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1.°0, ublic Health Page of S MADISON&DANE COUNTY Healthy people and places POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE INFORMATION - SYSTEM SPECIFICATIONS Owner: Tank Manufacturer: , -'t -/-e ❑NA • e or‘l C iemeh 5 -. ®Septic.0.Dose__ ❑ Holding . Volume. t z ?4 gal .: Permit: J POWTS# Tank Manufacturer: ❑ NA ❑ Septic ❑ Dose. 0 Holding Volume gal • DESIGN PARAMETERS Vertical Distance Tank Bottoms)to Service Pad: /0 ft - ,. Number of Bedrooms: 1 0 NA Horizontal Distance Tank(s)to Service Pad: /110 ft Numbet.of PUblic Facllity.UnIts ❑NA Specific servicing mechanics must be provide If vertical Is>15 feet or If Estimated(average)Flow: '1 o gal/day horliontal Is>150 feet.Specific Instructions on plan addendum. Design(peak)Flow.=estimated x 1.5: -6 o 0 . - gal/day , . - - In Situ Soil Application Rate: r '1 gal/day/ft2 Effluent Filter Manufacturer . t9-.^!r« ❑NA Standard Domestic Influent/Effluent Monthly average Effluent Filter Model: _rolf 63 'o'oho • Fats,-Oil&Grease(FOG),530 mg/t.. - • Pump_Manufacturer . . . 'NA. Biochemical Oxygen Demand(8005) 5220 mg/L ❑ NA Pump Model: . . - . Total Suspended Solids(TSS) 5150 mg/L Pretreatment Unit High Strength.Influent/Effluent . Monthly average Manufacturer: Fats,Oil&Grease(FOG) >30 mg/L ❑Mechanical Aeration - ❑Peat Filter • - Biochemical Oxygen Demand(8005) >220 mg/L ® NA - ❑Disinfection ❑Wetland L 4JA Total Suspended Solids(TSS) >150.ing/L - ❑Sand/Gravel Filter ❑Other: Pretreated Effluent Monthly average Soil Absorption System .. . Biochemical Oxygen Demand(8005) 530 mg/L In-Ground(gravity) ,-J ❑In-Ground(pressure) ❑NA Total Suspended Solids(TSS) 530.mg/L Et NA ❑At-Grade ❑Mound Fecal Coliform(geometric mean) 5104 cfu 100mi ❑Drip-Line ❑Other: Maximum Effluent Particle Size: • . /8 In dia. ❑ NA .. . . . . Other: ®NA , .Other: ; .. : - • - ❑NA MAINTENANCE SCHEDULE .. . • • . Service Event - - .. • • -. . Service Frequency - . . . ®When combined sludge.and scum equals one-third(1/3)of tank volume. . Pump out contents of tanks) ❑When the high water alarm is.activated. .- . . . Inspect condit(on of tanks) : At least once very 3 years. . ❑NA Inspect dispersal,celis(s). _ • At least once very 3 years.= • . -• - : -. - - . - ❑NA Clean-effluent filter 4t 1e,:, nnae et year- • . - ❑NA Inspect pump, pump controls&alarm ❑NA Flush laterals and pressure test • ❑NA Other: - ❑NA Other: - • ❑NA MAINTENANCE INSTRUCTIONS - Inspections of tanks and dispersal cells shall be made by an Individual carrying one of the following licenses or certifications:Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer, Septage Servicing Operator (pumper). Tank Inspections must include a visual Inspection of the tanks)to Identify any missing or broken hardware,Identify any cracks or leaks;measure the volume Of combined sludge and scum and a check for any back up or pending of effiuent on the ground surface.If the volume of sludge and scum is less than one—third(1/3)of the liquid volume of the tank,the tank does not need to be pumped and Identifying cracks In floor or walls of the tank may not be possible at that time.The dispersal cell(s) shall be visually Inspected to check the effluent levels In the observation pipes and to check for any pending of effluent on the ground surface.The pending of effluent on the ground surface may Indicate a failing condition and requires the Immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third(1/3)or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of In accordance with chapter NR 113,Wisconsin Administrative Code, 3/8/20 10•POW TSMGT plan.do c