SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000320, UID # 1773
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Jon Olson

MPCA License #:

L216

Business Name:

Olson's Sewer Service

Phone:

(651

) 464

- 2082

Email:

ossi1@olsoninthepink.com

Address:

17638 Lyons St NE

Forest Lake	MN	55025

Code to use for this report:

g2073j1078

Date of Maintenance:

05/09/2016

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
			3303221140001	18640 HARROW AVE N, CITY OF FOREST LAKE	18640	HARROW	AVE	N	FOREST LAKE	CITY OF FOREST LAKE	55025	TULGREN NANCY L				1989

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:	see attached- maintenance hole
Attach maintenance Report:	File 1: 3303221140001-Maintenance_Report-20160509.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:

1718 Gallons

Waste Disposal

Location:

Harris

Other Information

Notes/Comments:

Replaced outlet baffle with PVC Baffle, old cement baffle detrained away and broke up

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):