SSTS Permitting

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2017 - 005654, UID # 9736
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Ron's Sewer Service

MPCA License #:

L3690

Business Name:

Rons Sewer Service

Phone:

Mobile:

(715

) 749

- 0153

(715

) 441

- 0689

Email:

ronssewerservice@gmail.com

Address:

W6621 610th Ave

Ellsworth	WI	54011

Code to use for this report:

v4673w7690

Date of Maintenance:

09/26/2016

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
			2202920430007	2285 PERIWINKLE AVE N, TOWN OF WEST LAKELAND	2285	PERIWINKLE	AVE	N	STILLWATER	TOWN OF WEST LAKELAND	55082	CJ WOLD FAMILY TRS	9	2	SUMMERFIELD	1999

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Maintenance Covers

Were all covers securely replaced?

Yes

Tank Details

Tank#1:	No
Tank #2:	No

Evidence of Leaks or Damaged Covers

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

Septage Removed

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

Waste Disposal

Waste Disposal Method:

Treatment Plant

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):