SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2017 - 004627, UID # 7854
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

LANA MEYER

MPCA License #:

L915

Business Name:

MEYER SEWER SERVICE

Phone:

(651

) 459

- 0162

Email:

meyersewer@hotmail.com

Address:

5325 MANNING AVE S

AFTON	MN	55001

Code to use for this report:

f5382f5152

Date of Maintenance:

11/11/2016

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
			3002821440010	4871 CROWN LN, CITY OF WOODBURY	4871	CROWN	LN		WOODBURY	CITY OF WOODBURY	55129	BAILEY FORREST JR & TONNIE R	2	2	CASTLES WOODBURY ESTATES	1990

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Attach Copy of Report

Describe the method used to remove the septage:	SEE REPORT
Attach Maintenance Report:	File 1: 3002821440010-MAINTENANCE_REPORT-20161111.pdf

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:

Evidence of Leaks or Damaged Covers

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

Septage Removed

Tank #1:

1500 Gallons

Waste Disposal

Location:

W-1

Other Information

Notes/Comments:

DUG TANK & INSTALLED RISER PIPE

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):