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. ' Public Health MADISON u DANE COUNTY Page of Healthy people and places POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner: 4 r` f� Tank Manufacturer: I/Vara y SM,;f ❑N ( 1. ' d / i an t. f' t�� ! Septic Dose ❑Holding Volume I '('O .g Permit: POW S# Tank Manufacturer:P POIl lrlx F=' 0 N ❑Septic Dose ❑Holding Volume 1 O ' g DESIGN PARAMETERS Vertical Distance Tank Bottom(s)to Service Pad: .1,�. Number of Bedrooms: Li ❑NA Horizontal Distance Tank(s)to Service Pad: ?/7 Number of Public Facility Units: 2-NA Specific servicing mechanics must be provide if vertical is>15 feet or Estimated(average)Flow: 0 gal/day horizontal is>150 feet.Specific instructions on plan addendum. Design(peak)Flow=estimated x 1.5: 00 gal/day In Situ Soil Application Rate: ... A gal/day/ft2 Effluent Filter Manufacturer Po j y Ia n, 0 N Standard Domestic Influent/Effluent Monthly average Effluent Filter Model: pL s-,Z Fats,Oil&Grease(FOG) 530 mg/L Pump Manufacturer: /23 ) S ❑N Biochemical Oxygen Demand(BOD5) 5220 mg/L ANA Pump Model: 5'f' L.I. kj 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(BOD5) >220 mg/L kl NA ❑Disinfection ❑Wetland rl-N Total Suspended Solids(TSS) >150 mg/L ❑Sand/Gravel Filter ❑Other: /R' Pretreated Effluent Monthly average Soil Absorption System Biochemical Oxygen Demand(BOD5) 530 mg/L At In-Ground(gravity) ❑In-Ground(pressure) ❑N Total Suspended Solids(TSS) 530 mg/L irNA ❑At-Grade ❑Mound Fecal Coliform(geometric mean) 5104 cfu/100m1 ❑Drip-Line ❑Other: - Maximum Effluent Particle Size: 1/8 in dia. ❑ NA Other: ❑ NA Other: ❑ N MAINTENANCE SCHEDULE Service Event Service Frequency Pump out contents of tank(s) .®'When combined sludge and scum equals one-third(1/3)of tank volume. g When the high water alarm is activated. Inspect condition of tank(s) At least once very 3 years. ❑NPI Inspect dispersal cells(s) At least once very 3 years. ❑N Clean effluent filter �t/f a5`T one. '. Ef/i_t-) YYS ❑ N Inspect pump,pump controls&alarm ^3 //�j ❑N Flush laterals and pressure test NAI Other: ❑NAB 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 tank(s)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 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 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 ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. I 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 1 _ tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,Wisconsin Administrative Code. 1 i 4/29/2016-POWTSMGTplan.doc i