SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2019 - 015352, UID # 24303
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Ross' Sewer Service

MPCA License #:

L3448

Business Name:

Ross' Sewer Service

Phone:

(651

) 674

- 4349

Email:

noemail@noemail.com

Address:

9288 County Rd. 5 NE

North Branch	MN	55056

Code to use for this report:

l0681g17089

Date of Maintenance:

08/30/2019

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
			1503121220002	15879 HARROW AVE N, CITY OF HUGO	15879	HARROW	AVE	N	HUGO	CITY OF HUGO	55038	MOUA GAOSHUE & VANG HER				1964

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Attach Copy of Report

Describe the method used to remove the septage:	Old tanks from 1960
Attach maintenance Report:	File 1: 15879_Harrow_Ave._N..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
Septic/Holding Tank #2 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No
Septic/Holding Tank #3 -Leaking Out:	No
-Leaking In:	No
-Cover Damage:	No

Septage Removed

Tank #1:	750 Gallons
Tank #2:	750 Gallons
Tank #3:	500 Gallons

Waste Disposal

Location:

29052 Dimaggio St. NE, N. Branch, MN 55056

Other Information

Notes/Comments:

See Report:   "Pretreatment Tank" is crossed out, and "Gray Water" is written in its place.

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):