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HomeMy WebLinkAbout2120 Carriage Lane - Septic Pumping Report - 2024 (30)Property Address Address 2120 Carriage Lane Wayzata, MN. Chip's Septic Service, LLC Designs, Inspections & Maintenance Pernel "Chip" Hentges 16762 Babcock Avenue Lester Prairie, MN. 55354 #(952) 200-3176 Minnesota Pollution Control Agency Individual Sewage Treatment License No. 2064 INVGIICE Invoice 94023 Date: November 22nd, 2024 Billing Anita Behrens 2120 Carriage Lane Wayzata, MN. 55392 Date Description Location Cost November 14fh, 2024 Pumped 3000 gallons 2120 Carriage Lane $525900 Disposal fee $65/per $195.00 1000 gallons * * Price increase due to the City of Watertown increasing their disposal rates* * Make checks payable to Pernel "Chip" Hentges Total $720.00 Submit Payment to Pernel "Chip" Hentges 16762 Babcock Avenue Lester Prairie, MN. 55354 #(952) 200-3176 Credits Balance Due Date: Otivner: r �Zr'c��t Property address: for Pumping: ��UndDt}!On Uf tams: filter cleaned: Yes No nl ank leafage observed: gallons removed: #I) #�U �Safefy cozlcei•ns: f Il�ecorramencied t•epairs: ICommer�ts: Phone#• j 7. 4 d Owners address: (if different) 'I'anlc Information ❑ compliance inspection CI i--•f""anholes C? holding tank C�-�•tflaintenance inspection pipe (holding tanks only) {owner signature req'd if refusing to allow pumping through maintenomce hole) baffles good: 0 n/a above operating depth: alarm worlClllg: es io n/a Yes o� (repairs recommended) below operating depth; ) #3 #4 pump tank !(fKl a total r�C: Yes r (failing to protect groundwater municipal C� location: � � �� Land apply ❑ location: 1 hereby cer•tr'fy that !have completed this work in accordance with r19Rr 7083. D77D and a»y local re�l:eirernerztr. No deter•rnination or grcarantee off rtrcr-e system per;�orma»ce has been nor can be made. Chip's Semitic Service, LLC, SSTS License Maintainer signature 16762 Babcock Avenue #2064 Lester Prairie, MN. 55354 (952) 2M3176