HomeMy WebLinkAbout455 North Arm Drive - Septic Pumping Report - 2025Ende Septic Service, LLC, MPCA Lic #L2654 Maintenance Inspection Form
24910 Territorial Road • Rogers, MN 55374
Phone: 763-428-4489 ❑ Tristan [Brandon ❑ Scott ❑ Zach ❑ Robert
email: infopendeseptic.com
Maintenance ❑ Emergency ❑ Other Disppsal location: [kL4ar dap El Treatment plant
Date: Z
Invoice
Name:
aS h 5
Description:�7S10U
,oO
Address: 1�20/
Total Cost of Service:
/❑
City/State/Zip: Zda A Vhyl n
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 1�No
❑ Yes 'No
Gallons: IZ5_b Is
I
Septic/holding Tank #2
❑ Yes Ea�No
❑ Yes No
❑ Yes No
Gallons:
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons.
Pump Tank
❑ Yes ANo
❑ Yes f l*o
❑ Yes J*No
Gallons:
Did you measure the accumulation of scum and sludge? Yes ❑ No
Access point: K_Cover/maintenance hole; if so, were cove s secured in place? grYes ❑ No
Access point-$iiispection pipe; if through pipe, did homeowner sign off
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 4�Q No
Pump Tank ❑ Yes No
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
4Mound
❑ 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:
Ende Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone: 763-4284489
email: info(a)endeseptic.com
4 Maintenance ❑ Emergency ❑ Other
Maintenance Inspection Form
❑ Tristan yBrandon ❑ Scott ❑ Zach ❑ Robert
Disposal location: ❑ Land ap T5eptment plant
-14 0 Ail 1) MD1 Iti,
Date: ,
Invoice
Name: CAKIS 21 �'1+
Description:
Address: Ho
Total Cost of Service: i 75, 0i-
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
1f Septic/holding Tank #1
❑ Yes t�No
❑ Yes I(No
❑ Yes l No
Gallons: 1S6015
60 Septic/holding Tank #2
❑ Yes $I -No
❑ Yes LgNo
❑ Yes 4KNo
Gallons:
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
❑ Pump Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons: 6)6}—
Do QJ , n,6ov-t- Wt fvow. f *Lc K He 15 vt
Did you measure the accumulation of scum and sludge? kYes ❑ No
Access point: Cover/maintenance hole; if so, were covers secured in place? Xyes ❑ No
Access point:- flnspection pipe; if through pipe, did homeowner sign offa-
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 0 No
Tank #2 ❑ Yes No
Pump Tank ❑ Yes0,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:
Ende 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 1k Brandon ❑ Scott ❑ Zach ❑ Robert
Ka Maintenance ❑ Emergency ❑ Other. Disp�dl location: El Land ap eatment plant
-Z ( _ -1kY IMn n !i'ln
Date: 9� 15-- 2-5-
Invoice
r
Name:
Description: y �o
YO
Address: S I
Total Cost of Service:051--
City/State/Zip:
0.
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 No
❑ Yes ,1 No
Gallons:
I Septic/holding Tt #2
El ®No
❑ Yes ZsNo
El Yes No
Gallons:
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
6 Pump Tank
❑ Yes A -No
❑ Yes 6*0
❑ Yes AN -No
Gallons: boo
Did you measure the accumulation of scum and sludge? WYes ❑ No
Access point: Qf Cover/maintenance hole; if so, were covers secured in place? O(Yes ❑ No
Access point- B'ihspection pipe; if through pipe, did homeowner sign off` ego
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 ANo
Tank #2 ❑ Yes .kNo
Pump Tank kYes �`No
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
kMound
❑ Risers leaking
❑ Risers leaking
❑ Risers leaking
❑ Elevated drainfield
❑ Baffles
❑ Baffles
❑ Baffles
❑ Pressure bed
❑ Non -domestic waste
❑ Non -domestic waste
q93 Electrical issues
❑ Trenches
❑ Non -domestic waste
❑ Ponding/surfacing
❑ Effluent filter cleaned?
❑ Other:
❑ Yes ❑ No
Comments: r Ownt, *V- ZLh& r `-JQS [5 I
�`G.Y'yti 110� CJ.O\n5 GF`E_.
Ende Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone: 763-428-4489
email: info(&,,endeseptic.com
Maintenance Inspection Form
❑ TristankBrandon ❑ Scott ❑ Zach ❑ Robert
Ip Maintenance ❑ Emergency ❑ Other �� % �Dispos�ldocation: ❑ Land ap �(Tt*�atment plant
111 - /I _ kO .. l Mtn d1 n N,-)n
Date: j5_ ZS
Invoice
Name: ✓
Descriptio : "l _,7_'�_c>/ 75ram( (0,
Address:3�3 l /w7 / ��
Total Cost of Service: 4 5� 47
City/State/Zip:
Payment Method: ❑ Check ❑ Cash ❑ Credit
► 1V#jH1Fj
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
ASeptic/holding Tank #1
❑ Yes J No
❑ Yes L No
❑ Yes �No
1
Gallons: S(,0t S
I
grSeptic/holding Tank #2
❑ Yes 1� No
❑ Yes KNo
❑ Yes LQ No
Gallons:
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
QQ Pump Tank
❑ Yes 4) No
❑ Yes 4 No
❑ Yes 4No
Gallons:
Did you measure the accumulation of scum and sludge? iy Yes ❑ No
Access point: kf Cover/maintenance hole; if so, were covers secured in place? V Yes ❑ No
Access point:.inspection pipe; if through pipe, did homeowner sign off ?-44*eE- IVS
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 bd.No
Tank #2 ❑ Yes 4No
Pump Tank ❑ Yes WNo
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
liL.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:
Ende Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Phone: 763428-4489
email: infopendeseptic.com
Maintenance Inspection Form
❑ Tristan kBrandon ❑ Scott ❑ Zach ❑ Robert
PyC Maintenance ❑ Emergency ❑ Other l isppya] location: ❑ Land ag-k r atment plant
Date:
Invoice W• ;J,
Name
IomlwO
Description. S. `V �Lo lw//
Address:
r
Total Cost of Service &Z'C-7 2
City/State/Zip:
Rat'vJ
"
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 a 0No
❑ Yes to
❑ Yes I No
t Gallons: s'
Septic/holding Tapk #2
❑ Yes fp No
❑ Yes I�No
❑ Yes OkNo
Gallons:
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tank
❑ Yes A No
❑ Yes A -No-
❑ Yes 0?'No
f Gallons:
Did you measure the accumulation of scum and sludge? Yes ❑ No
Access point: Cover/maintenance hole; if so, were cover secured in place? <Yes ❑ No
Access pointrB'bispection pipe; if through pipe, did homeowner sign o
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 No
Tank #2 ❑ Yes No
Pump Tank ❑ Yes No
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
'Mound
❑ Risers leaking
❑ Risers leaking
❑ Risers leaking
❑ Elevated drainfteid
❑ 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:
Ende Septic Service, LLC, MPCA Lic #L2654 Maintenance Inspection Form
24910 Territorial Road • Rogers, MN 55374
Phone: 763.4284489 ❑ Tristan � Brandon ❑ Scott ❑ Zach ❑ Robert
email: info(dendeseotic.com
❑ Maintenance ❑ Emergency ❑ Other . DispoW location: ❑ Land ap *! T eatment plant
Date: — — ZS'
Invoice
Name: ;t
Description:
Address: / � t V �� ,�
Total Cost of Service: ?sue 00
City/State/Zip: lnoKely
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 [ No
❑ Yes Or -No
Gallons:
Septic/holding Tank #2
❑ Yes? No
❑ Yes ,�i No
❑ Yes No
/ Gallons:
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
47 Pump Tank
❑ Yes 4No
❑ Yes Al No
❑ Yes 4NO
Gallons:
Did you measure the accumulation of scum and sludge? 0 Yes ❑ No
Access point: Cover/maintenance hole; if so, were covers secured in place? VYes ElNo
Access point: spection pipe; if through pipe, did homeowner sign off %-Beres-- 5-Nu
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 14 No
Tank #2 ❑ Yes @No
Pump Tank ❑ YesN.No
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
I_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: