SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2019 - 016634, UID # 26013
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:

h4553e4764

Date of Maintenance:

05/07/2018

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
			0902921410005	8935 LAKE JANE TRL N, CITY OF LAKE ELMO	8935	LAKE JANE	TRL	N	LAKE ELMO	CITY OF LAKE ELMO	55042	GELBMANN GREGORY J & COLLEEN M	3	1	LAKE JANE HILLS	1971

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: Gelbman.pdf

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:	No
Tank #2:	No

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

Septage Removed

Tank #1:	750 Gallons
Tank #2:	750 Gallons

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):