SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2019 - 014309, UID # 22606
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Marc Meyer

MPCA License #:

L4007

Business Name:

Rons Sewer Service

Phone:

Mobile:

(715

) 749

- 0153

(651

) 248

- 7277

Email:

ronssewerservice@gmail.com

Address:

1053 120th St.

Roberts	WI	54023

Code to use for this report:

z2832h16295

Date of Maintenance:

07/17/2019

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
			0902921430004	8546 LAKE JANE TRL N, CITY OF LAKE ELMO	8546	LAKE JANE	TRL	N	LAKE ELMO	CITY OF LAKE ELMO	55042	SZYMANSKY AUDREY I	1	3	LAKE JANE MANOR NO.2	1974

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

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:

1000 Gallons

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):