HomeMy WebLinkAbout3405 High Lane - Septic Pumping Report - 2025Septic Tank Pumping/Maintenan&LIVERED NOV 19 2025
Owner Information
Phone: c1z,/e2 -394Q -,?OIL
Owner: A1 yl-;I� e,'11te Email:
Property Address: Owner's Address (if different)
3 yoS A�04 L.n
Oro /nn/ r-6725te
Tank Information
Reason for Pumping: ❑ Complinace Inspection ❑ Holding Tank ff Maintenance
Method of Access:
Condition of Tanks:
Filter Cleaned
Tank Leakage Observed:
Gallons Removed:
#1 /~VN #2
(Disposal Method:
Safety Concerns:
lRecommended Repairs:
[Comments:
Manholes ❑ Inspection Pipe (holding tanks only)
(Owner's signature req'd if refusing to allow pumping through maintenance hole)
Yes Baffles good
No
Above operating depth
Below operting depth
#3
Municipal:
Land Applied:
#4
Alarm working: e0l
No
N/A
N/A
Yes (repairs recommended)
Yes/ o (failing to protect groundwater)
tank Total
a Location: Watertown Wastewater Faci
❑ Location:
1 hereby certify that I have completed this work in accordance with AN 7083.0770 and any local requirements.
No determination or guarantee ofjuture system perfomance has been nor can be made.
Chip's Septic Service, LLC & SSTS
artzer's Sewer Services License
'ro762 Babcock Avenue Maintaner Signature #2064
Lester Prairie, MN. 55354
(952) 200-3176
chipseptic@gmail.com
revised 312025