HomeMy WebLinkAbout032-539-02-4207-SAN-2022-109 �
"� ` 't�; , Industry Services Division County �
4822 Madison Yards Wa r
� - Y J�t i,� -e.i
sP Madison,WI 53705 Sanitary Permit ber(to be filled in byCc �j
s r.o.BoX�16z
,�"�� Madison,WI 53707-7162 (_p���� � (i� �
.,�<, i
Sanitary Permit Application StateTransactionNumber Q
]n accordance with SPS 383.21(2),Wis.Adm.Code,submission ofthis form to theappropnate governmental unit �
isrequiredpriortoobtainingasanitarypermit.Note:Applicationformsforstate-ownedPOWTSaresubmittedto ProjectAddress(ifdiff�-entthanmailingade
the Department of Safety and Professional Services.Pe�sonal informationyou provide maybe usedforsecondary
purposes in accordance with the Privacy Law,s. 15.04(1 xm),Stats. �
I.Appllcation Information-Please Print All Information ��� ��, ���l,V
Property Owncr's Namc Parccl#
�
� �C � � r�) }' �C.` �� L- L�'S`►i,' ��L L% ��l i�S;J Z_ S�_3`)-- �`2 - `�a p7
Property Owner's Mailing Addmss Property L�cation
C Zrl�'" �s���-�� r�'L� �� �
Ci State ZipCode PhoneNumber C
�l�'' ���' '��T, ,�Z { ��r` ��'V'/<, JL '/a, Section �
-/�� C.
II.Type of Building(chec[c all that apply) Lot# T �� � N R E W %
J�I or 2 Family Dwelling-Number ofBedrooms � O� SubdivisionName
� �
Bieck� �—
❑Public/Commercial-DescribeUse
c-s,�, 3��329 �g6Y3 ❑c�ty of
❑State Owned-Descr�beUse CSM Number ❑Village of
- �1''I'oun of �,'� 1 G'7 rl:l2.
� --� -
III.Type of POV1'TS Permit: (Check eithcr"New"or"Replacement" and other applicable on line A. Check one box on line B.Complete line C if
a licable.)
A' 'ewSvstem Re IacementS stem E
p y. ❑ OtherModificationto xistingSyst�3n(explain) AdditionalPren�eatmentUnit(explun)
B' Holdin Tank
g '\( In-Ground At-Grade Mound Individual Si[e Design Other Type(explain)
��(con��entional)
C, istPrevious Permitl�umberandDateissucd
Renewal Before ❑ Re�ision Change ofPlumber Traitster to Neu Own
Expiration
IV.DispersaltTreatment Area and Tank Information:
DesignFlow(gpd) DesignSoilAp licationRate(gpd/s� DispersalAreaRequired(s� DispesalAreaProposed(sf) SystemEievazion
.5� � ��� ' � z_� - t�ya
Capacity in Total #of anufacturer
TankInformation Gallons Gallons Units � � o y �
�a
Ne�t�Tanks ExistingTanks '�° � � � y a� " v:
�+ o ., N � � =° ca
a U �n " v� w C7 a.
Septico�HoldingTank \
��� �� �����. � r�<-��
i>o.ci ng[;hambcr
V.ReSpotlSibilitV Statemeqt- I,the undersigned,assume responsibility for instaliaflon of the POWTS shown on the aUached plans.
Plumber's Name(Print) Plumber''�gnature MP/dM�PR�Number Business Phone Vumber ���
_ � � � L ,-�. --'" � /:_`:�/1 z= ' ���`%�
��_5
Pumber'sAddress(Street,City,State, ipCode)
L 5��51�-� Jy''` �c (-f �'���i ti; �)%%�i C���4'�s% ':`� ��"��
VI.Count,y/Department Use Only
�A i���� ❑Disapprovad �ermitFee�� DateIssued Issuii�AgentSign�ture
� ❑Owner Given Reason for Denial `�� / + ''� ' ^��``'�-'�``"� ��'�'J''�
Conditions of ApprovaUReasons for Disapproval � ����� L�j �
. � ��
CS`� oZ�— �� �
� ,- MAY 3 i ZQ22
�' UNTY
5AWY�R CO
ZONir�G n.�:�,���;sS��;ia
Attach to complete plans for[he sys[em and submit to[he County onh�on paper na[less than S Il2 x 11 inches in size
NO REFUNDS AFTER
sB�-639s�R.o3i2>> ��SUE OF PERMIT
CONVENTIONAL IN-GROUND POWTS DESIGN
Resideotlal Applicatlon
Index and Titie page
Owner's name: l � � r �� �77�/7� �O C�C E-{�S�1J I�cCV, ��{S 1
owner's address: C -2 �/�� �S��-7(� �o l4�
��� vr� , ��Uz S 47 3�
s�c� a,aa�egs: 7 � U t til ( �. If-w S' �
LegalDescription: /V�l��I4 SL �4 S Z j-�y° a'��lE' b h�� --
Town �LiLjG1 �
County: ' � L��G7Z '
Subdivision Name: Lot No. Biock No.
Parcel IdentificationNumber: �; �2" �3c/ — C�2"' �2v�
Pagelndex
Page 1 Index and Title
Page 2 Plot Plan (May include septic tank and filter specs)
Page 3 Dish�ibution Cell(s} Cross Sectian
Pagc 4 Maintenance, Management and Contingency Plans
Plumba Name: C�/2L zI G lf��� Y CYedentisi No. � �ZZ
Plumber Address: l t`S�Jrrl.� /�rT/�.� b /Cv�
� /9�/6 �,2� t,l.)� 5�'�t3
sigr,acure: v / ��
Date: -J�'/��j l � 2 � Z 2— Phone No.�(,J '��/ - ���
Designed Pursuent[o the: �
In-ground Soil Absotprion Manuel forPOWT'S Version�$QSBD-t0705-P (N.OI/01)
a � 1 Page 1 of_
c'��,..�✓12,r : I.^aqm� .•
z-- T
To d-t , !� w..� S l orRe.c-sE v-� Rev t tJs-� .Srcwy�r eo� l.Vu� er'Ti.cz�
E Z��s �SP<,� ��J Ptn� �O3Z -53q- Oz-4zoS
'E l�.J�, � I 54'738 �w�sE S' O z -r- 34N � oS�.J
S�e-. -1o�{Bnl �o f{w� "$ ,� CSP-'1 L+ I 3�zc3 st��3�
���er�- �'1 arc u s TbrSr�sa✓� �-I
ry
\ "�'s�.w� L��Ce'� / ..�_� �
/ Sca�� � ��= 40�
V q7 � / � a t��
. � /
J
�3 � � l ��� � 1
� ` � �
I � H
l F
, f
, y
1�
3 P � �
gh �oo a �
�„�Z � �4 rr * 1 /rQG de�4C �
�o , �t<��.
«.��.,— s 6� \
Z �G�� 2-� CfY' • gr Nl' �Cw �
I 9
Wl///� S/`/� ���y�l
,t
r
$ ►a 1-1 t oo'i �a; l �:bbe.1 3' v� Sa
S,�d2 � Z" �"�`�Q�C
F l . 4�i'
� L. 9�.45 '
3 , q-�.�tz`
$„ .� So. ls �5�- ml. R3:15
� ,
�o �° I� � rc�ge 4Z —94 )
`' ` Es-l� ST t r.1 �q5 `
�'� � � /�-r� �' T�-�E'C'�s�� � �2�c�' �-us �
_ �- �� --�-- � .�-
� ���
�_._,_. _,�.., ,_ u_,.� .�'�.� �,� �'y .� . , � �..._� _ �"._�. .a ,_. " .�
�_.._,.. . . ��� �.� _ _ ��.��
���
Quick4� Stand�rd
Chamber .�'���
�_�...�__.__.�..��__.�___�_..��.__.__________.__.__.�.___e._�w____
� __ _. -- ��
The Qulck4 Stanciar �hamber C�2c,►-ra:� _��L (� �`�j !
�`-- �'. F
� ---�\�----�— ��� a 1 ��,��^4 �� � 1k �� Jr f
.r —� � , � � ' � r-- ` � e i i 5---� j ;
� � �-- �f
' � r,���. ���` 12" ' ' J �' ` f � � { i+��l f I �.r�F�1 � 'i � ' P
I � ,�, �� � { � ! � 4 ' I �+��� ' � � � . ` � ��i i
i �
I �. ' � ` ' � � I I
� � E+ f -+ !
i ��1 j I 4 � I��:r����� r rp ��.���� , l: i ;
� �l t � i+� ice� �sk r.3..5�!��itC �� it �°i��-� � �
,
�
.�a j ' ��_�w—__._'_'__.__._.' � .._ ___- .__ __"_-_-_.___.� `
` � (EPFECTiVE LENGTHj � �
, 2 �'� urs ` z5f= /� s��-n� L �� _ �� _ �r�l. � ;
� _.��__� �.� � � s �-� � ��
A._���� ��_ _� , _�_ :.
��►����� ��� ���
. . . . .. 1 • . . 'y Yw�YfY�'Y3F'T iT�'snF. .
� � »vk �
� -. � ... +rR i ,..i .. «
.�. ., .: : t � � . .',z`F.... . .
h j
T, rv..y � �� ' . � � . �4 :� �
f Y�� � .� + P � �, y ` 3 �'+E.. ��, eS�, .
�. �-^" ! � .t 't `s, $ � �' ;t ' _ . _� . .
..
�
, f�' 1` �' �i ' i ^+ .,,?�
, +�.�t r . . ,� . :i; �.." ,� y: .
��.. .. . � . ..... - � .�� � .. . t
x. ':
� �� � .� j '.. $ `}„� -✓� . a . � +� m'#. > .
. � e '1 � _ . � � t�..�*� � r � ��..-..:
fs, x t � n . d }y . � a � , . €� ,.�� 1 ; � _ � ? - ,�. .
�r � . 7 �� 6 E 2 .� a a'� �+� .
- �... �!. dt.'F . . .{ +�. h �� �A .-�r 1 : , a• ' . .� 'k., ,.i��_�a..s*^' �L t . �` .i� � � �� �,v .
i.«�... >...��.5? «. _ - �..
_:. .., ., . ,...._ ..- . _._: i ,. < <.��- _. .,� . i.... .,� . S_ .L �,.� . .� ....:�.. :a... _ ....�...�. . ..1„-.....
' ;� 1 .:�. � .. i , . .
, � .Fs. ._ a , ..�._ . .. _ _ _;__ _ ___. :.,.- ..�-.,,i . .. .. � . .
'. ��� � . . . . . � . . . S i', , . . .�: ,:: . ' ,..�� . �.. . . :.
' � ;=��aT''�f�' �.�',tni: 'v`iC� �. � ���' v�.�j � � � ...
, _.__._. . _ ...„..._.. ., ._.._. .... ,., __ ...<:: ..,,.,w,...>::....5... ..�:, , .,._... ... . � . . : . � .._,...._...:L.�.
..- . .... .< . ::_ .:._ .. . �_�._ _.._. . .._ _ _. . ......
� _
' '" �- � ' . . �-,..;c -...
-mz�y
� '3 � � � � . � f . k t �' fi y�y4� � 0
' : ���,. .. ...
. k . .. .. :. . . . ... .. . . . . . . . . _._.'.� . .. . .. . .. ... . .
�
� �sz� �'�! � L � H} .,�4" � 53"' x '3�" (�5 cn� x 135 r,rr� x '�`� crr�) R.��sV�� i�a�gi�t ,. ... ......8" (�t? Lrni :
___ .. _. ._.._. _�y._ ..,
_.__.._. . ��.,
� � ��fQC#IV�' �...C3tl�tll .. .. .. .... .... ..... . ...... ........ � G�Tt} �CTY�t•C _.elt��'t ..... ............., s. ....�� (�C1 ��T� ,
'��" �{� : � t ' �
`� ; �
y .
. . ..... .. .. , e .. . . . . ...�.. .:... . . - __..., . � ._ ,�:__� . . . :> � _ . . . .. . . _.. .. _.
�._.....�.«_.,�..�_..e,�........�.... ...............�......r-........«._.. ....e.�..,....> ,-...,a...�..,.............._.. .�.r,. .-.e�. ,
� .-_,_ �__.. ... ..._��..�. ..�....-.....�
.......... .. .�..�..-.e= .� -�.. ..., __�.. .._ ....... .. ._„
_.,..�
� INFILTRATOH_�STEMS, INC STANDARD 1�1y(T�Q WARRAN�'y i
)T` ..'.3ikLi t �.e�:'1 r'e �.h ct:ar wr e ��cao env tx,r -.c�ssrnq...�i;�rry,re f i y Mi!ra�r{ '.UrTs") whu�� n�tn!tn�S arc{ec�.are;ei n. �
� p� r.r�t 4,.n ns:!e ce c yc aT r �c�nd<r.cn w,F irl ih- x K ��ci Sr. s w �rar e_ tn he Y}���'�,Mmt asc`('+M:<F� 7 x��ansi f�5'� � e
� JelEc � ac+a� �d wnK an1tw t�a e� •frtv�!i c la.tr,a ti -t orr+r r swen Icv 1V�c seGt.4 aa trrn ,mtar�rt g th�i.n�es, � j
f � , eu.h�wxvar tha!ii s sep u.pe�m i n� re.une.�by uH„ cat� av the H�rrar 5 ca��r�+nh tmg n�ax,H e et im�hai o,aw,at.or�t tfie � �
✓'F:f:6ys eT cor-r1rsR o Ta see+c.>. �n vrhr�amy na! s Hnuk.r r u t n r(y �M;:ra x n r7�.i,�,nt rs�Aucv.:e��enr,�;rtcY x�U.i � j
.�y'awR C�u�oc cu;r. h+ ff Kr (! )nay3;�t�he '.cye J detet:. rtf f,� tn w�r-�r,t,rxc au+m�+� ttr.�s fd L�c dn'emrirod�� !r 1:tra6x � �
O 1N r T2ifl0 Y.y.h.�um IF �r_Ir2fi). fI��J3(P'h iy2"li�:5FMG1'CA y P%CN�B6IhU C�,1'9�IE!!'/.Y il F(1S!!J�nlh�d IB�:X'PI�}q'�lf 1:.
;n FHE L!M Tc�wARR.4^7T r hND:ElAEJiFS:N S�:r]PARAGRhar!ia1,GFiE :Xfiva:VF. T7�:ERE AR£NC�OTH£A V�AiiftAMf!ES Wii=! �
R�;?ECT T T Ic :N�TS N�.LL�D'+VG Va iMPLiEU 11AQ-'hDlT��a vf UtAt,HANT'/.,5- iT'r pR FT'VzS�f�9 n aART T�iiA�'-V IRP6SE `�°
� �� � � �� � � � � ��� i
4
� (c;Th�a i.^rPFA Wortany FM i u �v 7 A ary�,�rt of+.ne�t�im6er nyYtPr s e..arwlec ue� t}.ny-na oti�er thn�:�M rca.v, The ir-.au Wart:v+F, f
� � ��..�;,� - t
{ J�'iE5 OlR PyiKtl o�pGi�bn�3 cW R��y OI+ItY Et,FL ll�r d(�pppl ddlfL¢o .7��'4]Jr Shfl'.�'�t bB I Q�+'E fp Gl.PCit 4 IX 1,�y3!e0 C�3R4ijjfS. '- . . t i.. : •
� J4��y AS.0�A�%�C: L��' p�'�f.:...(2 M 9'.7 R1T Ci 8 i YJf!1-�.22•1 L3.E d O'}H � SfG V fa�f;E9F:f.GUtfP�hY lfrt�:1�!'dM 6f��Y(1':;�� . �.. , • _ .p o �p 3
(Xii'y .>[CC�Cd ry P<GU�C J fiq � �.�!2h�V�Iltf���CO'Ifl3.�B�!P�g� �P.J hC �t 6 tl P J1C71��y� ryg(�.�tf F91 3�lGML�aIf 1L�ythf f, Susiness �ark Road � 1"�.0. LJQX 7fJ(I i
f 't t EJf,ilbl 9 0�Y.P''CS [R Y� Un�" tE J�VF Ofm(�yVCjBf�C'� 9 JC'h GW Il'�h�.X n1Y4�C'tl'!1�'� r �tiit,h tfFl Yn (J(Yn:1F]1./'f`P�1151L�>'•'9� �,t 4, �+ i
; rs.n.r.i�ais fz.u�19^�eT t a V e r„r�,- r g�i+dn�r. F"st"�IcaS^ . te n �a'a:x a..��c�,r,5 he r];.e'r'ei �f .r.rtiri-rr rrs e e�e r.N7hE Q�ll CJfl}�:.lf��{C, �.riT �)V47�,1 i
f Y Jv"*!CC i�+M1t� hQ l.l'IS f3'NP 7:fE t)f... �+'hF.$E4�G..y5'.BT..t�Hf t Ptp{�1 b iF�]rA•t�4'�[f .3 nN.4M E�SS�:P'kGfP i59 3 n`pi[�.�F.r (
� i�oase G:sr asN Ir.u�n-�r�oue�al�a� iv wy�ha even�r n uuu�o ry r En ;:x Th l mit€a�Narrariy xhall r t vn:a d the�Iaiei tr�iE ro £j��-�j7]'7Q�� • �=AX SGO-577-TOU t q
�rp;y'w ih I nl*li�iMn 5r.t tXlh x�fl�t �m�Nd NhndnN �U.if'.e� �n ro o E. 5hflit te i r ra.Or be�CspOt+wbre ta 3nY k+5ti of d mspn.01t.e �
Hrvx� rt+e rr �r�y R r� arry�es.��nn h .. msta a�'�+cu ohi;^+H t a Ir n �ry c,iJ�rt."aG...ty c!oKns M N�s�n�:r arry Y+c F��l �'� �] }
� Y -.•i'•tP�Er f�.f'ly'.l�(tt,j �Lft':(5 f U t tiC:f1,i�A C�A 9.;[�I::.t�GN�f.t f��,.i 9 GOf Q!AYS fEa J�it." ajl S�E'C.3nJ I1Rdi Ct��05,d O:��f.'f ���oO��i21`9�3C i
� aCG�.caEk�aaS ary!nf;ti�tara rsta;��iainztr�cbrns 1 "� o .
i
www.infiliratarsystems.com �
t )'Vo recr*;t�G-�.+e u1 nt��a,�h38;h2��if�:r�ty b i,hange a ea�.enrf thu�.,�.�.nd:.'a.:an�Y ^+n waerar.y;y,t es��5�i Ca�ty n�her tha.na �
a ]+wl Fki�w �
i7t aCo.S irrre � .s R:e ti. �ai� ��* e�.Vd r r�aRereC Ut,���s�atm A 'P r�n.�r oi 5{aie.ar 1�a;r..re-h,ove tl�.qe�f +aii��.�.�
r �E t.r rt.; � .,•.;n�3Rt l .5 I'�. �_:' �I c�v . �f r p i �ri:. rer��nhic tY �'K'� f,X cc rL(,[u�.n 6^t r+rih..li
f _ r�a�rper. � ne: ti �n. e�n�r ,,.fGl�.�ll_Cntc.uvti3>�Y3 ..uiar_iL ;:lo�t'.EWKh��eo; ic�., �
� 3
l�or te�hni��! �sst�ance, insta4lation �n�1r�t+ar�� t�r c��f�m�fi�ervl�e, ��11 #�t�itr�tor Sysf�ms ai t-��-2�'!•��, ;
. __ _. _ _ _ _ _ _ . _
l,c E'.d�Ci`, �.),fi�t r��i -.04�: J,i..�A�4: aKCI�''� =? iC' i16�. 5.�f �i: 5,` ..,1,+' __')c ��� ..._ „ 4� ..P,3:'.L�'� . _ . . ' . __
C.anadi=r P�tar�[., 1,3:i?.353�. ?��v5��a Othar pe�tent;,r,rnciing.
Infilhe�or, Equ9lfzmr. �liiick4 yrd StdeWinder ar��rLgislarEtl�r�damarks r„infdtratar Systems ine.Intittratar is a ragistered trademad� ir,Fnance. Ir5lhzt�r Syste�r,s�+}c-
�s a regisfered hadeirwrk m Menc�. fiha-•r+�arSpacer, CG.tcuc Cantau Smivei Connection, Microleachmg,M�ilti?or,._Pniyl-�.iff,PasiL�k, C�uickCuL vuickPlay.
SnapLock and Stra�ghlLcx:k are traden�Hrfts nf In�dtrator Systc+�ns Inc. tr1, 200E Iniittre�Or Systntti I�c. i'rinted in U.S.?. Q2506484YA-1
POWTS �WNER'S MANUAL & MANAGEMENT PLAN P� � �
FlL.E tNFQRMATiOlV SYSTEM SPECIFICRTlONS
Own � /t�_l�� ' -��f�G�,L-''- � Tank Manu�acturer: ❑ Np
Permit
Sep6c ❑ Dose � Holding Volume: ��� (gat}
DESlGN PARAMETERS Tank Manufadurer: �`►�q
/�
Number of Bedrooms: � p NA p Septic ❑ Qase Q Holding Vc�fume: {8aq
Plumber of Public�acility Units: p NA V�tica{Distance 7ank Sattom(s)to 5ervice Pad: (R)
Estimated(average) Flow: (gavday) Hprizontat Qistance Tank(s)to Se�wice Pad: (it�
Specific seroicing mechanics must be provided if veritcal is>15 feet or
Design(peak)Flow={estlm8tsd x'1.5): �� (gatlday) if horizontal�>i 50 feet Specific instructiona to be provided on back.
!n Situ Soii AppGca6an Rate: tgeudayttt�) EHluent Fitter Man�facturer. � .�
.. y c. �kk p tvA
Stancfard(Domestic)influenVE�tuent Monthly average EfRuerrt Fiiter Modef: '
FBas,OA&Gi'e88e (FOG) 530 mqtL P(,lfTlp Mei'lUfclCtUf@f: �
Biochemicat C3xyg�r Demand (BODfi} s22o mglL p NA �q
Tofal Su� ended SaUds TSS s15Q m L Pump Model:
High Strength lnfluentlEi�u�t Monthly average Pretreatment Unit
(FOG) >30 mg/L Manufeciurer.
(BODs) >220 mg/L A �
{TSS) >150 m /L ❑Mechanical AeraUon ❑Peat FNter
Pretreak�Effluent Month! avera ❑nisinfectlan O WeUand
Y 9 (�Sand/Gravef FUter 0 Olher,
(BODS) s30 mglL Soi!Absorption Systdn
(TSS) S3Q mg/L �A
Fecai Cdiform{ eome#ric mean s10' �In-Ground{gravity) ❑In-Ground(pressta�ej � �p
At-Greda ❑Mouod
Maximum Etfluent Pa�ticle Size ;�in dia. p NA p p,;p.tine ❑pther;
Other: ❑ NA Other.
a nw
MAINTENANCE 3CHEDULE
Serv[ce Eveni Service Frequency
Pump out contents of tank(s) ����bined sludge and scum aquais one-#hircl{3�)of tank v�tutne
❑When the high wa�er atarm is adivated
Cnsped condi�on of tank(s} Rt least once every: m0"�gf (AAaximum 3 yearsl p NA
❑year(s)
lnsp8ct d'tspe+'sal Ceit(s) At lesst once every: G]monm(s} (p�����3 years) ❑ IVA
❑Yeans)
-�" Ciean efflu�t fiiter At least once e�ery: ❑�onth(s) � � �
(]year(s)
1115 Ct uCFt , month(s)
p� p P P�p controis&atarm Rt leSst o�1Ce ev2ry: 0�$�ts� Cl A!A
Flush laterals and pressure test At teasi once every: month(s> � �
❑Yea�(s)
��' Af least once every: +�►�rth(s) n NA
❑Y�ng}
Other:
CI NA
MAtNTENANCE iNSTRUCTIOPiS
(nspections of tanks and sal absorption systams sha!! be made by an individua! carrying one of the following licenses or certifications:
Master Plumber, �Naster Plumber Restricted Sew�r', POWTS Inspecior, POWTS Main#ainer ar Sep#age Serviang Operat� {pumper).
Tank inspections mt�st inctude a visual inspec�ion of the tank(s}to idanttfy any mise�ttg or btoken hatdware,#dentify any cxacics or 4eska,
measure the.volume of combir�ed studge and scum and a chedc for any back up or ponding o#effluent on the ground surtace. The soil
absarption system�haii be visually inspeded to c�eGc the e�luent ievels in the observa�on pipes and to chccic for any panding of effluent
an the ground surfac6. The ponding of �ffluent on the ground surface may indicate a failing c�ndition and requires the imrr�ediate
notificatian of the iocal ragulatory authaity.
When the c�mbined accumula6on af siudge end scwn in arry treatmertt tank equals one-third (ks) or more of the tank volume, the e�tire
contents of tli�tank shali be removed b�r a Septage Se�viang Operator(Exur�per7 and disposed o€in accordance with chapter NR 193,
Wisconsin Administra6ve Code.
i4tf other setvices, indcuiing but nat limited to tl�e servicing of e€fluent fNters, mechanic,�or pressurizect components, pretreatment units,
and any servicing at irrtervals of 512 mor�hs,sha(I be performed by a certifle�l POWTS Maintainer.
A service report shaN be provided to the laca!regulatory authority ui+thin 30 days o4 compledon af arry service event.
GMW-006 t02l45)
Page �
START UP AND OPERA'TtCIN
For new construc�[on, prior to use of the POWfS checfc treatment tank(s) for the presence of pairiting products, soivents or ather
chemicais or sedimerrt that may frnpede the treatrnerit prooeas arttlfor damage the soil absorptlon systerrt. }f high concentrations are
detectad have the contents of the tank(s)remaved by a Septage Serviang Operator(pumper)pRor to use.
Puinp tanks may fi!1 above normai highwater feveis prior to startup or dus to ptur►p failtues. 5tart up ar restoration of pow�under thess
cflndi�ons is not r�mended, as the excess wastewat�will be�scha�geci to the soil absorptiort syst9stt in one Earge Qoss causing en
overioad that rt�ay result in the badcup a surface d�scharge of effluent and damage to the system. Ta avoid this situaation haue the
contents of the pump t�nk r�rroved by a Sepkage Servicing Operator{pumper)pria to restoring power to the pump or contac:t a Plumb�
or I'OWFS Mai►itainer fia assist in manually oFserating the pump corrtrols until nortnal efflusnt tevels are restored within the pwnp tank.
Sysie►n staft t�shail not acxur when so�condiitions are frozen et tl�e infiltrative surtace.
Da not drive or park vehicles over tanks or the soil absorption system. Do not drive or park over, or otherwise disturb ar comgac�, the
area withfn 15 feet down slope of any mound or at-grade soii absorption area.
Reduction or e('�ninatian ofi the foilowing from#he wastewater stream may improve the performance and prolong the f�fe of the treatmerrt
tanks and soii a�orption system: acids, antibiotics, baby wipes, cigarette buits, condoms, cotton swabs, degreasers, den#ai flass,
diapers, dis+nfectants, fats, toundafion drain{sump pump)discharge, fruit and vegetable peelfngs, gasolir�, greases, he�ades, meat
s�aps.medications,oiis,painting products, pestiades,sanitary napkins,solvents,tampons, and water softener brine disd�arge.
ABANDONMENT
When the POWTS faifs andtor is permanently taken Qut of servlce the follow9ng st�s shaif be taken to insure that the system is property
and safely abantloned in compliance with s. Garim 83.33,Wisconsin AdminisVaative Cod�:
� Afl piping to tanks,pits and other soil absorption systems shall be�sconnected and tha abandaned pipe apenings sea(ed.
• The contents of a!i tanks and pits shali bg remaved and properEy disposed of by a Septage Serviang Operator(pumper).
o After purnping, al!tan[cs and pits sha{! be excavated and remaved or their cov�s r�noved and the void space fifled with soil,
gravel or anakher inert solid material.
COM7'{NOEtJCY PtAN
If the PUVV'fS fails and cannot be repaired the foibwing measures have bgen, ar must be taken, #o provide a code compliant
replac.ement system:
p A suitable replacement area has been eva(uated and may be utifized for the location of a replac.�nent soif absorp�an system.
The reptacemerit area shoutd be protected from disturbance and compaction arrci should not be Infinged upon by required
setbacks from existing and proposed structure, lot lines and wells, Failure to protect the repfacement area wiil resulf in the need
for a new soi! and site evaluation to estabiish a suitabte replacement arsa. Replacemertt systems must canply wfth the rules in
effect at the�me o#their pertnit issuance.
. ❑ A suitabte replmcemeni area is not availabie dus to sefbadc andtar soil limitations. tf the soit absorption sys#em cannot be
rehabilitated anct bamng advanc�s in POW7S technolagy,a holding tank.may�e installed as a last resort.
} r The site has noi been svaluated to identify a suitabte replaoement area. Upon failure of the POWfS a soil and site e�aluetlon
must be pe�formed to ioc�te a suitahle�eplacemetrt are�a. 1f na rapfaa�►ent area�s available e hold'+ng tank maylx instaltad se a
iast resort to repiaoe the fai(ed POWTS.
❑ Mound and at grade soii absorption syst¢ms may be reconstructed in pl�e fdtowing removal of the biomat at the inflltrativa
surface. RecAnstructions of such systems must comply wsth the rules in effect at that bme.
WARNltVG TREATMENT TANKS, PtlAAP TANKS, AND HOLDfhIG TANKS MAY CONTAIN POfSONOtiS GASSES 4R LACK '
SUFFICIENT O�XYGEN TO SUSTAlN UFE. NEVER ENTER ANY TANK UNOER AMY CIRCUMSTANCE. DEATW MAY
� RESULT. EBCAPE OR RESGUE FROM THE iN'fER10R OF A TANK MAY NOT BE PCISSIBLE. (
ti�
AdDITtONA1.INSTRUC710NS:
POWTS lNSTALLER POWTS MAtM'{!lNER
Name CL � ,r��G-�r��a.� . Name - z '� � � 'Lr`11 C.
Phone � -,3 S�I Phone �` - - Z
SEPTA6E SERVtCIPlG dPERA70R PUMPER L�CAL REGULATORY AUTHORITY
Name C�� �7S � ,��- Name �l�.�E.`n' C� . Zcar'�� 6�t.�=
Phone ���i' ?Z 7�'/ Phone �' Z5���c'�
This document was drefted by the staffs of the Green Laka, Marquette and Wauafiaea County POWTS regulatory a9enctes in compki�ance with secfior►s
Comm 83.22(2){b){1)(dy&(�and 83.54(1),(2)&(3),Wisconsin AdminisVative Code.