SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 007848, UID # 13208
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Lana Meyer

MPCA License #:

915

Business Name:

Meyer Sewer Service, Inc.

Phone:

(651

) 459

- 0162

Email:

meyersewer@hotmail.com

Address:

5325 Manning Ave. S.

Afton	MN	55001

Code to use for this report:

w3376r6910

Date of Maintenance:

07/06/2017

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
			0202721430005	6830 KIRKWOOD AVE S, CITY OF COTTAGE GROVE	6830	KIRKWOOD	AVE	S	COTTAGE GROVE	CITY OF COTTAGE GROVE	55016	WESTLAND ERIC M	3	1	LINDENWOOD 1ST ADD	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: 6830_Kirkwood_Ave_S.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:

1500 Gallons

Waste Disposal

Location:

M-1

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):