SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000518, UID # 1514
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Jim Vaughan

MPCA License #:

L2428

Business Name:

Smilie's Sewer Service

Phone:

(651

) 433

- 3934

Email:

vesi@frontiernet.net

Address:

23893 Pomroy Ave N

Scandia	MN	55073

Code to use for this report:

n3891s0676

Date of Maintenance:

04/19/2016

Reason for Maintenance:

Emergency

If 'Other' then enter reasons here:

Tanks overfull. Backing up.

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
			3103121430037	12071 EVERTON AVE N, CITY OF HUGO	12071	EVERTON	AVE	N	WHITE BEAR LAKE	CITY OF HUGO	55110	BARRETT EDWARD C & LORI J	28	7	SHADYSIDE NO.4	1948	No

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Attach Copy of Report

Describe the method used to remove the septage:	PVC pipe access only. Bottomless tank.
Attach maintenance Report:	File 1: 3103121430037-maintenance_report-20160419.pdf

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:

Yes

Evidence of Leaks or Damaged Covers

Septic/Holding Tank #1 - Leaking Out:	Yes
- Leaking In:	Yes
- Cover Damage:	Yes
Septic/Holding Tank #2 - Leaking Out:	Yes
- Leaking In:	Yes
- Cover Damage:	Yes

Septage Removed

Tank #1:	1000 Gallons
Tank #2:	1000 Gallons

Other Information

Notes/Comments:

Bottomless tank-per pete on 4/19-no auth code needed.

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):