SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 007618, UID # 12915
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Keith Valento

MPCA License #:

2428

Business Name:

Smilie's Sewer Service

Phone:

(651

) 433

- 3934

Email:

smilies.angie@gmail.com

Address:

23893 Pomroy Ave N

Scandia	MN	55073

Code to use for this report:

a4509o8109

Date of Maintenance:

08/28/2017

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
			2403221420005	9930 204TH STREET CT N, CITY OF FOREST LAKE	9930	204TH STREET	CT	N	FOREST LAKE	CITY OF FOREST LAKE	55025	LESCH ANTHONY & JULIE	3	1	CEDAR CIRCLE	1985

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: 9930_204th_Ct_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:

1250 Gallons

Waste Disposal

Waste Disposal Method:	Land Apply
Location:	Wash Co (see report)

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):