SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2021 - 023063, UID # 36722
Status: Report Submitted

Maintainer's Contact Information:

Name:

Matt Herink

MPCA License #:

L3845

Business Name:

Marko Septic LLC

Phone:

(715

) 749

- 3404

Email:

herink@att.net

Address:

Code to use for this report:

v9766r23709

Date of Maintenance:

10/01/2021

Reason for Maintenance:

Routine

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
			3302920220019	14223 10TH ST N, TOWN OF WEST LAKELAND	14223	10TH	ST	N	STILLWATER	TOWN OF WEST LAKELAND	55082	RUTKOWSKI LIV TRS				2000

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Were all covers securely replaced?

Yes

Tank#1:

Septic/Holding Tank #1 - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Tank #1:

1000 Gallons

Waste Disposal Method:

Land Apply

Approval	Signature
Applicant

Text:
File(s):