SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2021 - 023582, UID # 37528
Status: Report Submitted

Maintainer's Contact Information:

Name:

Meagan Lindquist

MPCA License #:

C1983

Business Name:

R&M Septic Service

Phone:

(651

) 674

- 8520

Email:

randmseptic@aol.com

Address:

Code to use for this report:

o5728n24577

Date of Maintenance:

11/09/2021

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
			0403220240001	23679 MEADOWBROOK AVE N, CITY OF SCANDIA	23679	MEADOWBROOK	AVE	N	SCANDIA	CITY OF SCANDIA	55073	KHOURY FAMILY REV TRS AGR				2001

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Were all covers securely replaced?

Yes

Tank#1:	No
Tank #2:	No

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
Pump Tank - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Waste Disposal Method:	Land Apply
Location:	37654 Falcon Ave, North Branch, MN 55056

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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