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HomeMy WebLinkAbout042-1023-10-700 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 479419 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: Herink, Kenneth I Warren, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: e) vv�' 1 GJ 09.29.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 3 Benchmark Q, /A /6Rzq e$l Alt. BM a Jc yk I Itek 10, Aeration Bldg. Sewer , 5 -6 Holding St/Ht Inlet 'T 13 TANK SETBACK INFORMATION SUHt outlet �3' 692 �✓ TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 7 I A " / i >/ 4D / Dt Bottom Dosing �� J Header /Man. L • 0 1004,15 Aeration Dist. Pipe 6. /p- 1 2.5 • toD Holding Bot. System Final Grade PUMP /SIPHON INFORMATION - � ��$ / • 65 Manufacturer De St Cover m-66 Model Num - , 1��5 • Z� TD Lift Friction Loss SFt , :J .S 16 '5 Forcemain ength Dia. Dist. to well ; • ,(1 + 1 �`6� �(� �a�Z•� `Y SOIL ABSORPTION SYSTEM BEDITRENCH Width Length I No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS g'& 2— ( � SETBACK SYSTEM TO P/L — � � BLDG WELL LAKE /STREAM LEACHING Manufacturer:r; / /�r INFORMATION CHAMBER OR : 1; [V T� Of System: -y / ^ / ` -!- UNIT Model Number: J � DISTRIBUTION SYSTEM Z 1 4 4' 21 9"oV Header /Manifold Distribution ole Size x Hole Spacing Vent to A' Intake / Pipe(s) L� Lengt h x H _ Dia T Lengt _ Dia Spacing \ SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center' ` 7 � Bed/Trench Edges Topsoil ` Yes [ No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 1173 108th Avenue Roberts, WI 54023 (NE 1/4 NE 1/4 9 T29N R18W) NA Lot 4 Parcel No: 09.29.18. 1.) Alt BM Description = f I4.t _ / G `,� 2.) Bldg sewer length= /Z(p / - amount of cover = Z �! Plan revision Required? Yes No Use other side for additional information. Date Insepcto nature Cart. No. SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 .5 C l Pisconsin Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) 266 -3151 �(7 Department of Commerce Sanitary Permit APO State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal mforma n y vi e may be used for secondary purposes Privacy Law, s15.04(1)( roject Address (i different than mailing address) I. Application Information - Please Print All Information 3 _ /a S JtA �t Property Owner's Name ^ s r P cel , Lot Block # Property Owner's Mailing Address SV CRO Q G 1 V1C Pr erty Lo n /0 /l0 } J� / x . Za,U NE V., = 14 , AA S1 4, Section City State Zip Code lone Number %� �j, 77 T 3 /y E irc or� N; R II. Type of Building (check all that apply) tS k Q5 r e - t' Subdi ber I or 2 Family Dwelling - Number of Bedrooms 1ne_ 4 n ame S1Gt SIG` ❑ Publ idCommercial - Describe Use /� ❑ State Owned - Describe Use Z Utall` �5 1,,1:01 Zq ❑City_❑VillagATownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 7Only • � �� A. New System ❑ Replacement System El Treatment/Holding Tank Replacemr er Modification to Existing System El Change of El Permit Transvious Permit Number and Date Issued B. ❑ Permit Renewal ❑Permit Revision Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl XNon - Pressurized In- Ground ❑ Mound > 24 in, of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter X Leaching Chamber ❑ Drip Line ❑ Gravel -I ❑ Other (exp ) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Syste Elevation ,SCE ,j O ✓ f r� t o ;0 , VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit r•/` Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb Signa MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip ode) ^' J da Vlll. County/ artment Use Onl proved ❑ pproved Sanitary Permit Fee (includes Groun water Da a Issue Issuing nt SignaVe( St a Surcharge Fee) & [] O eason for Denial �JW IX. Conditions of Approval /Reasons for Disapproval $Yam oMY"M 3 ��� � T �Co - I. ` lob ** aalktatt MW and �INpusaI Cd must as c3 ` ct, 6 Je_ 0S pat mWilgWnent plan provided by plumber. V A44 � I M sebck nlqukarlents must be maintained a I ae qer eppticable cor'le / Mrtinances. Attach complete plans (to the County only) for he syste u on paper not less than 81/2 x 11 inches in size f SBD -6398 (R. 01/03) (� t f �� a� 6D 1 1 5 � eo A; A�i�IWO fY1iTSYi `�+''�` «ni. _rt; ,.tsa� �' 5,��1�T• Ns;a Mis1p�1! �' +'^ 4 r" • ,r., ` i r nE,ie2 rr 1p M no V ^\ i s ` L r ^� r V --r, 9 c�J dp ao - � W ' 4 M � — c p ,0 /I k M M M t \h 1' J V C� 1 io O � Wisconsin Department of Com� OIL EVALUATION REPORT Page I of 3 Division of Safetyand Buildings `✓ � l w �C� Code county ST. CROIX Attach complete site plan on paper not less 1/2 x 11 inches in size. must , include, but not limited to: vertical and horizon t BM), direction and Parcel I.D. (pending) percent slope, scale or dimensions, north asro I n ciiIlan�g are road. Revie y Date Please print all i rm�a- ie�0 /X C 4 Z� Personal information you provide may be used for se 1) (m)). Property Owner V Prope Location KENNETH HERINK Govt. Lot ---- 1/4 1/4 S 9 T 29 N R 18 E( r W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# 1057 110th Street 4 -- (Pending) City State Zip Code Phone Number DCity n Village ■ Town Nearest Road Roberts, WI 1 54023 1 ( 715 749-3512 120th Street n New Construction UselD Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD E] Replacement El Public or commercial - Describe: Parent material sandstone Flood Plain elevation if applicable General comments 1 Conventional In- ground trenches -- 0.6 loading rate, Sf �-� /Lv'� and recommendations: To be designed by installer 2 9 ��o'k F] Boring # Boring Q pit Ground surface elev. 1078.97 ft. Depth to limiting factor 67 in. Soil licetion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 - Eff#2 1 04 10YR2 /2 - 1 3fgr mvfr as 3vf-m 0.6 0.8 2 4 -15 10YR2/2 - I 2f- ma&sbk mfr as 2vf-m 0.6 0.8 3 15 -23 10YR3 /3 - sil 2fabk mfr cs 2vf-m 0.6 0.8 4 23 -41 10YR3/4 - sil 2fabkr as 1vf-1n 0.6 0.8 5 41 -67 10YR4/6 - ml as -- 0.7 1.6 6 67 -75 I0YR3 /6 f2d 10YR5 /6 fs Osg ml -- -- 0.5 1.0 Horizon 6 has some gr. 2 Boring # E] Boring 1081.48 >70 0 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-5 10YR2/2 - 1 3fgr mvfr as 3vf-m 0.6 0.8 2 5 -14 10YR2/2 I 2fabk mfr as 2vf-m 0.6 0.8 3 14 -22 10YR3 /3 - sil 2fabk mfr as 2vf-m 0.6 0.8 4 22 -38 10YR3 /4 - sil 2fabk m f r cs lvf-m 0.6 0.8 5 38 -70 10YR3 /6 - Is Osg ml -- lvf-f 0.7 1.6 Horizon 5 has some gr. Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD < 30 mg& and TSS < 30 mg/L CST Name (Please Pnrd) - - Signature CST Number M Jo Hollister 224832 Address Date Evaluation Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 04-15-05 (715) 426 - 1775 Property Owner Herink, Kenneth (Lot 4) Parcel ID # (p ending) Page 2 of 3 Boring 3 Boring # 0 Pit Ground surface elev. 1085.70 ft Depth to limiting facto. 65 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I -Eff#2 1 0-5 10YR2/2 -- 1 3fabk mvfr as 3vf-m 0.6 0.8 2 5 -11 10YR2 /2 -- sl 2fabk mvfr as 2vf-m 0.6 0.8 3 11 -29 10YR3/3 - sl 2f -msbk mfr cs 2vf-m 0.6 0.8 4 2940 10YR6/6 -- Osg ml as 2vf -m 0.5 1.0 5 40-65K I OYR7 /6 G(�t' -- s Osg ml as 1 vf-m 0.7 1.6 6 65 -70 10YR7/6 c2f 10Y15 /b s Osg ml -- -- 0.7 1.6 r - . (('''h�orizon 5 has some gr. F1 1_ Boring # I Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Murrell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # �J Borg Pit Ground surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/fF in. Murtsel Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 I * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg& ' 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- 8330Tes1(R.07 100) r NORTHLAND SURVEYING P 3 = NE OF Q k WJ yj 0f 44 ST. le-oky vi geN ► 0 Ch 0 co X Q) c� 0 .N a QI A dNl �a 1N � W S V3 w rn -� NJGYJPdG^1Sr4CD 6(^�nMDD (R = S00 ° 31'57 1 E ) x S 00 °06'22 "E ° - - -SEA — W w A 00 °06'22 "E 85ZJ�7 - _ 66.00' S00 °06'22 "E z 1725.13' EAST LINE OF THE NE1 /4 S00 °06'22 "E Z z 7.31' 0 0 , 0 o dpoQ 9 (�' 3-G �9�5?3� I ? v w � 0 2 r I ;- N z ¢o 0 Umx o O I N O ug j ¢ ¢ I Z N ao , �i r - �3 I PI m 2� Q 6 �Qcv w r O �gz 07 r� v I Elu Owx O J p wZ CC no ? m w Z �UgXUi a UI w � I I I CI U Q W� p ? 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''i W w w 385.96' Z /// SZ�° C{� , / e iy �a N00°20'21 "w N \ 19 .98' 189.98' ¢ e rz �e`zoMMIN 2 � Y W N wm V F OU /az LA9�5�i���� Naozaziwiso.9a 1\< I ti 9 : r as O C = O ry 4 � � a xLL Z W eo w� O fn G `r 1 BS o/ y x m \` z 0 0 w II �p // z a 0 0 / I / / io ” cc \ wa¢ c7 _4 4 X 1 1 xa / °a8ot' N124.19•'' ¢ n \ m z r 33' 33' I o :. m o a L--- - - - - -7 // w L Nn U, G I g o w r 69'LSL 3.ZQOS,OON / o o In ¢ / n r ..� I w, w 4// v // O II' N I •F WEST LINE OF THE NE1 /4 OF THE NE1 /4 k1i ds/ /_ N o T 00 i �� — ^ EAST LINE OF THE NW1 14 OF THE NE1 /4 �/ � / w w Q ¢ O E x_ W w l ¢\ UN // Ab r x= w �?O O I' �w�¢i / o `'/ LL OrLLx z m' r s' / W LL U w < it R, O II ti/ / Z gy LU U. Z m I z p ?fi I' o d m U ° x a z i J m / r x U °> J Z III /: vz� / / f o a 0wm cn / O - x �n U 6/ 436.01' / A / Unx `n �F =w c N00 °09'05 "W 502.01' a z c9 U W 08 0 r W �WU � 0 o N 0 a p x x C7 (� p w O � Z BEARINGS ARE REFERENCED TO THE ST. r O p Z CROIX COUNTY COORDINATE SYSTEM 9 g � OLL x 00 °09 z N'05 "W 376.89' d a J J MGJf?_d D d[1^ GJD�3 ¢ � Q a CL M DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2 -1982 WARRANTY DEED 587048 VOL 1357 MOTS 4: CROIX CO. John J. Herink and Dorothy Herink, a /k /a ST. F SEP 14 1 998 Rlo tur Rgocruit W� Dorothy A. Herink y conve sandwarran to to Kenneth Herink and Pamela Herink l ` 3 O P husband and wife as survivorship marital pro rty ' �+� -� 4) R• tsla •f !lt+e RETUR.NTO eeNuE'ttl h46R }ll) /o - rv o S$- �� beR�r, W) . sUoa 3 the following described real estate In St. Cro County, State of Wisconsin: Tax Parcel No: N�of NE4 and Ek of NE; of NW4 of Sedtion 9 -29 -18 EXCEPT Beginning on the North line of NE4of NE4 of Section 9, 630 feet Westerly of the Northeast corner thereof; Westerly along said line or an assumed bearing N85 511.17 Feet; S5 "W 209,07 feet; S35 511 feet; N5 * 18 1 E 211 Feet more or less to the point of beginning. TRAg4SFER This is not homestead property. (is) (is not) Exception to Warranties: Dated this // day of .19 (SEAL) (SEAL) John J. He ink (SEAL) (SEAL) Dorothy Herink AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. -5 7 - C.-o / X County. authenticated this day of , 19_ Personally came before me this // day of .SC p1cC M h e / 19 the above named lVe -; ., 't� u TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to b 1lfl§ who executed the authorized by § 706.06, Wis. Stats.) egoing instr e same. THIS INSTRUMENT WAS DRAFTED BY —� us Cl oa � .� Notary Public — County, Wis, gnatures ma ) e authenticated or acknowledged. Both My Commissi ,S rm n �(If ot, state expiration are not necessa date:— 19 9 9. ) 'Names of persons signing in any capacity Should be typed or printed below their signatures. SB2 NTF 0021 i WARRANTY DEED STATE BAR OF WISCONSIN Nelco Tax Forms, P.O. Box 10208, Green Bay, WI 54307 -0208 Form No.2 — 1982 ST. CROIX COUNTY SEPTIC TANK h1AINTAtWCE AGREEMENT AND OWNERSSIP CERTIFICATE FORM Owner/Buyer IV G r/4 6k R Z 11) K Mailing Address / ©S 7 // o J J' to i Property Address / f 7 3 � � � � � �/ • omattuatm) City /state -Parcel Ideatification Number Pe ^L " � LEGAL DESCRIPT - ON Property Location NC- /, / '/. Sec:j__TaN RZf �W, Town of A&A oN Subdivision Lot# Certified Survey Map# , Volume Page Warranty Deed# ,rg 7 o y8 , Volume S 7 Page Spec house yes _Xno Lot lines identifiable es no SYSTEM MAINTENANCE \ \ Improper use andmaintenance of your. -septic system could result 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. Whatyou 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 masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on- site wastewater disposalsystemisinpmper .operating condition and/or (2) after inspection and pumping (ifnecessary), the septic tank is less than 1/3 full of sludge. _ I/we, the undemgned.hive.readthe above_regmrements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by th Department of Commerce and use the Departme& of Natural Resources, State of Wi C p•+_.:sa +�n� .stating tbat your.septic system has been maintained must be completed and returned to the St. Cr . County wi 10 days of the three year expiration date NATURE OF AP ANT DATE #of proposed bedrooms 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 owner(s) of the prope described above, by virtue of a warranty deed recorded in Register of Deeds S ATU 'a OF ANT DATE I ****** Any information that is mi reprcemted may result is the samta y pamit being revoked by the Za=g Departmad*' ** IncWde wide this application a stamped wanu ty deed fi mi the Register of Deeds office a copy of the certified survey map ifrefamce is made kAe wa rmay deed. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ! of FILE INF0R!IAT10N SYSTEM SPECIFICATIONS Owner Septic Tank Capacity a l ❑ NA Permit # Septic Tank Manufacturer y �� ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer �_� " ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model �� ��� ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity ga l ❑ NA Estimated flow (average) 3 Q d al /day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) V gal /day Pump Manufacturer ❑ NA Soil Application Rate gal/day/ft' 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 (B0D 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 :530 mg /L R(ln- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) :00 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 every: ❑ month(s) (Maximum 3 years) ❑ NA y ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA year(g) ont Clean effluent fitter At least once every: m h(s) ❑ NA � year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA ❑ year(s) Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: At least once every: ❑ month(s) ❑ NA ❑ year(s) 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. 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 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. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page 2 of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting product% or gther 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 no infringed upon t be in b Y P P P 9 P Y 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. (�v � T alua ' a o ing ank be ' e ai a �R01 (1817�I� �0�2 I�/�lr✓ CaNS7Rcl�tC�� ❑ 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 INSTALLER POWTS MAINTAINER Name Name Phone l�. Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name ST. l C)u ZOII��� Phone Phone " 7 /S— 3WZ0- (O 0 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.