SSTS Permitting Sandbox site

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2021 - 022324, UID # 35530
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

ESI Septic

MPCA License #:

L2994

Business Name:

ESI

Phone:

(651

) 437

- 1620

Email:

noemail@noemail.com

Address:

P.O. Box 249

Hampton	MN	55031

Code to use for this report:

q1694c24055

Date of Maintenance:

08/03/2021

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
			3302721320008	8171 RIVER ACRES RD S, CITY OF COTTAGE GROVE	8171	RIVER ACRES	RD	S	COTTAGE GROVE	CITY OF COTTAGE GROVE	55016	WELLMAN MAYNARD F & KAREN J	9		HOUSE'S RIVER ACRES	1973

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Yes

Attach Copy of Report

Attach Maintenance Report:

File 1: 3302721320008-SSTS_Mait._Report-2021.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:	1000 Gallons
Tank #2:	500 Gallons

Waste Disposal

Waste Disposal Method:

Land Apply

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):