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1244 Deerwood Dr - Septic Maintenance Form 2024-06-04--------------------- For Office Use I I Date Received: I I I I I Staff: I I I --------------------- 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 Plan Submittal: eeplans(a)_cityofeagan.com SEPTIC SYSTEM MAINTENANCE FORM Date Pumped: Z # of Tanks Pumped: Total Gallons Pumped: Site Address: Owner's Name: I ?_Q U IL)Oori �) Owner's Address (if different from site): Owner's Email: Owner's Phone #: IGOO Maintainer's Name: � �� License Number: � Log Private Residence: _ Commercial: Disposal Location: t r"� Vt (r.-S "- Condition of Baffles: (� Type of Tanks: U"'1' ' ' Size of Tanks: I Iso 0 Pumped Through: Effluent Sewage Discharge: Yes: No: Comments: Name of Person Completing Form: Date: 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. 4/18/25,10:41 AM Pump Log Details C d 0 N T r Pump Log Details Septic System ID 25091 Parcel ID 101372501020 Address 1244 DEERWOOD DR, EAGAN, MN 55123 Pump Date 6/4/2024 Gallons 1500.00 Comments Business LaRocheslnc Abandoned No Watertight Tank Yes Waste Backup No Create Date 7/18/2024 12:57:03 PM Back to Pump History (/onlinesepticportal/PumpLogs/History/25091) © 2025: Dakota County - Online Septic Portal AEmail Me This Info https://services.co.dakota.mn.us/onlinesepticportal/PumpLogs/Details/39244 1/1