HomeMy WebLinkAbout1180 Mooney Lake Drive - Septic Pumping ReportSeptic Tank Pumping/Maintenance
Owner Information
Date: f 2Z Z Z Z ZS Phone: �l Z- 7 V7
Owner: �l A. a q, Email:
Property Address: Owner's Address (if different)
Dren o , MIU 1S7S3Q1
Tank Information
Reason for Pumping: ❑ Compi i nace I nspection ❑ Holding Tank L iaintcnance
Method of Access: (3-0aanholes ❑ 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: Fo
Alarm working:
No No
N/ N/A N/A
Tank Leakage Observed: Above operating depth s(N (repairs recommended)
Below operting depth 16s (failing to protect groundwater)
Gallons Removed:
#! 1,300 #2 1,560 #3 #4 Pump tank -ISO Total
Disposal Method: Municipal: Q Location: Watertown Wastewater Facility
Land Applied: ❑ Location:
I Safety Concerns:
lRecommended Repairs:
(Comments:
ee.-k 74A.-i IL Z.x
I hereby certify that I have completed this work in accordance with MN 7083.0770 and any local requirements.
No determination or guarantee of filtu mance 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
chipsseptic(a7,gmail.com
revived 312015