SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2018 - 011843, UID # 19107
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Keith Valento

MPCA License #:

2428

Business Name:

Smilie's Sewer Service

Phone:

Mobile:

(651

) 433

- 3005

(651

) 261

- 1562

Fax:

(433

) 433

- 3005

Email:

smilies.angie@gmail.com

Address:

P.O.Box 100

Scandia	MN	55073

Code to use for this report:

d7797o14451

Date of Maintenance:

12/07/2018

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
			2703220240003	13616 195TH ST N, CITY OF SCANDIA	13616	195TH	ST	N	MARINE ON ST CROIX	CITY OF SCANDIA	55047	TERRY L LAWRENCE & SANDRA R LAWRENCE TRS				1973

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Attach Copy of Report

Attach maintenance Report:

File 1: 13616_195th_St_N.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:

1200 Gallons

Waste Disposal

Waste Disposal Method:

Land Apply

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):