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2015/05/20 - SANITARY - SAN - Other
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TOWN OF JACKSON
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34210
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2015/05/20 - SANITARY - SAN - Other
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Last modified
3/5/2020 8:39:14 PM
Creation date
10/2/2017 12:47:01 PM
Metadata
Fields
Template:
Property Files v2
Document Date
5/20/2015
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
Tax ID
34210
Pin Number
07-012-2-40-15-12-5 15-750-083100
Municipality
TOWN OF JACKSON
Owner Name
STEPHEN J & NANCY K SCOTT REV LIVING TRUST
Property Address
29046 TREASURE ISLAND TRAILWAY
City
DANBURY
State
WI
Zip
54830
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of <br /> FILE INFORMATION SYSTEM SPECIFICATIONS <br /> Owner Tank Manufacturer ❑ NA <br /> Permit# <br /> Ga Septic ❑ Dose ❑ Holding vol. O6Q gal <br /> DESIGN PARAMETERS Tank Manufacturer ❑ NA <br /> Number of Bedrooms 3 ❑ NA ❑ Septic ❑ Dose ❑ Holding vol. gal <br /> Number of Public Facility Units 0 NA Effluent Filter Manufacturer My j o k ❑ NA <br /> Estimated(average)flow 3 oa gal/day Effluent Filter Model PL SdS <br /> Design (peak)flow=(Estimated x 1.5) yS-0 gal/day Pump Manufacturer ERNA <br /> In Situ Sal Application Rate 0,co al/da /ft2 Pump Model <br /> Standard Influent/Effluent Quality Monthly average' Pretreatment Unit 9,NA <br /> Fats,Oil&Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter <br /> Biochemical Oxygen Demand (BODS) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑Wetland <br /> Total Suspended Solids (TSS) 15150 mg/L ❑ Disinfection ❑ Other: <br /> Pretreated Effluent Quality Monthly average Manufacturer <br /> Biochemical Oxygen Demand (BODS) 530 mg/L Dispersal Cell(s) ❑ NA <br /> Total Suspended Solids (TSS) 530 mg/L ®NA f$In-Ground(gravity) ❑ In-Ground(pressurized) <br /> Fecal Coliform (geometric mean) 5104 cfu/100m1 ❑ At-Grade ❑ Mound <br /> Maximum Effluent Particle Size I %in dia. ❑ NA ❑ Drip-Line ❑Other: <br /> Other: ❑ NA Other: ❑ NA <br /> "Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA <br /> MAINTENANCE SCHEDULE <br /> Service Event Service Frequency <br /> Inspect condition of tank(s) At least once every: ) a ❑ mear ss) (Maximum 3 years) ❑ NA <br /> Pump out contents of tank(s) 5t When combined sludge and scum equals one-third('h) of tank volume ❑ NA <br /> ❑When the high water alarm is activated <br /> ZI month <br /> Inspect dispersal cell(s) At least once every: I ;L ❑ year(s)(s) (Maximum 3 years) ❑ NA <br /> Clean effluent filter At least once every: t 4 ®month(year(ss) ❑ NA <br /> ❑ <br /> Inspect pump,pump controls&alarm At least once every: ❑month(s) <br /> ❑ year(s) Q�NA <br /> Flush laterals and pressure test At least once every: ❑ month(s) A <br /> ❑ year(s) <br /> Other: At least once every: ❑ month(s) ❑ NA <br /> ❑ year(s) <br /> Other: <br /> ❑ NA <br /> MAINTENANCE INSTRUCTIONS <br /> Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master <br /> Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank <br /> inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, <br /> measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The <br /> dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent <br /> on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate <br /> notification of the local regulatory authority. <br /> When the combined accumulation of sludge and scum in any treatment tank equals one-third (14) or more of the tank volume, the entire <br /> contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,Wisconsin <br /> Administrative Code. <br /> All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, <br /> and any servicing at intervals of 512 months,shall be performed by a certified POWTS Maintainer. <br /> A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. <br /> GMW(12102) <br />
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