SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2017 - 006647, UID # 1107
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Dale Weigt

MPCA License #:

L216

Business Name:

Olson's Sewer Service

Email:

ossi1@olsonsinthepink.com

Address:

17638 Lyons St NE

Forest Lake	MN	55025

Code to use for this report:

r1702o9440

Date of Maintenance:

10/24/2017

Reason for Maintenance:

Routine

System Location & Maintenance Performed

Property Maintenance Performed :

Compliance Status		Property Record		Property Address								Property Owner	Property Attributes
Compliance Expiration	Compliance Status	Parent GeoCode	PIN	Site Address	Building Number	Street Name	Type	Dir	City	Municipality	zip	Owner	Lot	Block	Plat	Year Built	Property Hold
			1303221140008	10115 217TH ST N, CITY OF FOREST LAKE	10115	217TH	ST	N	FOREST LAKE	CITY OF FOREST LAKE	55025	BRYANT MATTHEW A & AMANDA R				1976

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Attach Copy of Report

Attach Maintenance Report:

File 1: 10115_217th_St_N.pdf

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:

Evidence of Leaks or Damaged Covers

Septic/Holding Tank #1 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Septage Removed

Tank #1:

1355 Gallons

Waste Disposal

Location:

Metro

Other Information

Notes/Comments:

Installed new manhole cover with handles, old one had no handles

see report

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):