SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 008838, UID # 14290
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Byron Zeeveld

MPCA License #:

LHomeowner

Business Name:

Home Owner

Email:

noemail@noemail.com

Address:

18257 July Ave N

Forest Lake	MN	55025

Code to use for this report:

r7947c5783

Date of Maintenance:

07/27/2017

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
			3603221430001	18257 JULY AVE N, CITY OF FOREST LAKE	18257	JULY	AVE	N	FOREST LAKE	CITY OF FOREST LAKE	55025	BRYRON W & VICKY L ZEEVELD TRS				1997

Maintenance Performed:

Sludge and Scum Measured

Pumping Needed

Do tanks need to be pumped?

Tank Measurements

Liquid Level of Tank:	50 Inches	Sludge Level:	3 Inches	Scum Level:	1 Inches
Total Sludge & Scum:	4.00	/ Liquid Level:	50.0000000000	= % of Sludge & Scum:	8.00%

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:	No pumping was done- home owner did measurements
Attach Maintenance Report:	File 1: 18257-03222018111331.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:

0 Gallons

Other Information

Notes/Comments:

Home Owner Measured - no pumping done

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):