SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 010319, UID # 16818
Status: Report Submitted

Maintainer's Contact Information:

Name:

Lawrence Gerlach

MPCA License #:

homeowner

Phone:

(651

) 459

- 5402

Email:

noemail@noemail.com

Address:

Code to use for this report:

c9100n10797

Date of Maintenance:

08/24/2018

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
			1402721110001	8130 KIMBRO AVE S, CITY OF COTTAGE GROVE	8130	KIMBRO	AVE	S	COTTAGE GROVE	CITY OF COTTAGE GROVE	55016	REV LIV TRS LAWRENCE F GERLACH				1985

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Were all covers securely replaced?

Yes

Tank#1:

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

Tank #1:

0 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
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