SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2024 - 036181, UID # 56392
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:

u6899v37985

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
			2403220220016	15481 209TH ST N, CITY OF SCANDIA	15481	209TH	ST	N	SCANDIA	CITY OF SCANDIA	55073	PHIPPEN PATRICK J & TAMARA	4	2	WILD BUSH ACRES	2017

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: Patrick_Phippen_Pump.pdf

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:	Yes
Verification Method Used:	Visual

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1:	1500 Gallons
Tank #2:	1000 Gallons
Pump Tank:	0 Gallons

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):