SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2017 - 004981, UID # 8432
Status: Report Submitted

Maintainer's Contact Information:

Name:

Todd Robole

MPCA License #:

L2103

Business Name:

Ron's Sewer Service

Email:

ronssewerservice@gmail.com

Address:

Code to use for this report:

v1151n6311

Date of Maintenance:

11/16/2016

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
			3502721140003	11450 KINGSBOROUGH TRL S, CITY OF COTTAGE GROVE	11450	KINGSBOROUGH	TRL	S	COTTAGE GROVE	CITY OF COTTAGE GROVE	55016	ANDERSON KEITH A & JILL M CERNOHOUS	4	1	RIVER OAKS ADD	2000

Maintenance Performed:

Tank(s) Pumped

Did you use the maintenance hole to remove septage:

Yes

Attach Maintenance Report:

Were all covers securely replaced?

Yes

Tank#1:

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

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

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
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