HomeMy WebLinkAbout4580 West Branch Road - Septic Pumping ReportEnde 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 ZDendeseptiC.com
"Maintenance ❑ Emergency ❑ Other Disposal location: ❑ Land ap 1i r atment ph
Date: ^ �.,e...� ._
Mound -Pressure Bed
Name: Are 1 ra s resent es
Address: Is a mound/pressure bed cleaning necessary?
❑ Yes ❑ No
City/State/Zip: 049C,GvY'1 Manh �A cis ar_]aeg than as ih� ❑ Y ❑
Tank (check if present)
Ael
Septic/holding Tank #1
Gallons:
Septic/holding Tank #2
Gallons:
❑ Pretreatment Tank
Gallons:
❑ Pump Tank
Gallons:
Tank leaks below the
designed operating
depth
Py Yes .❑ No
Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Tank leaks above the
designed operating
depth
❑ Yes No
❑ Yes Zj,No
❑ Yes ❑ No
❑ Yes ❑ No
Maintenance hole cover is
damaged, cracked, or
unsecure
❑ Yes 4 No
Did you measure the accumulation of scum and sludge? 0 Yes ❑ No
Access point: gCover/maintenance hole. If so, were covers secured in place? 'F! Yes ❑ No
Access point: • E44nspection pipe. If so, through pipe, did homeowner sign off ? 'rTems-�
❑ Yes 11 No
❑ Yes ❑ No
❑ 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 k'_No
❑ Structural integrity
❑ Risers leaking
❑ Baffles
❑ Non -domestic waste
Comments:
Tank #2 ❑ Yes lido
❑ Structural integrity
❑ Risers leaking
❑ Baffles
❑ Non -domestic waste
Pump Tank ❑ Yes ❑ No
❑ Struc/lea'
grity
❑ Rise❑ Baffl❑ Electes
❑ Non omestic waste
❑ Ef uent filter cleaned?
Yes ❑ No
System
❑ Mound
❑ Elevated drainfield
❑ Pressure bed
)Trenches
❑ Ponding/surfacing
❑ Other: