SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 002633, UID # 5022
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Todd Robole

MPCA License #:

L3690

Business Name:

Ron's Sewer Service

Phone:

(715

) 749

- 0153

Email:

ronssewerservice@gmail.com

Address:

W6621 610th Ave

Ellsworth	Wi	54011

Code to use for this report:

b9395d4097

Date of Maintenance:

08/24/2016

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
			0902921310024	8241 HIDDEN BAY TRL N, CITY OF LAKE ELMO	8241	HIDDEN BAY	TRL	N	LAKE ELMO	CITY OF LAKE ELMO	55042	GORACKI GERALD M	23		OACE ACRES 3RD ADD	1968

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: 8241-09152016074032.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
Pump Tank:	600 Gallons

Waste Disposal

Waste Disposal Method:	Treatment Plant
Location:	Metro

Other Information

Notes/Comments:

Replace pump & Switch

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):