HomeMy WebLinkAbout260 Hollander Road - Septic Pumping Report - 2025Septic Tank Pumping/Maintenance 6Z&r,sU
Owner Information
Date: '1 ��,''
a Phone: 7�.3
Owner:
Email:
Property Address: Owner's Address (if different)
'70 l.J e c r• I -n
Or-dw-),z, NIMN �-Z3 co
Reason for Pumping:
Method of Access:
of Tanks:
Filter Cleaned
Tank Leakage Observed:
Gallons Removed:
# 1 / 2Z-3/) #2
Method:
Safety Concerns:
Recommended Repairs:
Comments:
Tank Information
❑ Complinace Inspection ❑ Holding Tank emaintenance
Manholes ❑ Inspection Pipe (holding tanks only)
(Owner's signature req'd if refusing to allow pumping through maintenance hole)
Y�s Baffles good: s Alarm working: s
No No zo
N/A N/A N/A
Above operating depth Yes /( (repairs recommended)
Below operting depth Ye 0
(failing to protect groundwater)
#3 #4
Municipal:
Land Applied:
Q Location:
❑ Location:
tank
Total , S(,�
Watertown Wastewater Facili
I hereby certify that 1 have completed this work in accordance with MN 7083.0770 and any local requirements.
No determination or guarantee offuture system er 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
chipsepticAjzmail.com
revised 312025
Septic Tank Pumping/Maintenance
Date: s2- 2 7 ,L�t`'
Owner:
Property Address:
-z2ta�>�icG,.t� r^
(Reason for Pumping:
Method of Access:
(Condition of Tanks:
Filter Cleaned
(Tank Leakage Observed:
Gallons Removed:
#1 1 iJni-) #2
(Disposal Method:
Safety Concerns:
(Recommended Repairs:
Comments:
Owner Information
Phone: %a--_ NSASy
Email: on cl-Dl
Owner's Address (if different)
Tank Information
❑ 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:
)Pe's Alarm working: Yes
No
No No
Y"
N/A
Above operating depth
Y (repairs recommended)
Below operting depth
Yes o failing to protect groundwater)
#3 #4
tank
Total
Municipal: Q Location: Watertown Wastewater Facili
Land Applied: ❑ Location:
Wn
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 —<7License
16762 Babcock Avenue Maintaner Signature #2064
Lester Prairie, MN. 55354
(952) 200-3176
chipseptic(2gmail.com
revised 312025
Septic rank Pumping/Maintenance
Owner Information
Date: s� 277% 7-5-
Owner: 17lG i IP, -1411 I t a` SL'�
Property Address:
2=0.19-
Aron v
Tank Information
Phone: (y/ Z- -
Email:
Z- CS"
Owner's Address (if different)
Reason for Pumping: ❑ Complinace Inspection ❑ Holding Tank Maintenance
Method of Access: Q-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: y Alarm working:
No No No
NUK- N/A N/A
Tank Leakage Observed: Above operating depth Y*S(
repairs recommended)
Below operting depth Yfailing to protect groundwater)
Gallons Removed:
# 1 #2 #3 #4 Pump tank Total
Disposal Method: Municipal: Q Location: Watertown Wastewater Facility
Land Applied: ❑ Location:
Safety Concerns: 44,-ou-J l r le- l,'^ul i ^ A 0L P -A,
(Recommended Repairs: /-�„ 91,S-6
(Comments: i-1,1. H-,o
1 hereby certify that I have completed this work in accordance with M1V 7083.0770 and any local requirements.
No determination or guarantee of future system ante 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(2amail.com
revised 312025
Septic Tank Pumping/Maintenance (30-01 1
Owner Information
Date: -- - - .. 35
Owner:
Property Address:
(Reason for Pumping:
Method of Access:
(Condition of Tanks:
Filter Cleaned
Tank Leakage Observed:
Gallons Removed:
# I At D #2
(Disposal Method.:
(Safety Concerns:
Repairs:
Comments:
Phone:
Email: `
Owner's Address (if different)
Tank Information
❑ Complinace Inspection ❑ Holding Tank to Maintenance
Manholes ❑ Inspection Pipe (holding tanks only)
(Owner's signature req'd if refusing to allow pumping through maintenance hole)
Yes Baffles good:
No
N/A
Above operating depth
Below operting depth
JO #3 #4
Municipal:
Land Applied:
Y Alarm workings
No No
N/A N/A
Yes /I (repairs recommended)
Yes 0 (failing to protect groundwater)
tank
Total
Q Location: Watertown Wastewater F
❑ Location:
1 hereby certify that I have completed this work in accordance with AM 7083.0770 and any local requirements.
No determination or guarantee offuture system nance 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(a), mail.com
revised 312025
Septic Tank Pumping / Maintenance
Owner Information
Date: _TI 1Zru z3 DELIVERED MAY 2 8 2023
Owner: O-sS 1-7a tv a v� Phoney: �S2 `cL�' �
Proper- address: Owners address: (if different)
Z. �f O 0 �a.� S�c-� �
_f�rot �� mi✓ �S,3y/
Reason for Pumping:
Method of access:
Condition of tanks:
filter cleaned: es
qq'o
n/a
Tank leakage observed:
iallons removed:
1 13.qU 42 /U u
Disposal method:
Safety concerns:
Recommended repairs:
/1&1 t
Tank Information
compliance inspection 0 holding tank EL-mantenance
07 manholes ❑ inspection pipe (holding tanks only)
(owner signature req'd if refusing to allow pumping through In
aintenarce bolt)
baffles good: alarm working: YY�
<=-0'S->
NO
n/a n/a
above operating depth: Yes o (repairs recommended)
below operating depth: Yes : o (failing to protect groundwater)
#3
#4
pump tank
%'t total 3
municipal
`✓�
location:zt7C
I
and apply ❑
location:
1 hereby cent fy that I have completed this work in accof•dance with J14N 7083.0770 and ant? local requirements.
tYo enntu7 ' a or guarantee offirtnre s}°stem performance has been nor can be made.
Chip's Septic Service. LLC SSTS License
Maintainer signature 16762 Babcock Avenue 42064
Lester Prairie, MN. 55354
(952) 200-3176
Septic 'rank Pumping/Maintenance
Owner Information
Date: Z� 3 Phone:
Owner: 177)"c . S'�{ �� Email:
Property Address: Owner's Address (if different)
Tank Information
Reason for Pumping: ❑ Complinace Inspection ❑ Holding Tank 0-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
Tank Leakage Observed:
Gallons Removed:
Yes Baffles good:
No
Above operating depth
Below operting depth
1 /M (I #2 %hn t) #3 #4
(Disposal Method.:
Safety Concerns:
(Recommended Repairs:
(Comments:
Municipal:
Land Applied:
es Alarm working: Yes
No No
N/A (2�
Yes/No (repairs recommended)
Yes/No (failing to protect groundwater)
Pump tank 5D0 Total 2,57C%'
Q Location: Watertown Wastewater Facility
❑ Location:
0
1 hereby certify that I have completed this work in accordance with MN 7083.0770 and any local requirements.
No determination or guarantee of future 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
chipsepticggmail.com
revised 312025