HomeMy WebLinkAbout4700 West Branch Road - Septic Pumping Report - 2025Septic Tank Pumping/Maintenance DELIVERED NOV 0 3 2025
Owner: pnn plikea.-<ayt
Property Address:
s � inw ss Ye�L
Owner Information
Tank Information
Phone: y5a -
Emai 1:
Owner's Address (if different)
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
Y�s Baffles good:
Y�s Alarm workings
No
No
No
N/A
N/A
N/A
Tank Leakage Observed:
Above operating depth
Yes (repairs recommended)
Below operting depth
Yes o (failing to protect groundwater)
Gallons Removed:
#1 /()pQ #2 /D,)p #3
#4
Pump tank W Total
Disposal Method: Municipal:
Q
Location: Watertown Wastewater Facility
Land Applied:
❑
Location:
(Safety Concerns:
Recommended Repairs:
(Comments: lJ,,,,,,,,n -< ueA.,-c '
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 om nce has been nor can be made.
Chip's Septic Service, LLC & SSTS
-'artzer's Sewer Services License
62 Babcock Avenue Maintaner Signature #2064
Lester Prairie, MN. 55354
(952) 200-3176
chipseptic@gmail.com
revised 312025