SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000383, UID # 1879
Status: Report Submitted

Maintainer's Contact Information:

Name:

Larry Schlomka

MPCA License #:

L2989

Business Name:

Schlomka Services LLC

Phone:

(651

) 459

- 3718

Email:

aj_schlomka@hotmail.com

Address:

Code to use for this report:

h0347a1487

Date of Maintenance:

11/02/2015

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
			0702721210022	7003 GOODVIEW AVE S, CITY OF COTTAGE GROVE	7003	GOODVIEW	AVE	S	COTTAGE GROVE	CITY OF COTTAGE GROVE	55016	BRISSON AMY R & JUSTIN D	24	1	ACORN RIDGE	2005

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Describe the method used to remove the septage:	see report
Attach maintenance Report:	File 1: 0702721210022-maintenance_report-20151120.pdf

Were all covers securely replaced?

Yes

Tank#1:

Septic/Holding Tank #1 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No
Septic/Holding Tank #2 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

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

Approval	Signature
Applicant

Text:
File(s):