SSTS Permitting Sandbox site

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2020 - 020097, UID # 31748
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

chris marshall

MPCA License #:

l2374

Business Name:

apostle septic

Phone:

(715

) 497

- 5929

Email:

mkymarshall@gmail.com

Address:

1483 24th.st

houlton	wi	54082

Code to use for this report:

n5841w21701

Date of Maintenance:

10/08/2020

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
			0902920110007	14875 50TH ST N, TOWN OF BAYTOWN	14875	50TH	ST	N	STILLWATER	TOWN OF BAYTOWN	55082	RONALD L BURTON & SARA JO BURTON REV TRS				1956

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:

1000 Gallons

Waste Disposal

Waste Disposal Method:

Land Apply

Other Information

Notes/Comments:

Sludge judge second tank

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
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