SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2023 - 029831, UID # 47128
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Crissy Wagner

MPCA License #:

915

Business Name:

Meyer Sewer Sewer LLC

Phone:

Mobile:

(651

) 459

- 0162

(651

) 398

- 7922

Email:

crissy@meyersewer.com

Address:

5325 Manning Ave S

Afton	MN	55001

Code to use for this report:

b7275u31425

Date of Maintenance:

05/15/2023

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
			3402920230015	15066 HUDSON BLVD N, TOWN OF WEST LAKELAND	15066	HUDSON	BLVD	N	STILLWATER	TOWN OF WEST LAKELAND	55082	KETCHUM CHARLES K & REBECCA K				1880

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
Tank #2:	No

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1:	1500 Gallons
Tank #2:	1000 Gallons

Waste Disposal

Waste Disposal Method:	Land Apply
Location:	M-1

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):