SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2024 - 036158, UID # 54239
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

THOMAS A. CARLISLE

MPCA License #:

L1675

Business Name:

Sherco Construction Inc

Phone:

Mobile:

(651

) 462

- 1817

(612

) 366

- 3472

Fax:

(651

) 462

- 3960

Email:

tom.carlisle@shercohomebuilders.com

Address:

79 North Lake Street

Forest Lake	MN	55025

Code to use for this report:

m2285o35484

Date of Maintenance:

10/11/2024

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
			0403121310002	17490 GREYSTONE AVE N, CITY OF HUGO	17490	GREYSTONE	AVE	N	HUGO	CITY OF HUGO	55038	BERGMAN GARY E & BARBARA				1988

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: Barbra_Bergman_17490_Greystone_Ave_Hugo.pdf

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:	No
Verification Method Used:	Visual

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:	Land Apply
Location:	2.1.10589.03

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):