SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 002789, UID # 5247
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Wiliam Feely

MPCA License #:

Self

Business Name:

Self Measure

Phone:

(000

) 000

- 0000

Email:

noemail@noemail.com

Address:

5980 S Warner Rd

Pine Springs	MN	55115

Code to use for this report:

m2873b2843

Date of Maintenance:

09/24/2016

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
			0502921210009	5980 WARNER RD S, CITY OF PINE SPRINGS	5980	WARNER	RD	S	ST PAUL	CITY OF PINE SPRINGS	55115	FEELY WILLIAM J & SANDRA E				1948

Maintenance Performed:

Sludge and Scum Measured

Pumping Needed

Do tanks need to be pumped?

Tank Measurements

Liquid Level of Tank:	41 Inches	Sludge Level:	5 Inches	Scum Level:	.3 Inches
Total Sludge & Scum:	5.30	/ Liquid Level:	41.0000000000	= % of Sludge & Scum:	12.93%

Access to Tanks

Did you use the maintenance hole to remove septage:

Attach Copy of Report

Attach maintenance Report:

File 1: 5980-09302016092451.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:

0 Gallons

Other Information

Notes/Comments:

NO Pumping just Measurement

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):