HomeMy WebLinkAbout521 North Stream Road - Septic Pumping ReportEnde Septic Service, LLC, MPCA Lic #L2654 Maintenance Inspection Form
24910 Territorial Road • Rogers, MN 55374
Phone: 763-428-4489 ❑ Tristan 5V Brandon ❑ Scott ❑ Zach ❑ Robert ❑ Alyssa
email: info Aendeseptic.com
Maintenance ❑ Emergency ❑ Other /
Disposal location: ❑Land ap r a e pl +n
'Y J
Date:
�,._
Mound -Pressure Bed
Name:
j
Are laterals Present ❑ Yes No
Address:
l
Is a mound/pressure bed cleaning necessary?
S7,9All
� �
❑ Yes k No
City/State/Zip: 2 p�t�C".
Manhole cover less than 95 lbs ❑ Y � N
/11aV14_jVU
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
(� Septic/holding Tank #1
❑ Yes No
❑ Yes k No
❑ Yes rNo
Gallons:LEM '
l
Septic/holding Tank #2
❑ Yes No
❑ Yes No
❑ Yes Q No
Gallons:
/
❑ Pretreatment Tank
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Gallons:
Pump Tank
❑ Yes -1 No
❑ Yes _1�No
❑ Yes A�_No
Gallons:
Did you measure the accumulation of scum and sludge? k-Yes ❑ No
Access point: A P Cover/maintenance hole. If so, were covers secured in place? + Yes ❑ No
Access point- iE-Inspection pipe. If so, through pipe, did homeowner sign off ?
Didyou 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 V No
Tank #2 ❑ Yes "o
Pump Tank ❑ Yes 4No
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: