SSTS Permitting Sandbox site

SSTS Maintenance Report SSTS Maintenance Report Report # Pump Report - 2021 - 022700, UID # 36116
Status: Report Submitted

Maintainer Information

Maintainer's Contact Information:

Name:

Larry Schlomka

MPCA License #:

2989

Business Name:

Schlomka Services

Phone:

(651

) 459

- 3718

Email:

office@schlomkaservices.com

Address:

1303 S Frontage Rd, Suite 135

Hastings	MN	55033

Code to use for this report:

v9903l24079

Date of Maintenance:

09/01/2021

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
			2702821210004	4059 SALEM DR, CITY OF WOODBURY	4059	SALEM	DR		WOODBURY	CITY OF WOODBURY	55129	JOANNE K BARRETT & MICHAEL J BARRETT TRS	3	1	CLAPP-THOMSSEN SALEM MEADOWS 1ST ADD	1984

Maintenance Performed:

Tank(s) Pumped

Access to Tanks

Did you use the maintenance hole to remove septage:

Attach Copy of Report

Describe the method used to remove the septage:	pumped Through Inspection pipe
Attach maintenance Report:	File 1: 4059_Michael_Barrett.pdf

Maintenance Covers

Were all covers securely replaced?	Yes
:	PIPE

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:

1250 Gallons

Waste Disposal

Waste Disposal Method:	Treatment Plant
Location:	Metro

Other Information

Notes/Comments:

Pumped through inspection pipe

Approvals

Approval	Signature	Options
Applicant		Status must be

Internal Notes

Text:
File(s):