HomeMy WebLinkAbout150 North Shore Drive West - Septic Pumping Report - 2026Septic Tank Pumping/Maintenance
Owner Information
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Phone:
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Owner:
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Email: 014VWA;
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Tank Information
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Reason for Pumping: ❑ Complinace Inspection ❑ Holding Tank (]l-A4aintenance
Method of Access: Q'1Gl-anholes ❑ 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: Kp Alarm working:
No No No
N/A N/A
Tank Leakage Observed: Above operating depth Yes Io(repairs recommended)
Below operting depth Yes/lya�(failing to protect groundwater)
Gallons Removed: ((``��
#1 /00U #2 /()Ou #3 #4 Pump tank _5 6(J Total Z50'u
Disposal Method: Municipal: Q Location: Watertown Wastewater Facility
Land Applied: ❑ Location:
Safety Concerns:
Recommended Repairs: 101104 le —
Comments:
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I hereby certify that 1 have completed this work in accordance with MN 7083.0770 and any local requirements.
No determination or guarantee offuture em per om as been nor can be made.
Chip's Septic Service, LLC & SSTS
Swartzer's Sewer Services License
16762 Babcock Avenue MA to aner Signature #2064
Lester Prairie, MN. 55354
(952) 200-3176
chipseptic(c-)t;mail.com