SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2023 - 032031, UID # 50431
Status: Report Submitted

Maintainer's Contact Information:

Name:

Larry Schlomka

MPCA License #:

2989

Business Name:

Schlomka Services

Phone:

(651

) 459

- 3718

Email:

office@schlomkaservices.com

Address:

Code to use for this report:

s9721s33535

Date of Maintenance:

12/04/2023

Reason for Maintenance:

Routine

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
			2902920240014	13710 GREENWOOD TRL N, TOWN OF WEST LAKELAND	13710	GREENWOOD	TRL	N	STILLWATER	TOWN OF WEST LAKELAND	55082	JURKOVSKI BRENT	6	1	GREENWOOD VALLEY 4TH ADD	1996

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Were all covers securely replaced?

Yes

Tank#1:	No
Tank #2:	No

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

Tank #1:	1250 Gallons
Tank #2:	1250 Gallons

Waste Disposal Method:	Treatment Plant
Location:	Metro

Approval	Signature
Applicant

Text:
File(s):