HomeMy WebLinkAbout1940 6th Avenue North - Septic Pumping Report - 2025Ende Septic Service, LLC, MPCA Lic #L2654 Maintenance Inspection Form
24910 Territorial Road • Rogers, MN 55374
Phone: 763-428-4489 ❑ Tristan �013randon ❑ Scott ❑ Zach ❑ Robert ❑ Alyssa
email: info Cc_.endeseptic.com
Maintenance ❑ Emergency ❑ Other Disposal location: ❑ Land ap ❑ Treatment plant
Date:
Payment Method
Name: V� �� 0. Y C- 0___'
❑ Check
Address: 4 O U u r,�j
El Credit card - Venmo
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City/State/Zip: ( tr D Flo M N
1 ❑ Cash
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 P No
❑ Yes fA No
❑ Yes eNo
Gallons:
1�-Septic/holding Tank #2
❑ Yes WNo
❑ Yes ' 'No
❑ Yes �E No
Gallons:
❑ PretreatKta
Yes
o
Yes ❑ o
Gallons:
"Pump Tank
❑ Yes EeNo
❑ Yes VNo
❑ Yes '7No
Gallons:
Did you measure the accumulation of scum and sludge? ❑ Yes 14 No
Access point: )EP Cover/maintenance hole. If so, were covers secured in place? eYes ❑ No
Access point: ❑ Inspection pipe. If so, through pipe, did homeowner sign off ? ❑ 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.
Tank #1 ❑ Yes �dNo
Tank #2 ❑ Yes 1)�No
Pump Tank ❑ Yes 9 No
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
t4 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: