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HomeMy WebLinkAbout405 Willow Drive South - Septic Pumping Report (15)Septic Tank Pumping/Maintenance Droner Inform. _.`. ation. Date: 22 -c, ll Owner: Property Address: Tank Information Phone: 1 /J - C;c-^ Owner's Address (if different) -i Reason for Pumping- ❑ Complinace Inspection ❑ Holding Tank Maintenance Method of Access: ( Manholes ❑ inspection Pipe (Bolding tanks only) (Ownees signature re9'd if refusing to allow pumping through maintenance hole) Condition of Tanks: Filter Cleaned Y Baffles good: Y Alarm working: s �o No No N/A N/A NIA Tank Leakage Observed: Above operating depth Below operting depth Gallons Removed: Disposal Method: Municipal: Land Applied: ❑ Safety Concerns: Recommended Repairs: Comments: Yesll (repairs recommended) Yes/llo (failing to protect groundwater) tank Total Location: Watertown Wastewater Facili Location: 1 hereby certifi, that I have completed this work in accordance with AIPV 7083.0770 and any local requirements. No determination or guarantee offuture system f?erfomance has been nor can be made, Chip's Septic Service, LLC & SSTS Swartzer's Sewer Services _ License -- 16762 Babcock Avenue 2Main'taner Signature 42064. Lester Prairie, MN. 55354 (952) 200-3176 ciiipseptic@ginail.com revised 3/2025