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2015/05/15 - SANITARY - SAN - Other
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22583
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2015/05/15 - SANITARY - SAN - Other
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Last modified
3/6/2020 1:46:12 PM
Creation date
10/4/2017 4:12:20 PM
Metadata
Fields
Template:
Property Files v2
Document Date
5/15/2015
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
Tax ID
22583
Pin Number
07-032-2-41-15-04-5 15-063-014000
Legacy Pin
032907501400
Municipality
TOWN OF SWISS
Owner Name
MICHAEL R & KATHLEEN S OLSEN
Property Address
5078 BURLS TRL
City
DANBURY
State
WI
Zip
54830
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 1 Of <br /> FILE INFORMATION SYSTEM SPECIFICATIONS <br /> Owner Tank Manufacturer ❑ NA <br /> MICHAEL R& KATHLEEN S OLSEN Wieser Concrete <br /> Permit# JQ Septic ❑ Dose [] Holding vol. 1000 gal <br /> DESIGN PARAMETERS Tank Manufacturer PQ NA <br /> Number of Bedrooms 3 ❑ NA ❑ Septic ❑ Dose ❑ Holding vol. gal <br /> Number of Public Facility Units W NA Vertical Distance Tank Bottoms)to Service Pad: ft. <br /> Estimated (average)flow 300 gal/day Horizontal Distance Tank(s)to Service Pad: ft. <br /> Design (peak)flow=(Estimated x 1.5) 450 gal/day Specific servicing mechanics must be provided if vertical is>15 ft.or <br /> Soil Application Rateallda /fiz if horizontal is>150 ft. Specific instructions to be provided on back. <br /> Standard Influent/Effluent Quality Monthly average Effluent Filter Manufacturer POLYLOK ❑ NA <br /> Fats, Oil&Grease (FOG) !cW mg/L Effluent Filter Model PL-525 <br /> Biochemical Oxygen Demand (BODs) <_220 mg/L ❑ NA Pump Manufacturer NA <br /> Total Suspended Solids (TSS) <150 mg/L Pump Model <br /> High Strength InfluenUEffluent Monthly average' Pretreatment Unit <br /> Fats, Oil&Grease (FOG) _<30 mg/L Manufacturer ® NA <br /> Biochemical Oxygen Demand (BODS) <220 mg/L W NA ❑ Mechanical Aeration ❑ Peat Filter <br /> Total Suspended Solids (TSS) <150 mg/L ❑ Disinfection ❑Wetland <br /> Pretreated Effluent Quality Monthly average ❑ Sand/Gravel Filter ❑ Other: <br /> Biochemical Oxygen Demand (BODS) <_30 mg/L Soil Absorption System ❑ NA <br /> Total Suspended Solids (TSS) <30 mg/L NA [X In-Ground(gravity) ❑ In-Ground(pressurized) <br /> Fecal Coliform (geometric mean) <10"Cfu/t00m1 ❑At-Grade ❑ Mound <br /> Maximum Effluent Particle Size 'X in dia. ❑ NA ❑ Drip-Line ❑ Other: <br /> Other: Other: <br /> ❑ NA ❑ NA <br /> MAINTENANCE SCHEDULE <br /> Service Event Service Frequency <br /> Inspect condition of tank(s) At least once every: 3 ®❑ month(s)ears (Maximum 3 years) ❑ NA <br /> Pump out contents of tank(s) ®When combined sludge and scum equals one-third(36)of tank volume [I NA <br /> ❑When the high water alarm is activated <br /> Inspect cell <br /> (s)dispersal s At least once eve C1 year(s) <br /> p ( ) every: 3 year(s) (Maximum 3 years) C3 NA <br /> Clean effluent filter At least once eve ❑month(s) <br /> ry 3 years) or as needed ❑ NA <br /> Inspect pump, pump controls&alarm At least once every: ❑ month(s) El NA <br /> C1 year(s) <br /> Flush laterals and pressure test At least once every: ❑month(s) [I NA <br /> ❑ ear(s) <br /> Other: ❑ month(s) <br /> At least once every: ❑year(s) ❑ NA <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 Plumber; Master <br /> Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual <br /> 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 <br /> check for any back up or ponding of effluent on the ground surface. The dispersal cell(s)shall be visually inspected to check the effluent levels in the <br /> 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 <br /> condition and requires the immediate notification of the local regulatory authority. <br /> When the combined accumulation of sludge and scum in any treatment tank equals one-third (Y,) or more of the tank volume, the entire contents of the <br /> tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,Wisconsin Administrative Code. <br /> All other services,including but not limited to the servicing of effluent filters,mechanical or pressurized components,pretreatment units,and any servicing <br /> at intervals of s12 months,shall be performed by a certified POWTS Maintainer. <br /> A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. (rev. 12/12) <br />
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