SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2022 - 026495, UID # 41930
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Ross Sewer Service Inc.

MPCA License #:

L3448

Business Name:

Ross Sewer Service

Phone:

(651

) 674

- 4349

Email:

noemail@noemail.com

Address:

9288 County Road 5 NE

North Branch	MN	55056

Code to use for this report:

m4215k25632

Date of Maintenance:

07/06/2022

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
			0803220120004	22880 MALLARD AVE N, CITY OF SCANDIA	22880	MALLARD	AVE	N	SCANDIA	CITY OF SCANDIA	55073	WARNER MICHAEL A & DANIELLE	1	1	BONE LAKE ESTATES	2000

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Attach Copy of Report

Attach Maintenance Report:

File 1: 0803220120004-Maintenance_Report-2022.pdf

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1:	1000 Gallons
Tank #2:	1000 Gallons

Waste Disposal

Waste Disposal Method:	Land Apply
Location:	29052 Dimaggio St. NE North Branch, MN

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):