SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2024 - 036229, UID # 56480
Status: Report Submitted
Maintainer Information
| Maintainer's Contact Information: |
|
| Code to use for this report: |
k0659b36601 |
| Date of Maintenance: |
10/22/2024 |
| Reason for Maintenance: |
Routine |
System Location & Maintenance Performed
| Property Maintenance Performed : |
Find:
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| 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 |
|---|
| | | 3603221230004 | 18655 JEWEL AVE N, CITY OF FOREST LAKE | 18655 | JEWEL | AVE | N | FOREST LAKE | CITY OF FOREST LAKE | 55025 | NOWICKI MICHAEL A & BARBARA K | 1 | 2 | COUNTRY VIEW ESTATES | 1974 | |
1
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| 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: |
|
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 |
Waste Disposal
| Waste Disposal Method: |
Land Apply |
| Location: |
29052 Dimaggio St NE, North Branch |
Approvals
| Approval | Signature | Options |
|---|
| Applicant | | |
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3603221230004_-_Maintenance_Report_-_2024.pdf