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HomeMy WebLinkAbout020-1456-20-000 ;r;nocua rentc'Cr-^-er-p PRIVATE SEWAGE SYSTEM Lo ntY SL Croix Saie)y ir7 u.,i l an9 D vi it INSPECTION REPORT Sanrarq -e ° t w 605036 GENERAL INFORMATION (A FTACH 10 PE_RI:AIT) S:atr Pta, ID No. Personal in`crM.' ;n ynr. pnJa de .,J, lx usc7 for seeJndary (.rrron,,r IP•i,.cry I J0 e's r4 ;I ni11 Permit Healer's Name C r/ V Rage Tnwns-ip Parcel Tav Nq Robert & Sandra Long TOWN OF HUDSON 020-1456-20-000 CST WA FIE, I -sp, 510E,,. BM DPV_'ip:ron tw lion+l Owr-Rall", map No 11.29.19.2936 TANK INFORMATION ELEVATION DATA TYPF IVV%NUrACTURLR / CAPACITY STATION BS HI FS FLEV Septic i-'- Benchmark Q F sirg Alt. BM RXt ACf _ Bldg Sewer Holding Z~ S!Mt Inlet 3 ►oa. TANK SETBACK INFORMATION tilIt O.dlel 31D.2. JAI TANK TO RI VJFLL BLDG. Vent to Air n:a.e ROAD D1Juha _ _ Sep*.Ic Dcs,ra II'' Headevlvtan 9/. 4 Acralian Dist. Pipe I Icld.nq Bot. System ID 7O. rv O.. I PUMPISIPHONINFORMATION FinalGradfe, ~+SIrAi r3~b q3 t De IfAanufa tarer errand St Cover G 1 Mode Num r y 1 / TDH lilt h Oss Sys:em Head TCH FI Forcernau en.^,th Dla__ lust :c;vll _ SOIL ABSORPTION SYSTEM BED/TRENCII V 11l 31 I c'i.OI N~ Cf Trend- ^ PIT DIMErONS No. Of PPS Ins.e- lira Lm: um_~ Der:h DIMENSIONS/ , I - SETBACK SYS1FIA TO PiL BLDG VvCLL .tSTREAM LEACHING hAan-.V-w-r INFORMATION Tjpe Of S~slem CHAMBER OR ~l aI UNIT Bracer Nu-'ne~ DISTRIBUTION SYSTEM o Header+t.~a n',. ~t Jas:r pu:inn r Hale Size Po e Sp3airg I V0 Air Ilea Re plisi r Lcnyll~Dia` _en51h Ga S;I.aoim; Y 71 ~J SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only I: 0,.-, ]C(1'il'~'i ~f - Df.Illh r.f FX .ciEEdEn S,daed %Xl.loleree BedrTreroh Censer / 3e<,Trencr I uses I2.1, P.l~ - - yes No Yes No Y I COMMENTS: dricl Ide coce discrepencCS, persons present, etc j Inspechon #1 Ill or) #2'. Location: 1045 1 AHARGE RD / 1 I All BM Description 2) Bldg sewer length = d~ - arnounl of cover = OM Plan revision wired? Yes No Use other side f o, additional informatior ~ ✓ ~ Z`, Wile Insepcbr'SS'gaal '..en. No SBDE/t u rR 3 r5'1 . V - - - - ►tie~8-13 County - =r°ua Industry Services Division 1400 E Washington Ave P.O. Box 7162 Summary Permit Number (to be filled in by Co.) ~~PS Madison, WI 53707-7162 /_65 J SION 63 Sanitary Permit Application State Tmmsacton hmnber in accordance with SPS 383 21(2), Arm Adm. Code, submission of this form ro the appi unit is requited prior to obtaining a sanitary permit. Notc: Application forms for stmeowhhed POURS are submitted to Address (if ditTermt than mailing address) th pill e Department of safety and Professional Services. Personal information you provide may be used for scoondary in accordance with the Privacy Law, s. 1.5.04(1)(m). Stats. Pmjcm L Application Information- Please Print All lnfor ation_ Property Owner's Nonc Faucet d property Owner's Mailing Address Property location Z9, /9~ Z93 GovL Lot city, S Zip Code Phone Numbs z t y., Section / - - _ (wcleonci IL Type of Building (cheek all that apply) Lot d ~Ior 2Family Dwelling - Number ofBW{aomv J - Subdivision Name "U✓ ❑ PublicrCommerciat - lkscnbc Use _ Hlod p 211-1 ❑ ❑ State Owned - Describe Use City oil - p Cty of r Ji~\ / ~ ~ p CSM Number Village of Z U ej } ( f ~1iz ❑ Town Of III. T of Permit- (Check onl on ox on line A. Complete line B if applicable) _ _ ZerAQ~ _ A. ❑ New System ❑ Replmxmeni System ❑ Treatment/Holding Tank Replacemmt Only ❑ Other Modscation to Existing System (explain) B. ❑ Permit Rene Permit Revision Change of ❑ Permit Transfer to New List Previous Permit Number and Dale Issued Before Fxpiration umber Owner ~M1[1 I ~.~`t~~ IV. Type ofPOWTS SystenJComponent/Device:_(Chcck all that apply) !-G__ Non_PresnmzaD In{imund ❑ Pressurized in-Grand ❑ At-Grade ❑ Mound >24 in. of suitable soil ❑ Mound <24 a ,of suitable soil Rtiolifinglank Other Dispersal Component (explain) ❑ lretrcatmmt Device (explain) V_ DisperaaYfreatmeot ea Information: Design Flow (gpd) Design Soil Application Uhl hl l Area Requited (sf)~ Dispersal Area Roposed (sp' System U"aton i Vl. Tank Info Capacity p) Gallon _ Total R Of a L' i~ 0 0 3 2 a New'I'anks I:xiShing TaoLs Gallons Units ~ ,y,`(tJ ii U t.1. Septic cur Holding Tank LEI ❑ Dosing Chmnber _ ❑ ❑ ❑ ❑ VII. Responsibility Statement I the undersigned, assume responsibility for instal arbour of the POwlS shown on the attached plans. Plumber s ame ( t) 's Stgtunure / l / j MP/MPILS Number Busioss Phone Number Plumber's Address (Street. City, State, YIP code) VIII. County/Department Use Only JkApproved nsappm Permit Fee Date Issuft! d Issu' Signet ,01~ Given Reason for Denial S 9D• p 3 /o IX. Conti o - Disapproval 3) f twN l SG 0. (aGL 6huel , cell nut all be s^_'C 5 h mh._; E& r r s. , ss per ,aar.3Gzl~rr DI n r.r iu rlu. noes. 1 ~a - O~' •~-a r1 1r. 2. AS mf.bwk re ijJ i ens m ra ue rk iris : Il J~ f s~('f1 an per vxi)cnbl~ux!i:rdnamt:t! r v+~2ti7r Ansel, a complete pin. for the syMem zed submit is the Costly sub an paper sot less than a in I t inches in she Sill)-6398 (803/14) LABARGE ROAD IT \ z4a a6 i `r.0 .9. = 927.01 T.O.B. = 917.72 I' 1 W \ \ N O PROPOSED DRIVEWAY T.O.H. = 934.40 , ' I 10, - 110, ~ . 930 Ry iq ~ ~ a I\2--- ! / ~ I N I ~ - _ T.O.H.=924.06 i' I n = 910.36 I ~ N 292-66' t ~ i ~ :0 R, ..`~L,,.h~ _ --~~oF:f -~(~ntc .f//_~-.S:J _.:,'c~ I/ /•~~~7/✓-1S''~9:✓ LABARGE ROAD 1 .96' / T.O.B. = 927.01 T.O.B. = 917.72f PROPOSED DRIVEWAY _ I I I T.O.H. - 930.90 lad------------- - ~ / ' ---J - d 1 I .rnkr//li'ht3~- ~go~~/~/,i Ilo• y*, 1r 1 \I l © 3 \ . y / I 1 ~ 930- a! - - / ~ - T.O.H. --sue OB / I m / I - 16 / , - = = T.O.B. = 910.36 N 292.86• ( CST-. ,j Wis Dept of Safer andProfess.priul4rocd~'1~ SOIL EVAt, A Y~fV SPORT Page of Division of Safety and 6uildirgs ;'J - n Ae(x91tla-Tee v.)lth S°S : h', Ad•n C(x:a -County Attach complete site plan on paper noUoa91tL1n fl 112 x 11 inches in uze. Plan mist - include, but not hmie. to. ver~r :st-iind -ronz mlal reference point (61,1) d-rechon arid Parcel I D. percent slope, scale or dimensions. north arov: and location and distance to nearest read. Please print all information. Rem% d by Dire Q V. A lnionnn9on yn yrov.L . -11-j A ror socomyary pumo->es (Pr vac•; La'l: S. ' ~A4 f l ) (m 'n. v ~ ~ V Property Ov:ner Properly Lccatvwn c i1 Cotia. Lot - 1?4r~y71*4 S T_"C N R C Etoo b'", Property Droner s taarhrg Addvss Lot # 6loI Subd. Name opts`,litif City State Zip Cale Phone Number ❑ city Village jo.To`mn Nearest Road - i i - eLa±i~LL -LIZ J~ Ne:v Cor0ruction User Residential : Numberref bedrooms Code derived design flow rate _ L 6<1Y GPD ❑ Replacement ❑ Puhlic or rzlmmerral - I lescnbe. _ Parent material Flood Plain elevation if applicable /i a tt. Goreral comments 11'J - q and reunnmendahons: /4'O~>CSd>f>--:•, /L~~:i - / Boring ti F1 Rc ng - {Xl Pd Gu:a.nd sr.rfacn elev. IL Depth IU limding factor it Soil Application Rale Horizon Depth DCRLCarn Cola kednx I?escnptior Texture Structure :rmsisterce rr.ndary Riots GPD41 It'. Munsell Ou. $z. Co-1. Color Gr- Sz. Sh. YffCt ' Yfll7 p m y, III Boing # Boring ® Pi: Ground surface elev. y it. Depth to limiting factor - in. Soil Aoilicrniton Rate, P.orizm Depth Dominant Color Redox Description Texture Sfu,c3ue -onsistence ouncary Roots GPDtf; iW Munsell Cc. Si. Con'. Color Gr. Sz. Sh. ' flI 02 I~ 0 E on' #1 = 30D > 30 < 22(::rgll and T SS < 1W mgtl- e • E`fluent #2 = ROD 30 mgrL and TSS < 30 mq'L CSI NOT lease n'4! I- /-i Skfna:rrtcr J C61 Njrnt.~-: Addres - / Date I['valL181101`1 Cofldlzted Telephone Number SIiU-fia(I1R11 11 I Property Oviw . / Parcel ID Page COI ' ❑ Boring El 0 Boring it Pit Gruur•d swfa :e elev. it Depli, to limiting factor Sail A ^licnticq Ra7c I 1:m/on Depth Dominant Color Redox Jescrif6on Texture Structure ,onsislence Boundary Roots GPD•Yt - _ in. P.furlSell Oo Si Cant Color Gr. Sz. Sh. ff9i / (!q7 l ❑ Rrrr41 ❑ Be 9C LJ pit G«xnd sirlaoe clew h. I)ep(h to limit ng factor in. _ Sal Application Rate Horvcn Deplf, Dontiran: Color Redox Ilescaicllwl Tex:aie Struc:wc .oosislem'p. Boundary Roots GM", in. P:Lmscll Ow S/. Cnnl. Color Gr. Sz. Sh. flY1 ' -rf;r2 Bo nc Boring fi E] Pit ; Iro,md Buda: 4, d. eve it. Depth to Iim lime; !actor i^ - - _ Soi: i~o•lication Rate Hnrinai Ocp:ii Ocminaw Color Redox:)esaipl en Textur,! S:rueture :on:;iatorwc ounda'y Roots GlWt ' ~r tAuisral Ou. Sz. Cont. Color (1• Si. She ff*t ff*2 I~ I Efflr.ont #1 = BOD 30'-2211 rngtl and TSS>X < 1,50 mgrL ' Effluent *2 - BCD <30 rug!L a•:c ISS K 'rp+I The Dcpt. o' Salcty :era ho:cssional Sel icce is an cycal opportunity WrN lcc P-Ovider and employer. If 1ou need acmiatance fn a, Cr.s S1.1% Iles m need material in an alternate Iin*mal. conlac:t Pip depmImml al 11()A-266 315 1 or TTY thnma^h Relay. Bonng ("round su au:e elec ft "te,;fr In I rnihny fi ;or ir. Soil .4P IP,.-tuun Ralc Horizor Decti- Dom.ram Color Reoox Description Texture Structure onstencc- oundary Roots GPDif•, _ Irl / Nlx'N=ll Ch.. t`>r Gent Color 'ir Sz S i fft1 ff{'? A. A Y_ I II FioSr. # ❑ Boma ❑ ,it Ground surface Me". It Dertn tc I,mitinn fa-o, .r. S tl 1 rpli AJ,v fete 14-,rpn~ ('ra=.tr r, ~r9. _nr ._,nlnr .j c4? or Tanur> stP 1.. r9 r. _ 1=+ Ji-1: q•;o!c. Dr v- rn. Mx sell Sr. On tl. C" mw Gr..ir. a'r. EY1 _ ff9 j j i 1 9onng Boring K ❑ _ Ground su^a:.e C19%. 0 Depin to limiting faotor _ ir.. _ f>oit .4pp6::rhon Rate Honror Depth Dnrninan: Gala Rednr best-lpLnri Texture Structure :n-rsrslence twnde°d Boats GPDrY! in. b!urscll OL. Sx. rotor Gr. Sz S2. I ~ I i I ' Effluon:~1 - 30_i 3'' 220 ra'_ ano TSS >3G _ 150 mgrL ' E6l~e 30'r. 0 7 '1 L 3r_ The llcpt. ul'Salc:v anc Proicssionai Service: is all equal opnoi-inuc SCrvICe provider acc rmplever. If you nccd assistance to access services or need material in an allr.-natc furtuat, ::cnluic: the deparment at 600-266.3 u 1 or TTY through RclaN. sxr.;,:~rre u: u i ) 7 LABARGE ROAD 1 \T.O.B.=927.01 T.O.B.=917.72 N \ N PROPOSED DRIVEWAY - - T.O.H. = 934.40 / I - - - 10A r~il `.(r ~.~r i I ~p 1 / I \ I aoe ~p'C- o 1 ~ ~3 ~ f `l ` ~ I I I I bye ~ / / i I \ 1 B-3 0 / I 11 \ . L / I I \ 930 II \ I~ I °n l ~ / n I / J i T.O.B. = 910.36 292.86' / :'Jq'ri0n%i~ ❑e{'.➢Cme'1I yr '~pnlrt!L!dC PRIVATE SEWAGE SYSTEM County St. Croix Salaty anc Gu Id Id Di, ; nn INSPECTION REPORT Sa,ilary Penne No 605036 GENERAL INFORMATION (ATTACI I TO PERMIT) State Pan ID NC Persc as nfc-maticr you sanvn^e ma' r .,Snd 6m s mdary p_ryr ~ Pr v2Ly Lew, s' 15 0<.;t)!, Permit hr, de's Nn.me Cyr; V lade Township 1.... .1 Tax No Robert & Sandra Long TOWN OF HUDSON 020-1456-20-000 ::51 UM LICv In, p. 51.9 E cv. 61v1 Ews, r pt, Sei hoMTawm RangeBAap No. 11.29.19.2936 TANK INFORMATION ELEVATION DATA TYPE NiANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt BM Aeration Bldg. Sewer Holding SUHI Inlet St,Ht Outlet TANK SETBACK INFORMATION TANK TO P!L Of~ I I BI UG eel m An rr,Le ROAD Dt Inlet Septic Dt Bottom Dosing Heade•+Man. Aeration Dist. Pipe Hold.ng So'. System Final Grade PUMP/SIPHON INFORMATION Manufactwct Demand St Cove, GPM Model Number TDH LI't Vi ctlo'i I oss System I lea:: TDII Ft Forcemain Length Din. n"vroel SOIL ABSORPTION SYSTEM BED:TRENCH Vi At', ! crgth No Of Tv%hes PIT DIMENSIONS Nn Ct =rts h:y J:- 11 : Liq_id Depth DIMENSIONS SETBACK SYSTEM 10 P:I. HLUG l^Jh LL LAKE!STRE LEACUING PAan1Wctu:11 INFORMATION CHAMBER OR Tppe Of System. UNIT Model Numae DISTRIBUTION SYSTEM I Uwo'r!69a^nl0d 7i3v'vulicn xHOle.Size wli- eScac:rq 'k'A to All Intake Lenglr Dia meth Cia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Dear' C'et LL,p'h Dver rx Ilep•0 nt xx Seeded!`oc JcsC xx Mill >'Uc Bed. Trench Ccnlc' Scd"c"u', EJgcs Icp>:°. Ye; N. Yr< n N COMMENTS: Ilnclude code discrecercies. persors present. etc.i Inspect An 41 Inspection #2: Location: 1045 LABARGE RD 1.1 Alt BN9 Description = 2.i Bldg sewer length = - amount of cover = Plan revision Required? Yes I No Use other side for additional inforeatior. - -I Dare Inseortor's Signature Ccn. No. SE1DF. T10 iR 3!9ij _ _4 a ik- /3 - caant. • r ~ "71 11 V Lt~- VJ Indus" Services Division 1400 E Washington Ave j' i g S Sanitan. Permit Number (to be filled in by Co.) PO Box 7162 L - n Madison, Vii 53707-7162 / O 2 P. A - - (D i '1.:+irtl7ft'RfiV ftrinit Application sit Transact ion?v,(mha In accordance with SPS 33321(2). \4'ic Wnt. Code. submiczion ollhio Ean, w the apt' 1 r-T is required prior to otaaintng a satutan' permit. Nolc..lppliation torms for slate owned POtF1S are submi ed to die Department ofSai'cly wid Ro1'esaimul Scnice. Personal informalion you provide may be used for sttvndm)' PmJttn :Wahex (il'a48ava tln vt nailing adahesz) u roves in awordancc s, ilh ilie 2I ww-LA,%. UfPI(I)(m). Slats. /D~G i i 1. A lieation lnforitatioa PI_cace Print All Infor ern -_~Arr .>•re ,c _ .~'"111 Nrryxrlx Chrner's Name Pw el Propurl) O.rner' s Mailing Addres Pmpertp Loenhuu I I . :~c{' . o[ e~ 3 G Govi. Loll fR.s' J Scctiwr , City, Gjt. Zip Code Phone Numbs N~-, R-LL 1 n irc r, ll Type of Building (check all that apply) Lnt J 1 or 2 Famdc Dwalhng Numb r of Bedrooms _ i l ) ndn imo, Name D)c C-6 ~--Block ❑ Public C'wnmercial - Describe C] Coy M' ❑Smtc (honed- Dc;eibe toe ❑ Village f ' I / I "m Number ! Z ll5 ~~_ZZ~ Z Z 1 Me w Tm n oo Ill.-- _v (m T ofPermit: (Check only one box oil line A. Compiete line B if applicable) A. Xsl New System ❑Replacement Sxdeill1❑-treatment 1lulding'I'mik Replawroum Ord, ---❑Odterb(odifieation to Existing SsStwn(esphtit) B. ❑ I'cnnit Renewal j ❑ Penn. Rn'isimr ❑ Change of ❑ Pemrit Ttat.i'er In New Lid Preridrs Pemtit Number and Date lssned Hel'ore Expiration Plwnbcr O"ner L [t / -~UCom Nc-. l S%stenpo_ _nenUDevicc. (Check- alllhU 1pp) ) IV. Type ofPOWTS - INon Presswiz d In-Ground D h cunt d liekjround C1 At-Grad El Mound- 24 in. of <uiuble aril D .Moumi 24 in ol's itable soil 1010,5r - Holding lard Other Dispersal C'ornp mint (explain) ❑ 1 rufeaunrnl Device (explain) C V. Dis rsit it atment Area It formation, _ _-t- DasienFlom(glid) Demv, SellApplicalion Dispersal V aR•yuird(sl) lligxt.d Vcn Pr.p .ad( ) Sod mF7csation / y Rat e(gpdsl) / _ _ - ar VL Tank Info Capacity iu ~y Gallom_ Toad =of s ° o 1 (iallonv (-nit' Sz - Syhc or llolJing Tank _ DosingChanibcr VIIRespo sibilih• Statement- 1, the undersigned, Assume responsibdit fur installation.of the POWTS slmnn on the attached plans. Plw,, viCmne ~i Plumber SJilamnl" MI-;\IIRS\umbrr Boom`s Phone Number 71117 Plumtxr s Address (StrcL Cit1' Stale, L I Code) VI .ounb'lUepattment Use Onlc :lpprorcJ -1)isap Perrin Pee Dal Iss`ueQ Issum war si!"t _ -}~cyxr (irvcn R ~z,w,_ I:r Dmal S IX. Condi6dL~Qt /Reasons for Disappros at 'J~ No ^ Ole ><tJG r. rw c~x_e.-c,C._ t. etlrtc. etfh ilia hl(R'tW I( / / oisfw.,, , cell ^'u>: ar be s-i•: k-~s ! I.* Nlt3' 114 I I as per :arayemeI, p.xn ,•ioert by ulwnbe:. COA.o_..µe x~ . 2. Ail crttstck rrccn~ -nos must oo c.a,rt: i t a. pa >,p~drawtt,>re.l:rd:_a%n? Att:rch to comrJde Plan. fur the system And, ulrmil lu Ih Cowrtc oWy on paper not Iezs IMP 9 IR s 1 I inda> in axe ~ I t t i I JC S \ i '\`~~~Y I•I `ter'^~ I 11 l'. 1 Tom, - - ! I i COPY CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: r i Owners Name: Owners Address: r x g, f p i Legal Description: 7 ' W - • - Township: County: Subdivision Name: Lot Number. - Parcel ID Number. < v Page 1 Index and title Page 2 Plot Plan Page 3 - S stem Sizin & Cross-Section Page A Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 SL Croix Cty Septic Tank Maintenance Form Page S Warranty Deed Page 9 _ CSM or Plat k1tachments: Soil Test & House Plans DesignerlPlumber.License Number. Date: Phone Number ! Signature gesky ed pursuant n me In-G~ rtd soa.axotpwn cano« a MOnual r« POWrS version z.o ssD-10105-P tN.olroit- Paw 7 p~i ? c r ,~~7.Q~jGe` 7~oi?~ l ,i x it ,_'f ~C I ~ ~ ~ I ~/o~KKy(~ 1 ~ ~ ~__I i~ ~ ~Je'ak~d /fir/>K ,'I _ I / , 1 s4 ~ \ ~ ~o f ~c -N ~ ~,x ~ So" Absorption System Cross Section ft 4' Schedule 40 Final Grade PVC Vent pipe Vt pert cap -ft Leaching Chamber - System Elevation Soil Absorption System Plan View ft -ft I~ N~ ft Vent Or Observation Pipe Leaching L - Trench 1 U,(; - ~ ` Chambers ~L~I~11®I~I r Chambers 4' Dia. Trench 2 Header Leaching Chamber Specifications Manufacturer And Model EISA Rating, sq ft per chamber Soil Application Rata _L gpd/sq ft 1. 915d Design Flow , i' Soil Application Rate EISA = Chambers 2 rows of - - chambers each. Page - of 10 PL-525 EFFLUENT FILTER ( ' 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 Alamr { Accwpts PVC (gallons per day) making it one of accessibility extension handle the largest commercial filters in its 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 525 linear feet with every filter. When the filter is of 1116" removed for cleaning, the ball will filtration slots Oted for over ,000 GPD float up and temporarily shut off the system so the effluent won't - leave the tank. No other filler on ) the market can make that claim! A S~CNO. a Pipe=\- PL-5E55c~'i2~Gf22 5C?: The PL-525 Effluent Filter should t operate efficiently for several years under normal conditions before 1 requiring cleaning- It is recom mended that the filter be cleaned ovary time the tank is pumped or at least every three years. If the % + . installed fitter contains an optional is alarm, the owner will be notified by an alarm when the filter needs Gas deflector <e^~ - " servicing. Servicing should be done by a certified septic tank ? Automatic shutoff pumper or installer. ball when fitter I is removed 1. Locate the outlet of the U.S. Parent Noe 6,015,488 septic tank. S.871,640 2. Remove tank cover and pump - - - `T - - tank ifnecessary. DL-5c~ Ins ail~Yicn: 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 PL525 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 44 or 6" outlet pipe. If the tank. Make sure all solids fall filter is not centered under the back into septic tank. access opening use a Polylok 6. Insert the filter cartridge back 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 oompletely inserted. its housing. 7. Replace septic tank cover. r 5. Replace the septic tank cover. POWTS OWNER'S MANUAL & MANAGEMENT PLAN e ,y cf_ FILE INFORMATION SYSTEM SPECIFICATIONS 11er ` `f ruLr I; nk Manuficturcr. I :NA ?Cann a 7, Scptlc I I Dose ❑ Hu!ding Volume r (imp DESIGN PARAMETERS l ark lvlanllfaetarer. j NA NL,Ilber of BeduH>ms: - - r 1 NA U Septic ❑ Dose ❑ Holding Volume: (gal) Nu•nbex o- Public Facility Units JO NA Vertical Distance Tank Bottom(s) to Se-vice I'ad: (II) Lstimated (average) h osv' (gal *day) I fenzo'ttal Dist w; I ank(s) to Service. Pad: (t!) ! eak = x i.5: Sr if: ser ~ mg mechanics must be provided if vertical is >15 fee; or L_.isten P~ ) Flod✓ (eStinlated ) (galyday) f honzonlal i.. 150 eel- Spey he ins'ntdio~ to ba provided or pack. In Slat Soil Apptcalicn Rate -7 (gaf'daytrtr) Effluent Filter Manufac to er FI NA St n,lard (Don1_st.c) Irflu^ni fflumnt Monthly average E`rluent I-itor Model' 1-als.0.1 A. -is0 (FUG) .30 rnn;ii. Pump hNIAllaCturel. U10::herrical0nigrn I;entnnd (UO7,1 s2Z0 etgil- ❑ NA NA Total Suspendi:d tt:~fds (TSS) 750 rr it PL'111p Mcdel. High Stroryih h ILIEPUEfduent Monti average Pielrea`:rnen: Omit 'f^G) >30 nii llacufacturer: ,'OS,) >zzo mgtl NA N NA rI >750 myil ❑ 6lecha•fcal Aeration Fl Peat Fi;tcr - - - r . llisicfe::linn ❑ 4Yetiand ?retre'.Aed LE`luent klontltiy average ❑ SanciGrevel Fifer ❑ Other: (BODO '30 mgrl Soil Absorptie0 System (155) .'30 ntgil NA Fecal Coliicrm (gecntmric _rneaal 3l U" In-Grcani (gray-ty) I III Ground (pressure) ❑ NA I-I Al-GraJu ❑ 1AOUrd Maxiraurn Effluent I'aricle Size In in C'a. ❑ N;i [71 u•ip-line I i Diner. Other: - OtheL - ❑ NA ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency P::cipout contentsOftaek(si •v"Jc,:nrnmbiredslucgeandscumcc.palsoerr[hiraf*" of l2nkvolurie ❑'vlrhen the high water alarm is aetrvated J r rrilh~:i I pre; condilic•1 of ta•'ks) At leas: once every (Maximum 3 years) Li NA InsPe;;t dispersal cells At least once eveni* - I I men:h s) ~ •;eerrs) (Maximum 3 years) ❑ NA (near "Llenl fitter At leas, uric ever) nonth(s) ❑ NA 1❑ ye ir,'s, Inspect uump, pump cortro's & alarm At least once every: ❑ m`n-i ~ ^ yQ NA ye I tit 1-1u sh laterals and pressure test At least once every. ❑ r "r n'~,' - M NA O h-c At least or.;e ❑ nr~u re.:;: D NA ❑ NA MAINTENANCE INSTRUCTIONS Ir ,pies `ors of tanks and ciI ,h;~rpliun system ,[-uI ok. IT'. ;e by an v, .r. rv:unl carr,in;7 Cne of t':e f-- b-liq !iLenses o' oar..5aliiocs FAasCer fvlaster Murnne- Rrst_~cted Sev: r:, 110...o IS Insp"Ac" PO VI S lu9ain!ainar or Scptage Servicing Operator (pumper). lark inspcotio°s crust .rclurla a v`sual :nspecton of the tank(s) to idenLfy my missing er broker hard;;are, iderVy any cracks or leaks, measure tr v. •vcdon-.e of combined sludge and scorn and a check fur any bacc up or pondirg of effluent on the ground surface. The soil absorption system sha.1 be •eistuly inspected to cheek the effluent levels in the ob sr.4veton p'pes and to check for any ponding of effluent on the ground surface The pending of effluent on the yrOand scdace may indicate a failing condition and requires the immediate notification of the local rogulatory a.nherily. VVinon the combined icc:rmlralien of s:udgo and scorn in any treatment tan< equals or-.e-third or mere of the tank volume, the entire contents of the !Link shat be removed by a Scptage Servicing Operator (pumper) and disposed of in accordance with Chapter NR 113, Wisconsin Administrative Code All Direr services, inpluding hoc not limited to the srirv~cinq of efli filers, mechinica; or pressurized components, pretreatment units, and any serv!cing at interva's o` _'2 months, shall be performed by a certified POWTS Nla:n'airer- A service report shall cr. provided to the local requlatory aulhoray within 30 days of Completion of tiny senece eve.t. Gn1! v-nne fcz.. Lie; Pagu v.~` at START UP AND OPERATION For ne:v constal:.,ion: poor to Use of the POWTS chcok treatment lark(s) for the presonre of pairing products, solvents or ot-.e- chemicals or sodlment ttmt may imocde the heattr,ent pvaess andior damage the soil n bscrption system. If high concerlratons are detected have the contents of the la-k(s) ref.Dved by a Septage Servic::xl Operator (pu.mpor) prirrto use. Pump tanks may fill abode normal higtrdratcr levels prior to startup or due to pump failures. Start up or restoration of pov:er under these conditions is not rernmmeuied, as the excess wastewater will be discharged to ti-.e so I absnrpt'on system. in ono. Large dose causing an overload that may result in Jib backup or surtace dscharge of ef0uert and damage to the systern to avoid this s:'uation have the cortecls of the pump lank removed by a Septa=:e Servicing Operator fp(.mper) prior to r¢slorirvg paver to the pump or contact a Plumber or POtrJTS f.-la rit:_iner to as's'n- in wanualiy operating the. pamp curtrols ants tlwwal effluent levels are restored within the pump tank. system start up shall rot occur when soil conditions are frown et the: inf 'rat va sur'ace. Do nit drive or park voNcles eve; tanks or the soil absorption system. Do not drive or park over. or other>adse dirt trim or cwtipact, !rr.. area with.r. 15 feet doom slope of any mound or a,grade soil absorption area. Reduction or eI....nation of the tolod ing from thin, w::aste,'vater stream may irrprcve the performance arid prolong the life of t^c -reatn:ent tanks -Inc,. soil absorpton system: :acids, antibiotcs, baby wipes, cigarette butts, condoms, cotlon swabs. degreasers dental floss, diapers, disnfeclants, fats. fc:mdation drain (sump pump) discharge f-At a•rd vegetable peelings, gasoline, greases. herli cider, meat scraps, medications, cis, painting prcduCS. neMicces, saritary naikrs, solvents, t 7npocs, and water softener bloc dis&xge. ABANDONMENT Whwl the PO':'.?S fa Is and;or is pcrn'nnonty taken o~d o` scrv:co the folloveing steps shnll he taken to in.^,ura -hat the systern is properly and safely abandoned in ecmpliinx •r;ith s. Comm 83.:5:3, 4:risconsin Administrative Code,: • All I:piny to tanks, pits and other sc'd ibsorptictr systems shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pi's shall be removed and properly disposed of by a Septage Servicing Operator (pumper), • Aftcr pumping, all tanks and pits sha I be excavated and removed or their covers removed and the void space filled with soil, - gravr or andher inert solid material. CONTINGENCY PLAN If the 11OV-iTS fail and cannot he repaired the fci'oonng mcnsures have been, or must be taker: to provide a code compliant replacerr ent systern: A si tabin roplacefne°.t area has been evaluated ano may be 1.11il17e1 for the location of a replacement soI absorption systern- The replacement area, st'culd be protected frcrn disturbance and con padlon and should not be infringed open by required 'r71i k5 frcrn. exis'no and plOposed stricture, lot lines aTic •srell9. Failure to pr otecl lf:e replacement area v!11 result in tt;e need for a new so' and site eva caner to establish a sjitable replacement area Replacernont systntis must oomply wth the rules in e`feot at tho time of their pemmt issuance. - A sutable replacerne-)t area is riot ava'table due to setback andror sot limitations. If the soil absorption system cannot be eiraLil'ta;ed and barr:ry advances it PO'^IFS technology, n holfrig tank mcy be ins'.) led as a last resort _ _ TFe site has not been evaluated to idcrti y a suitable replacement area Upon fail ire of th.e PU'JVTS a sod and site evaluation must be performed to locate a suitable replacement nma. If no replacement a ra is av:'ilabte a holdirg tank may be installed as a last resort to replace too tailed POWTS 1 klcwid and at-grade F of absorption sy5.eres may he. rernrstiucted it place fnllo'n4rg remnval of the biernat at the infiltrafve s~ 'oce. Rcconstr, .:tons of surh ;,e;tieens must ccmr'y v;th the rules r cYoct et foal hrle, WARNING TREATMENT TANKS, PUMP TANKS. AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK ,If SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE. ADDITIONAL INSTRUCTIONS: POW IS INSTALt-'ER POWTS MAINTAINER Vrre F-h,e SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY n._rie ore ph~;-fe I n.;.. d:xum-n: vat. .Iii?^^ by U= stall' of the freer Lako• Ltaxc r. ra t4'a i i a. COL r.rJ r'O::" re'tm I~lOry acenriRs in cnrnplierce r:ith _eci:rrc; (r.nin 83271?r,Fi,tpdpi ,'j i,1, t: U I T(71 e ul, WiScalsi-r Ad!nanIf a Ot:r.de r:-e _ START UP AND OPERATION For neW Donsn UCllon, DWI to use of Inc POV.TS check treatment ta-:kis for the Dresence of paintinr products, solvents or u'. chemicals or sedime:-x that rnav imeede the treatment orocess and;or damage the soil absoroton system. V nigh concentra`ons are cotccted cave tire conizii is of the tank(s) rcmovee by a Sepfage Servicing Operator puufDe;;i prig to usc. Pcmn tanks may fill above ncnrnal hign•ua-cr Irvris prior to s`.artUD 0' due t r, pump fa!'.ures. Start uD or rostoratio- of power under these conditions is not recommended, ns the excess, wastewater V41 n,: dischareed to lire soli absorpton system in onst la•ge des. ca,sl-c n- overloac that may result in Inc nack:Ip c. scriaoe disJlarpe of effluent anc damage tD the s;stitr. To avoic lh.S situation hov.- the contents o' Inc. Damp tank rem Dvec a Sel tape Servinirg Onerotor tDUrn Der} prior to ri siormq PU'.rar to the trump Or ammo- a PIJML r r.r POVV I S Nialwainer to assist in maritally opc-atrng the pump ccnhois anti normal efiuent levels are restemd v:itn:r the pump tarsi:. t;^ ;tam start uD shall not taco. w;-~en soil annditi rs are frozen a: the infiltrative surface. Do not drive or nark vehicles over tanks or tie soil absorntion system:. Dc not onve r.- park over. or otharwise disturb or c:ompa-s., err:a -,?thin 1b fee: down slope o` any mound o- a~gradn soil absorpton area. r:a,rcticn rr c:iminatror of the folio-Mr2 f•om th0 wnstmv- or strewn: may improve the periorrr:ance and pro ong the life o` tne -Batmen: ;al-T<- and sot absorption svs:em: acids, antin:otcs, baby wcDes, cigarctto butts, condorns. colic swabs, degreasers. dental fcss cinnnrs disbrfec:ants, fats. ic'.tndatler drab: is-.imp pu-nr~i cis::harge, fruit and vegetab:e peelings. gaso!in greases. herbicides, cleat sr.-aDS. medications, oils. Daintine p,ociur..s, oes~uides. sanitary rapkins solvents: Campo: s, 9-;o .cater sofrener brine disccarge. ABANDONMENT VJcen the -13V-,,7S fails. andror, is pemanenty taker out of service Inc fo'Inxdng steps steal betaken to insuro ilia: l'I svs:em i_~ pronerl'd and safely abandonec in cmmr6an ce -;ith r.=. Ccmm 8,- 2 Vdisoonc r Administrative Code-. • All p,oing to tanks, piss and othe- sail ansnrp`ion svslerF.B shall be discxrmected anc fire abandonec.' nipe openings sea.ad. • I he contents o` al tanks and pits steal be removed and prooer'y dlspOsed o= by a Septage Svvicng Operator (Dixlperr • i•.he pu aping, all tanks and pits shall x cx:avatez and removed or their covers removec and the void space flied with so'l. w-9:,E'. of anotter iner solid materia'. CONTINGENCY PLAN If It-~e PO`:'•.TS fails and control be repaired the fol:osinc mrasures have been, c, must be taken, to orcvide a code compliant rcp:aoament system: A. suitah.e replacement area nas been evaluated anc may be utilized for t'.ne location of a reo:acc,ment sow absorption system. --n: ~cDla::omen: area strD.au be Drotected from dsturbance acrd cmmnaction anc shculd Plot oe infdnaed upD: by req::iied :ettacks. `turn; existing and DroDosed strucure.:ot lines and',valis. Failure to protect the replaooment a-ea was result is the need 1 a neW soil a^e site evaluator' tr? establish a suitable ronla:•;ement area. Reglacemen' systems must comply vrith the rr:cs ir Cf-c: at the tune O` t'rerr perms- is:u ants: suitabe roplacement area is rut avai;able doe to setback andror soil I:rrtations. F b;e soi: absorption system cannct be r,,habilifated anz barrw.:. ac::ances:r PO':°.Tf`, mchnoocy, a'noldlnc tank mny ne installed as a last resort Tne sae has not beer evaluale_ Ic idew y a suiiable replacome'l area. Upon failure of the PO'R'TS a soil and site evaluation m;:st be pctormed to locale a suitable rcDlacemer:t ar a If no replacement a'_-a is available a holding tank may be ;rstalled as a last rr:sor. to renlax the fa lec POb':'TS. Miou;rd a-i l a: grade snit. absorptrori sys:erns rnav be recmr.sfructed in place PDIIDr:inc rerrova! c' 1.`re b'oma: at the infl~tral s.:re-, RO-Winmj roc s of s err systeelS mus::Om Y Win tn_ .aes ni e 9eot n-1hn: -,me. WARNING TREATMENT TANKS, PUMP TANKS. AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY wt;. RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE. ADDITIONAL INSTRUCTIONS: _ POWTs INSTALL/ER ~ POWTS MAINTAINER °~.Dmc Pncrre 77, SEPTAGE SERVICING OPERATOR (PUMPERI LOCAL REGULATORY AUTHORITY Name Nerie - 5., Fhnnc Prone I .ten r.r-er' a .:..1' 411 en - - sIaff: rf tr cr ref e; r., ar vd . j , a -it l.. rs.,o mn-, eaei .i - :r rrrnpl'ans w 1u senhGn; T ll~ '.2r t r "lids&f f: air C, 54111,