SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 010982, UID # 17935
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Neil Petrowske

MPCA License #:

homeowner

Phone:

(612

) 770

- 7485

Email:

noemail@noemail.com

Address:

20550 July Ave. N.

Forest Lake	MN	55025

Code to use for this report:

a0419o10800

Date of Maintenance:

10/17/2018

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
			2403221240020	20550 JULY AVE N, CITY OF FOREST LAKE	20550	JULY	AVE	N	FOREST LAKE	CITY OF FOREST LAKE	55025	PETROWSKE NEIL D	1	2	SUNSHINE RIDGE	1975

Maintenance Performed:

Sludge and Scum Measured

Pumping Needed

Do tanks need to be pumped?

Tank Measurements

Liquid Level of Tank:	48 Inches	Sludge Level:	3 Inches	Scum Level:	1 Inches
Total Sludge & Scum:	4.00	/ Liquid Level:	48.0000000000	= % of Sludge & Scum:	8.33%

Access to Tanks

Did you use the maintenance hole to remove septage:

Attach Copy of Report

Attach maintenance Report:

File 1: DOC102218-10222018115355.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

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):