SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2023 - 032268, UID # 48555
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Joseph Leroux

MPCA License #:

L1675

Business Name:

Sherco Construction Inc

Phone:

Mobile:

(651

) 462

- 1817

(612

) 366

- 3472

Fax:

(651

) 462

- 3960

Email:

tom.carlisle@shercohomebuilders.com

Address:

79 North Lake Street

Forest Lake	MN	55025

Code to use for this report:

a0947w33230

Date of Maintenance:

09/21/2023

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
			3603221340002	18070 JULY AVE N, CITY OF FOREST LAKE	18070	JULY	AVE	N	FOREST LAKE	CITY OF FOREST LAKE	55025	SCHMID PAUL S & CATHRYN A				1991

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: MAINTENANCE_DOC.pdf

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:

1500 Gallons

Waste Disposal

Waste Disposal Method:	Land Apply
Location:	21.10589.03

Other Information

Notes/Comments:

N/A

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):