SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2024 - 036511, UID # 56866
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:

u1706b37986

Date of Maintenance:

11/15/2024

Reason for Maintenance:

Compliance inspection

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
			3003220440041	19044 LARKSPUR AVE N, CITY OF SCANDIA	19044	LARKSPUR	AVE	N	MARINE ON ST CROIX	CITY OF SCANDIA	55047	BLOCHER BRADLEY J & NANCY D	3	3	HOLIDAY BEACH 2ND PLAT	1971	No

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: Nancy_Blocker__Pumping.pdf

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:	Yes
Verification Method Used:	no verification Method

Evidence of Leaks or Damaged Covers

Septic/Holding Tank #1 - Leaking Out:	Yes
- Leaking In:	No
- Cover Damage:	No

Septage Removed

Tank #1:

1250 Gallons

Waste Disposal

Waste Disposal Method:	Land Apply
Location:	2.1.10589.03

Approvals

Approval	Signature
Applicant

Internal Notes

Text:
File(s):