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2025/12/02 - SANITARY - SAN - Repl Non-Press - SAN-25-258
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2025/12/02 - SANITARY - SAN - Repl Non-Press - SAN-25-258
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Last modified
12/8/2025 1:58:20 PM
Creation date
12/8/2025 1:56:23 PM
Metadata
Fields
Template:
Property Files v2
Document Date
12/2/2025
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Repl Non-Press
County Permit Number
SAN-25-258
State Permit Number
670405
Tax ID
5226
Pin Number
07-012-2-40-15-11-5 05-007-016000
Legacy Pin
012421102630
Municipality
TOWN OF JACKSON
Owner Name
DAVID A & LYNN A GRACE NELSON
Property Address
28949 MITCHELL RD
City
DANBURY
State
WI
Zip
54830
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In-ground Gravity Management Plan <br /> IMPORTANT: <br /> The owner of this in-ground gravity system 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 system shall <br /> 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 in <br /> accordance with SPS 383.52 (3),Wisc.Admin. Code. <br /> Maximum Dispersal Area Operating Limits: <br /> Design Flow= ?() gpd; BOD5 5 220 mgL"'; TSS <_ 150 mgL"'; FOG <-30 mgt."' <br /> Inspection Checklist INSPECT EVERY 3 YEARS <br /> o type of use <br /> o age of system <br /> o 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 solids volume in anaerobic treatment tank(s)and any distribution appurtenance(s) (i.e., distribution/drop boxes) <br /> o neglect or improper use(i.e., exceeding design capacities, prohibited activities, etc.) <br /> o extent of ponding in distribution cell prior to dosing <br /> o dosing irregularities-if applicable(i.e.,pump re-cycling,float switch settings, etc.) <br /> o electrical components-if applicable(i.e.,wiring, connections, switches, controls, timers, alarms, etc.) <br /> o distribution lateral or lateral orifice plugging (measure lateral distal pressure—compare to design specification) <br /> o surface discharge of effluent or sewage back-up into structure served <br /> Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) <br /> o Septic and dose tank(s)shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. <br /> Stats.when the volume of solids in the tank(s)exceeds one-third (1/3)the liquid volume of the tank(s) or <br /> as required by local ordinance. Disposal of contents shall be pursuant to NR 113,Wisc.Admin.Code. <br /> o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any <br /> accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 <br /> months. <br /> System maintenance reports shall be submitted to the proper local government unit in accordance with <br /> SPS 383.55 Wisc.Admin. Code. Report any component failure or malfunction to: <br /> Name of individual or company: J/+'1 %G h f-e S Phone: 74 - 733 0?ab <br /> Local government unit: A,.r r ff Co Zo n v"f Phone: 715-- 3 9 5" Via' 2101 <br /> Local government unit address: 741/0 Cp /71 R- .Slr�h G✓-A ZIP: Sit e7d <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 /> in the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to <br /> a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be <br /> abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils. <br /> System Abandonment <br /> If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33,Wisc.Admin. Code. <br />
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