HomeMy WebLinkAbout2450 6th Avenue North - Septic Pumping ReportEnde Septic Service, LLC, MPCA Lic #L2654
24910 Territorial Road • Rogers, MN 55374
Maintenance Inspection Form
Phone: 763-428-4489 ❑ Tristan L,Brandon ❑ Scott ❑ Zach ❑ Robert ❑ Alyssa
email: info(c-�,endesehtic.com
�0 Maintenance ❑ Emergency ❑ Other
Disposal location: ❑ Land ap ❑ Treatment plant
Date: -- (, -
Mound -Pressure Bed
r
Name:
Are laterals Present ❑ Yes ❑ No
Address: C., ( n �p
Is a mound/pressure bed cleaning necessary?
❑ Yes � No
City/State/Zip: �1L
tn Ili
Manhole cover less than 95 lbs Y ❑ N
Tank (check if present)
Tank leaks below the
Tank leaks above the
Maintenance hole cover is
designed operating
designed operating
damaged, cracked, or
depth
depth
unsecure
peptic/holding Tank # 1
❑ Yes 1,;�7No
❑ Yes "Fe? No
❑ Yes >,No
Gallons: j
EfSeptic/holding Tank #2
❑ Yes I? No
❑ Yes �P No
❑ Yes ;WNNo
Gallons:
CTI+e eatment Tank
❑Yes o
❑ e No
��s�❑ No
Gallons:
\_
Pump Tank
❑ Yes ?No
❑ Yes No
❑ Yes UNo
Gallons: )'
Did you measure the accumulation of scum and sludge? ❑ Yes [J No
Access point: `;}Cover/maintenance hole. If so, were covers secured in place? Yes ❑ 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 VfNo
Tank #2 ❑ Yes �d No
Pump Tank ❑ Yes DK-No
System
❑ Structural integrity
❑ Structural integrity
❑ Structural integrity
WAound
❑ 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: