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1250 Deerwood Dr - Septic Maintenance Form 2015-08-26 x DAKOTA COUNTY SEWAGE SYSTEM MAINTENANCE LOG D pumped:_,�,_ff, No. of Tanks Pumped:�_ Total Gallons Putap�:��-- Owrt Site Address: r A Nluniaipati#yFrownship: Owner Address: Vdvate Residence ❑ Rental ❑Commerial (Owner desefibed type of tank(s) ❑Yes a NO) Septage Disposal Location: locap Condition of Baffles: Type of Tank(s) 1 2 3 (septic to , holding tank, cesspool, pump tank,sand trap,flammable water trap, etc.) Size of Tanks) 1 3 Pumped through: G(M'an-hole 0 InspeCUOn Pipe Effluent Surface Discharge: [] Yes T�No Comments: LwW�� M Akdm WMIU Loss AQW ,w added ph W"� ph alax3Q - - GM-Applod TotW-Q a:/X4W t*Atw YTQ pn MAP 302016 Sir Z3 Mike's Septic Service 16961 Mushtown Road Sales Receipt Prior Lake,MN 55372 Date Sale No, 952 440-1800 8126!2015 11583 Sold To Hansen,Icon 1254 Dbrwood Dr F..�atiy JldJ1i S,SJ23 Check No. Payment Method Project 10463 Check Description Qty Rate Amount Pumping Septic System 1 Tank Manhole Metropolitan Waste 1 200.00 200.00 �P�Charge 1 75.40 75.00 Permit sent to Dakota County PAID IN FULL Thank you for your businessl Cody McKinley Total $275.00