SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 000601, UID # 2180
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Christopher Bernardy

MPCA License #:

L000

Business Name:

Self Measuring

Phone:

(000

) 000

- 0000

Email:

septic@co.washington.mn.us

Address:

16508 Swede Hill Dr S

Afton	MN	55001

Code to use for this report:

e5051f1842

Date of Maintenance:

05/16/2016

Reason for Maintenance:

Other

If 'Other' then enter reasons here:

Self Measure

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
			3502820210009	16508 SWEDE HILL DR S, CITY OF AFTON	16508	SWEDE HILL	DR	S	AFTON	CITY OF AFTON	55001	KOKTAVY JAMES				1968

Maintenance Performed:

Sludge and Scum Measured

Pumping Needed

Do tanks need to be pumped?

Tank Measurements

Liquid Level of Tank:	3 Inches	Sludge Level:	3 Inches	Scum Level:	0 Inches
Total Sludge & Scum:	3.00	/ Liquid Level:	3.0000000000	= % of Sludge & Scum:	100.00%

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 report
Attach maintenance Report:	File 1: 3502820210009-maintenance_report-20160516.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):