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2023/04/11 - SANITARY - SAN - Repl HT - SAN-23-09
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2023/04/11 - SANITARY - SAN - Repl HT - SAN-23-09
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Last modified
10/20/2023 12:58:57 PM
Creation date
10/20/2023 12:57:09 PM
Metadata
Fields
Template:
Property Files v2
Document Date
4/11/2023
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl HT
County Permit Number
SAN-23-09
State Permit Number
648692
Tax ID
12791
Pin Number
07-018-2-39-16-34-5 16-595-013000
Legacy Pin
018918501300
Municipality
TOWN OF MEENON
Owner Name
JEFFREY & LAURA SHAFFER
Property Address
24812 SUNFISH BAY RD
City
SIREN
State
WI
Zip
54872
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17p) <br /> I 4/7 7 <br /> [J---goFo M ng n anagement <br /> imPORIANT: <br /> The owner of this holding tank(s)shall be responsible for its perpetual operation and maintenance pursuant to <br /> requirements of SPS 382-384,Wisc.Admin. Code. Pursuant to SPS 383.52(2),Wisc. Admin. Code,this holding <br /> shall be considered a human health hazard if not maintained in accordance with this approved management plan. <br /> Furthermore,all inspection and maintenance activities shall be performed by a registered POWTS Maintainer]n <br /> accordance with SPS 383.52(3),Wisc. Admin.Code. <br /> Estimated Day'Wastewater Fky2,7 /oD <br /> .nsection Checklis. Tu)CSFECTT EVERY 3 YEARS <br /> o type of use <br /> o age of system <br /> (-.) nuisance factors(i.e. odors, user complaints, etc.) <br /> O mechanical malfunction (i.e., pumps, valves, switches,floats, etc.) <br /> o material fatigue(i.e., leaks, breaks, corrosion, etc.) <br /> o neglect or improper use(i.e., exceeding design capacities, prohibited activities, etc.) <br /> O electrical components(i.e.,wiring, connections, switches, controls, timers, alarms, etc.) <br /> o surface discharge of effluent or sewage back-up into structure served <br /> SERViaNG FREQUENCY <br /> c The tank(s)shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wisc. State. <br /> when the wastewater in the tank(s) reaches a level of*Fie foot below the inlet invert of the tank(s). <br /> Disposal of contents shall be pursuant to NR 113,Wisc. Admin. Code. <br /> Tank pumping reports shall be settw the proper local government unit in accordance with SPS 383. <br /> Admin. Code. Report any component failure or malfunction <br /> Name of individual or company: •(.)/q-e:/e..- 10/1 Phone: :3 5/‘? — <br /> Loci government unit: is")e14-- Phone: 3"/Y <br /> Local government unit address: 4-11.ve- ZIP: <br /> Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1),Wisc.Admin. <br /> Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383,Wisc.Admin.Code. <br /> No product for chemical or physical restoration of the POWTS may be used unless approved by the department in <br /> accordance with SPS 384,Wisc.Admin. Code. <br /> Contingency Plan <br /> Ir.the event that any failed component of this holding tank(s)cannot be repaired, it shall be replaced pursuant to a. <br /> plan submitted to the appropriate agecy for review and approval. <br /> System Abandoi:ment <br /> if use of this tank(s) is discontinued, it shall be abandoned in accordance with SPS 383.33,Wisc.Admin. Code. <br />
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