HomeMy WebLinkAbout330 Silver Meadow Drive - Septic Pumping ReportSeptic Tank Pump ing/Maintenance
Owner Information
Date: �5/ z a z 5-
Owner: /4?055 oetwn
Property Address:
140,, d /YI� 'SSU y
(Reason for Pumping:
Method of Access:
Condition of Tanks:
Filter Cleaned
Tank Leakage Observed:
Gallons Removed:
41 ZZS7� #2
Disposal Method:
Safety Concerns:
Recommended Repairs:
Comments:
Tank Information
Phone: 6 /Z — ZZ7 - % 3 6l
Email:
Owner's Address (if different)
❑ Complinace Inspection ❑ Holding Tank (Maintenance
'Manholes ❑ Inspection Pipe (holding tanks only)
(Owner's signature req'd if refusing to allow pumping through maintenance hole)
Yes Baffles good: Y-09- Alarm working: Yes -
No No
N/A
Above operating depth
Below operting depth
#3 #4
Municipal:
Land Applied:
&ja4,- le,c
-Ad lc i/'i-d • a
tank 75� Total 3000
Q Location: Watertown Wastewater Facili
❑ Location:
tr,
i' oa -),-r
4-,
pi
6.4
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
chipsepticQjzmail .com
b
No
N/A
Yes/No (repairs recommended)
Yes/No (failing to protect groundwater)
revised 312025
Septic Tank Pumping/Maintenance 624166
Owner Information
Date: _ Phone: �%Z "'=��'- �t?C
Owner: �,a,^ d- Hi Mot, f-yr�1aM, Email:
Property Address: Owner's Address (if different)
Tank Information
Reason for Pumping: ❑ Complinace Inspection ❑ Holding Tank Maintenance
Method of Access: 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: 1'`s Alarm working: Yes
No No No
N/A
Tank Leakage Observed: Above operating depth Yes o (repairs recommended)
Below operting depth Yes o (failing to protect groundwater)
Gallons Removed:
# I #2 j LX>j> #3 #4 Pump tank Total
Disposal Method: Municipal: Q Location: Watertown Wastewater Facility
Land Applied: ❑ Location:
Safety Concerns: 0 on t-
Recommended Repairs: vne-i- s C. i,J,t- Iv11 .4" L L
Comments:
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 Maintaner Signature #2064
Lester Prairie, MN. 55354
(952) 200-3176
chipseptic@gmaii.com
revised 312025
Septic Tank Pumping/Maintenance
Owner Information
Date: 5-91l Phone:
Owner: 11__ n�_J! Its Email:
Property Address: _ �/� Owner's Address (if different)
ll
(Reason for Pumping:
Method of Access:
Condition of Tanks:
Filter Cleaned
Tank Information
❑ Complinace Inspection ❑ Holding Tank 01,Maintenance
Manholes ❑ Inspection Pipe (holding tanks only)
(Owner's signature req'd if refusing to allow pumping through maintenance hole)
Yes Baffles good: /es Alarm working: V,4
No No No
N/A N/A
Tank Leakage Observed: Above operating depth
Below operting depth
Gallons Removed:
# 1 (j,p #2 %ocX,? #3 #4
(Disposal Method: Municipal: 0
Land Applied: ❑
Safety Concerns:
Yes/I,/ (repairs recommended)
Yes/t�6 (failing to protect groundwater)
tank
Total
Location: Watertown Wastewater Facili
Location:
Recommended Repairs: _ ,� �-- fS.t� 6Aj j r4+ I- -� .-j
Comments: ow�--
1 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 Maintaner Signature #2064
Lester Prairie, MN. 55354
(952) 200-3176
chipseptic@amail.com
revised 312025
Septic Tank Pumping/Maintenance
Owner Information
Date: rj `�� �-' Phone:
Owner: Email:
Property Address: Owner's Address (if different)
rtv �YtLr\
Qk0
(Reason for Pumping:
Method of Access:
(Condition of Tanks:
Filter Cleaned
(Tank Leakage Observed:
Gallons Removed:
#1 NW #2
(Disposal Method:
Safety Concerns:
Recommended Repairs:
ents:
Tank Information
❑ Complinace Inspection ❑ Holding Tank 91fMaintenance
Qf Manholes ❑ Inspection Pipe (holding tanks only)
/ (Owner's signature req'd if refusing to allow pumping through maintenance hole)
Yes Baffles good: s Alarm working: s
No No No No
N/A N/A
Above operating depth Yes 71
0 (repairs recommended)
Below operting depth Yes/co (failing to protect groundwater)
#3 #4 Pump tank ?:!� D Total ,� 3- o
Municipal: Q Location: Watertown Wastewater Facili
Land Applied: ❑ Location:
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 per omance 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