SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2019 - 015028, UID # 23803
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Lana M Meyer

MPCA License #:

915

Business Name:

Meyer Sewer Service

Phone:

Mobile:

(651

) 459

- 0162

(651

) 248

- 7275

Fax:

(651

) 459

- 2828

Email:

meyersewer@hotmail.com

Address:

5325 Manning Ave S

Afton	MN	55001

Code to use for this report:

p4830l14635

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
			2402921110015	2721 LISBON AVENUE CT N, CITY OF LAKE ELMO	2721	LISBON AVENUE	CT	N	LAKE ELMO	CITY OF LAKE ELMO	55042	BROCKTON DELRAE S & MANICHANH N BROCKTON	9	3	HERITAGE FARM	1997	No

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: Brockton.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:

1500 Gallons

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):