SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2019 - 014434, UID # 22824
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

chris marshall

MPCA License #:

l2374

Business Name:

apostle septic

Phone:

(715

) 497

- 5929

Email:

mkymarshall@gmail.com

Address:

1483 24th.st

houlton	wi	54082

Code to use for this report:

y8272v8489

Date of Maintenance:

07/03/2018

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
			1102820440016	1770 RIVIERA AVE S, CITY OF LAKE ST CROIX BEACH	1770	RIVIERA	AVE	S	LAKELAND	CITY OF LAKE ST CROIX BEACH	55043	BREGER DAVID & LISA				1950

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:

Yes

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):