SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 002483, UID # 4715
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Lawrence Gerlach

MPCA License #:

Self Measure

Business Name:

Homeowner

Phone:

(651

) 459

- 5402

Email:

septic@co.washington.mn.us

Address:

8130 Kimbro Ave S

Cottage Grove	MN	55016

Code to use for this report:

a7379v2839

Date of Maintenance:

08/15/2016

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
			1402721110001	8130 KIMBRO AVE S, CITY OF COTTAGE GROVE	8130	KIMBRO	AVE	S	COTTAGE GROVE	CITY OF COTTAGE GROVE	55016	REV LIV TRS LAWRENCE F GERLACH				1985

Maintenance Performed:

Sludge and Scum Measured

Pumping Needed

Do tanks need to be pumped?

Tank Measurements

Liquid Level of Tank:	54 Inches	Sludge Level:	4 Inches	Scum Level:	0 Inches
Total Sludge & Scum:	4.00	/ Liquid Level:	54.0000000000	= % of Sludge & Scum:	7.41%

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Attach Copy of Report

Describe the method used to remove the septage:	see report
Attach Maintenance Report:	File 1: 8130-08232016083110.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:

0 Gallons

Other Information

Notes/Comments:

Homeowner did a self Measure

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):