SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2019 - 015289, UID # 24201
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Mark

MPCA License #:

L3309

Business Name:

Rowe Sewer

Phone:

(651

) 465

- 5505

Email:

noemail@noemail.com

Address:

P.O. Box 236

Taylors Falls	MN	55084

Code to use for this report:

i4403m17345

Date of Maintenance:

10/11/2017

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
			0203221230005	8466 235TH ST N, CITY OF FOREST LAKE	8466	235TH	ST	N	FOREST LAKE	CITY OF FOREST LAKE	55025	TRAPP ROBERT J & KIMBERLY D				2002

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Attach Copy of Report

Attach Maintenance Report:

File 1: 8466_235th-10022019132733-No_Ck.pdf

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):