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• POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 1 of SYSTEM SPECIFICATIONS° G XJ' I)`A — NA FILE INFORMATION Tank Manufacturer: , e..(,e Owner 6k- ,E3 a r�� Volume: (gal) Septic ❑Dose ❑ Holding Permit# ��,[�7 � � NA Tank Manufacturer: DESIGN PARAMETERS Volume: (gal) Number of Bedrooms: ❑ NA ❑ Septic ❑ Dose ❑ Holding Number of Public Facility Units: NA Vertical Distance Tank Bottom(s)to Service Pad: (ft) (gal/day) Horizontal Distance Tank(s)to Service Pad:Estimated(average) Flow: - Specific servicing mechanics must be provided if vertical is>15 feet or ): �a 0 (gal/day) if horizontal is>150 feet. Specific instructions to be provided on back. Design(peak)Flow=(estimated x 1.5 Effluent Filter Manufacturer: I@ NA Application Rate: 6. 6 (gal/day/ft2) In Situ Soil App Effluent Filter Model: Standard(Domestic)Influent/Effluent Monthly average Effluent Manufacturer: NA Fats,Oil&Grease (FOG) 5530 mg/L ❑ NA Biochemical Oxygen Demand (BOD5) 5220 mg/L Pump Model: Total Suspended Solids(TSS) 5150 mg/L Monthly average Pretreatment Unit High Strength Influent/Effluent (FOG) >30 mg/L Manufacturer: (BOD5) >220 mg/L II NA NA ❑Mechanical Aeration ❑Peat Filter (TSS) >150 mg/L ❑Disinfection ❑Wetland • Monthly average ❑Sand/Gravel Filter ❑Other: Pretreated Effluent (BOD5) 530 mg/L Soil Absorption System NA ❑In Ground(pressure) ❑ NA (TSS) 530 mg/L In-Ground(gravity) ❑Mound (geometric mean) 510' ❑At-Grade Fecal Coliform(g �Other: Maximum Effluent Particle Size '/e in dia. 'ETNA ❑Drip-Line ❑ NA ❑ NA Other: Other: MAINTENANCE SCHEDULE Service Frequency • ❑When combined sludge and scum equals one-third(%)of tank volume Pump out contents of tank(s) ❑When the high water alarm is activated ❑ NA ❑month(s) (Maximum 3 years) Inspect condition of tank(s) At least once every: �� year(s) ❑NA ❑month(s) (Maximum 3 years) Inspect dispersal cell(s) At least once every: 3 Myear(s) NA IMall ❑month(s) At least once every: ❑year(s) NI NA ❑year(s) ❑month(s) Inspect pump,pump controls&alarm At least once every: N NA ❑month(s) Flush laterals and pressure test At least once every: ❑year(s) ❑ NA ❑month(s) Other: At least once every: ❑year(s) ❑ NA Other: MAINTENANCE Insp cNANCE INSTRUCTIONS an individual carrying one of the following licenses certifications:(pumper). ): Master u ber, Master and Plumber ber Restricted systems shall be made by inspection of the tank(s)to identify any missing or broken kf efflu ent an the ground any The leaks, Master Plumber, Master Plumber Re Itricted Sewer, POWTS Inspector, POWTS Maintaer or Septage Servidng Operator Tank inspections must include a visual p back up or ponding ponding of effluent measure the volume shall combined singe and scum and a check for any of effluent on the ground surface may indicate a failing condition and requires the immediate absorption system shall be visually inspected to atieck the effluent levels in the observation pipes and to check for any p on the ground surface. The po aduthori or more of the tank volume,the entire notification of the local regulatory authority. removed by a Septage Servicing Operator(pumper) and disposed of in accordance with chapter NR 113, When the combined accumulation f sludge and scum in any treatment tank equals one-third( ) contents of the tank shall be r Wisconsin Administrative Code. All other services, including but not limited to the servicing of efuentcfilt certified POWYS al or pres esurized components, pretreatment units, and any servicing at intervals of 5_12 months,shall be performed by a A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. •