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4732 Dodd Rd - Septic Maintenance Form 2022-06-103830 PILOT KNOB ROAD :I .EAGAN; .MN 55122-181.0 (651) 676-66)161 FAX:. {651 }. 675-5694 Plan Submittal; a tans ci ofea an.coffn ------^__.._....______ For Office l 1 1 € Date Received: 1 1 [ I I 'Staff: i I------------------- 1 SEPTIC SYSTEM MAINTENANCE.. FORM Date Pumped: 6 - 16. - a� # of Tanks Pumped` Site Address: T I3.1 bo 144 Rockc. Owner's -Name- ` c) Y Y -0L \ V -\e_ 1 nv-,, Owner's Address ..(if .different from site): Owner's Email: Total. Gallons Pumped: / 6 Q C7 Owner's Phone #: :(o5 t — (4S `t:' ^ 32) +o Maintainer's Narne 1t �2.r�V lC.� License Number: Private Residence'. X_ Commercial: Disposal Location:' Condition of Baffles Type of Tanks: -VI G. size of Tanks: Pumped. Through: 6LArna Effluent Sewage. Discharge: Yes: No: v i Comments. Name of Person.Completing Form: �. Date.: (0" 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 wwmci tvofeaman.com/subscribe. Please submit completed forms to the.Building Inspections Division via mail, fax or email. 6127122,:4:42 PM CGmai{ Pump Log Information Kathy LaRoche <SepticSystems@co.dakota.mn.us> To:. kath y @ la ro ch e s : com. Pump Lag information: Business: LaRoches Inc Pump Date: 6/10/2022 Gallons: 1 OOo:00 Septic. 24948 System ID: .Parcel ID: 100360027040 Address: 4732 DODD RD, EAGAN, MN 55123. Abandoned: No Watertight Yes Tank: Wast -Backup: No Gmail - Pump Log Information Kathy LaRoche <klaroche1021 @gmail:com> Thu, Jun -23, 2022 at 12:31 PM Comments: Serviced the: tank through the. ❑utlet.manway which we exposed - five inch depth. Noted clay baffles are intact. 10. of sludge recorded. [Quoted text hidden] https:!lmail.googEe.ccmlmaillul00ik46288Oe2a4&view=pt&search=a.11&permmsgid=msg fo/o 3A 1736447604694023294&siMp]=msg-iMAI 7864476040... 111