HomeMy WebLinkAbout85 Luce Line Ridge - Septic Pumping ReportEnde Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone:763-428.4489
email: info(a)endeseptic.com
Maintenance Inspection Form
❑ Tristan iftrandon ❑ Scott ❑ Zach ❑ Robert
Maintenance ❑Emergency ❑Other G ,D}sposp cation: ❑ Land ap 4 Treatment plant
Date:
Invoice
Name: e eve 161 e /
Description: �� �/�r�o �Lq
`
Address: it2
� 7S.00
Total Cost of Service.
City/State/Zip: &jf�
Payment Method: ❑ Check ❑ Cash ❑ Credit
r<
tVt4
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
V§eptic/holding Tank #1
t
❑ Yes \
Elmo Yes 01 No
❑ Yes lyNo
C Gallons: �s
Septic/holding Tank #2
❑ Yes q No
❑ Yes Ui No
❑ Yes I No
f Gallons:
l
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tank
❑ Yes I No
❑ Yes ANo
❑ Yes rj`!No
Gallons:
Did you measure the accumulation of scum and sludge? 4T Yes ❑ No
Access point: CKLover/maintenance hole; if so, were covers secured in place? BCYes ❑ No
Access point: sB'ispection pipe; if through pipe, did homeowner sign off ?LUo�
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 kNo
Tank #2 ❑ Yes delNo
Pump Tank ❑ YeLAQ 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?
❑ Other:
❑ Yes ❑ No
Comments: 4) , S ;JavptZ c>k