SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2023 - 032377, UID # 50878
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Crissy Wagner

MPCA License #:

915

Business Name:

Meyer Sewer Sewer LLC

Phone:

Mobile:

(651

) 459

- 0162

(651

) 398

- 7922

Email:

crissy@meyersewer.com

Address:

5325 Manning Ave S

Afton	MN	55001

Code to use for this report:

z9574w33635

Date of Maintenance:

05/09/2023

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
			0902921340017	8271 LAKE JANE TRL N, CITY OF LAKE ELMO	8271	LAKE JANE	TRL	N	LAKE ELMO	CITY OF LAKE ELMO	55042	NIEMIEC GARY M & GAIL A	16		THREE LAKES FARM ADD	1986

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Attach Copy of Report

Describe the method used to remove the septage:	Standpipe
Attach maintenance Report:	File 1: 8271_Lake.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:

1500 Gallons

Waste Disposal

Waste Disposal Method:	Treatment Plant
Location:	St. Paul

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):