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Public Health • Pagas,9ot <br /> Heali(y people end ptaces POWTS OWNER'S MANUAL& MANAGEMENT PLAN <br /> FILE INFORMATION SYSTEM SPECIFICATIONS <br /> Owner: Tank Manufacturer: <br /> � zs"� <br /> ❑NA <br /> �.9rii.'n?.�r� —Li � Septic ❑Dose <br /> 0 Holding Volume /-,•••=it.> gal <br /> Permit: POWTS# Tank Manufacturer: —-- ❑NA <br /> ❑Septic f Dose ❑Holding Volume 6..7,-, gal <br /> DESIGN PARAMETERS Vertical Distance Tank Bottom(s)to Service Pad: ).,/ ft <br /> Number of Bedrooms: 3 ❑NA Horizontal Distance Tank(s)to Service Pad: ,5' ft <br /> Number of Public Facility Units: ®NA Specific servicing mechanics must be provide it vertical is>15 feet or if <br /> Estimated(average)Flow: 3v-, gal/day horizontal is>150 feet.Specific instructions on plan addendum. <br /> Design(peak)Flow=estimated x 1.5: /f't gal/day <br /> In Situ Soil Application Rate: 0. 54' gal/day/ft' Effluent Filter Manufacturer SjM—C ❑NA <br /> Standard Domestic Influent/Effluent Monthly average Effluent Filter Model: ,S-—f_. <br /> Fats,Oil&Grease(FOG) 530 mg/L Pump Manufacturer: „� J ❑NA <br /> Biochemical Oxygen Demand(BOD5) 5220 mg/L ❑NA Pump Model: M <br /> Total Suspended Solids(TSS) 5_150 mg/L Pretreatment Unit <br /> High Strength Influent/Effluent Monthly average Manufacturer: <br /> Fats,Oil&Grease(FOG) >30 mg/L ❑Mechanical Aeration ❑Peat Filter <br /> Biochemical Oxygen Demand(0006) >220 mg/L 2 NA ❑Disinfection ❑Wetland NA <br /> Total Suspended Solids(TSS) >150 mg/L ❑Sand/Gravel Filter ❑Other: <br /> — <br /> Pretreated Effluent Monthly average Soil Absorption l A�bsorption System <br /> Biochemical Oxygen Demand(8005) =30 mg/L Lr In-Ground(gravity) ❑In-Ground(pressure) ❑NA <br /> Total Suspended Solids(TSS) 530 mg/L NA ❑At-Grade ❑Mound <br /> Fecal Coliform(geometric mean) 510'cfu/100m1 ❑Drip-Line ❑Other: <br /> Maximum Effluent Particle Size: 1/8 in dia. ❑NA <br /> Other: 0 NA Other: 2 NA <br /> MAINTENANCE SCHEDULE <br /> Service Event Service Frequency <br /> fif <br /> Pump out contents of tank(s) When combined sludge and scum equals one-third(1/3)of tank volume. <br /> l'When the high water alarm is activated. <br /> Inspect condition of tank(s) At least once very 3 years. ❑NA <br /> Inspect dispersal cells(s) At least once very 3 years. ❑NA <br /> Clean effluent filter 1 ❑NA <br /> Inspect pump,pump controls&alarm ❑NA <br /> Flush laterals and pressure test 8 NA <br /> Other: 21.NA <br /> Other: 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 <br /> a check for any back up or ponding of effluent on the ground surface.If the volume of sludge and scum is less than one-third(1/3)of the liquid volume <br /> 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) <br /> shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface.The <br /> ponding of effluent on the ground surface may indicate a falling condition and requires the immediate notification of the local regulatory authority. <br /> When the combined accumulation of sludge and scum in any treatment lank equals one-third(1/3)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 /> i,E,,11 p.POWTSI.IGToleo dot <br />