SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2019 - 014807, UID # 23187
Status: Report Submitted
 

Maintainer Information

Maintainer's Contact Information:
Name:
Matt Herink
MPCA License #:
L3845
Business Name:
Marko Septic LLC
Phone:
(715749 - 3404
Email:
herink@att.net
Address:
1092 120th
Roberts Wi 54023
Code to use for this report: c5588q16655
Date of Maintenance: 08/20/2019
Reason for Maintenance: Routine

System Location & Maintenance Performed

Property Maintenance Performed :
Compliance StatusProperty RecordProperty AddressProperty OwnerProperty Attributes
Compliance ExpirationCompliance StatusParent GeoCodePINSite AddressBuilding NumberStreet NameTypeDirCityMunicipalityzipOwnerLotBlockPlat Year BuiltProperty Hold
11028202400281430 QUASAR CT S, CITY OF LAKE ST CROIX BEACH1430QUASARCTSLAKELANDCITY OF LAKE ST CROIX BEACH55043BARBARA G GROTKIN LIV TRS161ST CROIX VILLAS1996
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: No

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
Tank #2: 1000 Gallons

Waste Disposal

Waste Disposal Method: Land Apply

Approvals

ApprovalSignature
Applicant 

Internal Notes

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