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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page_of_ <br /> FILE INFORMATION SYSTEM SPECIFICATIONS <br /> Owner /a-r'p OffNd s'C Tank Manufacturer: 6V J�6�- ❑NA <br /> Permit# ❑Septic ❑ Dose ❑ Holding Volume: (gal) <br /> DESIGN PARAMETERS Tank Manufacturer: <br /> Number of Bedrooms: ❑NA ❑Septic ❑ Dose ❑Holding Volume: (gal) <br /> Number of Public Facility Units: ❑ NA Vertical Distance Tank Bottom(s)to Service Pad: (it) <br /> Estimated(average)Flow: ©Q (gal/day) Horizontal Distance Tank(s)to Service Pad: (n) <br /> Provide specific servidng mechanics if vertical is>15 feet or if <br /> Design(peak)Flow=(estimated x 1.5): -q5[) (gal/day) horizontal is>150 feel. <br /> In Situ Soil Application Rate: (gal/day/112) Effluent Filter Manufacturer: "We0and <br /> Standard(Domestic)Influent/Effluent Monthly average Effluent Filter Model:Fats,Oil&Grease (FOG) s30 mg/L Pump Manufacturer:Biochemical Oxygen Demand (BODS) 420 mg/L ❑NApump Model:Total Suspended Solids(TSS s150 m /LHigh Strength InfluenUEffluent Monthly average Pretreatment Unit <br /> (FOG) >220 g/LA Manufacturer: <br /> (BODS) ❑Mechanical Aeration(TSS) >150 mg/L ❑Disinfection Pretreated Effluent Monthly average ❑Sand/Gravel Filter <br /> (BOD,) s30 mg/L Soil Absorption System <br /> Fecal Coliform(geometric mean) s10'mg� C A xin-Ground(gravity) ❑In-Ground(pressure) [INq <br /> ❑At-Grade ❑Mound <br /> Maximum Effluent Particle Size ;(,in dia. NA ❑Drip-Line ❑Other: <br /> Other: NA Other: A <br /> MAINTENANCE SCHEDULE <br /> Service Event Service Frequency <br /> Pump out contents of tank's) ❑When combined sludge and scum equals one-third(15)of tank volume <br /> ❑When the high water alar is activated <br /> At(east once every: <br /> ❑month's) (Maximum 3 years) ❑ NA <br /> Inspect condition of tank(s) ❑year(s) <br /> At least once eve 13moo'n's) (Maximum 3 years) ❑ NA <br /> Inspect dispersal cell's) every: ❑year's) <br /> ❑month's) 7fJOlean effluent filter At least once every: ❑year's)❑month(s)Inspect pump, pump controls-&alar At least once every: ❑year(s) <br /> monlh(s)Flush laterals and pressure test At least once every: ❑year(s) <br /> other At least once every: moo(n)s)❑year's) <br /> Other: <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 oell(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 (%) 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 30 days of completion of any service event. <br /> GMW-005(02104) <br />