SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000050, UID # 1236
Status: Report Submitted

Maintainer's Contact Information:

Name:

James Vaughan

MPCA License #:

L3344

Business Name:

Tom's Sewer Service

Phone:

(651

) 433

- 8700

Email:

septic@co.washington.mn.us

Address:

Code to use for this report:

n1099a0725

Date of Maintenance:

01/05/2016

Reason for Maintenance:

Routine

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
			0902921240002	8498 HIDDEN BAY TRL N, CITY OF LAKE ELMO	8498	HIDDEN BAY	TRL	N	LAKE ELMO	CITY OF LAKE ELMO	55042	BODZIAK DOUGLAS P & MARIAN S	5		OACE ACRES	1958	No

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Were all covers securely replaced?

Yes

Tank#1:	No
Verification Method Used:	visual

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

Tank #1:

1500 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):