Loading...
HomeMy WebLinkAbout042-1005-30-300 S - Z 3rtmentofCommerce PRIVATE SEWAGE SY STEM / ° ty. St. Croix ing Division INSPECTION REPORT — Sanitary Permit No: 488149 0 ' FORMATION (ATTACH TO PERMIT) State Plan ID No: - formation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ermit Holder's Name: City Village X Township Parcel Tax No: Traynor, Joe & Melissa Warren, Town of 042 - 1005 -30 -300 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: U '� U 1 G / 03.29.18.42A30 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer � � _7 H olding / S /Ht Inf e t r / ?5 D j1 TANK SETBACK INFORMATION t ut et �,� ' b T L 4 TANK TO P/L WELL BLDG. Vent o Air Intake ROAD Dt Inlet ep is t I , Bottom osmg ea er an. 2,e — 13. a, A eration is . ipe / 3 . o ing Bot. system SQ �100 Final Grade PUMP /SIPHON INFORMATION od %�J l U anu ac urer Demana brcovr GPM model um er I F riction Coss system mea �o xemain DIMENSIONS �) J INFORMATION HAZER OR 2 f 3 UNIT _-'/ _ / ZoD --- 5 Pipe(s) L ! Length Dia Spacing x Mound Or At -Grade Systems Only x Pressure Systems Only x Mou Y Y Bed/Trench Center t Bed/Trench Edges Topsoil Yes ;, J No Yes ! No i COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1211 113th Avenue ® Roberts, WI 54023 (NW 1/4 SW 1/4 3 T29N R18W) NA Lot 3 Parcel No: 03.29.18.42A30 1.) Alt BM Description 2.) Bldg sewer length = - amount of cover Plan revision Required? l Yes its 0 Use other side for additional information. - inseMct�r`s - Sid SBD -6710 (R.3/97) S ` and Bull s Division County Jar e., P 20 ash' n v s� iseonsirn W 3707 - a anitar, Permit Number ( to be filled in by Co.) Department of Commerce -3151 Y ' IF /yC , Sanitary Permit Applie p State ?an I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal informatio ou pd�ROIX COUN may be used for secondary purposes Privacy Law, s15.04( m) ojec Address (if different than mailing address) I. Application Information - Please Print All Information / 7/ l /J /FteJ� e Prope Owner's Name / Parcel # G 1 / Lot # Block # Property Owner's ailing Address property Location . 2, City, State Zip Code Phone Number +' Y,>`5_LdLy', Section JWAI _ circle U. Type of B ilding (check all that apply) 3 B�f-e r.�.1� am T N; R/213 o� I or 2 Family Dwelling - Number of Bedrooms y j Subdivision Name C Nu mber n ❑ Public /Commercial - Describe Use ❑ State Owned - Describe Use r, 1IS _ L.4210 t- 2 ( -F-L(o "e -n ❑City ❑Village Township of III. Type of Permit: (Check only one boa on line A. Complete line B if applicable) ` A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T of POWTS S stem: Check all that a on - Pressurized In- Ground ❑ Mound _> 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Weiland ❑ Pressurized In- Ground 11 Holding Ta ❑ Peat Filter 11 Aerobic Treatment Unit 11 Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ZLeaching r ❑ D�. el-less Pipe ❑ Other (explain) V. Dis ersaUTreatment Area Information: S Design Flow (gpd) Design Soil Appl'cation Rate( (sf) Dispersal Area Proposed (sf) System Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing �, p ld � 5Z5 � Tanks Tanks Septic or Holding Tank _ Aerobic Treatment Unit Dosing Chamber VII. Resp nsibility Statement- I, the undersigned, ilssurne responsibility for installation of the POWTS shown on the attached plans. Plum r' (Print) PluAsS' a M P/MPRS Number Business Phone Number _ � � (� � � be s Address (S�t, City, State ,Zip S Code) ( s — VIII Coun /De artment Use On A roved ❑ Sanitary Permit Fee (includes Groundwater Date Iss Issuin PP ZrmG ved Surcharge Fee) /{ gent Signature Stam 11 ' Reaso n o ial �O 1X. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1. Septic tank, oft" f4w and dispersal con must all bs.servicas / makArked as per manap resent plan provided by pNarlber. 2. All setback requimnw is must be mainfakw! as per applicable code / ordiromw Attach complete plans (to the County only),for the system on paper not less than 81/2 x 11 inches in site SBD -6398 (R. 01/03) . � �\ ao � � k� .� o � o 3 I \� COPY 47> y� y o �3 cv ti � I 0 4 � Wisconsin Department - ------ °° ' °` SOIL EVALUATION REPORT Page of Division of Safety and B ilding RECEIVED in accordance1with Comm 85, Wis. Adm. Code a County Attach complete site p n on R� /not IQ�s2 1/2 $ 11 inches in size. Plan must include, but not limited o: ve�th dI nd htfrizontal refere lce point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow and lotion and distance to nearest road. ST. CROIX COUN 1 Y Plea tQ&taifil + form ifion. Review by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Govt. Lot �� 1 /4 r" 1 /4 T N R E (or r perty Owner's Mai' dress Lot # I Block Subd. Name or CS11A# City Stale Zip Code Phone umber City [:]Village 0 Town Nearest Road ( ) New Construction Use: ls�r Residential / Number of bedroom Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General comments and recommendations: 49, t 98 Boring # ❑Boring 10 Pit Ground surface elev. _ ft. Depth to limiting factor l/)0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Pont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 d K — , ❑ Boring # ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor Jl?p in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 AL if — — II * Effl nt #1 = BOD > 30 < 220 mg /L and TS >30 _< 150 mg/ *Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Na e P ase P' t a CST Number zz� 2� , / Address Date Evaluation Conducted Telephone Number SBD -8330 (R07 /00) J Property Owner Parcel ID # Page of Boring # E] Boring ,J Pit Ground surface elev. Aff ft. Depth to limiting factor 24— in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. C nt. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Al F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 ❑ Boring # ❑ Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 264 -8777. SBD -8330 (R.07 /00) �i 0 c � y 0 IL Property Owner. _' -� Parcel ID # Page of _ Boring # ❑ Boring Pit Ground surface elev. Aff _ ft. Depth to limiting factor 140 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz In. Munsell Qu. Sz. C nt. Color Gr. Sz. Sh. *Eff#1 'Eff#2 11 - 1A lx�lu A"14 415 JAIL �,i �3• F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to-limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # ng Ground ❑ Bori fe elev. Depth t limiting ft i ❑ Pit surface . epo mting acor n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) r 9" { ryt; 'F'.. F j b V) ' N J o 0 co zik 1 .: 1 fF} I / . l a N r. w ..� Al" w r_ W r Ln I �r W OI Q� x d r' d i I _�. ;k r_� �• .,. -- __ ' "f Ir� U 2 7 7 9 P 6 4 0 790984 STATE BAR OF WISCONSIN FORM 1 —1996 KATHLEEN H WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., VI Document Number I RECEIVED FOR RECORD This Dead, made between NjgWa3t Eguitles, I.I.C. a Wisconsin Limited Liability Company Grantor, and Joseph R. Traynor and Melissa K. 03/31/2M5 10 : 30AN Travrar• husband and wife Grantee. Grantor, tar a valuable consideration conveys to Grantee the following WARRANTY DEED described real estate in St. Croix County State of EXEWT i Wisconsin (the "Property'): REC FEE: 11.00 TRANS FEE: 375.00 COPY FEE: CC FEE: Recording Am PAGES: 1 Name and Rewin Ad&m RETU fu Burnet Title. 7550 France A\- S First Floor Edina. MN ;5435 0 1 2�, al Parcel IderM ber (PIN) This i s ftb� homestead property. Qs) (la not) Lot 3 of Certified Survey Map filed January 26, 2005, in Volume 19, Pays 4918, as Document No. 785901. Located in part of the NW K of the SW IA and part of the SWIA of the SW% of Section 3, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin. This Deed satisfies in full Land Contract dated October 24, 2003 as Document No. 751756. Together with all appurtenant rights, Otte and interests. Grantor warrants that the title to the Properties good, indefeasible In simple fee and free and clear of encumbrances except Dated u,;9 da aF r q r Y o4. (SEAL) (SEAL) e W e Davemseft r �^I� Midwest Equities, LLC. M conln Limlted��� Liability Company (SEAL) (SEAL) All [t{ T14PAT 7 4 N A ACKNOWLEDGMENT S TATE AT �- ... > State of Wivemin, S �'�' � ., ) aa. authenticated this _ day of St. Croix County Persgnaky came before me this day of 1 , Deosmber. 004 the above named i A AM awe- BaIMKae OrnOnizar of Midurest Ecuttiea. LLC, a W1s cansWAir*ledLI$bi1IVQ2mpa y to ma known to bathe TITLE: MEMBER STATE BAR OF WISCONSIN person —111L who executed the foregoing instnsnerk and (If not, ackn , ow � � q a ON same. authoemed by 5706.06, Wis. State) l �JEQ. 5U—k47. A THIS INSTRUMENT WAS DRAFTED BY f !7 Caldwell Banker Burnet Na1aty 1301 Coulee Road Hudson, WI 54016 Myodnmlaeio is permanent. (Knot side expiration date_ 4 -65511 (Signatures may be authenticated or acknowledged. ) Both are not necessary.) Names of pMons !!gnW in an ca must be typed or printed below their a nature. ZOOiZ00t)� SIN xosmm 37J,I1. ia%aa oZ9Z gee STL iva oz-oT Isis 9oot /9T /Zo I ST CROIX COUNTY 4 ?,>ed rD D ►rn SEPTIC TANK MAINTENANCE AGREEMENT •AND OWNERSHIP CERTIFICATION FORM Dwner /Buyer J t and M e I 'l s" A Y1 Dr ( 6 c2 Mailing Address 10$D 1�ohnievl ClI21e V�I7OG�luyu MN Folo 12� Property Address / 1/ s I (Verification required from Planning Department for new construction) City/State Parcel Identification Number , s -�© - 4W LB AI. DESCRIPTION Property Location -'/,, ' /,, Sec. , TAN -R ,L� w, Town of Lot # Subdivision Certified Survey Map 0 9.P%/ , Volume / , Page # li / 8 Warranty Deed # T G �Y'� , Volume - Page # Spec house ❑ yes 01 no Lot lines identifiable yes ❑ no SYSTEM NANCE Improper use and maintenanceof 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 systeur. 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 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards on set forth, herein, as set by the Department of Commerce and the Depadrent of Natural Resources, Slate of Wa ning O cue wi� Z oning 30 stating that your septic system has been maintained must be completed and returned to the St. Croix County days of the three year expiration date. I /2s/Ob DATE SIGNATURE 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 owners) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. t / zg /ob �; DATE SIGNATURE OF APPL CANT * * * * ** Any information that is mis- represented may result in (lie sanitary permit being revolved 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 I - ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT -AND OWNERSHIP CERTIFICATION FORM owner /Buyer �� � W � 1 SSGI Tr Y) o r (b51) 2a3 la I�- Mailing Address 1 OS 0 $O�ni evl ew G lr�l e , W Ooct � MN Property Address (Verification required from Planning Department for new construction) City/State Parcel Identification Number LEGAL DESCRIPTION Property Location r /4, V4, Sec. , Town of Lot # Subdivision Certified Survey Map # _, Volume , Page # Warranty Deed # Volume , Page It Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof 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 systeuL The property owner agrees to submit to St. Croix Zoruug Department a certification form, signed by the owners stem masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdispo y is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. sys with the standards Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposaof Wisconsin. Certifies set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, Zoning in. C a 30 stating that your septic system has been maintained must be cone leted and returned to the St. Croix County days of the three year expiration date. / 2�/ DATE SIGNATURE Or APPL CANT OWNER CERTMICATION I (we) certify that all statements on this form are true o th in be st islet of Deeds Office e. I (we) am (are) the ownet(s) of the property described above, by virtue of a warranty deed recd Register SIGNATURE Or APPL ANT * * * * ** 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 - - 785'3 9251 1 VOL �PAGE 4918 REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR ECORD 61/26/2005 04:66PN CERTIFIED SURVEY NAP COPY FEE. PAGES: 3 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NORTHWEST 1/4 OF THE SOUTHWEST 1/4 AND PART OF THE SOUTHWEST 1/4 OF THE SOUTHWEST 1/4 OF SECTION 3, TOWNSHIP 29 NORTH, RANGE 18 WEST, TOWN OF WARREN, ST. CROIX COUNTY. WISCONSIN. N 89 15'10" E 5282.28' -- / W 1/4 COR. SEC. 3 EAST -WEST 1/4 LINE / 1318.84 _ -- _ �— UNPLATTED LANDS 10 COR. w; { 4v p N 82'21 E SEC. 3 N 89'04'31" E 247.90' ^ o i .P s Sgy3 ;��� CD, d N o f � f �A E' 4? 2 , e`P a I z i I e1 ` Q Ap of i •39' S7" E Z 7 179. 27. al N I 10,9.83' w O LOT 2 a� I T 400515 S.F. to }33 I LOT 1 om fv 80' TEMPORARY w 322253 S.F. CUL -DE -SAC 9.19 Ac. _ N Z EASEMENT TO BE 7.40 A REMOVED UPON w w0 i I� EASTERLY EXTENSION in w - OF ROADWAY. 9 z _ .cf is �o ° l N g*�. tn`� uj I t o I 1 ® LOT 3 mz 363659 S.F. N 1 a z'I L — -- , '�� 5 � s� ®�� 8.35 Ac w I L2 M 07" E Z �j '• •'•�11 r° ! i o / 94.x5' c'�� A ,.'• ROGER LYNN ni l all _ LOT 4 - 233843 S.F. HjQ E / o a. I 5.37 Ac. W' I '5 .86' I 738.38' ��� 529.94' i - 1268,32 - UNPLATTED LANDS LEGEND: I w S 89'27'23' W 1321.18' ■ SET 3/4" BY 18' IRON o� PIN WT 1.50 LBS./FT. o OWNER 0 SET 1 1/4" BY 18" IRON Lo 0 SW CDR. SURVEY CONDUCTED AT THE PIN WT. 4.172 LBS./FT. SEC. 3 REQUEST OF THE OWNER: FOUND 3" ALUMINUM z MIDWEST EQUITIES, LLC 990 HILLCREST STREET COUNTY SECTION MONUMENT NOTE: SUITE 110 ----- - - - - -- 100' BUILDING SETBACK BEARINGS ARE REFERENCED TO THE WEST BALDWIN, WI 54002 LINE UNE OF THE SW 1/4 OF SECTION 3, PROPOSED DRIVEWAY LOCATIONS ASSUMED TO BEAR N 00'49'01" E. s RECORDED AS R, A. REC EO NOTE: — -- 12' UTILITY EASEMENT SCALE. i" - zoo' DEDICATION EAST OF TEMPORARY 30' MIDWEST NATURAL GAS CUL -DE -SAC TO BE CONSTRUCTED BY o so ioo zoo PROPERTY OWNER TO THE EAST. EASEMENT (VOL. 1510, PG. 95) THIS INSTRUMENT DRAFTED BY KEVIN SAMUEL SHEET 1 OF 3 HUMPHREY ENGINEERING Vol 19 Page 4918 ti POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa of FILE INFORMATION f SYSTEM SPECIFICATIONS - Owner / Septic Tank Capacity a l CI NA jl ` Permit # Septic Tank Manufacturer S, ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA i Number of Public Facility Units (�NA Pump Tank Capacity ga l ja NA j Estimated flow (average) _ al /do Pump Tank Manufacturer -ice NA Design flow (peak), (Estimated x 1,5) g al/day Pump. Manufacturer E3 NA Soil Application Rate al /da /ft2 Pump Model I�NA Standard influent /Effluent Quality Monthly average' Pretreatment Unit JWNA Fats, Oil & Grease (FOG) <30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD,) 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD _ <30 mg /L 2(ln- Ground (gravity) ❑ In- Ground (pressurized).' Total Suspended Solids (TSS) 530 mg /L C!�NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100ml ❑ 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 Inspect condition of tank(s) At least once ever O month(s) (Maximum 3 ears) ❑ NA year(s) p y' y Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cells) At least once every: ❑ month(s) (Maximum 3 years)' ❑ NA 0 year(s) Clean effluent filter At least once every: ❑ m a r(s) ) year(s) ❑ NA - Inspect pump, pump controls & alarm At least once every: ❑ month(s) NA 0 year(s) Flush laterals and pressure test At least once every: ❑ month(s) _0NA ❑ year(s) Other: At least once every: ❑ month(s) f;:O NA ❑ year(s) Other 3 DNA 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. 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. 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 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 mur. hs, shall be performed by a certified POWTS Maintainer. - A service report shall be provided to the local regulatory authority within 10 days of completion of any service event...: c M. Page' 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 chemical:; that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contem s 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. I During power outages pump tanks may fill above normal highwater levels. When power is restorod the oxcess`wastowater will t,�_ dischargod to the dispersal coll(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge ( : effluent. To avoid this situation have the contents of the pump tank removed by a Septagu Servicing Operator prior to restorin:,; operating power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually 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 um in , all tanks and pits shall be excavated and removed or their covers removed and the void space filled with P P 9 _ soil, 9 ravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be takon, to provide a code campllant 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. - Replacernentisystems 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. 0 The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and sit evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tan, may be installed as a last resort to replace the failed POWTS. , 13 - Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at tht 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 < PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.: -- ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER I Name / Name Phone _ Phone ;r SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone _ This document was drafted in compliance with chapter Comm 83.22(2)(b)0 )(d) &(f) and 83.64(1), (2) & (3), Wisconsin Administrative Coda.