SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2019 - 015298, UID # 24211
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:

s2173j16635

Date of Maintenance:

09/29/2019

Reason for Maintenance:

Other

If 'Other' then enter reasons here:

Baffle plugged

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
			1803020410005	9342 NEAL AVE N, TOWN OF STILLWATER	9342	NEAL	AVE	N	STILLWATER	TOWN OF STILLWATER	55082	SUMEY COLLEEN A	6		TWIN LAKES SUBDIVISION	1968

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

Waste Disposal

Waste Disposal Method:

Land Apply

Other Information

Notes/Comments:

Inlet baffle was plugged. Dug up inlet side observation port to fix

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):