SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2022 - 027791, UID # 44083
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Jake Carpenter

MPCA License #:

L930

Business Name:

Northside Septic Servicey LLC

Phone:

(763

) 444

- 7898

Email:

northsideseptic@gmail.com

Address:

1301 245th Ave. NE

Bethel	MN	55055

Code to use for this report:

y9249v29664

Date of Maintenance:

08/26/2022

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
			2403221420004	9950 204TH STREET CT N, CITY OF FOREST LAKE	9950	204TH STREET	CT	N	FOREST LAKE	CITY OF FOREST LAKE	55025	LARSON MATHEW W & BETHANY A	2	1	CEDAR CIRCLE	1986	No

Maintenance Performed:

Tank(s) Pumped

Sludge and Scum Measured

Tank Measurements

Liquid Level of Tank:	47 Inches	Sludge Level:	15 Inches	Scum Level:	1 Inches
Total Sludge & Scum:	16.00	/ Liquid Level:	47.0000000000	= % of Sludge & Scum:	34.04%

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:

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1:	1250 Gallons
Tank #2:	1000 Gallons
Pump Tank:	200 Gallons

Waste Disposal

Waste Disposal Method:	Land Apply
Location:	Isanti County

Other Information

Notes/Comments:

See Form

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:	Report Below
File(s):	File 1: 2403221420004-_Maintenance_Report-2022.pdf