SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2017 - 005409, UID # 9454
Status: Report Submitted

Maintainer's Contact Information:

Name:

Hassel Free Septic

MPCA License #:

L3287

Business Name:

Hassle Free Septic

Email:

noemail@noemail.com

Address:

Code to use for this report:

u2024b7531

Date of Maintenance:

06/09/2017

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
			0203221310007	23190 ITASCA AVENUE CIR N, CITY OF FOREST LAKE	23190	ITASCA AVENUE	CIR	N	FOREST LAKE	CITY OF FOREST LAKE	55025	POTHEN DANIEL H & JULIE	11	1	WATERS EDGE PRESERVE	1999

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
Pump Tank - Leaking Out:	No
- Leaking In:	No
- Cover Damage:	No

Approval	Signature	Options
Applicant		Status must be

Internal Notes

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