HomeMy WebLinkAbout525 Leaf Street - Septic Pumping ReportSeptic Tank Pumping/Maintenance DELIVERED NOV 0 3 2025
Owner Information
Date: _23_ ,2S Phone: 790 - Rd
Owner: wock l ��-���-� Email:
Property Address: Owner's Address (if different)
mru
for Pumping:
Method of Access:
Condition of Tanks:
Filter Cleaned
Tank Leakage Observed:
Gallons Removed:
cA4^ I
# 1 /n,,,, #2
Disposal Method:
Safety Concerns:
Tank Information
❑ Complinace Inspection ❑ Holding Tank A Maintenance
0 Manholes ❑ Inspection Pipe (holding tanks only)
(Owner's signature req'd if refusing to allow pumping through maintenance hole)
YVs Baffles good: Alarm working: Y
No 4os
No
N/A N/A N/A
Above operating depth Yes/I)l6 (repairs recommended)
Below operting depth Yes (failing to protect groundwater)
ch..P,d c&b,ti, e-«5e.,
¢vo #3 /ovv #4
Municipal: Q Location:
Land Applied: ❑ Location:
Recommended Repairs:
Comments:
tank /Guy Total ��Ud
Watertown Wastewater Facilitv
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 perfomance 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
chipseptic2amail.com
revised 312025
Septic Tank Pumping/Alaintenance
DELIVERED NOV .0 3 2025
Owner Information
Date: /D -al - Ss
Owner: IRS#
Property Address:
O Mly 6S3s-ra
(Reason for Pumping:
I Method of Access:
Condition of Tanks:
Filter Cleaned
Tank Information
Phone:
Email:
Owner's Address (if different)
❑ Complinace Inspection ❑ Holding Tank 9 Maintenance
Pr Manholes ❑ Inspection Pipe (holding tanks only)
(Owner's signature req'd if refusing to allow pumping through maintenance hole)
VS Baffles good: Yle Alarm working: Xs
o No No
N/A N/A N/A
Tank Leakage Observed: Above operating depth
Below operting depth
Gallons Removed:
#1 /UOU #2 &juy #3 /Oov #4
Disposal Method: Municipal: 0
Land Applied: ❑
Safety Concerns:
Recommended Repairs:
Comments:
Yell' (repairs recommended)
Yes/o (failing to protect groundwater)
tank
Total
Location: Watertown Wastewater Faci
Location:
I hereby certify that I have completed this work in accordance with MN 7083.0770 and any local requirements.
No determination or guarantee offuture system perfomance has been nor can be made.
Chip's Septic Service, LLC & SSTS
Swartzer's Sewer Services <�\—�License
16762 Babcock Avenue Main aner Signature #2064
Lester Prairie, MN. 55354
(952) 200-3176
chipseptic(cr�,gmail.com
revised 312025