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945 Butwin Rd - Septic Maintenance Form 2021-07-200. 0 ����00 EAGAN �1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 Plan Submittal: eeplansCcDcitvofeagan.com --------------------- For Office Use I I I I Date Received: I I I I Staff: --------------------I SEPTIC SYSTEM MAINTENANCE FORM Date Pumped: 7/20/21 # of Tanks Pumped: 1 Site Address: 945 Butwi n Road Owners Name: Jewish Community Center of St. Paul Owner's Address (if different from site): Owner's Email: Maintainer's Name: Private Residence: Condition of Baffles: Pumped Through: Comments: 1375 St. Paul Avenue Total Gallons 1500 Pumped: Owners Phone #: 763-300-3667 Pinkys Sewer Service License Number: 1673 Commercial Good Manhole ✓ Disposal Location: Met. Council Metro Plant Type of Tanks: precast Size of Tanks: 1 500 Effluent Sewage Discharge: Yes: No: ✓ Name of Person Completing Form: Plnkys Sewer Service Date: 3/4/22 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. Please submit completed forms to the Building Inspections Division via mail, fax or email.