SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 011669, UID # 18881
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Ross' Sewer Service

MPCA License #:

3448

Business Name:

Ross' Sewer Service

Phone:

(000

) 000

- 0000

Email:

noemail@noemail.com

Address:

21113 Meadowbrook Circle N.

Scandia	MN	55073

Code to use for this report:

d5644f12220

Date of Maintenance:

11/21/2018

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
			1603220340006	21113 MEADOWBROOK CIR N, CITY OF SCANDIA	21113	MEADOWBROOK	CIR	N	SCANDIA	CITY OF SCANDIA	55073	CHAVES JACQUELINE A	2	2	NATURES WALK	2009

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Attach Copy of Report

Attach Maintenance Report:

File 1: 21113-11272018105104.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
Septic/Holding Tank #2 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Septage Removed

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

Waste Disposal

Location:

29052 Dimaggio St. NE, N. Branch, MN 55056

Other Information

Notes/Comments:

Looks good.

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):