SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2021 - 023548, UID # 37467
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Larry Schlomka

MPCA License #:

2989

Business Name:

Schlomka Services

Phone:

(651

) 459

- 3718

Email:

office@schlomkaservices.com

Address:

1303 S Frontage Rd, Suite 135

Hastings	MN	55033

Code to use for this report:

w8696m25345

Date of Maintenance:

10/21/2021

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
			3302721230017	8190 113TH ST S, CITY OF COTTAGE GROVE	8190	113TH	ST	S	COTTAGE GROVE	CITY OF COTTAGE GROVE	55016	DENNIS P BOSTROM & CHERYL L BOSTROM TRS	37		HOUSE'S ISLAND VIEW	1976

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:	Pumped Through Inspection pipe
Attach maintenance Report:	File 1: 8190_113th_St.pdf

Maintenance Covers

Were all covers securely replaced?	Yes
:	PIPE

Tank Details

Tank#1:	No
Verification Method Used:	ANSWER UNKNOWN> PIPE

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1:

1500 Gallons

Waste Disposal

Waste Disposal Method:	Treatment Plant
Location:	Metro

Other Information

Notes/Comments:

pumped through inspection pipe

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):