HomeMy WebLinkAbout01-05-2021 Septic Pumping ReportPropertyOwner: dvt5�&E.�e�rMgr{5j'
Street Address: 55D FdX S�-'
City! Zip Code: ��a J ZCK` 5539 t
Septic Site Address if Different from Homeowner's Address:
Street Address: k5 / a
City l Zip Code:
Number of Tanks Pumped:
Type of Tanks: Tanks Pumped via:
❑ 1
1��Precast )j�j,Manhole l Riser
❑ 2
❑ Combo ❑ Inspection Pipe
Z3
❑ Plastic
Other:
❑ Cesspool
Total Volume Pumped: 391 7
Manhole(s) to Grade? 9.3
No
Manhole Covers Secure?No
Baffles: No
Pumping Date: 1 0_'21 MPCA License ft: Maintenance Provider Name: S vl&s - J�
Septic system comments: 95A- 973 - 3-Z9-1
`Minnesota state taw requires septic tanks to be evaluated every 3 years.
"This postcard does not require postage and our address is pre -addressed. Please call (612) 543-5200 with any questions. Thank you.