HomeMy WebLinkAbout4455 Bayside Road - Septic Pumping Report - 2026Ende Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374 Maintenance Inspection Form
Phone: 763-428-4489 ❑ Tristan Brandon ❑ Scott ❑ Zach ❑ Robert ❑ Alyssa
email: info a,endeseptic.com
IM
aintenance Emergency ElOther Disposal location: a , a El Treatment plant
f No r)(
Date: ,,_2
Name: i"'CA �J
Address:
City/State/Zip: , )1nil
Tank (check if present) Tank leaks below the
designed operating
depth
• Septic/holding Tank #1 ❑ Yes lot No
Gallons:
Septic/holding Tank #2 ❑ Yes 47 No
1 Gallons:
❑ Pretreatment Tank ❑ Yes ❑ No
Gallons:
Pump Tank ❑ Yes ALNo
Gallons:
Payment
❑ Check
❑ Credit ca - Venmo
❑ Cash
Tank leaks above the
Maintenance hole cover is
designed operating
damaged, cracked,
depth
unsecured, or appears to be
structurally sound
❑ Yes Al No
❑ Yes AV No
❑ Yes II No
------------
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes I No
❑ Yes A. NO
Did you measu�Cover/majntenance
he accumulation of scum and sludge? QdYes ElNo
Access point: hole. If so, were covers secured in place? Yes ❑ No
Access point: -inspection pipe. If so, through pipe, did homeowner sign off ?
Didyou identify any operational issues of 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 k No I Tank #2 ❑ Yes O(No I I
❑ Structural integrity ❑ Structural integrity [
❑ Risers leaking ❑ Risers leaking
❑ Baffles ❑ Baffles
❑ Non -domestic waste ❑ Non -domestic waste I
Comments:
ump Tank ❑ Yes kNo
System
I Structural integrity
Mound
1 Risers leaking
Elevated drainfield
l Baffles
❑ Pressure bed
l Electrical issues
❑ Trenches
1 Non -domestic waste
❑ Ponding/surfacing
YEffluent filter cleaned?
❑ Other:
Yes ❑ No