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HomeMy WebLinkAbout670 Pinehurst Court - Septic Pumping ReportDui Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE 6 — I ``1 76 Pumping Fee: r voc�� Long PO Fee: Other Repairs: Totai Cost of Service: Tank (check if present) L/Septic/molding Tank #1 Gallons: ( `Zs v ptic/holding Tank #2 Gallons: r pet( ❑ Pretreatment Tank Gallons: Pump Tank Gallons: ' 7 5 Maintenance Inspection Form MPCA Lic. #L4286 Maintainer 0 Jim [Nick = Sam • Phone: 763-497-2764 s Email: duaneseptic@centurylink.net Name: r'L� Address: r '� f/ -4ikLr1� . City/State/Zip: Payment Method: ❑ Check ❑ Cash ❑ Credit Maintenance hole cover is damaged, the Tank leaks above the cracked, unsecured, or appears to be designed operating depth designed operating depth structurally unsound ❑ Yes 0 No ElYes [0-'No � ❑ Yes ,�7 unNo ❑ Yes Ler No ❑ Yes GF-Ao ❑ Yes ZNo ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes El No ❑ Yes /"N o ❑ Yes o V/N ❑ Yes ,� �1 0 Flow Accessed: Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑ Yes V'Nos ❑ No <--C Did you identify any operational' issues or unsafe conditions whlie assessing the sewage tanks in this system, i.e., racked tanks, missing baffles, broken avers, etc.? Ifso, explain in comments below. Tank #1 ❑ Yes No Tank #2 ❑ Yes ONo Pump Tank ❑ Yes FrNo System 11 Structural integrity ❑ Structural integrity © Structural integrity ound ❑ Risers leaking ❑ Risers ieaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffies ID Pressure bed ❑ Non -domestic waste ❑ Non -domestic waste ❑ E= ectrical issues ❑ Trenches ❑ Non -domestic waste ❑ Ponding/Surfacing ❑ Effluent Fiiterlscreen ❑ Other: Cleaned? ❑ Yes ❑ No Disposal: e Land Application: ❑ Wastewater Treatment Plant Disposal Site:,-' L Lime: ' Gallons a Plowed: ElYes ❑ No Time: Temperature. pH: ' 12 ❑ Time: s Temperature: pH: > 12 ❑ a Jim Eicher D a Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 r%ATC S- 2-0 " `7 C- Maintenance Inspection Form MPCALic. #L4286 Maintainer C7 Jim Nick Sara • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net INVOICE Pumping Fee: Name: �2 - - Address: -50 <'�4 -,\0 Y� Long Pull Fee: ;_ 4 City/State/Zip: Other Repairs: Total Cost of Se e: l ` v. (C Payment Method: ❑ Check ❑ Cash R' Credit �C%A Maintenance ho�cover is imaged, Tank (check if p ks below the Aerating depth Tank leaks above the designed operating depth cracked, unsecured, or appears to be structural) unsound i?r's: holding lank #1 ElYes r_1q0_ ElYes to ❑ Yes No Gallons: L 3 � Er/S: holding Tank #2 ❑ Yes 2-No ❑ Yes ❑ No ElYes Gallons: l 3c�-� ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: Crump Tank ❑ Yes l 30 ❑ Yes �< No ❑ Yes =tea Gallons: ('3 tD ow Accessed Maintenance Hole Scz dge Measured Maintena�nc Holes Securely Replaced: , Reason For Pumping: ❑ Other (see attached) ❑ No Yes ❑ No Did you identify any operational issues or unsafe conditions white assessing the sewage Yanks in this system, i.e., .cracked tanks, missing baffles, broken covers, etc.? If so, explain in comments ,beloW. Tank #1 ❑ Yes ZNo Tank #2 ❑ Yes No Pump Tank ❑ Yes No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ound C7 Risers ieaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ smiles ❑ Pressure bed ❑ Non -domestic waste ❑ Non -domestic waste ❑ Electrical issues ❑ Trenches ❑ Non -domestic waste ❑ PondinglSurfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Disposal: ❑ Land Application: ❑Wtlastewater Treatment Plant k �+e+ew Disposal Site: Lime: Gallons Plowed: ❑ Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 ❑ Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 R ATG z 7,0 -- C-. 1a Maintenance Inspection Form MPCA Lic. #L4286 Maintainer Q Jim Nick 0 Sam • Phone: 763-497-2764 • Email: duaneseptic@centurylink,net INVOICE Pumping Fee:r Name: Y r- Address: Long Pull Fee: Other Repairs: City/StatelZip: 49 Total Cost of SeR �—kk " L , k Payment Method: ❑ Check ❑ Cash ❑ Credit 0.4 Maintenance hole cover is damaged, Tank (check k leaks below the Tank leaks above the cracked, unsecured, or appears to be _.,ied operating depth designed operating depth structural) unsound Septic/holding Tank #1 ❑ Yes Jo— ❑ Yes -,?-<O ❑ Yes LL o"' Gallons: 2,0 `y-,v Se ptic/holding Tank #2 / ❑ Yes U11<0 ❑ Yes ❑ No ❑ Yes Cho Gallons: •"�,� c� ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: Pump Tank ❑ Yes No % El Yes tlo El Yes �o Gallons: c>.9� ow Accessed: aintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: El Other (see attached) es ❑ No C9'Yes ❑ No +�- Did you identify any operational Issues or unsafe conditions while assessing the sewage tanks in this system, I.e., racked tanks, missing baffles, broken overs, etc.? If so, explain In comments below. Tank #1 ❑ Yes EfNo I Tank #2 ❑ Yes No Pump Tank ❑ Yes ffmo System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity emound ❑ Risers ieaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles 1:1 Baffles ❑ Baffles ❑ Pressure bed ❑ Non -domestic waste ❑ Non -domestic waste ❑ Electrical issues ❑ Trenches ❑lX-domestic waste ❑ PondinglSurfacing O Effluent Filter Yeen ❑ Other: Gleaned? es ❑ No Disposal: Ed'Cand Application: ❑ Wastewater Treatment Plant Disposal Site: Lime: % Gallons VZ� Plowed: ❑ Yes Z Ni Time; Tem e pH: Z _ y > 12 p erature: 3 Time: , $ Temperature: „ pH: [ L-Ir > 12 Jiro Eicher 8 Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE 7 - 2 7- 7 t® Pumping Pee: Long Pull Fee: Other Repairs: Total Cost of Servi Tank (check if p Maintenance Inspection Form MPCA Lic. #L4286 Maintainer L_� Jim R Nick 0 Sam Prone: 763-497-2764 Email: duaneseptic@centurylink.net Address: C t:? City/State/Zip: Payment Method: VOICE I ❑ Check ❑ Cash ❑ Credit aks below the Tank leaks above the operating depth designed operating depth U Maintenance hole cover is damaged, cracked, unsecured, or appears to be structurali unsound ❑ Septic/holding Tank #1 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: ff Septiclholding Tank #2 ❑ Yes No ❑ Yes 0. No ❑ Yes 4: No Gallons; ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: Ell Pump Tank El Yes :J.-No❑ Yes i❑""'No ❑Yes �'No Gallons: I .., How Accessed: ❑lMaintenance Hole Scum/Sludge Measured Maintenance Hales Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑'Yes ❑ No 0 Yes ❑ No i 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 ❑l No Pump Tank ❑ Yes 0'No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ❑ylviound ❑ 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/screen ❑ Other: Cleaned? ❑ Yes ❑ No Disposal: ❑ Land Application: .❑-Wastewater Treatment Plant le" 4-'�w K Disposal Site: Lime: Gallons -, Plowed: El Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: pH: > 12 ❑ rid � w '�.-.a Cyr'' ,,,�' ` - �,� ~ �..,Q —': �.�•.t c�ir���.*,,�►1,� Jim Eicher a� U C Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE 5 " 7? - ?-6 Pumping Fee: Long Pu rs: Total Cost of Service: Tank (check if present) Tank leaks below tl designed operating d Qf Septic/holding Tank #1 ❑ Yes Gallons: MA a Septic/holding Tank #2 Gallons: t LS p ❑ Yes ❑ Pretreatment Tank ❑ Yes ❑ Gallons: ump Tank ❑ Yes Gallons: 5'e'v Maintenance Inspection Form MPCALic. #L4286 Maintainer 0 Jim Nicker 0 Sam • Phone: 763-497-2764 • Email: duaneseptic@centurylink.net ff,U161Cfld s� Name: [.1, C.I n. Address: r L V'-z,kI90-,.c. City/State/Zip: j r Payment M ❑ Check ❑ Cash ❑ Credit ie Tank leaks above the Maintenance hole cover is damaged, cracked, unsecured, or appears to be �pth designed operating depth structural) unsound ❑ Yes o ❑ Yes 10 ❑ Yes No ❑ Yes -1: No No ❑ Yes ❑ No ❑ Yes ❑ No No ❑ Yes <a ❑ Yes 7IG0 ow Accessed -4 Maintenance Role Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason F4or Pumping: ❑ Other (see attached) ❑Yes Yes ❑ No �"r---' 1 Did you identify any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e., ,c,rzcked tanks, missing baffles, troken-povers, etc.? If so, explain in comments below. Tank #1 ❑ Yes o Tank #2 El Yes No Pump Tank ❑ Yes o System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ound ❑ Risers leaking ❑ Risers Peaking ❑ Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffies ❑ Pressure bed ❑ Non -domestic waste ❑ Non -domestic waste ❑ Dectrical issues ❑ Trenches ❑ Non -domestic waste ❑ PondinglSurfacing ❑ Effluent Filterlscreen ❑ Other: Cleaned? ❑ Yes ❑ No Disposal: Land Application: ❑ Wastewater Treatment Plant Disposal Site: [ , Lime: _ Gallons Plowed: ❑ Yes ,O No Time: Temperature: PH: > 12 0. Time: Temperature: pH: 12 ❑ Jim Eicher h Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE _. --)- (40 Pumping Fee: Long Pull Fee: Other Repairs; Maintenance Inspection Form MPCA ic. #L4286 Maintainer Jim 0 Nick 0 Sam • Phone: 763-497-2764 ® Email. duaneseptic@centurylink.net INVOICE Name: Moo6,c� , (,v,Tfir- Address: a , City/State/Zip: ^V T r' Total Cost of S --` ^� ❑ Check ❑ Cash LkCredit - intenance hole cover is damaged, Tank leaks below the Tank leaks above a cracked, unsecured, or appears to be Tank (chat_ uesigned operating depth designed operating depth structural) unsound -- Tank #1 f Septic/holding ElNo des EANo ❑ Yes 'Et'No Gallons;] 660 ❑ Septic/holding Tank #2 ❑ Yes Cl No 0 Yes 0 No ❑ Yes ❑ No Gallons: ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No C] Yes ❑ No Gallons: ❑ Pump Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: How Accessed: ❑ Maintenance Hiole Scum/Sludge�Measure�d,.Maintenance Holes Securely Replaced: Reason For Pumping: 1� Other (see attached) ❑Yes esy' ❑ 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 EKYes ❑ No Tank #2 ❑ Yes ❑ No Pump Tank ❑ Yes ❑ No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ❑. Mound E7 Risers leaking ❑ Risers leaking ❑ Risers leaking O Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles ❑ Pr te"bed ❑ Non -domestic waste El Non -domestic waste ❑ Electricai issues ranches ❑ Ponding/Surfacing ,, �� ; Lti ��c ❑ Non -domestic waste ❑ Effluent Filter/screen El Other: Cleaned? ❑ Yes ❑ No Disposal Site Time: Time: Disposal: ❑ Land Application: KWastewater Treatment Plant Al rd f �i,�.•� Lime: Gallons Plowed: ❑ Yes ❑ No Temperature: pH: > 12 ❑ Temperature: pH: > 12 ❑ Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55375 DATE J �I'ti ` rah - Maintenance Inspection Form MPCA ic. #L4286 Maintainer Jim 0 Nick 0 Sam - Phone. 763-497-2764 Email: duaneseptic@centurylink.net 1nnInirrp Pumping Fee: _ - ,� Name: - Long Pull Fee: Address: Other Repairs: City/State/Zip: PO/10 Total Cost of Se - j Payment Method: ❑ Check ❑ Cash ❑ Credit Tank (check if ik leaks below the Tank leaks above the Maintenance hole cover is damaged, cracked, unsecured, or appears to be _..gned operating depth designed operating depth structural) unsound s lholding Tank #1 ElYes 0INo ElYes C_No ElYes No Gallons: j 5'00 ''Septic/holding Tank #2 Gallons: ( S(�D ❑ Yes No ❑ Yes 9—t' o' ❑ Yes L3_1Qo ❑ Pretreatment Tank Gallons: El Yes ❑ No El Yes El No ❑ Yes ❑ No G"Pump Tangy Gallons: i El Yes -� No ❑ Yes �o El Yes ��� How Accessed: Maintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) ❑ Yes � ❑ No s e � r mC' urtf yVV 'UcIU fy oily V(JCIdLlvfldl IS.]ucs ul uflbdfC L.V1fuiumilb Vvlwl db.SCSblffy LllC bCWdyu LdilKS Ill LnlS Syb LClfl, i.e., _,prrstked tanks, missing baffles, broken coy.ers, etc.? Ifso, explain in comments below. Tank #1 ❑ Yes No Tank #2 ❑ Yes o Pump Tank ❑ Yes J.'ido System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ound ❑ 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/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Disposal: ❑ Land Application: wastewater Treatment Plant Disposal Site: Lime: Gallons Plowed: ❑ Yes ❑ No Time: Temperature: pH: a 12 ❑ Time: Temperature: pH: > 12 ❑ �.+.� fir � ���/ � �.`� �� ,,: +.��� � ,�.� ��„j '� •� Jim Eicher D 4 Septic Service, L.L.0 1205 LaBeaux Ave NE St. Michael, MN 55376 nATF S" = )-')-- Z Maintenance Inspection Form MPCA Lie. #L4286 Maintainer 0 Jim 'Nick 0 Sam ® Phone: 763-497-2764 Email: duanesepticCcenturylink.net Ifauc 1r4i� Pumping Fee: Name: Y Long Pull Fee: Address: Other Repairs: City/State/Zip: V, 0 CIAO Total Cost of Servico:� Payment Method: ❑ Check ❑ Cash ❑ Credit Tank leaks above the Maintenance hole cover is damaged, eaks below the Tank (check if present ned operating depth designed operating depth cracked, unsecured, or appears to be structurally unsound 711`3eptic/holding Tank #1 ❑Yes ❑Yes C�"1� ❑Yes El No Gallons: �epfic/holding Tana #2 -7T\> ❑ Yes Cola ❑ Yes ❑ Yes ❑ No Gallons: ❑ Pretreatment Tank ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Gallons: Emp Tank E Yes ❑ No ❑ Yes ❑ No ❑ Yes L7 No ns: iowA�cessed:❑ Mai tenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: �4 iP{� ��� Other (see attached) l�'Yes ❑ No ❑1 Yes ❑ No � ..,,, yam., ,��,..�.y �.,y ..N�.u���„u. ........... .........�,� ...,.,,..�,,.,,....,,,... ,..,........,,.y ,.._ .._.._�_ __...._ ... _..._ _,___..., .._., -gracked tanks. missing baffles, bmkeo eo)vers, etc,? Ifso, explain in comments below. Tank #1 ❑ Yes o Tank #2 ❑ Yes No Pump Tank ❑ Yes ❑ No System ❑ Structural integrity ❑ Structural fntegrity ❑ Structural integrity ❑ Mound ❑ Risers Peaking ❑ Risers leaking ❑ Risers leaking ❑ Elevated drainfield L7 Baffles ❑ Baffles ❑ Baffles ❑ P ure bed ❑ Non -domestic waste ❑ Non -domestic waste ❑ Electrical issues 21'Trenches ❑ Non -domestic waste ❑ PondinglSurfacing ❑ Effluent Filterlscreen ❑ Other Cleaned? [:]Yes ❑ No Comments: Disposal: ❑ Land Application: ;;-,V1astewater Treatment Plant t,.,,k -,4-0"" n Disposal Site: Lime: Gallons l T%3a Plowed: El Yes ❑ No Time: Temperature: pH: > 12 ❑ Time: Temperature: l > 12 ❑ Maintenance Inspection Form MPCA Lic. #L4286 DVANE�� Septic Service, LLC 1205 LaBeaux Ave NE St. Michael, MN 55376 DATE S-' 2 q" Z (.. Maintainer LJ Jim Nick 0 Sam Phone: 763-497-2764 ® Email: duaneseptic@centurylink.net INVOICE Pumping Fee: Name: Address: Long Pull Fee: Other Repairs: City/State/Zip: C` Total Cost of service': Payment Method: El Check ❑Cash El Credit Tank leaks above the Maintenance hole cover is damaged, Te k leaks below the Tank (check if present) designed operating depth designed operating depth cracked, unsecured, or appears to be structuratly unsound ❑ Septic/holding Tank #1 ❑Yes ❑Yes Cd'�lo ❑ Yes Z No Gallons: f� ff 'S: holding Tank #2 ❑ No Gallons: r,��"�% ❑ Yes C!I No ❑ Yes ❑ Na ❑ Yes ❑ Pretreatment Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Pump Tank Gallons: ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No How Accessed: aintenance Hole Scum/Sludge Measured Maintenance Holes Securely Replaced: Reason For Pumping: ❑ Other (see attached) n Yes ❑ No ❑ Yes ❑ No Did you identffy any operational issues or unsafe conditions while assessing the sewage tanks in this system, i.e„ ,,cracked tanks, missino baffles, broken covers, etc.? If so, exviain in comments below. Tank #1 ❑ Yes ErNo I Tank #2 ❑ Yes No Pump Tank ❑ Yes ❑ No System ❑ Structural integrity ❑ Structural integrity ❑ Structural integrity ❑ Mound ❑ Risers leaking ❑ Risers leaking El Risers leaking ❑ Elevated drainfield ❑ Baffles ❑ Baffles ❑ Baffles ❑�essure bed ❑ Non -domestic waste ❑ Non -domestic waste ❑ Electrical issues C Trenches ❑ Non -domestic waste ❑ Ponding/Surfacing ❑ Effluent Filter/screen ❑ Other: Cleaned? ❑ Yes ❑ No Comments: Disposal: �nd Application: ❑ Wastewater Treatment Plant Disposal Site: D I Lime: Gallons ?— ON_9�� Plowed: ❑ Yes I"lo Time: Z. ► if Temperature: t -1, 0 pH: > 12 Time: Z 7 Temperature: t ?- K pH: L > 12 -E!T'