SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2022 - 025320, UID # 39871
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:

m2670g26241

Date of Maintenance:

07/31/2021

Reason for Maintenance:

Emergency

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
			1302821220002	2045 COTTAGE GROVE DR, CITY OF WOODBURY	2045	COTTAGE GROVE	DR		WOODBURY	CITY OF WOODBURY	55129	PLAUTZ DUWAYNE A & BARBARA B				1987

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:	No
Verification Method Used:	Visual

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1:

1280 Gallons

Waste Disposal

Waste Disposal Method:	Land Apply
Location:	M-1

Other Information

Notes/Comments:

Plugged line

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):