SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 007758, UID # 13007
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Mike Haseltine

MPCA License #:

L3287

Business Name:

Hassle Free Septic

Phone:

Mobile:

(763

) 222

- 4397

(651

) 442

- 6599

Email:

johnb.hasslefree@gmail.com

Address:

30291 Zodiac St NE

North Branch	MN	55056

Code to use for this report:

k3804c10669

Date of Maintenance:

01/27/2018

Reason for Maintenance:

Other

If 'Other' then enter reasons here:

Frozen line

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
			2403221120003	20815 KEEWAHTIN AVE N, CITY OF FOREST LAKE	20815	KEEWAHTIN	AVE	N	FOREST LAKE	CITY OF FOREST LAKE	55025	EHLI LINDA K	3		SYLVAN SHORES AND HURD COMPANY FARMS	1966

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Attach Copy of Report

Describe the method used to remove the septage:

Maintenance hole

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
Pump Tank - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Septage Removed

Tank #1:	1500 Gallons
Pump Tank:	1000 Gallons

Waste Disposal

Waste Disposal Method:	Land Apply
Location:	Harris

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):