SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000051, UID # 1238
Status: Report Submitted

Maintainer's Contact Information:

Name:

Thomas WIrtzfeld

MPCA License #:

L2829

Business Name:

Advanced Septic Solutions Inc

Phone:

(507

) 301

- 9548

Email:

septic@co.washington.mn.us

Address:

Code to use for this report:

l6186y0726

Date of Maintenance:

11/09/2015

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
			3002821320001	4738 WILD CANYON DR, CITY OF WOODBURY	4738	WILD CANYON	DR		WOODBURY	CITY OF WOODBURY	55129	NUEHRING TIMOTHY & LAURA	14	1	WILD CANYON ESTATES	1986	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
Tank #2:	No

Septic/Holding Tank #1 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No
Septic/Holding Tank #2 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Tank #1:	1000 Gallons
Tank #2:	500 Gallons

Waste Disposal Method:	Land Apply
Location:	Advanced Septic Solutions Inc Site II SA6

Notes/Comments:

2 septic tanks 1000 +500 +250 gal from dose tank

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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