SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2016 - 003568, UID # 6476
Status: Report Submitted

Maintainer's Contact Information:

Name:

LARRY SCHLOMKA

MPCA License #:

2989

Business Name:

SCHLOMKA SVCS

Phone:

(651

) 459

- 3718

Email:

aj_schlomka@hotmail.com

Address:

Code to use for this report:

m4751v0919

Date of Maintenance:

07/15/2016

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
			0502721220002	6065 HADLEY AVE S, CITY OF COTTAGE GROVE	6065	HADLEY	AVE	S	COTTAGE GROVE	CITY OF COTTAGE GROVE	55016	PRTS IN PROGRESS	1	1	AMUNDSON ACRES	1960

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Describe the method used to remove the septage:	SEE REPORT
Attach maintenance Report:	File 1: 0502721220002-MAINTENANCE_REPORT-20160715.pdf

Were all covers securely replaced?

Yes

Tank#1:

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

Tank #1:	1000 Gallons
Tank #2:	1250 Gallons

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):