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05/09/2022 Septic Maintenance Report
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05/09/2022 Septic Maintenance Report
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Last modified
8/22/2023 4:12:21 PM
Creation date
5/10/2022 7:37:52 AM
Metadata
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Template:
x Address Old
House Number
520
Street Name
Big Island
Address
520 Big Island
Document Type
Septic
PIN
2211723420021
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Updated
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Septic Tank Pumping / Maintenance <br />wwtiv.SepticResource.com (vers 12.4) <br />Date: 05/09/2022 <br />Owner: Big Island Inc. <br />Property address: <br />520 Big Island <br />Orono, MN 55331 <br />(Reason for Pumping: <br />Method of access: <br />Condition of tanks: <br />filter cleaned: Yes <br />No <br />n/a <br />CD <br />Tank leakage observed: <br />Gallons removed: <br />#1 0 #2 0 <br />method: <br />Owner Information <br />Owners address: (if different) <br />P.O. Box 188 <br />Excelsior, MN 55331 <br />Tank Information <br />❑ compliance inspection ❑ holding tank M maintenance <br />manholes ❑ inspection pipe (holding tanks only) <br />(owner signature req'd if refusing to allow pumping through maintenance hole) <br />baffles good: Yes alarm working: Yes <br />No <br />n/a <br />above operating depth: Yes No <br />below operating depth: Yes No <br />#3 X #4 X pump tank <br />municipal ❑ location: <br />No <br />n/a <br />(repairs recommended) <br />(failing to protect groundwater) <br />0 total 0 <br />land apply ❑ location: <br />Safety concerns: <br />Recommended repairs: <br />Comments: <br />All 3 Tanks have 0" of Scum & less than 1" of Sludge. Pumping not needed. Check & test again in 2023. <br />I hereby certify that have completed this work in accordance with VA' 7083.0770 and any local requirements. <br />No deter• ion arantee of future system performance has been nor can be made. <br />J Albin's Septic Pumping, LLC 612-559-3456 <br />Mai amer s' nature Company Phone number <br />
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