2025/05/15 - SANITARY - SAN - Repl Non-Press - SAN-25-55

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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner r� i1 /'c Z Tank Manufacturer: ❑NA Permit# r ❑Septic ❑ Dose ❑ Holding Volume: (gal) DESIGN PARAMETERS Tank Manufacturer: ❑ NA Number of Bedrooms: 3 ❑ NA ❑Septic ❑ Dose ❑ Holding Volume: (gal) Number of Public Facility Units: El NA Vertical Distance Tank Bottom(s)to Service Pad: (ft) Estimated(average)Flow: goo (gal/day) Horizontal Distance Tank(s)to Service Pad: (ft) Speck servicing mechanics must be provided if vertical is>15 feet or Design(peak)Flow=(estimated x 1.5): S`0 (gal/day) if horizontal is>150 feet. Specific instructions to be provided on back. In Situ Soil Application Rate: 17 (gal/day/ft) Effluent Filter Manufacturer: �.l y &,k ❑NA Standard(Domestic)Influent/Effluent Monthly average Effluent Filter Model: 10 L rd 5— Fats,Oil&Grease (FOG) <30 mg/L Pump Manufacturer: Biochemical Oxygen Demand (SODS) s220 mg/L ❑ NA ❑NA Total Suspended Solids(TSS) s150 mg/L Pump Model: High Strength Influent/Effluent Monthly average Pretreatment Unit (FOG) >30 mg/L Manufacturer. (BOD5) >220 mg/L NA [�NA (TSS) >150 mg/L ❑Mechanical Aeration ❑Peat Filter ❑Disinfection ❑Wetland Pretreated Effluent Monthly average ❑Sand/Gravel Filter ❑Other: (BOD5) s30 mg/L Soil Absorption System (TSS) s30 mg/L NA Fecal Coliform(geometric mean) <1 ° 0-4n-Ground(gravity) ❑In-Ground(pressure) ❑NA ❑At-Grade ❑Mound Maximum Effluent Particle Size '(1 in d' ❑ NA ❑Drip-Line ❑Other: Other: ❑ NA Other. ❑NA MAINTENANCE SCHEDULE Service Event Service Frequency Pump out contents of tank(s) Q When combined sludge and scum equals one-third Q3)of tank volume ❑When the high water alarm is activated Inspect condition of tank(s) At least once every: [Imonth(s) (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: 3 ®month(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: ET-month(s) ❑ NA (� ❑year(s) InsInspect pump,pump controls&alarm At least once every: ❑month(s) NA P �� ❑year(s) Flush laterals and pressure test At least once every: ❑month(s) )BONA ❑year(s) Other: At least once every: [I month(s) ❑ NA ❑yeags) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s)to identify any missing or broken hardware,identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The soil absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third('F)or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator(pumper)and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters,mechanical or pressurized components, pretreatment units, and any servicing at intervals of<_12 months,shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. GMW-005(02/05)