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HomeMy WebLinkAbout040-1132-60-200 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 592113 GENERAL INFORMATION 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 Township Parcel Tax No: Christopher & Rachel McDonough TOWN OF TROY 040-1132-60-200 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: vo ;-6, 35.28.19.552C-20 TANK INFORMATION ELEVATION DATA 17 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ~V, ~„J/ 3 (LILt Benchmark wi G.P. /Z s7o z raa~ Pftv q 70 ~vZ.~ 97 9V Zg U,S Dosing Alt. BM (ASK w Gy r~ s Aeration F(L C4?~ Bldg. Sewer OSDl0 y.%S /0[ 0/ Holding St/Ht Inlet J (Z) to-5, 8'V S. Sy 166,02 St/Ht Outlet TANK SETBACK INFORMATION /41,S'`/ Z' 'S7 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic >yo Z~ ) Dt Bottom Dosing Header/Man. IoZ.SY (o•~ Aeration Dist. Pipe Holding Bot. System /01 sy PUMP/SIPHON INFORMATION Final Grade io2.s71 • ' $.S~l Manufacturer Im~and St Cover ~Z• -J33 !63'V Model Number 21AJ6► 1 ELE~ /aZ 98 741 TDH Lift Fricti System Head H Ft q ~O a2 <9. - ~1~ ~/r S.r 0WT /05:6b, Forcemain. gth Dia. Dist. o SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3' %,1RCr~ SETBACK SYSTEM TO W P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: p jjJ(L INFORMATION Type Of System: CHAMBER OR rw '/G UNIT Model Number: t~ l J(D u.cc.tc DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake p' v Pipe(s) Length O Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center L I Bed/Trench Edges ®Z L~ Topsoil Yes [ No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: g DRY RUN RD 5/ 5kv*? ,G~W, i5l ift 1.) Alt BM Description / ~✓1ZG~'~~ ~s 2.) Bldg sewer length el f~~~f 0 k Suit 7/GSr all~ IZPf 1)1oe w/A WAV4A-4j -amount of cover =jay / r., 'dA j- ~S~ SOIL f Plan revision Required Yes ~ N~Q ~GJ Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. VFywxrar~,0, ~,o~ Counn Safety and 57 C-00IX D 201 W. Washinn+ Sanitary Permit Number (to be filled in by Co.) P$ QM 707-7162 ` q?i1\N` H SEP 14 2016 s9Z i13 State Transaction Number ri 'Applic UNITY DEVELOPMEN In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary u oses in accordance with the Privacy Law, s. 15.04(1)(m), Stats. 17(Z y aaold fZd A 17 I. A Iication Information - Please Print All Information Property Owner's Name Ditr L~G Parcel # s d P067e we o ou 04/V to a -Zod Property Owner's Mailing Address Property Location Apr LC ( Govt. Lot City, State Zip Code Phone Number ~n ~ Section (ffii(G i ~GUZZ Z577 T Zg N R (circle one) II. Type of Building (check all that apply) Lot # E 01 ❑ 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name :BBlock # 11 Public/Commercial - Describe Use 11 City of 12 State Owned - Describe Use CSM Number ❑ Village of X. Town of T~a =77 ck only one boa on line A. Complete line B if applicable) ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) ❑ Permit Revision IX Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Owner SO2 Q / ! " l(O IV. Type of POWTS System/Component/Device: Check all that apply) }}CNon-Pressurized (O 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. Dis ersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 6%2 6.7 Y.S 7 S 14b VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units = i U New Tanks Existing Tanks v U 7 - U vh cn c. ;:7 Septic or Holding Tank ~Z~~ W[~5C ' Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Si°naNre MP/MPRS Number Business Phone Numher Plumber's' Address (Street, City, State, Zip Code) G; t C U v w I ~S is 4V t ~/d i :,7; 5 VIII. Countv/De artme Use Only Approved 11 Disapproved Permit Fee Date Issued Issuing Agent Signature S - ❑ Owner Given Reason for Denial 957 c~ 9 ~l IX. Conditions of Approval/Reasons for Disapproval /12ctiST FO w Ate cocJD/T~v r/5 o f o~~z,wr~L. Sug~r177t~L f}tax(VOvz. ay PC_e,,""T-*ST2&01 Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 z 11 inches in size SBD-6398 (R 11/11) f fACDOMOUGff 2- ~F c t ~ t - qo. PRO VJAIIL a - - - N qO, He 7vP Q P" ON PAGE 3 OF1 L -.1ZU) E U~Z N n- 5 q~ Y ms N m _ C Y w , tll Z C C 2 CL F c i r)Z. t 5 4) CD w m II v V a^;~ L Q 1 ~r Tj to 0 c ' 'I1 y v c „a 3 ~.Q ° C «L° w tL 2 (p v n c I~ gc E ntt c d CD .0 = O A ~I Cn ° \V _ C SI N 00 N w p) U ~ n~ U w ~ Q I~ E J m I~ it d $ 11 II a -LD I E ti 0 I- a I ^'I C C Ch a I q ~`j ii S F- .2 0) co a L i c c I I acri O J CCf C T "Q CL I I m Q co C ce = o I I c wCO 0 I I ' ~ U C/) Y C: i Cy :N c f p JI II 11 11 11 x a a 3 T I m E c Q 3 a o C U y - I I _0 w C7 N .C _--I I I a Q C-) Xmas c I I = w m cn Z (D ~ s m U ~ w m n -p E~ o a ( Z N CL ~N O c IC I w W° U Q 4 W 0 c55,0-2 M p I F- C O 0 a. _ C a M a 11 C7 • U> Ywv I~ AI w o Cl) W W O 11 v *y I~ aI d v y z 0 U O cn 75 ICI d -j b C/) 0 I' 'I 0 Q w O m ~ al Z U~ Z w ' ' - N _ o E I N + U County `c Safety and Build 'y V, Q° ~c° 57 H e~~~Y- ` , ®s 201 W. Washington A10r~1~ anitary Permit Number (to be filled in by Co.) P~ rill Madison, WI 53707-7162 JAN 07 2016 5~ 2dlo` State Transaction Number Sanitary Permit Application ST cROUCCc~/OU n accordance with SPS 383.2](2), Wis. Adm. Code, submission of this form to 4QM"6% eAhretRnWft ENT is equired prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) Department of Safety and Professional Servies. Personal information you provide may be used for secondary ses in accordance with the Privacy Law, s. 15.04 1 m , Stats. IC Y -RSA 1R6ft D 1. Application Information - ase Print All Information Property Owner's Name .t. (%,G Parcel # (7,qR15TcPtfER A_ AlcDoAjorkatt 0 yc~_11.3z-(v0 -Z0~ Property Owner's Mailing Address Property Location 11170 VJ- MAPLE- S7 Govt. Lot City, State Zip Code Phone Number 1/4, 6W Section 5 I ~J tS ~ (L 'OZ Z J/ ECG /d ~'7 circle one)- T. `I N; R J4 Eo W 11. Type of Building (check all that apply) Lot # $1 or 2 Family Dwelling - Number of Bedrooms - Subdivision Name Block # ❑ Public/Commercial - Describe Use ❑ City of e CSM Number ❑ Village of ❑ State Owned -Describe Use Z br- I 2Z.)-Z?_ Ap-Alel-no J Town of TKu~ III. Type of Permit: (Check only on box on line A. Complete line B if applicable) A. A New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner "tJ IV. Type of POWTS S stem/Com neut/Device: Check all that apply) 1 )dNon-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil C {/~L 6 El Holding Tank Other Dispersal Component (explain) El Pretreatment Device (explain) V. Dis rsaVrrea ent Area Information: C Design Flow (gpd) Design Soil Applljication Rate(g f) Dispersal Area Required (sf) Dispersal Area Proposed (sf) Syste vation 1A,5 I IL/ _op V1. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units New Tanks Existing Tanks e E o A d a a~ ~ w~ a Septi r Holding Tank Dosing Chamber lC VII. Responsibility Statement- 1, the undersigned, m respo "lity in stoation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu is S n e MP PRS Number Business Phone Number L)AIJ(D Tk1EN aKT_ 3~L+S' 7IS-~g5~93xj Plumber's Address (Street, City, State, Zip Code) I. 3 26,"' 5f ~f}LDV1i111ii 11x1 j~f 062- VIII. C un /De paiintent Use Only pproved ❑ sttpprBC~~ Permit Fee D7ri ssued ' Issuing nt Signature wne ' ~eason for Denial IX. Condi --sons for Disapproval 1. Septic tank, effluent filter and 3 disperr:~i cell must all be services I maintainer ` as per management plan provided by plumber. +U, 2. AN setback requirements must be mainti:.ined O 1 as per applicable code/ .rdinances. J Attach to complete plain for the system and submit to the County only on paper notr jthae 8 tl1~ 11 ®ches in size SBD-6398 (R. I I/11) V r - t ftNi' ---a die J P RaRiseD Jam- a IPatx -{1-SSI~M~D E~'~~ ~ r~11 f{{111~3• 1OP ©F7 i CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: CR12,1 jt> 0F-K -A AAC fL)0kDlu_4-~° Owner's Name: Owner's Address: J (e70 I-,,), An -AP UZ j sZ~-&7 RWGR FAU-5 WTI 5402Z- Legal Description: _ k PPP u,CATEJ I k q E SE /L CF T tip 1 Z'm p, I `1 w Township: 'i P-TJY County: S, CP D% X Subdivision Name: - Lot Number. - Parcel ID Number. 040-- 11 32- - toc- 2-&V ~i+~~''$►f~fllijjff~f~~' Page 1 Index and title 4 A, Page 2 Plot Plan ' Page 3 System Sizing & Cross-Section % Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan r" « ® Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans F Tfl1K. Designe Plumber: / I Te Wtk.?p t KT License Number. -00 7 Date: Phone Number ►s-tj (o--1 77j Signature A Itt'e"'a Designed pursuant to the In-Ground Soil Absorption Component Manual for POwrS Version 2.0 SBD-10705-P (N.01/01). Page 1 /A e-bOAMIAC-i+ o 116 t3 K 00 o WtEnzw- V t p yp ~roP D - 33' ,3x88'. AssL~ MIX) f~~, • W • op j /4cbYqOU(V4, t*Ki5 PAGE 3 OF4 wpm 0 m z z~ O ca C a ; ~\c a}~Z 3 c ® M co 1- o m 0 O E 2 vi cc CL i E u ~ m m n v U t r to w m c g o < 3F a 1? E a - W m~H P0 00 3-9 z z b r c .L+ E m n c4 c ID CL m a a` W CL I z+ I a 1- CL I o \ t C' ° I5 I V` 3 o I m w m I I a U J C: cr A~ L & II _1 Co a .4w O t° ( I c a Cl) L (D 1 _ d' U c I ~ O N a r u n = x O \ 11 ~ U I J co N I I CO) a Q V U irmn~ m` I I = y,~ W 7;; cx 4- w N E9~ ~ I I z N a ~U= I I O O F- L cI IX 0 SW nc'a I & m (a w Lu co /1 L Z o tL' O c v 3 w I.° ` '~I a U F- E= Q I co W p Q W p m I ) CO U' U Z W I N z N CL m L,_F N _ `a E N ~O U + co P rerg, ® Filters PL-525 EFFLUENT RLTEE# Polylok, Inc is pleased to add its new commercial filter to its existing line of quality effluent filters.The PL-525 is rated for over 10,000 GPD Accepts PVC (gallons per day) making it one of -ty the largest commercial filters in its a ioe ha1K& class. It has 525 linear feet of 1/16' filtration slots. Like the Polylok PL-122, the new Polylok PL-525 has an automatic shut off ball installed WS Knew feet with every filter. When the filter is of Ins' removed for cleaning, the ball will filtration slots Rated for over float up and temporarily shut off I9AW GPD the system so the effluent won't leave the tank. No other !'fir der on ` the market can make that cbnnt Accepts r & it SGm_ 4e Pipe~~., - , PL-525 Maintenance: The PL-525 Effluent Filter should operate efficiently for several years under normal conditions before requiring cleaning. It is recom- mended that the filter be cleaned every time the tank is pumped or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be Gas deflector done by a certified septic tank Anto~nabc pumper or installer. bag when fftshw-off er 1. Locate the outlet of the us. ftte. No# 6A15AM isnunoved septic tank ssn,s~w 2. Remove tank cover and pump tank if necessary. PL-525 Installation: 1. Locate the outlet of the 3. Do not use plumbing when septic tank filter is removed. Ideal for residential and com- 2. Remove the tank cover and 4. Pull PL-525 out of the housing. mercial waste flows up to pump tank if necessary. 5. Hose off filter over the septic 10,000 Gallons Per Day (GPD). 3. Glue the filter housing to the tank Make sure all solids fall 4' or 6' outlet pipe- If the back into septic tank. filter is not centered under the 6. Insert the filter Cartridge back access opening use -a Polylok Extend & Lok or piece of pipe into the housing making sure to center filter- the filter is -properly -aligned .and 4. Insert the PL-525 filter into completely inserted. its housing. 7. Replace septic tank cover. 5. Replace the septic tank cover. Technical Specifications PL-525 EFFLUENT FILTER - c~ae+ua®c - E1~69O~ t43F araas~sE~s ~ 4~I~lP~lO + s iQ11 S~ ss 3iQ Nat PL-MfiI2HCUM PNffNd_-30142{~?5 YA79lIAL- HOt15f11C-Pq.1fPROPYtBE a1RETf>>19ii1(a-P4C fi501l1-HOPE MFEEMi01QUM asrsrso~~ f A FatHgafEJf61901 wt ~ sx mffursas Lm sO~E~'a eeF" BIILR19iF~ OPBM6 0 us Now MA 14R ?LM Pp1'LOICPl~Fi7B{CARTPD6E - PAfffNR-MIN- 25 YA1HilN.-POLyPRf1PYLEtE Technical Specifications -PL-v25 EFFLUENT FILTER cfaeiua~oc - - o~sesos ~ R7tNETFYBIA rur - MMErasnsEXWrs ssotetesose ter szi xta PL~i75A.~tHCUSlIH ~ PAATNQ.-3Dt~6a YAIEtiUIL- HUUSM(i-PM PRMXM Culuffamm-KC U ML -NUPE 900ErE7~HAIQS7tdi tnn o~arsw~ ~ tattNREEl~100M - HM ~ sx 5~ff7AeS106S SOdFTflEEF6 601 MLRMAM OFBM6 0 Z® - Gum 2" I UR aM POLMMPLSMUERCMMME PARTNa- 3M4-W5 MA1ERVL=PO YPRWMBE Feb-26-2013 01:22 PM St. Croix County Plan/Zoning 715-386-4686 POWTS OWNEWS MANUAL & MANAGEMENT PUkN ~a of PILE WFOWATM SYSTEM SPEWICATMINA ~i Owner a • r/f'rC) jIf f6-° A Al (bn t&-- Septic Tank Capacity l6,~joal 17 NA Perrot S Septic Tank Manufacturer! C3 NA DEM PARAMETM [Effluent Fdter Manufauhaw 'pL LO% D NA Number of Bedrooms q O NA Effluent Filter Model 0 NA Number of Pubes Facility Unite 6tNA Pump Tank Capacity NA && noted flow (average) 11616 aUd Pump Tank Manufacturer )a NA Design flow (peal, (Estimated x 1.51 ,0 al/d Pump Manufacturer NA Sall Application Nate O. Pump Model ;d NA goNgW Standard Influe:tfEffluent Qusiky Monthly average' Roneattnertit Unit q NA Fate, 00 A Grease (FOG) al) mg/L 0 6e1d/Gravel Filter V Peat Filter ekfahemical Oxygen Demand (l30Da) s220 mg& C] NA 0 Mechanical Aeration CI Wetland Total Suspended Solids (TES) 6150 mg/L O Dlabdoctlon V Other: Pretreated Effluent Qualky Mordw average D-,spersel cents) 0 NA Biochemloa) Oxygen Demand (BODE) S30 mg/l. In-Ground (gravity) ❑ h:-Ground Iprassurin d) /14 Total Suspended Salida (TSM S.9O m9R. 91 NA O At-Grads 0 Mound Fecal Conform Igeometrio mean) 5104 cfu/100m) 0 Drip-Lime 13 Other. Maxlmu n Effluent Particle Size In die. 0 NA Other /V NA Odor: 0 NA OtInn 11 NA •vakno typical for domestic wastewwr and eapdo tank effluent. caber. &NA N AINTENIANCE SCHEDULE Service Event Service Fro"Way Inspect condition of tank(s) At least once every: month(s) IMa dnwm $ years) 0 NA Pump out contents of tank(s) When combined sludge and scum equals one4hird ()S) of tank volume 0 NA Inspect dispersal Dell(s) At We once every: ~ ❑ months (Mlgihnunt S years) 0 NA Clean effluent filter At least once every: C( mantiots) 0 NA s) m (s) .0 NA Inspect Pump, Pump controls; & alarm At (east once every: 0 0 year(s) Flush laterals and preswnp test At least once every: 13 s(s) pa )51 NA Gti~r: At !asst once every: 13 L3 ye") month(s) )10 NA Other. NA MAIRITIIANCE IN8TRUC WNW Inspections of tanks and dispersal cells shell be made by an Individual carrying one of the folkwAig Scenes or certiikatlane: Nester Plumber; Neater Plumber Restricted sewer, POWTS Inspector; POWTS Mamtalner; Septapt Servicing Operator. Tank Inspections must Include a visual Inspection of the tank(s) to Identify any missing or broken hardware, identtfy any cracks or Inks, Man" the volume of combined sludge and scum and to check for any back up or pondkg of effluent on the ground surface. The dispersal collie) shall be visually inspected to check the effluent levels In the observation pipes a-d to check for any pon ding of effluent on the ground surface. The ponding of effluent an the ground surface may indicate a fairing condition and requires the Immediate notification of the logo! regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-d*d I%) or more of the tank volume, the entire contents of the tank shag be removed by a Ssptage Servicing Operator end disposed of in accord ma with chapter NR 118, Wisconsin Administrative Code. All other services, Including but not lbrilted to the servicing of effluent fikers, meohenical or preeatu)i eJ components, pretrwi:ment units. and any servioing at intervals of .<12 months, shall be performed by a certified POWTS Maintalnix. A service report shall be provided to the local reguStory authority within 10 days of oompletion of any service event. Feb-26-2013 01:22 PM St. Croix County Plan/Zoning 715-386.4686 Pave at START UP AND OPERATION For now construction, prior to use of the POWT5 *hook treatment tank(s) for the presence of p*dWg products or other chemicals that may knpede the treatment process m W or damage the dispersal cell(s). If high eonoentrations are defeated have the conmits of the tank(s) removed by s aeptage sarvioing operator prior to use. System start up shall not occur when soil conditions we frozen at the Inflhradve surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be dlecharged to the dispersal cell(e) in one large dose, overloading the cep(s) and may result ki the backup or Witee discharge of effluent. To ovoid this sltustion have the oonterrts of the pump tank removed by a Septage SerA3Ing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Malntainer to mist in manually c peratklg 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 otherwl:ue disturb or compact, the area within 16 feet down slope of any mound or at-grade Boll absorption area. Reduction or elimination of the following from the wastewater stream may improve the performeice and prolong the We of the POWTS: antlbiof=; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental fhws; diapers; disinfectants; fat, foundation drain (sump pump) water; fruit and vegetable peelings; gasoline: green., herblaides; meat ecraps.- medlentions., oll; Painting products; pesticides; sanktsny napkins tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or Is permanently taken out of service the following stops shall fns talum to Insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33. Wisconsin Adm)nitradw IWO: e All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and ptte shall be removed and property disposed of by a Septage :lervicing Operator. a After pumping, all tanks and puts shag be excavated and removed or their oovers removed and the void epaoe filled with sop, gravel or another inert sold material. CONTiNGWY PLAN If the POWTS fags and cannot be repaired the following measures have been, or must be taken, to provide a code eomplent replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement sob absorption system. The replacement area should be protected from disturbance and compaction and a:tould not be infringed upon by required setbacks from wdsfing and proposed structure, lot lines and wells. Failure to protect the replacement was will result In the need for a new soil and alts evaluation to establish a suitable replacement ami. Replacement systems must comply with the rules in effect at that time. E3 A suitable replacement area is not avail" due to setback and/or sop limitations. Barring advances in POWTS technology a holding tank may be Mstslled as a lit resort to replace the Wed POWTS. 13 The site has not been evaluated to idwvft a suitable replacement area. Upon fm7ure cf the POWTS a soil and alts ,evaluation must be performed to locom a suitable replacement area. If no replacement area In available a holding tank may be Installed as a Isst resort to replace the failed POWTS. 17 Mound and "rude soil ebsorption Watems may be reconstructed In place following ramovei of the bkmmt at the infiltrative surface. Reconstructions of such systems must comply with the rules In e'Efact x: that time. < <WARNiNO> > SEPTIC, PUMP ANDY, OTHER TWATMEW TANNU MAY CONTAIN LETHAL GASSES AND/OR INSU_CIO i OXYGEN. DO NOT r pfrnMr l1llA 7"C 91mra~!An ne A 1r^%4V so's iae Ih~a!Wo" o T .•~e ~ne.aa w... e POWTS INSTALLER POWTS N)AI NTAINER Name DAV 11) 'TRIE EI` T None ~hV 1D T:IEyi~ Phone 7 i S, L, 0- q_3-7q Firers -716- to ~y - 45 W SEPTME BERVION43 OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITif _ --L?.a" Name l;..5 SeeTie- ~+P.v i r Name -f-5t. 6-.,0U;)7y _7 Phone Phone 7