HomeMy WebLinkAbout038-1193-70-000 • z
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
405027 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Marek, Darin Star Prairie Township 038 - 1193 -70 -000
CST BM Ele Insp. BMElev: BM
oo l /0 J l� 1 "
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic g Benchmark
Dosing U Alt. BM
- roe ` ai L1.C/c�� 3.Zy 102
Aeration Bldg. Sewer Gc
Sy l 1-7,5_1
Holding St/ Inlet
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to it Intake ROAD Dt Inlet
5vvA L(
Septic � ol P Dt Bottom
01,0 �
Dosing Header /Man. qj 25
Aeration Dist. Pip °W
S, , q
Holding Bot. Sy6tem 1 I �3 tS t0 - 7
19 10. Co 4
Final Grade
PUMP /SIPHON INFORMATION .< —
Manufacturer Demand St Covet
Model 14tuber
TDH Lift Frictio ss System Head _1 1H Ft
Forcerh� Length I Dist. to
SOIL ABSORPTION SYSTEM (�
BED/TRENCH Width Length 1 No. Of Trenches PIT DIMS IONS No. Of Pits Inside Dia. Liquid Dew
DIMENSIONS Qi v �1 L
SETBACK SYSTEM TO ( P /L� BLDG WELL LAKE/STREAM,/ LEACHING Man a hirer:
INFORMATION CHAMBER OR ✓f�! 177 for
Type f System: �/ I 9-it UNIT Model Number:
V ' 4
DISTRIBUTION SYSTEM CA5,fi Y
Header /Manif Id Distribution x ole Size x Hole Spacing Vent t Air Intake
Length Dia� Length Dia f ' / /
pacing
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over J Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center S � �/� Bed/Trench Edges Topsoil g / p . °�i Yes �l No I Yes [] No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / Za / yZ Inspection #2:
Location: 2171 134th Street New Richmond, WI 54017 (E1 /2 NW1 /4 13 T31 N R18W) Pine Acres Lot 7 Parcel No: 13.31.18.1002
of l Sys I' rs�r� -4 �s-f e,`� 13 f
1.) Alt BM Description = 3
2.) Bldg sewer length = �0� �� Is t/ b D� (`� ll a B
- amount of cover= ✓�} i (`PiVI� �` 5 yf�fiN.'Q U �� GOr71�G- 2c�
fl
Plan revision Required? [] Yes o
Use other side for additional information. L � v�""! ___—
Date Insepct is gnature
Si Cart. No.
SBD -6710 (R.3/97)
f 1
I
9
0
0
G � eup
S� �Z
2,1 q4 � 51 .
Sanitary Permit Application Safety & Buildings Division
In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave.
See reverse side for instructions for completing this application PO Box 7302
14 sconsin Personal information you provide may be used for second purposes p Madison, WI 53707 -7302
Department of Commerce um completed form to [Privacy Law, s. 15.04(1)(m)J (Submit p county if not
y Oz Q 10 L I state owned.)
Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size.
County State S it Pit um l r ❑ Check if revision to previous application State Plan I. D. Number N
,�'�� �C /
I. Application Informa - Please Print all Inform ation Locati 13YA S Ai
Property Owner Name R CEIVE Property hQc ation /
Q {� { �, 1/4 A;&, S f T,,;'/',N, R f(o W
Property Owner's Mailing Ad ss AFK 18 Z002 Lot Number Block Number
/ ao
City, State Zip Code Ph ne Nft T&NIG OFFICE Subdivision Name or CSM Number
II. Type of Building: (check one) ❑ city
1 or 2 Family Dwelling - No. of Bedrooms: _ ❑ Village
❑ Public /Commercial (describe use):_ Town � r C, ❑ State -Owned G f/
Nearest Road .c
r,-
J ®T Parcel Tax Number(s)
_,2d-) s, III. Typ f P mit: (Check on one box on line A Ch eck MR on line-9—if applicable)
A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to
System System Tank Only Existing System
B) Permit Number Date Issued
❑ A Sanitary Permit was previously issued
IV. Type of POWT System: (Check all that apply) y (iy�
1Von- pressurized In- ground ❑Mound ❑Sand Filter ❑Constructed Wetland
❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other:
31.0 Y- &-Z ,�-s /C /ttm• %1� X 7 S (�1�C�ti
V. Dispersal/Treatment Area Informatidirr L -�
1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. Syst& Elevation 7. F nal Ora
Required Proposed (p8Z Rate (Gals. /day /sq. ft.) (Min. /inch) 7 $1 vation
VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete structed
�^ Tanks Tanks
❑ ❑ ❑ F- ff l ❑
VIII. Responsibility Statement
I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumb e 's Name (print) Plumber's gnat a (no stamps )• MP/MPRS No. Business Phone Number
P is Address (Street, City, State, Zip Code- -
IX. County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued suing Age t Signature o ps)
pproved ❑ Owner Given Initial Adverse Surcharge Fee)
Determination
L )c,1�',iy
X. Conditions of Approyal /Reas s for isappr val• i G r
t _ = Q
GC�t & 03 Q.5 otiLL 2 i rt'C�GE'
a) 3A' k `rY. ;az�z7� �' 3. 1
-3) We 1 { �t ' t b� ins d , p� � �k-4 q N3-
qoU i;G rC ,is x "' n A7 . ! �J I I f
SBD -6398 (R. 07/00)
PLOT PLAN
PROJECT Darin Marek ADDRESS PO Box 252 NewRichmond MA, 54017
1/4 NW 1 /4S 13 /T 31 N/R 18 W TOWN Star Praire COUNTY ST. CROIX
MPRS Byron Bird Jr. 2205 DATE 4 - 18 - 02 BEDROOM 3
CONVENTIONAL XXX -Grade ONVVNTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gal LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE 0 LOAD RATE .7 ABSORPTION AREA 642 # of chambers 22
,, BENCHMARK V.R.P. top of 2 PVC p ASSUME ELEVATIO 100' 3� ,
❑ BOREHOLE (DWELL * H.R.P. SalTle aS BM (KV6
.� r- c �y
Vent SYSTEM ELEVATIO _1 =� T - 92.2 ��
>12 Sidewinder High
Of
Cove Capacity Leaching 40
Chamber with 17.2
6' t ^2 per chamber
/�
1
34"
V
Long Elevation
134th st
c� PL
i B4 � i�w B5 q
Driveway 3 bed house
- �; -- A
41Y—
st `p , 68.7
t62 : B
110' 166' 80' ic'o
l
S' 80'
PL 1 40' 40'
PLOT PLAN
PROJECT Darin Marek ADDRESS PO Box 252 NewRichmond Wi_ 54017
1/4 NW 1 /4S 13 /T 31 N/R 18 W TOWN Star Praire COUNTY ST, CROIX
4 -18 -02 3
MFRS Byron Bird Jr 2205 DATE BEDROOM
CONVENTIONAL XXX -Grade CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gal LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE 0 LOAD RATE .7 ABSORPTION AREA 642 # of chambers 22
lk BENCHMARK V.R.P. top of 2" PVC pipe ASSUME ELEVATION 100'
❑ BOREHOLE O WELL sH,R,P, same as BM
>12 Vent SYSTEM ELEVATION T -1 =95 T- =92.2 f ?t
SidewinderHigl -__ p�cJ U
C Capacigt Leachi
Cove
Chamber wii 17.2 t
(" t ^2 per chamber
Trade at System
i
Long Elevation
U
134th st
� PL
B4 B5
C_
Driveway 3 bed house --
A 9
�� 30' �}(J
st 9 ,41 68.7
110' 166' 80'/ B2 BM
PL C� ; Brl 40' 5 80
r -
Ali Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of
Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code
Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimemsions, north arrow, and,lflcation and distance to nearest road. parcel LD.#
APPLICANT INFORMATION - Please priht alf infotination. Pendin
Personal information you provide may be used for secondary purppses (Privacy l ax s. 15.04 (1) (m)). Rev' , Pate
Property Owner Property Location
Lakes & Hills Development Govt. Lot 114 NW U4,S 13 T 31 N,R 18 ❑W❑
Pro Owner s Mailing Address °) Lot # B{odc # Subd. Name or CSM#
7 -- Pine Acres
City State Zip Code P5#toclilfnber City Villaqe IXTown Nearest Road
Y L �C �/ ; /�.�' ��'�.C� . ,� �' I 134 TH. ST.
❑ New Construction Use: ❑ R$sfdenpa; / N b'ir drooms 3 ❑Addition to existing building - ----°
❑ Replacement ❑ Public describe
Code Derived daily flow 450 gpd Recommended design loading rate .7 bed, gpd/fF 8 trench, gpdff
Absorption area required 643 bed, ftz 562 trench, ftz Maximum design loading rate .7 bed, gpd/ft ,8 tr ench, gpd/fF
Recommended infiltration surface elevation(s) 95.7 ft (as referred to site plan benchmark)
Additional design / site considerations Alternate Area Elev. 94.9
Parent material ---------- - - - - -- Flood plain elevation, 'lf applicable - - - -- ft
S= Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank
U= Unsuitable for system ❑ S❑ U N S❑ U ❑ S U ❑ S❑ U ❑ S ®u ❑ S N U
SOIL DESCRIPTION REPORT
Horizon Depth Dominant Color Motues Texture Structure Consistence Boundary Roots GPD/ft2
Boring# in. Munsell Qu, Sz. Cont Color Gr. Sz. Sh. Bed Trench
1 1 0 -10 10YR3/3 ------------ - - - - -- 1 1 msbk mvfr as if 4 5
2 10 -18 10YR4 /4 ---------- -- - - - - -- 1 lmsbk mvfr gw lvf .4 .5
Ground
3 18 - 4 10YR4 /6 ------------ - - - - -- y 1 fsbk mfr as - - -- 2 3
elev
100.0 ft. 4 48 -69 7.5YR4/4 osg ml gw .7 .8
- )( Cs ' 7,
-- ------ - - - - -- Ch - - --
Depth t0 5 69 -93 10YR5l6 ---- -_ - - - -_ ------ 1;
s osg ml - - -- - - -- .7 .8
I mi
factor
>�
C7e -� ' h, �:,', h r t �d-C 1. ,�� - d i22'ji"`uJ
Remarks: � - � � � ;' tr " � i P ��- -
�
O i 7
2 1 0 710 10YR3 /3 ------ - - - - -- 1 lmsbk mvfr as if 4 .5
2 10 -17 10YR4 /4 ------------ - - - - -- 1 lmsbk mvfr gw lvf .4 .5
Ground 3 `17 - 45 ,', 10YR4 /6 cl lmsbk mfr as - - -- 2 3
elev --
--
100.0 ft. 4 45 -7 7.5YR4/4 cs' osg ml gw 7 8
5 70 -93 10YR5 /6 -- s osg ml - - -- - - -- 7 8
Depth to ----------------
limiting
factor
>93 "
Re arks: YA
rfu�e — frS i b l.Q ( v`c N�o
CST Name (Please Print) Signature: Telephone No.
Jacque Hawkins Z — J Y Y �-
Address Date CST Number Ref #
IS - D �� u t �u Div JYBJ 3 4 /8 /00 379
I
,PROPERTY OWNER: Lakes & Hills Development SOIL DESCRIPTION REPORT Page 2 of 3
PARCEL l.DJ Pending
Depth Dominant Color Mottles Structure I- GPDIft
Horizon in. Munsell Qu. Sz. Cont. Color I Texture Sz. Sh. Consistence Boundary Roots
Bed Trench
3 1 0 -8 10YR3 /3 1 1 msbk mvfr as i f .4 .5
2 8 -19 10YR4/4 ------------ - - - - -- I 1 msbk mvfr gw lvf .4 1 .5
Ground
elev 3 19 -46 1 OYR4 /6 - - - - -- cl . 1 msbk mfr as - - -- (.2) j .3
99.7 ft, 4 46 - 66,, — 7.5YR4/4 ----- ------------- ; �. osg ml gw - - -- 7
-------- - - - - -- .8
Depth t0 5 66 -99 10YR4 /6 - s osg I ml 1' �--- ( - - -- 7 8
limiting - - - - --
factor ?.
4.
f
Remarks:
!4
1 0 -11 10YR3 /3 ------------ - - - - -- 1 lmsbk mvfr as if 4 .5
2 111 -21 10YR4 /4 1 lmsbk mvfr gw lvf 4 .5
Ground -�
elev 3 21 -34 10YR4/4 ------------ - - - - -- Cl lmsbk mfr as - - -- 2 , .3
9 7. 9 4 34 79 7.5YR4/4 --- - - - - -- - - - -- cs osg ml - - -- 7 8
Depth to
limiting
, v
factor vI
>79 11 /
Remarks: 16' p�� ,>> � O �'. ti 777 7, e r` �u
a=
1 0 -11 10YR3/3 ------------ - - - - -- 1 1 msbk mvfr as i f .4 .5
5 5
2 11 -19 10YR4 /4 ------------ - - - - -- 1 lmsbk mvfr gw lvf .4 .5
Ground
elev 3 19 -33 10YR4/6 ------------ - - - - -- Cl Imsbk mfr as - - -- 2 .3
97.9.
4 1 7313- 7 7.5YR4/4 ------ - - - - -- -��' osg ml - - -- - -- 7 8
Depth to L,
limiting
fa >7 C� 5 ci�i rc ,� 14ti 1
>78^
Remarks: �� � 5 � �?� 7 '� , -
�, L
G
Ground
elev
Depth to
limiting -- - - -�— -
factor
Remarks:
A
s
G 4)-
Ll
� 2
Q G
6'
Pl-
V
z
�
3
t
LA
11.
U4
t �
� � a V
r% �- Z
c �-
_ C�_ i R (g i
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V 872P 232
STATE BAR OF WISCONSIN FORM 2-1999 is 7 t6 a:3 9
WARRANTY DEED KATHLEEN H. YALSH
Document Number REGISTER OF DEEDS
ST. CROIX CO., MI
This Deed, made between Lakes and Hills, Inc., a Minnesota RECEIVED FOR RECORD
Corporation, 04 -15 -2002 9 :45 AN
- - HRRWWY Wo
Grantor, and Darin H. Marek EXEtPT #
_ REC FEE: 11.00
TRANS FEE: 78.00
COPY FEE:
CCERT COPY FEE:
Grantee.
Grantor, for a valuable consideration, conveys to Grantee the PAGES: I
following described real estate in St. Croix County,
State of Wisconsin (if more space is needed, please attach addendum):
Lot 7, Pine Acres, St. Croix County, Wisconsi Recording Area
Name and Return Address
KRISTINA OGLAND
ATTORNEY AT LAW
P.O. BOX 359
HUDSON, W154018
038 - 1193 -70 -000
Parcel Identification Number (PIN)
This isnot - homestead property.
(It) (is not)
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this I - Z q4' day of _ April 2002
Lakes and H
• By: Richard S. Nelson, President
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) Lakes and Hills, Inc., by Richard S. Nelson, its STATE OF WISCONSIN }
President, ) ss.
County )
authenticated this ay of April 2002
Personally came before me this day of
the above named
+ Kristina Ogland
TITLE: MEMBER STATE BAR OF WISCONSIN - -- -- —
(If not, to me known to be the person(s) who executed the foregoes-,
authorized by § 706.06, Wis. Sta[s.) instrument and acknowledged the same.
THIS INSTRUMENT WAS DRAFTED BY • _
Attorney K ristina Ogland Notary Public, State of Wisconsin
Hudson, W 4 16 My Commission is permanent. (if not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not necessary.) _ _- _- _____ J
* Names of persons signing in any capacity must be typed or printed below their signature. tnrormailon PmFea is company. Fond du Lac, con
STATE BAR OF WISCONSIN 800.665.2021
WARRANTY DEED FORM No. 2. 1999
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
0"er/Buyer
Mailing Address
Property Address 3 '�
(Verification required from Planning Department for new construction)
City /State �� C ryr�n d Parcel Identification Number 3 r3 7Q
LEGAL DESCRIPTION
Property Location ' /a, �L ', Sec. Z T N -R„ /ZW, Town of
Subdivision /.''i �� . Lot #.
Certified Survey Map # — , Volume -, , Page #
Warranty Deed # �^ Volume � 7� Page # �✓��'�-
Spec house Oyes ❑ no Lot lines identifiable yes ❑ no
SSY TEM MAINTENANCE 1
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
mastcrplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 15 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three ear expiration
SIGNATT JRE OF APPLICANT
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the ownei{s) of
the property.des ibed above,, by Virtue of a warranty deed recorded in Register of Deeds Office.
SI 11r'PW OF APP ICANT DATE
* * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.
** Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page r of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Q I le — ` Septic Tank Capacity a l ❑ NA
Permit # Septic Tank Manufacturer ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer �� 13 NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Public Facility Units .__ ❑ NA Pump Tank Capacity al ❑ NA
Estimated flow (average) gal /day Pump Tank Manufacturer ❑ NA
Design flow (Peak), (Estimated x 1.5) �`I> gal /day Pump Manufacturer ❑ NA
Soil Application Rate al /day /ft2 Pump Model ❑ NA
Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA
Fats, Oil & Grease (FOG) _ <30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BODd :5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended So ( TSS) :5150 mg /L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BOD :530 mg /L In- Ground (gravity) ❑ In- Ground (pressurized)
Total Suspended Solids (TSS) _ :30 mg /L ❑ NA ❑ At -Grade ❑ Mound
Fecal Coliform (geometric mean) :510 cfu /100m1 ❑ Drip -Line ❑ Other:
Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA
Other: ❑ NA Other: ❑ NA
* Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
❑ m h(s)
Inspect condition of tank(s) At least once every: earls) (Maximum 3 years) NA
Pt contents of tank(s) When combined sludge and scum equals one -third IY of tank volume ❑ NA
❑ month(s1
cell(s) ;X P Vo i,fi C�'L Ast least once every: (marls) (Maximum 3 years) NA
❑ mon th(s) ❑ NA
Clean effluent filter `�^ {" l'1 I(�; least once every: ear(s)
Inspect pump, pump controls & alarm At least once ever ❑ month(s) ❑ NA
Ins
P P. P y' ❑year(s)
❑ month(s) ❑ NA
Flush laterals and pressure test At least once every: ❑ year(s)
Other: At least once every: ❑ month(s) ❑ NA
❑ yearls)
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. 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 to check for any back up or ponding of effluent on the ground surface.
Th dispersal c ell(s) shall be v isually inspected to check t h e effluent l evels in the observation pipes and to check for any pondi
of effluent on the groun3 surface. The ponding of effluent on the ground sur ace may indicate a failing condition and requires the
imme iate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
local regulatory authori A service report shall be provided to the g y y within 10 days of completion of any service event.
GMW (4/01)
Page 3- of
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents
of the tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring
power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to
restore normal levels within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 15 feet down slope of any mound or at -grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat;
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is
properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site
evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank
may be installed as a last resort to replace the failed POWTS.
❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
< <WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INS TALLER POWTS MAINTAINER �y
Name Name
Phone Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name e h Name
Phone J l (� Phone
This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
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