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2016/04/07 - SANITARY - SAN - Other
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TOWN OF SCOTT
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18148
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2016/04/07 - SANITARY - SAN - Other
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Last modified
3/6/2020 8:24:01 AM
Creation date
10/2/2017 5:51:53 PM
Metadata
Fields
Template:
Property Files v2
Document Date
4/7/2016
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
Tax ID
18148
Pin Number
07-028-2-40-14-18-5 05-003-012000
Legacy Pin
028411801180
Municipality
TOWN OF SCOTT
Owner Name
JAMES J VANDENBERG MARY BETH CALLAN
Property Address
28841 BIRCH ISLAND LAKE DR
City
DANBURY
State
WI
Zip
54830
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FILE INFORMATION POWTS OWNER'S MANUAL & MANAGEMENT PLAN <br /> Ovvner SYSTEM SPECiFICATIONS <br /> Peamif Tank Manufacturer. vA <br /> eptic ❑ Dose 0 Holding Volume: �©Ad (cal) <br /> DESIGN PARAMETERS <br /> Tank Manufacturer. <br /> Number of Bedrooms: El NA i <br /> 0 NA ❑Septic Dose 0 Holding Volume: ` Q <br /> Number of Public Facility Units: (gal} <br /> NA Vertical Distance Tank BattQM(s)to Service Pad: ( ) <br /> Estimated (average)Flow: <br /> (1© (gavday) Horizontal Distance Tank(s)to Service Pad: <br /> Desig LL eek)Flow=(estimated x i.5): © (gal/da Specific servicing mechanics must be provided i verticalis>9 fzet OF <br /> Y) if horizontal is>150 feet. Specific instructions to be pro flied or Deck, <br /> I !n Situ Soil Application Rate: <br /> r (gauday/fi2) Effluent Filter Manufacturer: .0 C <br /> Standard(Domestic)InftuentlEBluent Monthly averse /' ;� :P. <br /> Fats,Oil&Grease (FOG) S30 mgA g Effluent Fillet Model: € <br /> Diochemica!Oxygen Demand (HOD.) x220 m /L Pump Manufacturer: p <br /> Total Suspended Solids(TSS) s15D mg L ® NA Lr <br /> Hi h . q Pump Model: <br /> g Srren th InfluenUEffluent Monthly average Pretreatment Unit <br /> t FO <br /> p B s) >30 mglL Manufacturer. <br /> (SODS) >220 mglL >1NA <br /> Preheated Effluent (TSS) >150 mg1L ®Mechanical Aeration [)Peal Filter 'R-NA <br /> Monthly average Dislrrfedion L7 Welland € <br /> (BODs) A0 mg/L ❑Send/Grave!Filter ❑Other. <br /> (TSS) 530tmg/L �AtA <br /> Soil Absorption System <br /> Fecal Coliform{geometric mean) sto <br /> Ma=---- <br /> P In Ground(gravity � ln-Ground(pressure} [nt. article Size %in dia. NA At-GradeG Mound <br /> - ❑Ddp-Line []Other: <br /> ® hpA Other. <br /> L ^zA <br /> MAINTENANCE SCHEPii n n <br /> I Service Event <br /> Service Frequency y � <br /> Pump Olaf contents oftank(s) . en combined sludge and scum <br /> When the high water alarm is activated <br /> one-third('�)of tank volume <br /> f inspect condition of tank _ <br /> (s_) � At least ons every: month(s) <br /> year(s) (Maximum 3 year-s -� - <br /> u <br /> 1nsP vsa!celt(s) At least once every. morth(s) <br /> i ryear(s) ( 4aximum 3 years) � NF, <br /> Gear eftluerf fitter At least once every: V months) <br /> insocct um I b� year(s} <br /> l P P Pump controls&alarm At least once every: EI month(s) — <br /> L7 year(s) Ivor. <br /> t <br /> Flush laterals and pressure test At least once every: >]Month(s) <br /> Ocher: Q year(s) <br /> At least once every. D month(s) <br /> Other, i ❑year(s) ^ NA, E <br /> Lt i"A, <br /> MAINTENANCE INS T RUCTIONS <br /> Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or r� ir�tioT;: <br /> Master Plumber, Master Plumber Restricted Sewer, POWtS Inspector, POWTS Maintainer or Septage Servicing Ooeralor (pumrer)- <br /> Tank inspections must include a visual inspection of the tank(s)to identify any missing or broken hardware, identify any cracks or fears, <br /> measure the volume of combined sludge and scum and a check for any backup or ponding of effluent on the ground surface `;-p sol; <br /> absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check`or an <br /> on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires c i r-eu ding uT effluent <br /> rto5ficatior:of the local regulatory authority. <br /> Wrien the combined accumulation of sludge aria scum in any treatment tank equals one-third(Ys) or more of the tank volume, %Fie entire <br /> eonlents of the tank shall be removed by a Septage Servicing Operator(pumper) and disposed of in accordance with chaoier R `? - <br /> Ariscons!n 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 s12 months,shall be performed by a certified POWTS Maintainer. <br /> A servicf�nort shall be provided to the local regulatory authority within,30 days of completion of any service event- <br /> -„, <br />
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