SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2024 - 036604, UID # 54268
Status: Report Submitted

Maintainer's Contact Information:

Name:

Matt Herink

MPCA License #:

L3845

Business Name:

Marko Septic LLC

Phone:

(715

) 749

- 3404

Email:

herink@att.net

Address:

Code to use for this report:

w6903o23720

Date of Maintenance:

11/25/2024

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
			1402820120037	16656 21ST ST S, CITY OF LAKE ST CROIX BEACH	16656	21ST	ST	S	LAKELAND	CITY OF LAKE ST CROIX BEACH	55043	MARTY MICHAEL L				1971

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:	1000 Gallons
Tank #2:	1000 Gallons

Waste Disposal Method:

Land Apply

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
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