SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 008826, UID # 14279
Status: Report Submitted

Maintainer's Contact Information:

Name:

R&M Septic

MPCA License #:

L3070

Business Name:

R&M Septic

Email:

randmseptic@noemail.com

Address:

Code to use for this report:

n3071g7058

Date of Maintenance:

06/17/2016

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
			0203221430003	23315 ITASCA AVE N, CITY OF FOREST LAKE	23315	ITASCA	AVE	N	FOREST LAKE	CITY OF FOREST LAKE	55025	ALLEE EDWINA Y & JOHN METTE	10	2	WATERS EDGE PRESERVE	2002

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Attach Maintenance Report:

Were all covers securely replaced?

Yes

Tank#1:

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

Tank #1:	2000 Gallons
Tank #2:	1500 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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