HomeMy WebLinkAbout261-7000-15-007 15-7 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
567274 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: X City Village Township Parcel Tax No:
City of New Richmond, airport properties City of New Richmond 261-7000-15-007
CST BM Elev: Insp.BM Elev: BM Description: e ��� Section/Town/Range/Map No:
( ' O Y V \ 24.31.18.
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER ,,,,5 CAPACITY STATION BS HI FS ELEV.
Septic fir-- Benchmark `�
d i e-5.eA_ �'S 3 ZO 1 3, 65 /63.O S
Besi rg— Alt. BM
r.1 L, d� 1 o it., 5Z5 riq Gavti. /e ? /01. I
Aeration Bldg.Sewer 1/.35 g y ,
c______Holding St/Ht Inlet `
St/Ht Outlet /!
TANK SETBACK INFORMATION T t 9 8•• z/
TANK TO P/L WELL BLDG. d o Air Intake ROAD Dt Inlet
I
Septic / 5 / _ Dt Bottom
Dosing Header/Man.
7,5 95. 4'7
Aeration Dist.Pipe 9�,'L
Holding ----�� Bot. System
Final Grade
PUMP/SIPHON INFORMATION • / W. `75
Manufacturer Demand St Cover r• [L /. C / O), / S
GPM GC —
Model Nu ,-r
TDH IL Friction Loss System Head DH Ft
Forcemain L- -, 1 Dia. Dist. • -'ell
SOIL ABSORPTION SYSTEM
BED/TRENCH Width / Length / No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 446 / I re,,,G� �_
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR �� �/b
Type Of S,A,..).e. il �� 5 -3 �� UNIT Model Number a.
/
DISTRIBUTION SYSTEM a(J ∎0,4 c_e__, 4/ 5ccl- o �
✓ S
Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s) �_ �� �_ �.. �7I,i 6o4i4()
Length " Dia Length Dia Spacing =' E
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over l Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center 4to Bed/Trench Edges \ Topsoil « yPS No Yes No
r
COMMENTS: (Include code discrepencies, persons present,etc.) Inspection#1: / / Inspection#2: / /
Location: Row 15 Lot 7 New Richmond,WI 54017(SW 1/4 SW 1/4 24 T31N R18W) NA Lot Parcel No: 24.31.18.
P-7 I4.4.,,_ GC)4......_. f
1.)Alt BM Description= C In o t- O cwt O v`
2.)Bldg sewer length= O , /J j.t /'
-amount of cover= r l OAUy. $e a✓� '^'bd-e„1(c ev a+ '�`L. Ot—
Plan revision Required? /r Yes No j- 15 13 J F31/7
Use other side for additional information. / (p 1 , _1
SBD-6710(R.3/97) Date Insep� ors Signet Cert.No.
itcommerce.wi.gov Safety and Buildings Division County
201 W.Washington Ave.,P.O.Box 7162 s/' Colt
i s c o n s i n Madison,WI 53707-7162 Sanitary Permit Number(to be filled in by Co.)
Department of commerce 5/ 72 71/
Sanitary Permit Application State Transaction Number / -/'
In accordance with s.Comm.83.21(2),Wis.Adm.Code,submission of this form to the appropriate governmental Z 3 ,---C_z
unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Project Address(if different than m fling address)
submitted to the Department of Commerce. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats. 44- 7 Po /S
1. A t •lication Information—Please Print All In,•rmation
Property Owner's Name b t` •C Parcel#
�, � 2�oi -� 7th • 4—CO7
Property Owner's Mailing Address ( �, 4 Property Location
/ma / W�,4/ "`, ,7
i Govt.Lot
City,State Zip Code Phone 14 ber `C�yi� S y., y
y /., Section ?+
Gf//e G. a•,0/ /,i , /QV 7 77S;1: "71.' circle one
�• M S T N; R 1 Eor�
II.Type of Building(check all that apply) Lot# �1 VVV
o Subdivision Name
❑ 1 or 2 Family Dwelling—Number of Bedrooms GLfAI'/'ItCrG.i � �D� / O /�l J
/�J � /Block# ! J I",,,,l�-�
4Public/Commercial—Describe Use h',,,�ery / ,r ee �, 41,City of /vii.. /eat-,4s 411,'
/ CSM Number ❑ Village of
❑State Owned—Describe Use c I `
/ 14 4 E2 WOt.J c7C(l"i o,.'S ❑ Town of /y
III.Type of Permit: (Check onl box on line A. Complete line B if applicable)
A. New System�, y ❑ Replacement System ❑Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System(explain)
List Previous Pe mi umber and Date Issued
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑Permit Transfer to New -o� _
Before Expiration Owner f/ /
IV.Type of POWTS System/Component/Device: (Check all that apply)
GtNon-Pressurized In-Ground ❑Pressurized In-Ground ❑ At-Grade ❑Mound>24 in.of suitable soil ❑ Mound<24 in.of suitable soil
❑ Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment Device(explain)
V.Dispersal/Treatment Area Information:
Desig Flo. :pd) , Soil A•plication Rate(gpds Dispersal Area Required(sf) Dispersal Area Proposed( System levati .
, zoo
VI.Tank nfo Capacity in Total #of Manufacturer
Gallons Gallons Units n � o '$ ,E
New Tanks Existing Tanks f v c d Y
� .p a U in � w C7 a
Septic or Holding Tank
32 4.4'd r
Dosing Chamber
VII.Responsibility Statement-I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans.
Plumb Name(Print) Plumber's Signature MP/MPRS Number Business Phone Number
`G/ /i,✓ , , Z----- 2Ore 7/c 25'7-2e(,
Plumber's Address(Street,City,State,Zip Code) 7/ — 52,3— /Z Z •
•
2 -.7 ..:s _ r.)7 / ,2- - 4/.-4,,,, ,P,66,..,.,, , . /
VIII ounty/Department Use Only /
Approved P a isapprov . Permit Fee Date .sued Issuing`�nt Signatu e i ,
•.1- $ 4/75• to II /3 /3
Reason for Denial :L. ,,A 01P"M`
IX.CondtSYSTIBM ql4 E11/Reasons for Disapproval / [0)2_7150
1:' Septic tank,effluent filter and 31 t ^^ ,— t /
dispersal cell must all be services 7 maintai j / ' �C4..t A Y v w
as per management plan provided by plumber. 1
2. All setback requirements must be,maintainec# � (
a s per ale code/ordinances. �p,�� U W •
Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size
SBD-6398(R.02/09)Valid thru 02/11
Hov 08 13 12: 14a Hollister 's Soil Testing 715-426-1775 p. 4
Plot Plan Page 3 of to
Property Owner Gil ' VV Ak K ,CHHM ON.D t 1
AMP o,T 1" =30 ft.
Legal D e s c r i p t i o n- 9W 1/44, 5 Zt4, T 3 I/J, -R 1 SW,, (except where noted)
Ct?y OP iustiv R:C1.°MoNO, Sr. Crz.DJC Co uNTY, in = Backhoe pit
yo trc ge
i/; scoNsW •
North
To
4 pf
37.51 = 0 -o, 1
N6 goo.
/\ To c.T oe. GG P° 0
Ln p,N(p5,2 i
L. °N NOG.
.5M 1 3Q oM of. 5-i
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a L m% ` I 3 Z GAL..-•A 1.31<,
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ti ?ove g�‘1...DiN4-
(_r-i AN G.SR)
V
Site Location:
x 511E C gEYiieb: /r„R 7
9vAis i,f4 DIVISION OF INDUSTRY SERVICES
, A,_ ,. i.0,,, 3824 N CREEKSIDE LA
u° 'n HOLMEN WI 54636
3 Us Contact Through Relay
P www.dsps.wi.gov/sb/
T S" 4 www.wisconsin.gov
"+0 ssroN10'S� Scott Walker,Governor
Dave Ross,Secretary
November 08,2013
CUST ID No. 224832 ATTN::POWTS Inspector
MARY JO HUPPERT ZONING OFFICE
HOLLISTERS SOIL TESTING&DESIGN ST CROIX COUNTY SPIA
W9875 690TH AVE 1101 CARMICHAEL RD
RIVER FALLS WI 54022-4011 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 11/08/2015
SITE: Identification Numbers
James B.Heath Transaction ID No.2331896
W Hanger Road Site ID No. 797097
City of New Richmond, 54017 Please refer to both identification numbers,
St Croix County above,in all correspondence with the agency.
SW1/4,S24,T31N,R18W
FOR:
Description:Commercial Non-pressurized In-ground POWTS/.5%slope
Object Type:POWTS Component Manual Regulated Object ID No.: 1458610
Maintenance required; 63 GPD Flow rate; 126 in Soil minimum depth to limiting factor from original grade
System(s):In-ground POWTS Component-Ver.2.0,SBD-10705-P(N.01/01,R. 10/12);Effluent Filter
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed
and located in accordance with the enclosed approved plans and with any component manual(s)referenced above.
The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code CONDIT
requirements. APPR
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, DEPT OF S
stats. PROFESSION
The following conditions shall be met during construction or installation and prior to occupancy or use: DIVISION OF INS
Reminders:
• A sanitary permit must be obtained from the county where this project is located in accordance with the 1/4/ „#11
requirements of Sec. 145.135 and 145.19,Wis.Stats. v SE CORRE
• Inspection of the private sewage system installation is required.Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis.Stats.
• A state approved effluent filter is required.Maintenance information must be given to the owner of the tank
explaining that periodic cleaning of the filter is required.Access to the filter for cleaning must be provided
per SPS 384 product approval conditions.
• A 4"diameter vent pipe shall be connected to the end of EZflow pipe.The piping material shall be ASTM
D2665 or D1785.It shall terminate a minimum of 12"above grade and be located per SPS 382.31(16),Wis.
Adm. Code.
• A copy of the approved plans,specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department,which may include local inspectors.
MARY JO HUPPERT Page 2 11/8/2013
Owner Responsibilities:
• The current owner,and each subsequent owner,shall receive a copy of this letter including instructions relating
to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and
maintenance manual and/or owner's manual for the POWTS described in this approval.
• The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS
occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard,the property owner must follow the contingency plan as described in the approved plans.
• The owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s)
utilized in the POWTS.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review
shall relieve the designer of the responsibility for designing a safe building,structure,or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any
others who are responsible for the installation,operation or maintenance of the POWTS.
Sincerely, Fee Required$ 250.00
. This Amount Will Be Invoiced.
erard M Swim When You Receive That Invoice,
POWTS Plan Reviewer,Integrated Services Please Include a Copy With Your
(608)789-7892,Mon-Fri, 7:15 am-4:00 pm Payment Submittal.
jerry.swim @wisconsin.gov WiSMART code:7633
cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm
Note: Effective January 1, 2012,all codes under the jurisdiction of the Division of Industry Services(formerly
Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with
"SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to
the Department of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered
and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed
by SPS,Chapters 360-366.
MARY JO HUPPERT Page 2 11/8/2013
Owner Responsibilities:
• The current owner,and each subsequent owner,shall receive a copy of this letter including instructions relating
to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and
maintenance manual and/or owner's manual for the POWTS described in this approval.
• The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS
occurs in accordance with this chapter and the approved management plan under s.SPS 383.54(1).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard,the property owner must follow the contingency plan as described in the approved plans.
• The owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s)
utilized in the POWTS.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review
shall relieve the designer of the responsibility for designing a safe building,structure,or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any
others who are responsible for the installation,operation or maintenance of the POWTS.
Sincerely, Fee Required$ 250.00
This Amount Will Be Invoiced.
erard M Swim When You Receive That Invoice,
POWTS Plan Reviewer,Integrated Services Please Include a Copy With Your
(608)789-7892,Mon-Fri, 7:15 am-4:00 pm Payment Submittal.
jerry.swim @wisconsin.gov WiSMART code: 7633
cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm
Note: Effective January 1,2012, all codes under the jurisdiction of the Division of Industry Services(formerly
Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with
.. . - "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to
' k the Department of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered
and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed
by SPS°Chapters 360-366.
Pg I of wor
Private On-Site Wastewater Treatment System(POWTS)
Index and Title Sheet
II'
Owner: 1-74/Ak- 1-1 C MI OF tia tC"dMCikli At1ZiP T
Project Name and System Type: C, , L - ` ► e C.a'
Location: }lit F-.0 1 Al)
Street A, , s
a Ztf T VJ
Legal Description
h ein) RiCtiMo S C' RD A
T�
', County
Design Criteria(Check one):
Holding Tank Component Manual: In-Ground Soil Absorption Component Manual:
❑ SBD-10571-P(6/11/1999) ❑ SBD-10567-P(R. 6/1999)
❑ SBD-10855-P(3/2007)Version 2 "'SBD-10705-P(N.01/2001)Version 2
Contents: Page 1: Abex In'LIE &el E
Page 2: •-FLA'J V 1E uJ
Page 3: PLo`i P►-A NJ °NALCY
Page 4: Po tATt5 D W.N E s(S MAAS A 1. k KLAN/l6Ch1 Are.
r
if ,• �� ' 4L '4ND
Page 5: /$ ARV/CAS.
Page 6: SEPTIC TANK Sp 45 SERV/
t s
Page 7: :r_...
Eivz.
Page 8:
Page 9:
Attar .1�
te<°T14b, , + • .moo ...L
�w 1 JO /C. TAtO1K roPtIN-iunk.a
-- •• :: ikezk EEmF, Y
,
* K P IIT
p •:a , r � 1-4 WPPEt Signed ilia 1.
•
C „ 'ti a 'to -C� 7 Date: /0.-1I-►3
Nov 08 13 12: 13a Hollister 's Soil Testing 715-4-eb-1775 P- -y
A
•
•
14cl' V el,Yr 'ti Z_,.
•
. -
I .
Typical Dispersal Cell
. c.
• ti tl TO o 2.0 ft Geotextile Fabric Foyer•
3 ft Wide '0 ,�. - '•=Y-:41- �)".'.r' -`=4: •
��„ .��.....— End r ft =�.7.ie :i�:`: of 'f'
O. —— — - •-, ....-6. Connection ° —e--
,(1/��10_�_�B :•; : : ' ' •. Observation Pipe . . - . . : : :.• -. .
,
t • 417..As-rm D2.6-�5 0DR d tl85 9!1'.e-:- • .
� •
� � O^ W A9T� t " oat ')(145 e(re• .
‘;r4-5. Qze 13vAi>t- EZ1203H P 1a
!-7 r
ve•av• '•4.Z "'- : ��. •:{3, i;�.i: Ovv♦
•v 12"ii11./41 -Viii.r •
v•a•vv• =.....i•.. •�•,w. t • •a•
v•• ......e.; ,..•..'_.
1,`_— .?; *W.
. •
24" •v•♦•
a i I vvv •
" _L a ' ::4.625 ' _ ;I` . :
112 circ.= 18.84„
♦e•
vo• ', _ .,
3.5::::::::::,:i vvvvveev.eve ev••vve....�e•e.vevev vov♦•••v♦♦v•eve•♦vvov •♦vvee
24"• Bottom- 36" -
•• 12-1/2" DIA-(typ-) DI to n- ,�s,_
Soil Interface Area
2 18.84in_ 3.14
:........ •-- Sidcwall(2Side�alls) iY.•
.5`1STJ-,\ 5',Zc =0;-_
O3 s =J.A LOS? Ec ANA ONE FLOUR ORA41N �� 4. 3 Jpol•
J
b3ga.1 s 0, IA,AoANCo RRTE 90 f�.Z/try t.1, 1?SQ%'K Arg.I- -pgceoS't zoo_ -I,'z
(4/ k.N(1-6 X .SD-rt.z .-7L0 fs.z) . taCA/4g 3 x 410 - -
1N6ISt-R 32-0 Jo.4 LC_odg TA N.K v y Po Of LD,t_ &LS P/LTE)K-
( ) b,, I1-?-13�
./yaw •�o?.,' /'Nn
CRyy ort);w RIc�(4\o
Nov 08 13 12: 14a Hollister 's Soil Testing 715-426-1775 p. 4
Plot Plan Page 3 of(v
1
Property Owner G,Y w New 11C H.vt oiv.D I i
111APOKT I" =30t
Legal Description- .w' q, S Z!, 73r4, R1814, (except where noted)
C►7y oP. NEW RtC:t!Mt)N 0/ Sr. eizo,X Co vtArrY, M = Backhoe pit
y o A-cg
v,/ SC ONSw • North
ill
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TpQ f
3751 : oe- W�LI.
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V 13.3 a, m � i .52 z o Pssvnnti
-
V lit tat • 320 GAL.'rAN K
+I 4 44.1.3`
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Site Location:
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POWYS OWNLwS MANUAL la MANAGEMENT PLAN Pag., ° ofIL
Pita INFORMATION SUM SWIGIPMATIONS
p" L1 E5 B, -H�F"ftt Sep*Tank Comity 3z0 � slip
Sepik Test Menufeotueer V J jam..IBC' G NA
SON 4N PARAMETISM Effluent Filter Manutaotuesr POLY LO K OO NA
_N of Bedrooms o NA Effluent Aar Model 5 2 5 a NA
Number of Polo Feakity Units Q NA Pump Tank Capacity NA imi,Esdm d flow h Puny,Tank Manufacturer KNA�
Design flow(N AL (Estimated nn 1.81 6.a —W. Punm Manufacturer NA
Soil Application'mss gewaWft' Pump Model 1lrNA
Standard[Miiaow/EffluaK Quality Monthly average Pretreatment Unit )WNA
Fats.ON&Grease (FOG) AO mgr 0 Sand/Grave Filter 0 Peat Row
aooheenicsl Oxygen Demand (DOD,) s2a0 mglL la NA O Meehedcel Aeration 0 Wetland
Total Suspended Solids (TSS) 6150 men. 0 Disinfection 0 Other:
Preheated Effluent Quality Monthly average Cwa) O NA
Biochemical Oxygen Demand MOO) sac mg& (gravity) o)n-Ground(pr uric d)
TOW Suspended Solids MS) AO irigll. RNA 0 Aearede 0 Mound
Fool CoNtomi(ge0atrb mean) S1O'oful10Orre 0 Drip-one. O Other:
Maximise Effluent Particle Size in die. 0 NA law O NA
Other: 17 NA °tiwn O NA
`velum menet tar dements wseenveter and aspd*ter*effluent. others O NA
1111
Derv's.Event Senrtaa Frequency
Inspect rounders at tinkle) At best once every: 3 ' IMF S years) 0 NA
Pump out contents of tanks) When combined sludge and scum equals one-third UV of tank whims O NA
Inspect dispersal*sills) At beet ono*every: 4 mantilla) Nluidmum 3 yes* 0 NA
—2 ft%)
Clean effluent filter j At least ono*every: iri wjetal
O NA
Inspect Prop,pump controls&alarm At least onus every: 0 y j) 'NM
Flush laterals and procure test At best once every: 0 vWrN)(g) 'RNA
OtiNn 4 �: montZtfa1 JD NA
At least once yasKs)
Other:
,a1NA
MAWTENANO/INSTRUCTIONS
inspections of tanks and dispersal alb shall be made by an kndMdual glorying one of the follovA ng even.e or certification
Master Plumber; Master Plumber Restricted Sewer; POWTS inspector; POWTS Malntskner; Septaga Servicing Operator. Tank
Inspections must Include a visual inspection of the tanMd to Identify any missing or broken hardware,Identify any creaks or leaks,
measure tine volume of combined sludge and scum and to check for any back up or pending of affluent on the ground surface.
The dispersal cell( ) shell be viewer inspected to*Mok the effluent levels In the observation pipes and to cheek for any pondkng
of affluent on the ground surface. The pondbg of effluent on the around surface may indicate•failing condition and requires the
immediate notification of the local regulatory eldhly11Y.
When the combined accumulation of eludes and scum In any tank equate one-third op or more of the tank volume, the antke
contents of the tank shell be removed by a Smptgs Servicing Operator and dbposed of M accoranos with chapter NR 118,
Wisooskt Add 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 d12 months,shall be performed by a certified POWTS Maintainer.
A swim mood shaft tea provided to the boat regudbtory authority widdn 10 days of completion of any service avant.
START Ufa AND OPERATION .. _�
For now eonstruodon.prior to use of the POWTS Moak treatment UNIKiN for the praasnoo Of p pry M other chodealk
that may ids i he treatment process and/or damage the Owed card. if high aoneentrations ma detested have the contend
of the tents$ramvvad by.swage so ri.kg Gomm prior to use.
Sys/em at up shag not sour when eel eentildens an frozen at th•Wars*.stwfao..
. -'ie __� .__ hgheraor l+aveis. When poorer is restored the MOM*�will be
��er wirve i++i`► i`�i�'it� a may f�above armed
dIscher9ed to the dispersal gels in One large dose, overloading the tells) and may result in the backup or surfaeaa dirivarga of
effluent. To avoid this situation have the oont me of the pump tank removed by a Ssptage Servlabhg Operator prior to restoring
power to the Wheat pump or contact a Runnier or POWTS Maintainer to assist in manually Operating the pump controls to
minors rhvneai levels withbh the pump tank.
Do not drove or perk veldoles over tanks and disposal cola. Do not drive or perk over,or otherwise disturb or compact,the ems
wh a M lb lest down slaps of any mound or Mirada sag absorption area
Reduction or elimination of the following from the wastewater stream may knprovs the parlolman s and prolong the life of the
POWYS: antiblotica; baby wipes; *re!tte bug aondorm cotton awls;degreasers; dental floss;diapers; dlsknf . ..:;fat;
foundation drain (sump pump) water; fruit and vegetable pssingec gaaolihey Orssse: h..tk des meat acrapu mesitcattons;
painting peadold•te.enitery whine;tampons;and wet<r softener brine.
ARANDON111iElNiT
When the POWTS fele and/or is permanently token out of service the following stops shed is taken to Insure that the system I.
properly and safely abandoned in compiance with chapter Comm 83.33.Macomb AdmInbtratIve Code:
• Al piping to tanks and pits shall be dimannected and the abaideisd pips apanhig..sd.d.
• The contents of all tanks end pita anal be removed and properly deposed of by•Sapsags Servisig Operator.
• After pumping, of tanks and pits del be emevated and removed or their sores removed and the void space filed with
sag,gravel or weather mart sold mwrlaL
CONTINGENCY PLAN
If the POWTS tars and cachet be replied the Mooing muaaures have bean, or i n et be taken, to provide a code eompleht
replacement system:
A outtalk replacement Nee has been evaluated and may be utnIaad for the location of a replace moot said absorption
system. The replacement area Amid be protected from disturbance and compaction and should not be infringed upon by
required setbacks from existing and proposed structure, lot rase and walls. Failure to protect the rsplote meat area wit
result in the need for a new see and eke evaluation to establish a andtabie replacement area. Replacement systems must
campy with the mdse in effect at that tins.
❑ A auitable replacement ens in not ewelebls due to setback andkr Sol gmkadsne. Earring advances in POWTS
technology a holding tank may be Installed ass Let resort to replace the failed POINTS.
D The eta has not been .vdusted to Identity • suitable reptaernent eras. Upon flue of the POWTS • col and site
a evaluation must be performed to locals a suitable repieoemeet are. if no replacement area L aysibie a holding tank
may be Installed as•last resort to replace the felled POWTS.
D Mound and at grade soil absorption systems may be moonswcad in place foibwing removal of the blomet at the
infiltrative surface. R•consaucdons of such systems must comply with she rules In effect at that tone.
«W >9
SEPTIC.PUMP AND OTHER TREATNNINT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC,PUMP OR OMEi TREATMENT TANK UNDER ANY ClICUMWrANCES. DEATH MAY INSULT. RESCUE OF A
PERSON PROM TIM INTERIOR OF A TANK MAY RE DNMICULT OR IMPOSSRIUL
ADDITIONAL COMMITS
POWTS INSTALLER POWTS MAINTAINER
Name tA(AL KC e it LEK Name PA uu__ K 0 tHL€/
Phone �/5-Z�I C -zb(4 b Phone 7/5- 24/4,- Z 6,40
SEPTAGE SERVICING OPERATOR(PUMPER) LOCAL REGULATORY AUTHORITY
__Hama lr i °NI Name e koi X CCClARY zyJ j.'11G
Ph" 7/5-- 33-- 3 Z O ! Phone (TS ) 3 q6,g�