SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000067, UID # 1275
Status: Report Submitted

Maintainer's Contact Information:

Name:

Todd Robole

MPCA License #:

L3690

Business Name:

Ron's Sewer Service

Phone:

(715

) 749

- 0153

Email:

septic@co.washington.mn.us

Address:

Code to use for this report:

x9573c0740

Date of Maintenance:

12/16/2015

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
			3503021110013	10830 69TH ST N, CITY OF GRANT	10830	69TH	ST	N	STILLWATER	CITY OF GRANT	55082	CROIX PROPERTIES LLC				1970

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

Tank #1:

1500 Gallons

Approval	Signature
Applicant

Text:
File(s):