolding Tank #2
❑ Yes ? No
❑ Yes �Iqo
❑ Yes W10
Gallons:
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tank
[]Yes �❑ No
to
❑ Yes q''
❑ Yes L o
Gallons:
l
Did you measure the accumulation of scum and sludge? VYes ❑ No
Access point: over/maintenance hole; if so, were covers secured in place? Wes ❑ No
Access point: inspection pipe; if through pipe, did homeowner sign off ? ❑ YET ❑ 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.
Tank #1 ❑Yes o
Tank #2 ❑ Yes o
Pump Tank ❑ YeWNo
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
-hound
❑ Risers leaking
❑ Risers leaking
❑ Risers leaking
tl Elevated drainfield
❑ Baffles
❑ Baffles
❑ Baffles
❑ Pressure bed
❑ Non -domestic waste
❑ Non -domestic waste
❑ Electrical issues
❑ Trenches
❑ Non -domestic waste
❑ Ponding/surfacing
❑ Effluent filter cleaned?
❑ Other:
❑ Yes ❑ No
Comments: