SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 002647, UID # 5043
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Tod 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:

e7585p4055

Date of Maintenance:

09/08/2016

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
			1102820120034	16539 10TH STREET CT S, CITY OF LAKELAND	16539	10TH STREET	CT	S	LAKELAND	CITY OF LAKELAND	55043	SMITH ERIC & LISA	10	1	CEDAR VAIL	1996

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: 16539-09162016092343.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
Tank #2:	1000 Gallons

Waste Disposal

Waste Disposal Method:	Treatment Plant
Location:	St. paul Metro

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):