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4775 Dodd Rd - Septic Maintenance Form 2024-03-01• � r r ••�rrr • � r rEAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 Plan Submittal: eplans(ai)cityofeagan.com --------------------- For Office Use I I Date Received: I I I I I Staff: I I I --------------------- SEPTIC SYSTEM MAINTENANCE FORM Date Pumped: # of Tanks Pumped: ' Total Gallons Pumped: Site Address: `I, _74 �� , ) � )o AP V _rl �_— � o r n , Y t' t Owner's Name: Owner's Address (if different from site): Owner's Email: n Owner's Phone #: g i i Z Zk)6 21 rbZ Maintainer's Name: LL `it 0 (1�11 ,M� License Number: 0 LA Private Residence: Commercial: Disposal Location: Condition of Baffles: _ t �c� n Type of Tanks: C<��" �� Size of Tanks: P.500 1 Pumped Through: 6 1 lU� W�� Effluent Sewage Discharge: Yes: No:� Comments: Name of Person Completing Form: Date:���1'7 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.citvofeagan.com/subscribe. Please submit completed forms to the Building Inspections Division via mail, fax or email. 10/30/24, 4:35 PM Pump Log Details Pump Log Details Septic System ID 28967 Parcel ID 100360028040 Address 4775 DODD RD, EAGAN, MN 55123 Pump Date 3/1 /2024 Gallons 2000.00 Comments Business LaRoches Inc Abandoned No Watertight Tank Yes Waste Backup No Create Date 4/19/2024 11:13:44 AM Back to Pump History (/onlinesepticportal/PumpLogs/History/28967) AEmail Me This Info I © 2024: Dakota County - Online Septic Portal https://services.co.dakota.mn.us/onlinesepticportal/PumpLogs/Details/38518 1/I