HomeMy WebLinkAbout2245 French Lake Road - Septic Pumping ReportSeptic Tank Pumping/Maintenance
Owner Information
Date: Ci-(b^g-s Phone:
Email:
ty Address: J Owner's Address (if different)
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Tank Information
Reason for Pumping: ❑ Complinace Inspection ❑ Holding Tank Maintenance
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Method of Access: Qf Manholes ❑ Inspection Pipe (holding tanks only)
(Owner's signature req'd if refusing to allow pumping through maintenance hole)
Condition of Tanks:
Filter Cleaned Yes Baffles good: Ya Alarm working: Yes
No No No
r N/A VA
Tank Leakage Observed: Above operating depth Yes (repairs recommended)
Below operting depth Yes (failing to protect groundwater)
Gallons Removed:
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Disposal Method: Municipal: Q Location: Watertown Wastewater Facility
Land Applied: ❑ Location:
Safety Concerns:
Recommended Repairs:
(Comments:
1 hereby certify that 1 have completed this work in accordance with MN 7083.0770 and any local requirements.
No determination or guarantee offuture system performance has been nor can be made.
Chip's Septic Service, LLC & SSTS
Swartzer's Sewer Services License
16762 Babcock Avenue Maintaner Signature #2064
Lester Prairie, MN. 55354
(952) 200-3176
chipseptic&gmail.com
revised 312025