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• 'Public Health �_ MADISON&DANE COUNTY Page HaaklY P l'imr POWTS OWNER'S MANUAL&MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner. /� L Tank Manufacturer )'(�-� ❑NA cl✓Gw Z\''�✓'S frSeptic ❑Dose ❑Holding Volume /z$6 gal Permit POWTS# Tank Manufacturer: (S� ❑co ❑Septic Dose ❑Holding Volume DESIGN PARAMETERS Vertical Distance Tank Bottom(s)to Service Pad: GCS ft Number of Bedrooms: t/ ❑NA Horizontal Distance Tank(s)to Service Pad: 5-2) ft Number of Public Facility Units: 3E1 NA Specific servicing mechanics must be provide if vertical is>15 feet or if horizontal Estimated(average)Flow: 60° 9alktay is>150 feet Specific hstrudiors on plan addendum. Design(peak)Flow=estimated x 1.5: Goo gaVday In Situ Soil Application Rate: ' l 9al/daY/02 Effluent Filter Manufacturer cites •• ❑NA Standard Domestic Influent/Effluent Monthly average Effluent Filter Model: Fr 8' Fats.Oil&Grease(FOG) 130 mg/I- Pump Manufacturer Cc=i< «S ❑NA Biochemical Oxygen Demand(BOOS) 5220 mg/L Pump Model: ,ep''.r'i AL Total Suspended Solids(TSS) 1150 mg/L Pretreatment Unit High Strength Influent/Effluent Monthly average Manufacturer: Fats,OU&Grease(FOG) >30 mgll. ❑Mechanical Aeration ❑Peat Fitter Biochemical Oxygen Demand(Boos) >220 mg/L. 1{'NA ❑Disinfection ❑Wetland XNA Total Suspended Solids(TSS) >150 mg/L /X` ❑Sand/Gravel Filter ❑Other Pretreated Effluent Monthly average Soil Absorption System Biochemical Oxygen Demand(8001) 130 mg/L i Ground(gravity) ❑In-Ground(pressure) ❑NA Total Suspended Sords(TSS) 130 mg/L %NA ❑At-Grade ❑Mound Fecal Coifomm(geometric mean) 5104 du/100m1 ❑Ddp.Une ❑Other: Maximum Effluent Particle Size: 1/8 in dGa ❑NA Other. �'NA Other: ❑NA MAINTENANCE SCHEDULE j� • Service Event Service Frequency Pump out contents of tank(s) ❑When combined sludge scum dge and sc equals one-third(1/3)of tank volume. ❑When the high water alarm Is adNated. Inspect condition of tank(s) At least once very 3 years. ❑NA Inspect dispersal cells(s) At least once very 3 years. ❑NA Clean effluent filter - Yew',/t�� ❑NA Inspect pump,pump controls&alarm L...1....- /I[ ❑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 caryi g 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 tank(s)to identify any missing or broken hardware,Idenity any ants or leaks,measure the volume of oorrbkied sludge and Saar and a check for any back up or winding of effluent on the ground surface.If the vokme 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 cradrs in floor or walls of the tank may not be possible at that time.The dispersal oei(s) shall be visually inspected to check the affluent levels in the observation pipes and to check for any minding of effluent on the grand surface.The pondkg of effluent on the ground surface may indicate a fairing condlon and regdres the emie:ate notification of the local regulatory authority. When the combined accumulation of sludge and sawn 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 deposed of in accordance with chapter NR 113,Wisconsin Admina6aive Code. 310#110-POYf TMltifpilmG