Village Board — Agenda Packet

June 9, 2026 Village of Jackson - Village Board Meeting Agenda VILLAGE OF JACKSON VILLAGE BOARD MEETING AGENDA Tuesday, June 9, 2026 at 7:30 PM (Or immediately following Budget and Finance Committee meeting) Jackson Municipal Complex Village Board Room N168W19851 Main Street Jackson, WI 53037 1. Call to Order and Roll Call 2. Pledge of Allegiance 3. Public Hearings a. Ordinance #26-03 - Amending Section 48-156 for PUD-04, Oaks of Jackson - Hillcrest Builders 4. Village Citizen Comment on an Agenda Item (Please sign-in with the Clerk prior to speaking. Please note this is the Village Board's monthly business meeting, not a public hearing. People wishing to speak on an item on the agenda should present their comments under this agenda item. Each commenter will be limited to a total of 2 minutes.) 5. Consent Agenda a. Approval of Minutes of the Village Board Meeting of May 12, 2026 b. Resolution #26-23 - Adopting the 2025 Compliance Maintenance Annual Report for the Jackson Wastewater Treatment Facility c. Approval of Rental Request - Jackson Community Center - Democratic Party of Washington County Fundraiser d. Resolution #26-24 - Appreciation of Service to Brian Heckendorf - Jackson Fire Department e. Ordinance #26-07 Amending Chapter 2 of the Code of Ordinances of the Village of Jackson - Election Wards 6. Approval of Licenses a. Class "A" Fermented Malt Beverages and "Class A" Intoxicating Liquors i. Center Village LLC (dba Village Mart, Agent Mandeep Dran) W213N16770 Glen Brooke Drive ii. Fox Bros. Piggly Wiggly, Inc. (dba Piggly Wiggly Supermarket 90, Agent Michael S. Olwig) W194N16774 Eagle Drive iii. Jackson Ellahi LLC (dba Hwy Store, Agent Mandeep Dran) N168W22224 Main Street iv. K&A Petroleum, LLC (dba East Side Mart, Agent Kurt Kruepke) N168W19490 Main Street v. Walgreen Co. (dba Walgreens #11676, Agent Gregory Fechter) N168W21330 Main Street Page 1 of 152 June 9, 2026 Village of Jackson - Village Board Meeting Agenda b. Class "B" Fermented Malt Beverages and "Class B" Intoxicating Liquors i. Barbara L. Holtz (dba Pizza Station, Agent Barbara Holtz) N168W22224 Main Street Suite D ii. Jackson Pub LLC (dba Jackson Pub, Agent: Jon Zandi) N168W20594 Main St. iii. KHD Ltd (dba Jimmy's Restaurant & Bar, Agent: Angie Koutsios) N168W21212 Main Street c. Cigarette/Tobacco/Vape Licenses i. Center Village LLC (dba Village Mart, Agent Mandeep Dran) W213N16770 Glen Brooke Drive ii. Fox Bros. Piggly Wiggly, Inc. (dba Piggly Wiggly Supermarket 90, Agent Michael S. Olwig) W194N16774 Eagle Drive iii. Jackson Ellahi LLC (dba Hwy Store, Agent Mandeep Dran) N168W22224 Main Street iv. K&A Petroleum, LLC (dba East Side Mart, Agent Annette Kruepke) N168W19490 Main Street v. TruVibe INC. (dba The Supply Plus, Agent Zachary Rozenboom) W213N16806 Industrial Drive vi. Walgreen Co. (dba Walgreens #11676, Agent Gregory Fechter) N168W21330 Main Street d. Hotel/Motel Licenses i. AMA Hospitality, Inc. (dba Comfort Inn & Suites), W227N16890 Tillie Lake Court, Owner: AMA Hospitality, Inc. Corporate Agent: Alkesh Patel ii. Jackson Main Street Motel, W208N16831 N. Center Street, Owner: Larry Hamlin 7. Budget and Finance Committee a. Letter of Credit Reduction - Maple Fields Subdivision Phase 3 - Neumann Development Inc. in the amount of $707,841.10 b. Proposal Review - Fiber to Public Parks, Municipal Wells, and Municipal Lift Station - Midwest Fiber Network in the Amount of $133,850.00 c. Proposal Review - Jackson Park Security Cameras - Pros4 Technology in the Amount of $19,341.28 d. Proposal Review - Hickory Lane Park Security Cameras - Pros4 Technology in the Amount of $12,800.87 e. 2026 Schedule to Prepare the 2027 Municipal Budget and Update the Financial Management Plan 8. Plan Commission a. Ordinance #26-03 - Amending Section 48-156 for PUD-04, Oaks of Jackson - Hillcrest Builders 9. Board of Public Works a. Ordinance #26-06 - Amending Chapter 8 of Village Code, Regarding Sec. 8-167 - Cross Connection Control 10. West Bend School District Page 2 of 152 June 9, 2026 Village of Jackson - Village Board Meeting Agenda 11. Washington County Board Report 12. Greater Jackson Business Alliance 13. Mid-Moraine Municipal Association Report 14. Closed Session Pursuant to Wis. Stats. §19.85(1)(c) "considering employment, promotion, compensation, or performance evaluation data of any public employee over which the Village has jurisdiction or exercises responsibility." §19.85(1)(e) "deliberating or negotiating the purchasing of public properties, the investing of public funds, or conducting other specified public business, whenever competitive or bargaining reasons require a closed session," and §19.85(1)(g) "Conferring with legal counsel for the governmental body who is rendering oral or written advice concerning strategy to be adopted by the body with respect to litigation in which it is or is likely to become involved". The closed session is for the following purposes: 1. Insurance Liability Claim - Ryan Ganshow 2. To Discuss Pending Employment Matters with Specific Employees 3. To Discuss a Development Agreement with West Bend School District 4. To Discuss Village Square Development 15. Reconvene in Open Session with Possible Action Related to the Subject of the Preceding Closed Session 16. Adjourn Persons with disabilities requiring special accommodations for attendance at the meeting should contact the Administration Department at the Jackson Municipal Complex at least one (1) business day prior to the meeting. It is possible that members of the Village Board may attend the above meeting. No action will be taken by any governmental body at this meeting other than the governmental body specifically referred to in this meeting notice. This notice is given so that members of the Village Board may attend the meeting without violating the open meeting law. Page 3 of 152 Taking the lead in Washington County. VILLAGE OF JACKSON WASHINGTON COUNTY, WISCONSIN Notice of Public Hearings PLEASE TAKE NOTICE: Notice is hereby given, pursuant to Section 19.84, Wis. Stats., and provisions of the Village of Jackson Code of ordinances, that the Village Board will conduct public hearings at 7:30 p.m. on Tuesday, June 9, 2026, at the Jackson Municipal Complex, located at N168W19851 Main Street, Jackson, WI, 53037 on: 1. Ordinance #26-03, Amending Section 48-156 for PUD-04, The Oaks of Jackson Outlot 6 The hearing is open to the public and all interested parties are encouraged to attend the hearing and be heard. Requests from persons with disabilities who need assistance to participate in this meeting or hearings should be made to the Village Clerk’s Office with as much advanced notice as possible. A copy of the application and related materials are available for review by contacting the Zoning Director at 262-677-0707. You may also find a link of information on the Village Website (www.villageofjacksonwi.gov under Agendas & Minutes) Dated this 22nd day of May 2026. Pamela Wolf Pamela Wolf Village Interim Clerk Village of Jackson N168W19851 Main Street Jackson, WI 53037 (262) 677-9001 Ext. 210 pam.wolf@villageofjacksonwi.gov Posted: Friday, May 22, 2026 Published: Tuesday, May 26, 2026, and Tuesday, June 2, 2026 N168W19851 Main Street Jackson, WI 53037 Phone: 262-677-9001 Fax: 262-677-1710 www.villageofjacksowi.gov Page 4 of 152 May 12, 2026 Village of Jackson - Village Board Meeting Minutes Page 1 of 6 VILLAGE OF JACKSON VILLAGE BOARD MEETING Tuesday, May 12, 2026 at 7:30 PM Minutes 1. Call to Order and Roll Call The meeting was called to order at 7:30 PM by Pres. Heckendorf. Members Present: Pres. Heckendorf, Tr. Engelhardt, Tr. Kurtz, Tr. Olson, Tr. Schlenz and Tr. Wells Members Excused: Tr. Emmrich Members Absent: None Staff Present: Administrator Jen Heidtke, Inspections and Zoning Director Collin Johnson, Parks and Recreation Director Tyler Mentzel, Treasurer Darlene Smith, Public Works Director Jack Straehler, Fire Chief Aaron Swaney, Police Chief Ryan Vossekuil and Interim Clerk Pamela Wolf 2. Pledge of Allegiance The Pledge of Allegiance was recited by those in attendance. 3. Presentations a. Transition from Flex Paramedic Service to Permanent Paramedic Service - Jackson Fire Department Chief Swaney presented background information regarding the transition from the Flex Paramedic services to Permanent Paramedic services. 4. Public Hearings 1. Ordinance #26-04 Revisions to the Adopted 2050 Comprehensive Plan for the Village of Jackson; and 2. Ordinance #26-05 Revisions to the Adopted 2050 Comprehensive Plan for the Village of Jackson; and 3. Resolution #26-20 Resolution for Adoption of a Jackson Sanitary Sewer Service Area Amendment Administrator Heidtke introduced Hannah Keckeisen from Washington County and Donald Heckel from SEWRPC who each provided background on the process and reasoning behind the proposed expansion of the Sewer Service Area. Pres. Heckendorf opened the floor for the public hearing. Nobody present wished to speak. Pres. Heckendorf closed the public hearing. 5. Village Citizen Comment on an Agenda Item (Please sign-in with the Clerk prior to speaking. Please note this is the Village Board's monthly business meeting, not a public hearing. People wishing to speak on an item on the agenda should present their comments under this agenda item. Each commenter will be limited to a total of 2 minutes.) DRAFT Olson, Tr. SchOlson, T d Zoning Director Collin Johnson, d Zoning Director Collin er Darlene Smith, Public Works er Darlene Smith, Public Work Police Chief Ryan Vossekuil and InteriPolice Chief Ryan Vossekuil and In d by those in attendance.d by those in attendance. aramedic Service to Permanent ParamService to Permanent Param ented background information regardinented background informatio ces to Permanent Paramedic services. ces to Permanent Paramedic se aringsrings 1. Ordinance #26-04 Revisions to the Ace #26-04 Revisions to the A Village of Jackson; andVillage of Jackson; 2.2 Ordinance #26-05 Revisions tOrdinance #26-05 Rev Village of Jackson; andge of Jackson; and 3. Resolution #26-20 Resoon #26-20 Reso Amendmentnt Administrator HeidtkAdministrator Heidtk kel from SEWkel from SEW posed exposed ex Page 5 of 152 May 12, 2026 Village of Jackson - Village Board Meeting Minutes Page 2 of 6 None. 6. Consent Agenda a. Approval of Minutes of the Village Board Meetings of April 14, 2026 and April 21, 2026 b. Resolution #26-20 Resolution for Adoption of a Jackson Sanitary Sewer Service Area Amendment c. Resolution #26-21 Honoring John Kruepke for His Years of Service to the Village of Jackson d. Resolution #26-22 Urging the Governor of Wisconsin and State Legislature to Enact a Comprehensive, Sustainable Transportation Funding Solution e. Temp Class "B" License - Jackson Festivals LLC - Action in Jackson f. 2025-2026 Tattoo Establishment and Operator's License - Infinite Grace - Sara Dornbrook g. Approval of Transition from Flex Paramedic Service to Permanent Paramedic Service - Jackson Fire Department The motion to approve items 6a with corrections, 6b and 6d-6g on the consent agenda and remove item 6c to address separately was made by Tr. Wells and seconded by Tr. Engelhardt. Vote: 6 ayes, 0 nays. Motion carried. President Heckendorf read Resolution #26-21 Honoring John Kruepke for his Years of Service to the Village of Jackson. The motion to approve Resolution #26-21 Honoring John Kruepke was made by Pres. Heckendorf and seconded by Tr. Engelhardt. Vote: 6 ayes, 0 nays. Motion carried. 7. Plan Commission a. Ordinance #26-02 Annexation and Assignment of Temporary B-1 Community Business District Zoning - Parcel T7_047700K - Robert J. Loduha and Andrea S. Loduha Revocable Trust The motion to introduce Ordinance #26-02 Annexation and Assignment of Temporary B-1 Community Business District Zoning for Parcel T7-047700K owned by Robert and Andrea Loduha was made by Tr. Olson and seconded by Tr. Wells. Votes: 6 ayes, 0 nays. Motion carried. The motion to suspend the rules for a second reading of Ordinance #26-02 was made by Pres. Heckendorf and seconded by Tr. Schlenz. A roll call vote was taken: Pres. Heckendorf: Aye Tr. Engelhardt: Aye Tr. Kurtz: Aye DRAFT ice to the Vice to th State Legislature to EnaState Legis lutionlution Action in JacksonAction License - Infinite Grace - Sara License - Infinite Grace - Sara dic Service to Permanent Paramedic Sedic Service to Permanent Paramedic Se orrections, 6b and 6d-6g on the consenand 6d-6 y was made by Tr. Wells and secondedy was made by Tr. Wells an on carried. f read Resolution #26-21 Honoring Johf read Resolution #26-21 Ho age of Jackson.age of Jackson to approve Resolution #26-21 Honoringto approve Resolution #26-21 Honor orf and seconded by Tr. Engelhardt.f and seconded by Tr. Engelhard e: 6 ayes, 0 nays. Motion carried.nays. Moti Plan CommissionPlan Commission a. Ordinance #26-02 Annexati#26-02 Annexati District Zoning - Parcel Tng - Revocable Trustust The motion to introduThe motion to introdu mmunity Businemmunity Busine a was mada was mad Page 6 of 152 May 12, 2026 Village of Jackson - Village Board Meeting Minutes Page 3 of 6 Tr. Schlenz: Aye Tr. Wells: Aye Tr. Olson: Aye Vote: 6 ayes, 0 nays. Motion carried. A motion to approve the second reading of Ordinance #26-02 was made by Tr. Wells and seconded by Tr. Olson. Vote: 6 ayes, 0 nays. Motion carried. b. Ordinance #26-03 Amending Ordinance Section 48-156 (PUD-04) - Oaks of Jackson Planned Unit Development District - Village of Jackson A clerical error caused no public hearing to be held, so this will need to defer to June Meeting so Class II Legal Notice and public hearing can take place. c. Preliminary Plat - Twin Villas of The Oaks of Jackson - Outlot 6 - Oaks of Jackson - Hillcrest Builders The motion to approve the Preliminary Plat for Twin Villas at The Oaks of Jackson Outlot 6 subject to the following: 1. Sidewalks shall be provided on at least one side of the private road and connector street. 2. Final Civil plans shall be subject to review and approval by the Village Engineer. All costs associated with this review shall be reimbursed by the developer. 3. A Development Agreement shall be executed prior to any approvals taking full effect and prior to any construction activity. 4. Approval of re-zoning PUD-04 Oaks of Jackson Outlot 6. was made by Tr. Wells and seconded by Tr. Olson. Vote: 6 ayes, 0 nays. Motion carried. d. Ordinance #26-04 Revisions to the Adopted 2050 Comprehensive Plan for the Village of Jackson The motion to introduce Ordinance #26-04 was made by Tr. Engelhardt and seconded by Tr. Kurtz. Votes: 6 ayes, 0 nays. Motion carried. The motion to suspend the rules for a second reading of Ordinance #26-04 was made by Pres. Heckendorf and seconded by Tr. Olson. A roll call vote was taken: Pres. Heckendorf: Aye Tr. Engelhardt: Aye Tr. Kurtz: Aye Tr. Schlenz: Aye Tr. Wells: Aye DRAFT UD-04) - Oaks of JackUD-04) - his will need to defer to June his will need to defer to J an take place. an take ks of Jackson - Outlot 6 - Oaks of Jacksks of Jackson - Outlot y Plat for Twin Villas at The Oaks of JaVillas a ovided on at least one side of the privaon at least one side of the priva ns shall be subject to review and approvshall be subject to review and approv ated with this review shall be reimburseated with this review shall be pment Agreement shall be executed pripment Agreement shall be ex or to any construction activity. or to any construction activity. proval of re-zoning PUD-04 Oaks of Jacproval of re-zoning PUD-04 Oaks of J s made by Tr. Wells and seconded by Tmade by Tr. Wells an Vote: 6 ayes, 0 nays. Motion carriedVote: 6 ayes, 0 nays. Motion c DR d.d Ordinance #26-04 Revision#26-04 Revision of Jackson The motion to introduce The motion to introdu Kurtz.Kurtz. 6 ayes, 0 6 ayes, 0 Page 7 of 152 May 12, 2026 Village of Jackson - Village Board Meeting Minutes Page 4 of 6 Tr. Olson: Aye Vote: 6 ayes, 0 nays. Motion carried. A motion to approve the second reading of Ordinance #26-04 was made by Tr. Engelhardt and seconded by Tr. Kurtz. Vote: 6 ayes, 0 nays. Motion carried. e. Ordinance #26-05 Revisions to the Adopted 2050 Comprehensive Plan for the Village of Jackson The motion to introduce Ordinance #26-05 was made by Tr. Wells and seconded by Tr. Olson. Votes: 6 ayes, 0 nays. Motion carried. The motion to suspend the rules for a second reading of Ordinance #26-05 was made by Pres. Heckendorf and seconded by Tr. Olson. A roll call vote was taken: Pres. Heckendorf: Aye Tr. Engelhardt: Aye Tr. Kurtz: Aye Tr. Schlenz: Aye Tr. Wells: Aye Tr. Olson: Aye Vote: 6 ayes, 0 nays. Motion carried. A motion to approve the second reading of Ordinance #26-05 was made by Tr. Wells and seconded by Tr. Olson. Vote: 6 ayes, 0 nays. Motion carried. 8. Personnel Committee a. Proposal for Village Clerk Executive Recruitment Services - Innovative Public Advisors The motion to approve the Village Clerk Executive Recruitment Services to Innovative Public Advisors in the amount of $10,750.00 for recruiting a new Clerk with an additional amount not to exceed $10,000 for Interim Clerk Services if the need arises was made by Pres. Heckendorf and seconded by Tr. Kurtz. Vote: 5 ayes, 1 nay. Motion carried. Tr. Olson opposed. 9. West Bend School District Tr. Wells reported the new elementary school groundbreaking occurred earlier in the week. It was also stated over 250 scholarships were given out to graduating students. 10. Washington County Board Report DRAFT Plan for Plan f Wells and seconded by Tr.Wells and seco ding of Ordinance #26-05 was made byding of Ordinance #26-05 was made by A roll call vote was taken:A roll call vote was ta s. Motion carried.s. Motion ca pprove the second reading of Ordinancpprove the second reading of Ordi y Tr. Olson.y Tr. O 6 ayes, 0 nays. Motion carried.nays. Motion Personnel CommitteePersonnel Commi a.a. Proposal for Village Clerk Exfor Village Clerk E The motion to approve the VThe motion to approve Public Advisors in the amPublic Advisors in the amount not to exceed $amount not to exceed es. Heckendorf anes. Heckendorf an ayes, 1ayes, 1 Page 8 of 152 May 12, 2026 Village of Jackson - Village Board Meeting Minutes Page 5 of 6 No report. 11. Greater Jackson Business Alliance Director Mentzel reported Action in Jackson is June 5th-7th. Furthermore, many sponsorship opportunities were still available. 12. Mid-Moraine Municipal Association Report Tr. Olson reported the upcoming meeting on May 13, 2026, would be held at Jackson Municipal Complex and include a presentation by the Menomonee Falls Fire Chief Joe Pulvermacher on the challenges of budgeting for equipment. A dinner meeting in Saukville on May 27, 2026, was also announced. 13. Closed Session Pursuant to Wis. Stats. §19.85(1)(c) "considering employment, promotion, compensation, or performance evaluation data of any public employee over which the Village has jurisdiction or exercises responsibility" and 19.85(1)(e) “deliberating or negotiating the purchasing of public properties, the investing of public funds, or conducting other specified public business, whenever competitive or bargaining reasons require a closed session” and 19.85(1)(g) Conferring with legal counsel for the governmental body who is rendering oral or written advice concerning strategy to be adopted by the body with respect to litigation in which it is or is likely to become involved." The closed session is for the following purposes: 1. To Discuss Oaks of Jackson Development Agreement 2. To Discuss Cedar Development Development Agreement 3. To Discuss Pending Employment Matters with Specific Employees 4. To Discuss Candidates for Village Clerk The motion to proceed into closed session pursuant to Wis. Stats. §19.85(1)(c), §19.85(1)(e) and §19.85(1)(g) was made by Pres. Heckendorf and seconded by Tr. Wells. A roll call vote was taken: Pres. Heckendorf: Aye Tr. Engelhardt: Aye Tr. Kurtz: Aye Tr. Schlenz: Aye Tr. Wells: Aye Tr. Olson: Aye Vote: 6 ayes, 0 nays. Motion carried. The meeting proceeded into closed session at 8:25 PM. Those present in the closed session were the Board members, Administrator Heidtke and the Village Attorney. 14. Reconvene in Open Session with Possible Action Related to the Subject of the Preceding Closed Session The motion to reconvene in open session was made by Pres. Heckendorf and seconded by Tr. Engelhardt. DRAFT be held at Jackbe held ee Falls Fire Chief Joee Falls F A dinner meeting in SaukvA dinner meeti considering employment, promotion, considering employment, promo any public employee over which the any public employee over which the ity" and 19.85(1)(e) “deliberating or ity" and 19.85(1)(e) es, the investing of public funds, or con, the investing of pub competitive or bargaining reasons requitive or bargain ith legal counsel for the governmental bsel for th cerning strategy to be adopted by the bcerning strategy to be adop kely to become involved." ly to become e following purposes:g purposes: aks of Jackson Development Agreemenks of Jackson Development Agreemen Cedar Development Development AgrCedar Development Develo uss Pending Employment Matters with uss Pending Employment Matte scuss Candidates for Village Clerkscuss Candidates for Village Clerk motion to proceed into closed session puproceed into closed session pu d §19.85(1)(g) was made by Pres. Heck §19.85(1)(g) was ma was taken:was taken: Pres. Heckendorf: AyePres. Heckendorf: Ay Tr. Engelhardt: AyeAye Tr. Kurtz: AyeTr. Tr. Schlenz: AyeTr. Sc r. Wells: Ayer. Well Olson: AyeOlson: Aye yesyes Page 9 of 152 May 12, 2026 Village of Jackson - Village Board Meeting Minutes Page 6 of 6 Vote: 6 ayes, 0 nays. Motion carried. The meeting proceeded into open session at 9:22 PM. The motion to approve the Oaks of Jackson Development Agreement Amendment, subject to staff restrictions, was made by Tr. Olson and seconded by Tr. Wells. Vote: 6 ayes, 0 nays. Motion carried. 15. Adjourn The motion to adjourn the meeting was made by Tr. Kurtz and seconded by Tr. Wells. Vote: 6 ayes, 0 nays. Motion carried. The meeting adjourned at 9:23 PM. Respectfully Submitted, Pamela Wolf Interim Clerk Village of Jackson DRAFT onded by Tr. Weonded b at 9:23 PM.at 9:23 PM. Page 10 of 152 1 Resolution #26-23 STATE OF WISCONSIN VILLAGE OF JACKSON WASHINGTON COUNTY RESOLUTION #26-23 ____________________________________ _______________ ___ A RESOLUTION ADOPTING THE 2025 COMPLIANCE MAINTENANCE ANNUAL REPORT FOR THE JACKSON WASTEWATER TREATMENT FACILITY ____________________ ____ __________________________ ____ WHEREAS, the State of Wisconsin Department of Natural Resources requires a Compliance Maintenance Annual Report for the Village of Jackson Wastewater Treatment Plant; and WHEREAS, the Village of Jackson Wastewater Treatment Plant Superintendent, the Village’s Director of Public Works, the Village Clerk and the Village Treasurer have completed the necessary information requested in the annual report; and NOW, THEREFORE, BE IT RESOLVED, that the Village Board of the Village of Jackson, Washington County, Wisconsin, does hereby resolve that the Village Board has reviewed the Compliance Maintenance Annual Report, and has approved it for submission. Introduced by: Seconded by: Vote: Aye Nay Passed and Approved: Brian J. Heckendorf – Village President Attest: Pamela Wolf – Interim Village Clerk Page 11 of 152 2 Resolution #26-23 Proof of Posting: I, the undersigned, certify that I posted this Resolution on bulletin boards at the Village Hall, Post Office, the Jackson Community Center, and the Village of Jackson website. Village Official Date Page 12 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Influent Flow and Loading 1. Monthly Average Flows and BOD Loadings 1.1 Verify the following monthly flows and BOD loadings to your facility. Influent No. 701 Influent Monthly Average Flow, MGD x Influent Monthly Average BOD Concentration mg/L x 8.34 = Influent Monthly Average BOD Loading, lbs/day January 0.8806 x 280 x 8.34 = 2,057 February 0.8907 x 368 x 8.34 = 2,731 March 1.3561 x 205 x 8.34 = 2,322 April 1.4430 x 322 x 8.34 = 3,881 May 1.2790 x 312 x 8.34 = 3,333 June 1.1007 x 313 x 8.34 = 2,869 July 0.9932 x 268 x 8.34 = 2,221 August 1.4465 x 243 x 8.34 = 2,929 September 0.9533 x 340 x 8.34 = 2,705 October 1.0384 x 345 x 8.34 = 2,986 November 0.9290 x 350 x 8.34 = 2,711 December 1.0758 x 333 x 8.34 = 2,988 2. Maximum Monthly Design Flow and Design BOD Loading 2.1 Verify the design flow and loading for your facility. Design Design Factor x % = % of Design Max Month Design Flow, MGD 1.875 x 90 = 1.6875 x 100 = 1.875 Design BOD, lbs/day 2980 x 90 = 2682 x 100 = 2980 2.2 Verify the number of times the flow and BOD exceeded 90% or 100% of design, points earned, and score: Months of Influent Number of times flow was greater than 90% of Number of times flow was greater than 100% of Number of times BOD was greater than 90% of design Number of times BOD was greater than 100% of design January 1 0 0 0 0 February 1 0 0 1 0 March 1 0 0 0 0 April 1 0 0 1 1 May 1 0 0 1 1 June 1 0 0 1 0 July 1 0 0 0 0 August 1 0 0 1 0 September 1 0 0 1 0 October 1 0 0 1 1 November 1 0 0 1 0 December 1 0 0 1 1 Points per each 2 1 3 2 Exceedances 0 0 9 4 Points 0 0 27 8 Total Number of Points 35 35 Page 13 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 3. Flow Meter 3.1 Was the influent flow meter calibrated in the last year? Yes Enter last calibration date (MM/DD/YYYY) 2025-12-03 No If No, please explain: 4. Sewer Use Ordinance 4.1 Did your community have a sewer use ordinance that limited or prohibited the discharge of excessive conventional pollutants ((C)BOD, SS, or pH) or toxic substances to the sewer from industries, commercial users, hauled waste, or residences? Yes No If No, please explain: 4.2 Was it necessary to enforce the ordinance? Yes No If Yes, please explain: 5. Septage Receiving 5.1 Did you have requests to receive septage at your facility? Septic Tanks Holding Tanks Grease Traps Yes Yes Yes No No No 5.2 Did you receive septage at your facility? If yes, indicate volume in gallons. Septic Tanks Yes 115,450 gallons No Holding Tanks Yes 15,302,750 gallons No Grease Traps Yes gallons No 5.2.1 If yes to any of the above, please explain if plant performance is affected when receiving any of these wastes. The plant response well to hauled waste. 6. Pretreatment 6.1 Did your facility experience operational problems, permit violations, biosolids quality concerns, or hazardous situations in the sewer system or treatment plant that were attributable to commercial or industrial discharges in the last year? Yes No If yes, describe the situation and your community's response. 6.2 Did your facility accept hauled industrial wastes, landfill leachate, etc.? Page 14 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Yes No If yes, describe the types of wastes received and any procedures or other restrictions that were in place to protect the facility from the discharge of hauled industrial wastes. Total Points Generated Score (100 - Total Points Generated) Section Grade Page 15 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Effluent Quality and Plant Performance (BOD/CBOD) 1. Effluent (C)BOD Results 1.1 Verify the following monthly average effluent values, exceedances, and points for BOD or CBOD Outfall No. 001 Monthly Average Limit (mg/L) 90% of Permit Limit > 10 (mg/L) Effluent Monthly Average (mg/L) Months of Discharge with a Limit Permit Limit Exceedance 90% Permit Limit Exceedance January 17 15.3 4 1 0 0 February 17 15.3 7 1 0 0 March 17 15.3 11 1 0 0 April 17 15.3 15 1 0 0 May 12 10.8 6 1 0 0 June 12 10.8 6 1 0 0 July 12 10.8 5 1 0 0 August 12 10.8 6 1 0 0 September 12 10.8 4 1 0 0 October 12 10.8 7 1 0 0 November 17 15.3 9 1 0 0 December 17 15.3 6 1 0 0 * Equals limit if limit is <= 10 Months of discharge/yr 12 Points per each exceedance with 12 months of discharge 7 3 Exceedances 0 0 Points 0 0 Total number of points 0 NOTE: For systems that discharge intermittently to state waters, the points per monthly exceedance for this section shall be based upon a multiplication factor of 12 months divided by the number of months of discharge. Example: For a wastewater facility discharging only 6 months of the year, the multiplication factor is 12/6 = 2.0 1.2 If any violations occurred, what action was taken to regain compliance? 0 2. Flow Meter Calibration 2.1 Was the effluent flow meter calibrated in the last year? Yes Enter last calibration date (MM/DD/YYYY) 2025-12-03 No If No, please explain: 3. Treatment Problems 3.1 What problems, if any, were experienced over the last year that threatened treatment? No problems 4. Other Monitoring and Limits 4.1 At any time in the past year was there an exceedance of a permit limit for any other pollutants such as chlorides, pH, residual chlorine, fecal coliform, or metals? Yes No Page 16 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 If Yes, please explain: 4.2 At any time in the past year was there a failure of an effluent acute or chronic whole effluent toxicity (WET) test? Yes No If Yes, please explain: 4.3 If the biomonitoring (WET) test did not pass, were steps taken to identify and/or reduce source(s) of toxicity? Yes No N/A Please explain unless not applicable: Total Points Generated Score (100 - Total Points Generated) Section Grade Page 17 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Effluent Quality and Plant Performance (Total Suspended Solids) 1. Effluent Total Suspended Solids Results 1.1 Verify the following monthly average effluent values, exceedances, and points for TSS: Outfall No. 001 Monthly Average Limit (mg/L) 90% of Permit Limit >10 (mg/L) Effluent Monthly Average (mg/L) Months of Discharge with a Limit Permit Limit Exceedance 90% Permit Limit Exceedance January 12 10.8 2 1 0 0 February 12 10.8 2 1 0 0 March 12 10.8 9 1 0 0 April 12 10.8 7 1 0 0 May 12 10.8 3 1 0 0 June 12 10.8 2 1 0 0 July 12 10.8 5 1 0 0 August 12 10.8 8 1 0 0 September 12 10.8 5 1 0 0 October 12 10.8 3 1 0 0 November 12 10.8 4 1 0 0 December 12 10.8 9 1 0 0 * Equals limit if limit is <= 10 Months of Discharge/yr 12 Points per each exceedance with 12 months of discharge: 7 3 Exceedances 0 0 Points 0 0 Total Number of Points NOTE: For systems that discharge intermittently to state waters, the points per monthly exceedance for this section shall be based upon a multiplication factor of 12 months divided by the number of months of discharge. Example: For a wastewater facility discharging only 6 months of the year, the multiplication factor is 12/6 = 2.0 1.2 If any violations occurred, what action was taken to regain compliance? 0 Total Points Generated Score (100 - Total Points Generated) Section Grade Page 18 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Effluent Quality and Plant Performance (Ammonia - NH3) 1. Effluent Ammonia Results 1.1 Verify the following monthly and weekly average effluent values, exceedances and points for ammonia Outfall No. 001 Monthly Average NH3 Limit (mg/L) Weekly Average NH3 Limit (mg/L) Effluent Monthly Average NH3 (mg/L) Monthly Permit Limit Exceed ance Effluent Weekly Average for Week 1 Effluent Weekly Average for Week 2 Effluent Weekly Average for Week 3 Effluent Weekly Average for Week 4 Weekly Permit Limit Exceed ance January 7 14 .231 0 .13 .148 .545 .133 0 February 7 14 3.228 0 .16 .478 3.568 8.705 0 March 7 14 5.514 0 8.885 8.465 7.065 2.358 0 April 4.3 8.5 .664 0 1.64 .75 .308 .09 0 May 5.7 7.4 .121 0 .095 .18 .113 .105 0 June 3.9 5 .811 0 .76 .56 1.095 .85 0 July 3.9 5 .577 0 .73 .47 .29 .845 0 August 3.9 5 .895 0 .555 2.148 .77 .283 0 September 3.9 5 1.596 0 .678 3.593 1.81 .623 0 October 4.3 8.4 1.741 0 .95 .623 2.74 2.41 0 November 7 13 2.194 0 1.958 1.87 2.078 3.223 0 December 7 12 1.499 0 1.385 1.413 1.698 1.925 0 Points per each exceedance of Monthly average: 10 Exceedances, Monthly: 0 Points: 0 Points per each exceedance of weekly average (when there is no monthly average): 2.5 Exceedances, Weekly: 0 Points: 0 Total Number of Points 0 NOTE: Limit exceedances are considered for monthly OR weekly averages but not both. When a monthly average limit exists it will be used to determine exceedances and generate points. This will be true even if a weekly limit also exists. When a weekly average limit exists and a monthly limit does not exist, the weekly limit will be used to determine exceedances and generate points. 1.2 If any violations occurred, what action was taken to regain compliance? 0 Total Points Generated Score (100 - Total Points Generated) Section Grade Page 19 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Effluent Quality and Plant Performance (Phosphorus) 1. Effluent Phosphorus Results 1.1 Verify the following monthly average effluent values, exceedances, and points for Phosphorus Outfall No. 001 Monthly Average phosphorus Limit (mg/L) Effluent Monthly Average phosphorus (mg/L) Months of Discharge with a Limit Permit Limit Exceedance January .85 0.751 1 0 February .85 0.746 1 0 March .85 0.890 1 1 April .85 0.637 1 0 May .85 0.603 1 0 June .85 0.652 1 0 July .85 0.517 1 0 August .85 0.604 1 0 September .85 0.663 1 0 October .85 0.732 1 0 November .85 0.782 1 0 December .85 0.560 1 0 Months of Discharge/yr 12 Points per each exceedance with 12 months of discharge: 10 Exceedances 1 Total Number of Points 10 NOTE: For systems that discharge intermittently to waters of the state, the points per monthly exceedance for this section shall be based upon a multiplication factor of 12 months divided by the number of months of discharge. Example: For a wastewater facility discharging only 6 months of the year, the multiplication factor is 12/6 = 2.0 1.2 If any violations occurred, what action was taken to regain compliance? We added more Alum. 10 Total Points Generated Score (100 - Total Points Generated) Section Grade Page 20 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Biosolids Quality and Management 1. Biosolids Use/Disposal 1.1 How did you use or dispose of your biosolids? (Check all that apply) Land applied under your permit Publicly Distributed Exceptional Quality Biosolids Hauled to another permitted facility Landfilled Incinerated Other NOTE: If you did not remove biosolids from your system, please describe your system type such as lagoons, reed beds, recirculating sand filters, etc. 1.1.1 If you checked Other, please describe: 3. Biosolids Metals Number of biosolids outfalls in your WPDES permit: 3.1 For each outfall tested, verify the biosolids metal quality values for your facility during the last calendar year. Outfall No. 002 - ANAEROBIC LIQUID Parameter 80% of Limit H.Q. Limit Ceiling Limit Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 80% Value High Quality Ceiling Arsenic 41 75 <26.2 0 0 Cadmium 39 85 <2.6 0 0 Copper 1500 4300 437 0 0 Lead 300 840 <26.2 0 0 Mercury 17 57 .338 0 0 Molybdenum 60 75 12 0 0 Nickel 336 420 23.1 0 0 Selenium 80 100 <52.3 0 0 Zinc 2800 7500 809 0 0 3.1.1 Number of times any of the metals exceeded the high quality limits OR 80% of the limit for molybdenum, nickel, or selenium = 0 Exceedence Points 0 (0 Points) 1-2 (10 Points) > 2 (15 Points) 3.1.2 If you exceeded the high quality limits, did you cumulatively track the metals loading at each land application site? (check applicable box) Yes No (10 points) N/A - Did not exceed limits or no HQ limit applies (0 points) N/A - Did not land apply biosolids until limit was met (0 points) 3.1.3 Number of times any of the metals exceeded the ceiling limits = 0 Exceedence Points 0 (0 Points) 1 (10 Points) > 1 (15 Points) 3.1.4 Were biosolids land applied which exceeded the ceiling limit? Yes (20 Points) No (0 Points) Page 21 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 3.1.5 If any metal limit (high quality or ceiling) was exceeded at any time, what action was taken? Has the source of the metals been identified? 0 4. Pathogen Control (per outfall): 4.1 Verify the following information. If any information is incorrect, use the Report Issue button under the Options header in the left-side menu. Outfall Number: 002 Biosolids Class: B Bacteria Type and Limit: Fecal Coliform Sample Dates: 01/01/2025 - 12/31/2025 Density: 200,000 Sample Concentration Amount: MPN/G TS Requirement Met: Yes Land Applied: Yes Process: Anaerobic Digestion Process Description: Anaerobic Digestion 4.2 If exceeded Class B limit or did not meet the process criteria at the time of land application. 4.2.1 Was the limit exceeded or the process criteria not met at the time of land application? Yes (40 Points) No If yes, what action was taken? 0 5. Vector Attraction Reduction (per outfall): 5.1 Verify the following information. If any of the information is incorrect, use the Report Issue button under the Options header in the left-side menu. Outfall Number: 002 Method Date: 12/31/2025 Option Used To Satisfy Requirement: Injection when land apply Requirement Met: Yes Land Applied: Yes Limit (if applicable): Results (if applicable): 5.2 Was the limit exceeded or the process criteria not met at the time of land application? Yes (40 Points) No If yes, what action was taken? 0 6. Biosolids Storage 6.1 How many days of actual, current biosolids storage capacity did your wastewater treatment facility have either on-site or off-site? >= 180 days (0 Points) 150 - 179 days (10 Points) 120 - 149 days (20 Points) 90 - 119 days (30 Points) Page 22 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 < 90 days (40 Points) N/A (0 Points) 6.2 If you checked N/A above, explain why. 0 7. Issues 7.1 Describe any outstanding biosolids issues with treatment, use or overall management: No issues at this time. Total Points Generated Score (100 - Total Points Generated) Section Grade Page 23 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Staffing and Preventative Maintenance (All Treatment Plants) 1. Plant Staffing 1.1 Was your wastewater treatment plant adequately staffed last year? Yes No If No, please explain: Could use more help/staff for: 1.2 Did your wastewater staff have adequate time to properly operate and maintain the plant and fulfill all wastewater management tasks including recordkeeping? Yes No If No, please explain: 2. Preventative Maintenance 2.1 Did your plant have a documented AND implemented plan for preventative maintenance on major equipment items? Yes (Continue with question 2) No (40 points) If No, please explain, then go to question 3: 2.2 Did this preventative maintenance program depict frequency of intervals, types of lubrication, and other tasks necessary for each piece of equipment? Yes No (10 points) 2.3 Were these preventative maintenance tasks, as well as major equipment repairs, recorded and filed so future maintenance problems can be assessed properly? Yes Paper file system Computer system Both paper and computer system No (10 points) 0 3. O&M Manual 3.1 Does your plant have a detailed O&M and Manufacturer Equipment Manuals that can be used as a reference when needed? Yes No 4. Overall Maintenance /Repairs 4.1 Rate the overall maintenance of your wastewater plant. Excellent Very good Good Fair Poor Describe your rating: We take a proactive approach. Page 24 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Total Points Generated Score (100 - Total Points Generated) Section Grade Page 25 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Operator Certification and Education 1. Operator-In-Charge 1.1 Did you have a designated operator-in-charge during the report year? Yes (0 points) No (20 points) Name: CHAD M RUSS Certification No: 35582 0 2. Certification Requirements 2.1 In accordance with Chapter NR 114.56 and 114.57, Wisconsin Administrative Code, what level and subclass(es) were required for the operator-in-charge (OIC) to operate the wastewater treatment plant and what level and subclass(es) were held by the operator-in-charge? Sub Class SubClass Description WWTP OIC Advanced OIT Basic Advanced A1 Suspended Growth Processes X X A2 Attached Growth Processes A3 Recirculating Media Filters A4 Ponds, Lagoons and Natural A5 Anaerobic Treatment Of Liquid B Solids Separation X X C Biological Solids/Sludges X X P Total Phosphorus X X N Total Nitrogen D Disinfection X X L Laboratory X X U Unique Treatment Systems SS Sanitary Sewage Collection X NA X NA 2.2 Was the operator-in-charge certified at the appropriate level and subclass(es) to operate this plant? (Note: Certification in subclass SS is required 5 years after permit reissuance.) Yes (0 points) No (20 points) 2.3 For wastewater treatment facilities with a registered or certified laboratory, is at least one operator that works in the laboratory certified at the basic level in the laboratory (L) subclass? Yes No N/A – Wastewater treatment facility does not have a registered or certified laboratory 2.4 For wastewater treatment facilities that own and operate a sanitary sewage collection system, has at least one operator been designated the OIC for sanitary sewage collection system and certified at the basic level in the sanitary sewage collection system (SS) subclass? Yes No N/A – Owner of the Wastewater treatment facility does not own and operate a sanitary sewage collection system 0 3. Succession Planning 3.1 In the event of the loss of your designated operator-in-charge, did you have a contingency plan to ensure the continued proper operation and maintenance of the plant that includes one or more of the following options (check all that apply)? One or more additional certified operators on staff Page 26 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 An arrangement with another certified operator An arrangement with another community with a certified operator An operator on staff who has an operator-in-training certificate for your plant and is expected to be certified within one year A consultant to serve as your certified operator None of the above (20 points) If "None of the above" is selected, please explain: 0 4. Continuing Education Credits 4.1 If you had a designated operator-in-charge, was the operator-in-charge earning Continuing Education Credits at the following rates? OIT and Basic Certification: Averaging 6 or more CECs per year. Averaging less than 6 CECs per year. Advanced Certification: Averaging 8 or more CECs per year. Averaging less than 8 CECs per year. Total Points Generated Score (100 - Total Points Generated) Section Grade Page 27 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Financial Management 1. Provider of Financial Information Name: Darlene Smith, Village Treasurer Telephone: 262-677-9001 (XXX) XXX-XXXX E-Mail Address (optional): darlene.smith@villageofjacksonwi.gov 2. Treatment Works Operating Revenues 2.1 Are User Charges or other revenues sufficient to cover O&M expenses for your wastewater treatment plant AND/OR collection system ? Yes (0 points) No (40 points) If No, please explain: 2.2 When was the User Charge System or other revenue source(s) last reviewed and/or revised? Year: 2024 0-2 years ago (0 points) 3 or more years ago (20 points) N/A (private facility) 2.3 Did you have a special account (e.g., CWFP required segregated Replacement Fund, etc.) or financial resources available for repairing or replacing equipment for your wastewater treatment plant and/or collection system? Yes (0 points) No (40 points) 0 REPLACEMENT FUNDS [PUBLIC MUNICIPAL FACILITIES SHALL COMPLETE QUESTION 3] 3. Equipment Replacement Funds 3.1 When was the Equipment Replacement Fund last reviewed and/or revised? Year: 2024 1-2 years ago (0 points) 3 or more years ago (20 points) N/A If N/A, please explain: 3.2 Equipment Replacement Fund Activity 3.2.1 Ending Balance Reported on Last Year's CMAR $ 910,728.48 3.2.2 Adjustments - if necessary (e.g. earned interest, audit correction, withdrawal of excess funds, increase making up previous shortfall, etc.) - $ 41,647.50 3.2.3 Adjusted January 1st Beginning Balance $ 869,080.98 3.2.4 Additions to Fund (e.g. portion of User Fee, earned interest, etc.) + $ 315,368.00 Page 28 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 3.2.5 Subtractions from Fund (e.g., equipment replacement, major repairs - use description box 3.2.6.1 below*) - $ 173,322.98 3.2.6 Ending Balance as of December 31st for CMAR Reporting Year $ 1,011,126.00 All Sources: This ending balance should include all Equipment Replacement Funds whether held in a bank account(s), certificate(s) of deposit, etc. 3.2.6.1 Indicate adjustments, equipment purchases, and/or major repairs from 3.2.5 above. We repaired our backwash filters. 3.3 What amount should be in your Replacement Fund? $ 315,368.00 Please note: If you had a CWFP loan, this amount was originally based on the Financial Assistance Agreement (FAA) and should be regularly updated as needed. Further calculation instructions and an example can be found by clicking the SectionInstructions link under Info header in the left-side menu. 3.3.1 Is the December 31 Ending Balance in your Replacement Fund above, (#3.2.6) equal to, or greater than the amount that should be in it (#3.3)? Yes No If No, please explain. 0 4. Future Planning 4.1 During the next ten years, will you be involved in formal planning for upgrading, rehabilitating, or new construction of your treatment facility or collection system? Yes - If Yes, please provide major project information, if not already listed below. No Project # Project Description Estimated Cost Approximate Construction Year 1 The current discharge permit has a August 31, 2026 compliance date requirement for lower phosphorus limit. We are investigating a variety of options to meet the lower limit. Also, a new Facilities Planning Study has been completed. $120,000 2024 2 Construction has started on adding two new Backwash Filters and adding UV Disinfection. $5,700,000 2025 3 The current discharge permit has a August 31, 2026 compliance date requirement for lower phosphorus limit. We are investigating a variety of options to meet the lower limit. Also, a new Facilities Planning Study has been completed. $120,000 2024 4 Construction has started on adding two new Backwash Filters and adding UV Disinfection. $5,700,000 2025 5 The current discharge permit has a August 31, 2026 compliance date requirement for lower phosphorus limit. We are investigating a variety of options to meet the lower limit. Also, a new Facilities Planning Study has been completed. $120,000 2024 6 The current discharge permit has a August 31, 2026 compliance date requirement for lower phosphorus limit. We are investigating a variety of options to meet the lower limit. Also, a new Facilities Planning Study has been completed. $120,000 2024 7 The current discharge permit has a August 31, 2026 compliance date requirement for lower phosphorus limit. We are investigating a variety of options to meet the lower limit. Also, a new Facilities Planning Study has been completed. $120,000 2024 5. Financial Management General Comments None at this time Page 29 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 ENERGY EFFICIENCY AND USE 6. Collection System 6.1 Energy Usage 6.1.1 Enter the monthly energy usage from the different energy sources: COLLECTION SYSTEM PUMPAGE: Total Power Consumed Number of Municipally Owned Pump/Lift Stations: 1 Electricity Consumed (kWh) Natural Gas Consumed (therms) January 392 February 324 March 344 April 396 May 350 June 436 July 405 August 379 September 347 October 337 November 419 December 485 Total 4,614 0 Average 385 0 6.1.2 Comments: 6.2 Energy Related Processes and Equipment 6.2.1 Indicate equipment and practices utilized at your pump/lift stations (Check all that apply): Comminution or Screening Extended Shaft Pumps Flow Metering and Recording Pneumatic Pumping SCADA System Self-Priming Pumps Submersible Pumps Variable Speed Drives Other: 6.2.2 Comments: 6.3 Has an Energy Study been performed for your pump/lift stations? No Yes Page 30 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Year: 2023 By Whom: Foth Infrastructure and Environment LLC Describe and Comment: Part of lift station study. 6.4 Future Energy Related Equipment 6.4.1 What energy efficient equipment or practices do you have planned for the future for your pump/lift stations? Address with WWTP upgrade 7. Treatment Facility 7.1 Energy Usage 7.1.1 Enter the monthly energy usage from the different energy sources: TREATMENT PLANT: Total Power Consumed/Month Electricity Consumed (kWh) Total Influent Flow (MG) Electricity Consumed/ Flow (kWh/MG) Total Influent BOD (1000 lbs) Electricity Consumed/ Total Influent BOD (kWh/1000lbs) Natural Gas Consumed (therms) January 129,757 27.30 4,753 63.77 2,035 5,369 February 109,620 24.94 4,395 76.47 1,434 4,212 March 99,634 42.04 2,370 71.98 1,384 3,418 April 114,774 43.29 2,651 116.43 986 1,979 May 94,100 39.65 2,373 103.32 911 1,031 June 112,588 33.02 3,410 86.07 1,308 422 July 113,365 30.79 3,682 68.85 1,647 326 August 111,179 44.84 2,479 90.80 1,224 178 September 104,987 28.60 3,671 81.15 1,294 403 October 101,656 32.19 3,158 92.57 1,098 520 November 127,309 27.87 4,568 81.33 1,565 2,267 December 139,635 33.35 4,187 92.63 1,507 5,149 Total 1,358,604 407.88 1,025.37 25,274 Average 113,217 33.99 3,475 85.45 1,366 2,106 7.1.2 Comments: None at this time 7.2 Energy Related Processes and Equipment 7.2.1 Indicate equipment and practices utilized at your treatment facility (Check all that apply): Aerobic Digestion Anaerobic Digestion Biological Phosphorus Removal Coarse Bubble Diffusers Dissolved O2 Monitoring and Aeration Control Effluent Pumping Page 31 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Fine Bubble Diffusers Influent Pumping Mechanical Sludge Processing Nitrification SCADA System UV Disinfection Variable Speed Drives Other: 7.2.2 Comments: 7.3 Future Energy Related Equipment 7.3.1 What energy efficient equipment or practices do you have planned for the future for your treatment facility? Address with Facility Upgrade 8. Biogas Generation 8.1 Do you generate/produce biogas at your facility? No Yes If Yes, how is the biogas used (Check all that apply): Flared Off Building Heat Process Heat Generate Electricity Other: 9. Energy Efficiency Study 9.1 Has an Energy Study been performed for your treatment facility? No Yes Entire facility Year: By Whom: Describe and Comment: Part of the facility Year: Page 32 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 By Whom: Describe and Comment: Total Points Generated Score (100 - Total Points Generated) Section Grade Page 33 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Sanitary Sewer Collection Systems 1. Capacity, Management, Operation, and Maintenance (CMOM) Program 1.1 Do you have a CMOM program that is being implemented? Yes No If No, explain: 1.2 Do you have a CMOM program that contains all the applicable components and items according to Wisc. Adm Code NR 210.23 (4)? Yes No (30 points) N/A If No or N/A, explain: 1.3 Does your CMOM program contain the following components and items? (check the components and items that apply) Goals [NR 210.23 (4)(a)] Describe the major goals you had for your collection system last year: Cleaning and Televising, Lateral/Manhole Inspections Did you accomplish them? Yes No If No, explain: Organization [NR 210.23 (4) (b)] Does this chapter of your CMOM include: Organizational structure and positions (eg. organizational chart and position descriptions) Internal and external lines of communication responsibilities Person(s) responsible for reporting overflow events to the department and the public Legal Authority [NR 210.23 (4) (c)] What is the legally binding document that regulates the use of your sewer system? Sewer Use Ordinance If you have a Sewer Use Ordinance or other similar document, when was it last reviewed and revised? (MM/DD/YYYY) 2017-05-09 Does your sewer use ordinance or other legally binding document address the following: Private property inflow and infiltration New sewer and building sewer design, construction, installation, testing and inspection Rehabilitated sewer and lift station installation, testing and inspection Sewage flows satellite system and large private users are monitored and controlled, as necessary Fat, oil and grease control Enforcement procedures for sewer use non-compliance Operation and Maintenance [NR 210.23 (4) (d)] Does your operation and maintenance program and equipment include the following: Equipment and replacement part inventories Up-to-date sewer system map A management system (computer database and/or file system) for collection system information for O&M activities, investigation and rehabilitation Page 34 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 A description of routine operation and maintenance activities (see question 2 below) Capacity assessment program Basement back assessment and correction Regular O&M training Design and Performance Provisions [NR 210.23 (4) (e)] What standards and procedures are established for the design, construction, and inspection of the sewer collection system, including building sewers and interceptor sewers on private property? State Plumbing Code, DNR NR 110 Standards and/or local Municipal Code Requirements Construction, Inspection, and Testing Others: Overflow Emergency Response Plan [NR 210.23 (4) (f)] Does your emergency response capability include: Responsible personnel communication procedures Response order, timing and clean-up Public notification protocols Training Emergency operation protocols and implementation procedures Annual Self-Auditing of your CMOM Program [NR 210.23 (5)] Special Studies Last Year (check only those that apply): Infiltration/Inflow (I/I) Analysis Sewer System Evaluation Survey (SSES) Sewer Evaluation and Capacity Managment Plan (SECAP) Lift Station Evaluation Report Others: 0 2. Operation and Maintenance 2.1 Did your sanitary sewer collection system maintenance program include the following maintenance activities? Complete all that apply and indicate the amount maintained. Cleaning .2 % of system/year Root removal 0 % of system/year Flow monitoring 0 % of system/year Smoke testing 0 % of system/year Sewer line televising .1 % of system/year Manhole inspections 16.0 % of system/year Lift station O&M 2 # per L.S./year Manhole rehabilitation .1 % of manholes rehabbed Mainline rehabilitation 0 % of sewer lines rehabbed Private sewer inspections .1 % of system/year Private sewer I/I removal .1 % of private services Page 35 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 River or water crossings 0 % of pipe crossings evaluated or maintained Please include additional comments about your sanitary sewer collection system below: 3. Performance Indicators 3.1 Provide the following collection system and flow information for the past year. 30.46 Total actual amount of precipitation last year in inches 34.3 Annual average precipitation (for your location) 46.25 Miles of sanitary sewer 1 Number of lift stations 0 Number of lift station failures 0 Number of sewer pipe failures 3 Number of basement backup occurrences 3 Number of complaints 1.11 Average daily flow in MGD (if available) 2.05 Peak monthly flow in MGD (if available) Peak hourly flow in MGD (if available) 3.2 Performance ratios for the past year: 0.00 Lift station failures (failures/year) 0.00 Sewer pipe failures (pipe failures/sewer mile/yr) 0.00 Sanitary sewer overflows (number/sewer mile/yr) 0.06 Basement backups (number/sewer mile) 0.06 Complaints (number/sewer mile) 1.8 Peaking factor ratio (Peak Monthly:Annual Daily Avg) 0.0 Peaking factor ratio (Peak Hourly:Annual Daily Avg) 4. Overflows LIST OF SANITARY SEWER (SSO) AND TREATMENT FACILITY (TFO) OVERFLOWS REPORTED ** Date Location Cause Estimated Volume None reported ** If there were any SSOs or TFOs that are not listed above, please contact the DNR and stop work on this section until corrected. 5. Infiltration / Inflow (I/I) 5.1 Was infiltration/inflow (I/I) significant in your community last year? Yes No If Yes, please describe: Just in August do to heavy rain. 5.2 Has infiltration/inflow and resultant high flows affected performance or created problems in your collection system, lift stations, or treatment plant at any time in the past year? Yes No If Yes, please describe: Page 36 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Had to pump treat sewage on the lawn. 5.3 Explain any infiltration/inflow (I/I) changes this year from previous years: None that I know of. 5.4 What is being done to address infiltration/inflow in your collection system? When we find them, we fix them. Total Points Generated Score (100 - Total Points Generated) Section Grade Page 37 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Grading Summary WPDES No: 0021806 SECTIONS LETTER GRADE GRADE POINTS WEIGHTING FACTORS SECTION POINTS Influent BOD/CBOD TSS Ammonia Phosphorus Biosolids Staffing/PM OpCert Financial Collection TOTALS 0 0 GRADE POINT AVERAGE (GPA) = Notes: A = Voluntary Range (Response Optional) B = Voluntary Range (Response Optional) C = Recommendation Range (Response Required) D = Action Range (Response Required) F = Action Range (Response Required) Page 38 of 152 Compliance Maintenance Annual Report Jackson Wastewater Treatment Plant Last Updated: Reporting For: 5/13/2026 2025 Resolution or Owner's Statement Name of Governing Body or Owner: Date of Resolution or Action Taken: Resolution Number: Date of Submittal: ACTIONS SET FORTH BY THE GOVERNING BODY OR OWNER RELATING TO SPECIFIC CMAR SECTIONS (Optional for grade A or B. Required for grade C, D, or F): Influent Flow and Loadings: Grade = Effluent Quality: BOD: Grade = Effluent Quality: TSS: Grade = Effluent Quality: Ammonia: Grade = Effluent Quality: Phosphorus: Grade = Biosolids Quality and Management: Grade = Staffing: Grade = Operator Certification: Grade = Financial Management: Grade = Collection Systems: Grade = (Regardless of grade, response required for Collection Systems if SSOs were reported) ACTIONS SET FORTH BY THE GOVERNING BODY OR OWNER RELATING TO THE OVERALL GRADE POINT AVERAGE AND ANY GENERAL COMMENTS (Optional for G.P.A. greater than or equal to 3.00, required for G.P.A. less than 3.00) G.P.A. = Page 39 of 152 Jackson Wastewater Treatment Plant Linear equation uses 2015 - 2025 CMAR data for Trend Line: PSF: y = 0x + 0 Page 40 of 152 Jackson Wastewater Treatment Plant Linear equation uses 2015 - 2025 CMAR data for Trend Line: SPF: y = 0x + 0 Page 41 of 152 Jackson Wastewater Treatment Plant Linear equation uses 2015 - 2025 CMAR data for Trend Line: SSO: y = 0x + 0 Page 42 of 152 Jackson Wastewater Treatment Plant Linear equation uses 2015 - 2025 CMAR data for Trend Line: BB: y = 0x + 0 Page 43 of 152 Jackson Wastewater Treatment Plant Linear equation uses 2015 - 2025 CMAR data for Trend Line: Complaints: y = 0x + 0 Page 44 of 152 Jackson Wastewater Treatment Plant Linear equations use 2015 - 2025 CMAR data for Trend Lines: PFR - Peak Hourly: y = -0.001078 x + 47.99 PFR - Peak Monthly: y = 0.000220 x -8.22 Page 45 of 152 Jackson Wastewater Treatment Plant Linear equation uses 2004 - 2025 CMAR data for Trend Line: y = 0.000039 x -0.58 Page 46 of 152 Jackson Wastewater Treatment Plant Linear equation uses 2004 - 2025 CMAR data for Trend Line: y = 0.041434 x + 619.45 Page 47 of 152 Jackson Parks & Recreation N165W20330 Hickory Lane Jackson, WI 53037 (262) 677-9665 parkrec@villageofjacksonwi.gov MEMO DATE 5/19/2026 TO FROM REGARDING To: Parks and Recreation Commission Tyler Mentzel Jackson Parks & Recreation Director tyler.mentzel@villageofjacksonwi.gov Phone Ext: (262) 677-9665 x113 Agenda Item #7 - Rental Request – Jackson Community Center – Democratic Party of Washington County - Fundraiser The Jackson Community Center has received a rental request from the Democratic Party of Washington County to host a fundraising event on Saturday, September 18, 2026, from 5:00 p.m. to 10:00 p.m. in the Community Center Gym. Policy Requirement: Per Village policy, any political meetings and/or fundraising events require approval from both the Village Clerk and the Village Board. Event Details: x Estimated Attendance: 100–125 participants x Admission: Free to attend x Activities: Donations, silent auction, and complimentary beer service (no charge) x History: This event has been held in the past and has become a recurring annual fundraiser Recommendation: Staff recommend approval of the rental request for the event. Thank you, Tyler Mentzel Jackson Parks and Recreation Director Page 48 of 152 Resolution #26-24 1 STATE OF WISCONSIN VILLAGE OF JACKSON WASHINGTON COUNTY RESOLUTION #26-24 RESOLUTION HONORING BRIAN “HECKY” HECKENDORF FOR HIS YEARS OF SERVICE TO THE VILLAGE OF JACKSON FIRE DEPARTMENT The Village Board of the Village of Jackson, Washington County, Wisconsin, does resolve as follows: WHEREAS, Brian Heckendorf faithfully served the residents of the Village of Jackson and surrounding communities as a member of the Jackson Fire Department for more than 26 years; and WHEREAS, throughout his tenure, Brian Heckendorf demonstrated an unwavering commitment to public safety by attaining certification as a Wisconsin State Firefighter Level I and Level II, State Certified Motor Pump Operator, State Certified Fire Instructor Level I, and State Licensed EMT- Advanced; and WHEREAS, Brian Heckendorf contributed significantly to the growth and advancement of the Jackson Fire Department through his participation on seven apparatus committees, including committees responsible for the acquisition of two major fire engine replacements, and by serving as chairperson for the department's ladder truck replacement project; and WHEREAS, Brian Heckendorf dedicated two decades of service to the department's Fire Training Committee, helping to develop and improve the skills and capabilities of countless firefighters, while also serving as President and multiple terms as Secretary of the Washington County Fire Training Officers Association, promoting excellence in fire service training throughout the county; and WHEREAS, Brian Heckendorf selflessly devoted countless hours to emergency medical service operations, routinely volunteering to fill open shifts and ensuring continued EMS coverage for the community whenever needed; and WHEREAS, Brian Heckendorf consistently displayed enthusiasm, professionalism, and pride in the Jackson Fire Department, while honoring his commitment to protect and serve the community in which he was raised; WHEREAS, following his distinguished fire service career, Brian Heckendorf has continued his dedication to the residents of Jackson through service in local government, participation on numerous boards and committees, and through his leadership as Village President, further demonstrating his enduring commitment to the betterment of the community; NOW, THEREFORE, BE IT RESOLVED, that the Village of Jackson Board hereby expresses its sincere gratitude and appreciation to Brian Heckendorf for his dedicated service, leadership, and commitment to the Jackson Fire Department and the citizens of the Village of Jackson; and BE IT FURTHER RESOLVED, that the Village Board extends its best wishes to Brian Heckendorf and recognizes his many contributions, which have strengthened the Jackson Fire Department and enhanced the safety and well-being of the community for more than twenty-six years. Page 49 of 152 Resolution #26-24 2 Introduced by: Seconded by: Vote: Ayes Nays Passed and Approved: ____________________________________ Brian J. Heckendorf – Village President Attest: Pamela Wolf – Interim Clerk Proof of Posting: I the undersigned, certify that I posted this Resolution on posting boards at the Jackson Municipal Complex, Post Office, and one other location in the Village. Village Official Date Page 50 of 152 Page 1 of 3 Ordinance #26-07 STATE OF WISCONSIN VILLAGE OF JACKSON WASHINGTON COUNTY ORDINANCE #26-07 AMENDING CHAPTER 2 OF THE CODE OF ORDINANCES OF THE VILLAGE OF JACKSON TO CREATE ADDITIONAL ELECTION WARDS THE VILLAGE BOARD OF THE VILLAGE OF JACKSON, WASHINGTON COUNTY, WISCONSIN, does hereby ordain the following changes to the Village Code: WHEREAS, the Village Board adopted a redistricting plan on October 12,2021 through Ordinance #21-08; and WHEREAS, Wisconsin Assembly and Senate District boundaries were established through 2023 Senate Bill 488, which was passed by the Wisconsin State Assembly and the Wisconsin State Senate on February 13, 2024, and signed into law by the Governor of Wisconsin on Monday, February 19, 2024 as 2023 Wisconsin Act 94; and WHEREAS, Annexations of properties from the Town of Jackson has resulted in the creation of additional wards; and WHEREAS, these wards must be reflected in a revised Village of Jackson ward map and assigned to the Village’s designated polling place, N168W19851 Main Street; and NOW THEREFORE, The Village Board of the Village of Jackson, Washington County, Wisconsin does ordain as follows: SECTION 1. Chapter 2-466 of the Municipal Code of the Village of Jackson, is hereby amended pursuant to section 5.15, Wisconsin Statutes, to create the following election wards; Sec. 2-466 Wards and polling place. 19. WARD 19: Part of Block 2018 and 2019 in Tract 4501.08 (Sherman and Maple) as described in Exhibit A. 20. WARD 20: Part of Block 1033 in Tract 4501.07 (Sherman and P) as described in Exhibit B. 21. WARD 21: Part of Block 4020 in Tract 4501.03 (Eagle and Hwy 60) as described in Exhibit C. SECTION 2. The wards contained in this Ordinance #26-07, are effective as of June 9, 2026. SECTION 3. This Ordinance shall take effect from and after its passage and posting. Page 51 of 152 Page 2 of 3 Ordinance #26-07 Section 4. The Village Clerk and the Village Administrator are authorized and directed to make all changes within the Village of Jackson Code of Ordinances necessary to reflect this ordinance. Introduced by: Seconded by: Vote: ___ Aye __ Nay Passed and Approved: Brian J. Heckendorf, Village President Pamela Wolf, Interim Clerk Proof of Posting I, the undersigned, certify that I posted this Ordinance on the bulletin boards at the Village Hall, post office, and one other location in the Village of Jackson. Village Official: ____________________________________________________ Date: Page 52 of 152 Page 3 of 3 Ordinance #26-07 EXHIBIT A Lands being part of the Southeast ¼ of Section 20, and part of the Northeast ¼ of Section 29, T10N, R20E, Town of Jackson, Washington County, Wisconsin, bounded and described as follows: Beginning at the Northeast corner of Section 29, T10N, R20E; Thence S01°03’31”E, along the east line of said Section 29, 183.04 feet, more or less to a point; Thence N89°52’53”W, 33.01 feet, more or less to the southeast corner of Parcel 1 of Certified Survey Map #6033; Thence 89°52’53”W, along the south line of Parcel 1 of Certified Survey Map #6033, 303.49 feet, more or less to the southwest corner of said Parcel 1; Thence N01°03’31”W, along the west line of Parcel 1 of Certified Survey Map #6033, 150.03 feet, more or less to the northwest corner of said Parcel 1; Thence N01°03’31”W, 33.01 feet, more or less to a point; Thence S89°52’52”E, 179.72 feet, more or less along the north line of Northeast ¼ of Section 29, T10N, R20E to a point; Thence N01°15’42”W, 24.75 feet, more or less to a point; Thence S89°53’09”E, 132.00 feet, to a point; Thence S89°53’09”E, 24.78, more or less to a point on the east line of the Southeast Quarter of Section 20, T10N, R20E; Thence S01°15’42”E, 24.78 feet more or less along east line of the Southeast Quarter of said Section 20 to the point of beginning; Containing 65,512.80 square feet (1.5040 Acres) More or Less. Description includes Tax Parcel Number: T7-074900H EXHIBIT B Lot One (1), of Certified Survey Map No. 6583 as recorded in the Washington County Registry in Volume 50 of Certified Survey Maps on pages 175-177 as Document No. 1367065 and corrected by Affidavit of Correction Document No. 1369811, part of the Southwest 1/4 of the Southwest 1/4 of Section 19, Township 10 North, Range 20 East, Town of Jackson, Washington County, Wisconsin, which is bounded and described as follows: Beginning at the Southwest corner of said Section 19, thence N 01°12'50" W, along the west line of said SW 1/4, 233.70 feet, to the northwest corner of said Lot 1; thence S 89°14'43" E, along the north line of said Lot 1, 208.70 feet, to the northeast corner of said Lot 1; thence S 01°12'50" E, along the east line of said Lot 1, 233.70 feet, to the southeast corner of said Lot 1 and a point in the south line of said SW 1/4; thence N 89°14'43" W, along said south line of the SW 1/4, 208.70 feet, to the point of beginning. Containing 1.119 acres (48,744 square feet) more or less. EXHIBIT C Parcel (5) of CERTIFIED SURVEY MAP No. 5344, recorded in the Washington County Registry on March 16, 2001 in Volume 38 of Certified Survey Maps on pages 17-19, as Document No. 879003 and being a redivision of Outlot 1 of Certified Survey Map No. 5303, being part of the Southwest 1/4 of the Southeast ¼ of Section 17, Town 10 North, Range 20 East, in the Town of Jackson, Washington County, Wisconsin. Page 53 of 152 Taking the lead in Washington County STAFF MEMO Village of Jackson To: Brian Heckendorf, Village President Jen Heidtke, Village Administrator CC: Village Board From: Pamela Wolf, Interim Clerk Subject: Approval of Licenses Meeting Date: June 9, 2026 – Village Board Background and Analysis: Annual License Renewals – 2026–2027 Notices of renewal were mailed to all holders of annual licenses expiring on June 30, 2026. These licenses include: • Class “A” Fermented Malt Beverage “Class A” Intoxicating Liquor • Class “B” Fermented Malt Beverage “Class B” Intoxicating Liquor • Cigarette/Tobacco and Electronic Vaping • Hotel/Motel The following renewal requirements have been completed by the license holders/applicants and the Interim Clerk: 1. Submission of a completed application. 2. Appointment of agents and completion of background checks. 3. Publication of notice in the newspaper for three consecutive days. Recommendations: Item 6a (i–v) Approve the 2026–2027 Class “A” Fermented Malt Beverage and “Class A” Intoxicating Liquor licenses for the five businesses identified in Items 6a(i) through 6a(v), as listed, conditional upon terms set forth in Village Code Sec. 4-24. Item 6b (i–iii) Approve the 2026–2027 Class “B” Fermented Malt Beverage and “Class B” Intoxicating Liquor licenses for the three businesses identified in Items 6b(i) through 6b(iii), as listed, conditional upon terms set forth in Village Code Sec. 4-24. Item 6c (i–vii) Approve the 2026–2027 Cigarette/Tobacco and Electronic Vaping licenses for the six businesses identified in Items 6c(i) through 6c(vi), as listed, conditional upon terms set forth in Village Code Sec. 4-24. Item 6d (i–ii) Approve the 2026–2027 Hotel/Motel licenses for the two businesses identified in Items 6d(i) through 6d(ii), as listed, conditional upon terms set forth in Village Code Sec. 4-24. Attachment: Sec. 4-24. - Restrictions on granting licenses. Page 54 of 152 Created: 2026-05-04 11:16:16 [EST] (Supp. No. 9) Page 1 of 1 Sec. 4-24. Restrictions on granting licenses. In addition to the requirements imposed by the adopted state statutes, the following provisions shall apply to the granting of licenses under this article: (1) Licenses shall be issued in accordance with Wis. Stats. ch. 125. (2) No license shall be granted for operation of any premises upon which taxes or assessments or other financial claims of the village are delinquent and unpaid. (3) No retail Class "A" or Class "B" licenses shall be issued or renewed unless the premises to be licensed or for which the license is to be renewed conforms to sanitary, safety, fire, electrical, plumbing, and health requirements of applicable state laws and regulations and village ordinances. (4) The village shall inspect the licensed premises and send a written notice to the license holder of the items not in compliance with this Code and state statute regulations prior to June 15 of each year itemizing the noncompliance items. If the licensed premises has not been brought into compliance as required by the notice, no license shall be issued until the premises are in compliance. (Prior Code, § 6.01E; Ord. No. 96-13; Ord. No. 08-02; Ord. No. 08-05; Ord. No. 10-02; Ord. No. 12-01) Page 55 of 152 Taking the lead in Washington County STAFF MEMO Village of Jackson Public Works To: Brian Heckendorf, Village President Jen Heidtke, Village Administrator CC: Board of Public Works; Budget and Finance; Village Board From: Jack Straehler, Director of Public Works Subject: Letter of Credit Reduction – Maple Fields Subdivision Phase 3 – Neumann Development Inc. in the amount of $707,841.10 Meeting Date: May 26, 2026 – Board of Public Works Background and Analysis: The Village of Jackson has received and reviewed the Letter of Credit reduction request in the amount of $707,841.10, as submitted by Neumann Development Inc., dated April 20, 2026, for the Maple Fields Subdivision Phase 3 subdivision. This reduction corresponds to the completion and installation of public improvements within Phase 3. Approval of this request will result in a $506,402.21 balance for the Phase 3 letter of credit, for the remaining public improvements which will need to be completed and verified. Let me know if you have any questions. JS Recommendation: Board of Public Works recommends the Budget and Finance Committee and Village Board approve the Letter of Credit reduction for Maple Fields Subdivision Phase 3 in the amount of $707,841.10. Page 56 of 152 NEUMANN DEVELOPMENTS, INC. * N27 W24025 PAUL CT. SUITE 100 * PEWAUKEE, WI 53072 262-542-9200 * FAX: 262-349-9324 * NEUMANNDEVELOPMENTSINC.COM April 20, 2026 Village of Jackson Jack Straehler, DPW N168 W19851 Main Street Jackson, WI 53037 Re: Request for Letter of Credit Reduction #1 Maple Fields Subdivision – Phase 3 Mr. Straehler: Neumann Developments, Inc. is hereby submitting this request, on behalf of Maple Fields, LLC, for a reduction in the Letter of Credit as issued Midland States Bank for the Maple Fields subdivision Phase 3 in accordance with the Development Agreement. The basis of this reduction is the completion of site utilities, with the exception of the sump lateral system which shall be installed following the curbs & roadway binder. We are requesting a reduction in the LOC for work completed as follows: Original LOC Amount $1,214,243.31 Current Reduction Request ($707,841.10) Proposed New LOC $506,402.21 This reduction is being requested in accordance with the work as completed on the project thru April 01, 2026. Please find the attached recap sheet outlining the amounts being requested above. The remaining amount is for sump laterals, roadway construction, asphalt, sidewalks, street trees and street lighting. If any additional information is required please feel free to contact me. Please forward a written authorization for the reduction to the Letter of Credit and I will coordinate with the lender as appropriate. Sincerely, Neumann Developments Kevin Anderson Project Manager Page 57 of 152 Maple Fields - Ph.3 Jackson, WI LOC Recap Original $ Prior Completed Current Completed Balance Sanitary Sewer 8" PVC SDR-35 Sanitary Sewer Main (Granular Backfill) 135,516.00 $ 135,516.00 -$ 6" PVC SDR-35 Sanitary Lateral 141,568.00 $ 141,568.00 -$ 48” Dia. Sanitary Manhole 28,200.00 $ 28,200.00 -$ Connection to Existing Sanitary Sewer 1,000.00 $ 1,000.00 -$ Sub-Total: 306,284.00 0.00 306,284.00 0.00 Water Main 8” PVC C-900 Class 235 Water Main (Granular Backfill) 110,880.00 110,880.00$ -$ 8" Gate Valve w/ Valve Box 6,000.00 6,000.00$ -$ Hydrant Assembly w/ 6” Valve 13,000.00 13,000.00$ -$ 1 1/2" Poly Water Service Line & Curb Stops 72,940.00 72,940.00$ -$ Connect to Existing Water 1,500.00 1,500.00$ -$ Sub-Total: 204,320.00 0.00 204,320.00 0.00 Storm Sewer 12” RCP Storm Sewer 18,744.00 18,744.00$ -$ 15" RCP Storm Sewer 17,640.00 17,640.00$ -$ 18" RCP Storm Sewer 1,425.00 1,425.00$ -$ 24" RCP Storm Sewer 25,201.00 25,201.00$ -$ 6" Sump Collector 19,475.00 19,475.00$ 6" PVC (sump laterals) 16,550.00 16,550.00$ Sump Clean Out 20,400.00 20,400.00$ 2x3 Precast Inlets w/Frame & Grate 20,800.00 20,800.00$ -$ 48" Dia. Precast Manhole (w/ sump) 19,600.00 19,600.00$ -$ 24" Pipe End Section 1,500.00 1,500.00$ -$ Sub-Total: 161,335.00 0.00 104,910.00 56,425.00 Curb, Gutter, Roadways, Lighting, Street Trees 9" Crushed Limeston Traffic Bond Base Course 54,079.50 54,079.50$ 30" Vertical Face Curb 58,776.75 58,776.75$ Bituminous Asphalt Pvmt. (Binder Course) 54,810.00 54,810.00$ Base Stone & Concrete Sidewalk 5" 85,030.00 85,030.00$ Milling, Paving Rings & Interim Inlets 27,511.00 27,511.00$ Bituminous Asphalt Pvmt. (Surface Course) 43,717.50 43,717.50$ Steet Lights - by the City of Jackson (paid by NDI) 20,000.00 20,000.00$ Street Trees (all phases of project) 40,000.00 40,000.00$ Sub-Total: $ 383,924.75 $ - $ - $ 383,924.75 Public Improvement Costs: 1,055,863.75$ -$ 615,514.00$ 440,349.75$ 15% Mark-up 158,379.56$ -$ 92,327.10$ 66,052.46$ Total LOC Amount 1,214,243.31$ -$ 707,841.10$ 506,402.21$ Public Improvements Letter of Credit Public Works Page 58 of 152 Taking the lead in Washington County STAFF MEMO Village of Jackson Public Works To: Brian Heckendorf, Village President Jen Heidtke, Village Administrator CC: Board of Public Works; Budget and Finance; Village Board From: Jack Straehler, Director of Public Works Subject: Proposal Review - Fiber to Public Parks, Municipal Wells, and Municipal Lift Station - Midwest Fiber Network in the Amount of $133,850.00 Meeting Date: May 26, 2026 – Board of Public Works Background and Analysis: This memo is to inform the Board of a proposal received from Midwest Fiber Network to install fiber connections to two Village parks, three municipal wells, and the sanitary sewer lift station. During the 2026 budgeting process, the Board allocated and approved funding for this project. The proposal from Midwest Fiber Network totals $133,850.00, with the costs allocated as follows: • Water Utility Fund: $63,750.00 • Sewer Fund: $16,680.00 • Capital Projects Fund: $53,420.00 The amounts budgeted for the project were: • Water Utility Fund: $170,000.00 • Sewer Fund: $35,000.00 • Capital Projects Fund: $120,000.00 The proposal is within the amounts budgeted for the project. It is my recommendation that the Village move forward with the proposal from Midwest Fiber Network for the installation of fiber infrastructure at the identified facilities. Let me know if you have any questions. JS Recommendation: Board of Public Works recommends Budget and Finance Committee and Village Board approve the proposal from Midwest Fiber Network in the amount of $133,850.00. Page 59 of 152 Prepared by: Midwest Fiber Networks 6070 N Flint Road Glendale, WI 53209 Phone: 414-459-3556 rsteadman@midwestfibernetworks.com Quote: Village of Jackson - Dark Fiber Date: 05/11/2026 To: Village of Jackson Jack B. Straehler II Director of Public Works W194 N16660 Eagle Drive Jackson, WI 53037 Office: 262-677-0707 Cell: 262-305-5012 Email: jack.straehler@villageofjacksonwi.gov Term Product Price/ One Time Cost Dark Fiber - 6 sites - 2 strands per site 240 months N165 W20290 Hickory Lane = $21,300.00 240 months 2495 Sherman Rd = $16,680.00 240 months W208 N16898 N. Center Street = $42.230.00 240 months W223 N16450 Cedar Parkway = $35,535.00 240 months N173 W21905 Northwest Passage $28,215.00 240 months W204 N16901 Jackson Drive $32,120.00 Total One Time Cost $133,850.00 Payment Schedule for One Time Costs: 20% - Contract Execution 30% - Construction Phase 50% - Testing & Completion Turn Over This Quote Summary is confidential and may not be disclosed to third parties. It is non-binding unless and until the terms and conditions stated herein are incorporated into a signed order which is thereafter accepted by Midwest Fiber Networks, LLC. This quote will then be replaced by a formal agreement once negotiations are completed. Date QUOTE Authorized Signature MWFN estimated delivery date from contract signing is 90 - 120 +/- days. Depending on permitting. FCC & WI PSC tax is additional & added to monthly invoice MWFN shall extend the fiber from the penetration of the external wall to within 50 feet inside of the building. Any demarcation extension beyond 50 feet shall be the responsbility of the Customer. Cross-Connect fees not included if connecting to an MWFN POP - Responsbility of customer Locating Facilities on Private Property - Responsbility of the Customer Engineering Study Deposit - Non-Refundable - Confirms Route and final cost to project Page 60 of 152 Taking the lead in Washington County STAFF MEMO Village of Jackson Public Works To: Brian Heckendorf, Village President Jen Heidtke, Village Administrator CC: Board of Public Works; Budget and Finance; Village Board From: Jack Straehler, Director of Public Works Subject: Proposal Review - Jackson Park Security Cameras - Pros4 Technology in the Amount of $19,341.28 Meeting Date: May 26, 2026 – Board of Public Works Background and Analysis: This memo is to inform the Board of a proposal received from Pros4 Technology for the installation of security cameras at Jackson Park. During the 2026 budgeting process, the Board allocated and approved funding in the amount of $75,000.00 for this project. The proposal submitted by Pros4 Technology totals $19,341.28 and includes all necessary parts and labor for the installation of the security camera system. In addition, a proposal was received from Midwest Fiber Network in the amount of $32,120.00 for the fiber infrastructure improvements necessary to support the project. The total cost to upfit Jackson Park with fiber and security cameras is $51,461.28. The combined proposals are within the amount budgeted for the project. Therefore, it is my recommendation that the Village move forward with the proposal from Pros4 Technology for the installation of security cameras at Jackson Park. Let me know if you have any questions. JS Recommendation: Board of Public Works recommends the Budget and Finance Committee and Village Board approve the proposal from Pros4 Technology in the amount of $19,341.28. Page 61 of 152 Prepared by: Pros 4 Technology David Becker david.becker@pros4tech.com Prepared for: Village of Jackson Public Works Jack Straehler jack.straehler@villageofjacksonwi.gov We have prepared a quote for you VOJ Jackson Park Cameras Quote # 001029 Version 1 Page 62 of 152 160 Vision Parkway Sheboygan Falls, WI 53085 pros4technology.com 920-400-1279 Proprietary Notice & Non-Disclosure Statement Information contained in this document is provided under an exclusive, perpetual non-disclosure agreement and cannot be copied, transmitted, excerpted, or otherwise communicated to anyone without the prior written consent of Pros 4 Technology, Inc. This package contains proprietary and trade secret information. All data furnished in connection with this package is intended for use in evaluating potential business opportunities with Pros 4 Technology, Inc. and is considered proprietary information. Intended recipients of this document shall have the right to duplicate, use, or disclose the data contained herein to the extent necessary to perform their duties in the interest of formulating a business relationship with Pros 4 Technology, Inc., but may not use this information as the basis to obtain competitive quotes from other vendors. These restrictions do not limit the right to use information contained herein if said data is obtained from another source, without restriction. These restrictions apply to all media comprising this package. Page: 2 of 6 Page 63 of 152 160 Vision Parkway Sheboygan Falls, WI 53085 pros4technology.com 920-400-1279 NDAA Compliance Statement What is NDAA Section 889? Section 889 of the 2019 National Defense Authorization Act prohibits the federal government, government contractors, and grant and loan recipients from procuring or using certain “covered telecommunication equipment or services” that are produced by Huawei, ZTE, Hytera, Hikvision, and Dahua and their subsidiaries as a “substantial or essential component of any system, or as critical technology as part of any system.” Specifically, Sec. 889 has two specific phases of prohibition: Sec. 889(a)(1)(A) required the federal government, as of August 13, 2019, to not “procure or obtain or extend or renew a contract to procure or obtain any equipment, system, or service that uses covered telecommunication equipment or services as a substantial or essential component of any system, or as critical technology as part of any system.” Sec. 889(a)(1)(B), which went into effect on August 13, 2020, prohibits the federal government from entering into or extending or renewing contracts with any entity that “uses any equipment, system, or service that uses covered telecommunication equipment or services as a substantial or essential component of any system, or as critical technology as part of any system.” What does this mean? Per Section 889, any federal government, government contractors, or agency or organization who receives federal grant or loan money is required to follow NDAA compliance. This means cameras and telecommunications devices that are produced by Huawei, ZTE, Hytera, Hikvision, and Dahua and their subsidiaries are not allowed to be used. Pros 4 Technology and the NDAA Pros 4 Technology understands the importance of cybersecurity which is why we provide cameras and systems that are fully NDAA compliant. All camera listed on this estimate fall under NDAA and TAA compliance. Page: 3 of 6 Page 64 of 152 160 Vision Parkway Sheboygan Falls, WI 53085 pros4technology.com 920-400-1279 Products Description Price Qty Ext. Price Alibi Vigilant 8MP 98 Feet Varifocal IllumiNite-IR Starlight+ IntelliSearch Vandal IP Turret Camera  8MP high-resolution 3840 x 2160 @ 30fps  2.8-12mm @ F1.2  111.5 to 54.1 degrees horizontal FOV to capture large areas  Smart IR up to 98 feet nighttime viewing  Color Attribute Collection  IntelliSearch Color Match Technology  Starlight+ technology - Color: 0.0005 Lux, 0 Lux with IR  130dB True Wide Dynamic Range (WDR)  Supports red & blue warning lights for Active Deterrence  Built-in mic and speaker  Audio I/O 1 in 1 out; Alarm 1 in/1 out  Micro SD, up to 512 GB  Supports Ultra 265, H.265, H.264, and MJPEG  ANR, NAS(NFS) Network Storage  IP67 weather-resistant rating  IK10 vandal resistant $623.49 12 $7,481.88 Alibi Vigilant Junction box for Metal Turret Camera $18.26 12 $219.12 MikroTik CSS610-8P-2S+IN 8-Port Gigabit PoE+ Managed Network Switch $332.05 3 $996.15 The SXTsq 5 ac is a compact and lightweight outdoor 5Ghz 802.11ac wireless device with an integrated antenna, perfect for point-to-point links or as a CPE unit. The device includes one 10/100/1000 Mbit Ethernet port to fully utilize speeds that 802.11ac p $80.00 8 $640.00 Zyxel GS1900-10HP 8-port PoE+ with [2] Gigabit SFP slots $219.00 2 $438.00 Steel Wall Box 6 x 16 x 12in Pebble Gray Bracket Mount IP66 $115.00 3 $345.00 1U Rack Shelf $49.00 2 $98.00 Digital Watchdog Spectrum IPVMS - License - 10 IP Camera $1,088.85 1 $1,088.85 Digital Watchdog Spectrum IPVMS - License - 1 IP Camera $108.89 2 $217.78 Page: 4 of 6 Page 65 of 152 160 Vision Parkway Sheboygan Falls, WI 53085 pros4technology.com 920-400-1279 Products Description Price Qty Ext. Price Wire and Supplies $1,536.50 1 $1,536.50 Subtotal: $13,061.28 Services Description Price Qty Ext. Price Wiring & Install Labor $4,280.00 1 $4,280.00 Programming and Setup Labor $2,000.00 1 $2,000.00 Subtotal: $6,280.00 Page: 5 of 6 Page 66 of 152 160 Vision Parkway Sheboygan Falls, WI 53085 pros4technology.com 920-400-1279 VOJ Jackson Park Cameras Quote Information: Prepared for: Prepared by: Quote #: 001029 Village of Jackson Public Works Pros 4 Technology Version: 1 Delivery Date: 05/13/2026 Expiration Date: 05/27/2026 W194N16660 Eagle Drive Jackson, WI 53037 Jack Straehler (262) 677-9001 jack.straehler@villageofjacksonwi.gov David Becker 920-400-1279 david.becker@pros4tech.com Quote Summary Description Amount Products $13,061.28 Services $6,280.00 Total: $19,341.28 Sales Tax will be added when applicable, hardware will be billed before ordering, labor will be billed after completion, prices and specifications subject to change. Although we strive to be as accurate as possible, this estimate is an approximation and is not guaranteed. The estimate is based on information provided from the client regarding project requirements and what we could see during the initial walk through. Actual costs may change once the project starts due to unforeseen circumstances, any need for changes, or any changes requested by the client. Prior to any changes of cost, the client will be notified. Pros 4 Technology Village of Jackson Public Works Signature: Name: David Becker Title: Director of Operations Date: 05/13/2026 Signature: Name: Jack Straehler Date: Page: 6 of 6 Page 67 of 152 IPVM Designer Calculation | May 13, 2026 Overview Camera 1 Page 68 of 152 Camera 2 Camera 3 Page 69 of 152 Camera 4 Camera 5 Page 70 of 152 Camera 6 Camera 7 Page 71 of 152 Camera 8 Camera 9 Page 72 of 152 Camera 10 Camera 11 Page 73 of 152 Camera 12 This presentation is an output of the IPVM Designer / Calculator but is the work product of the individual who created it. IPVM does not guarantee nor warranty the work therein nor its implementation. Issues that may impact actual performance include but are not limited to lighting conditions, lens quality, and compression level. Page 74 of 152 Key Features: • 8MP high-resolution 3840 x 2160 @ 30fps • 2.8-12mm @ F1.2 • 111.5 to 54.1 degrees horizontal FOV to capture large areas • Smart IR up to 98 feet nighttime viewing • Color Attribute Collection • IntelliSearch Color Match Technology • Starlight+ technology - Color: 0.0005 Lux, 0 Lux with IR • 130dB True Wide Dynamic Range (WDR) • Supports red & blue warning lights for Active Deterrence • Built-in mic and speaker • Audio I/O 1 in 1 out; Alarm 1 in/1 out • Micro SD, up to 512 GB • Supports Ultra 265, H.265, H.264, and MJPEG • ANR, NAS(NFS) Network Storage • IP67 weather-resistant rating • IK10 vandal resistant • NDAA Compliant • One-click Cloud firmware updating VIGILANT PERFORMANCE SERIES Alibi Vigilant 8MP 98 Feet IllumiNite-IR Starlight+ IntelliSearch Vandal IP Varifocal Turret Camera w/Built-in Mic and Speaker Specifications Camera Max Resolution 8 MP Sensor 1/1.8" CMOS Min. Illumination Color: 0.0005 Lux (F1.0, AGC ON) Day/Night IR-cut filter with auto switch (ICR) Shutter Auto/Manual, 1 to 1/100000 s Adjustment Angle Pan: 0° to 360°, Tilt: 0° to 75°, Rotate: 0° to 360° S/N > 56 dB WDR 130 dB Meets federal government technical requirements NDAA PRODUCTTECHNICAL REQUIREMENTS ALI-PT80-VLUZAIS-D Page 75 of 152 Lens Focal Length 2.8 to 12 mm Iris Type Fixed Iris F1.2 Field of View (H) 111.5° to 54.1° Field of View (V) 60.2° to 30.6° Field of View (D) 128.7° to 61.9° Lens Type Motorized DORI DORI Distance (Lens) 2.8 to 12 mm DORI Distance (Detect) 63.0 m to 270.0 m (206.7 ft. to 885.8 ft) DORI Distance (Observe) 25.2 m to 108.0 m (82.7 ft. to 354.3 ft) DORI Distance (Recognize) 12.6 m to 54.0 m (41.3 ft. to 177.2 ft) DORI Distance (Identify) 6.3 m to 27.0 m (20.7 ft. to 88.6 ft) Illuminator Supplemental Light Dual light Illumination Distance (IR) 30 m (98.4 ft) Illumination Distance (Warm Light) 30 m (98.4 ft) IR On/Off Control Auto/Manual Wavelength 850 nm Light On/Off Control Auto/Manual Video Video Compression Ultra 265, H.265, H.264, MJPEG H.264 Code Profile Baseline profile, Main profile, High profile Frame Rate-Main Stream 8 MP (3840 × 2160), max. 30 fps; 5 MP (3072 × 1728), max. 30 fps; 4 MP (2560 × 1440), max. 30 fps; 1080P (1920 × 1080), max. 30 fps; 720P (1280 × 720), max. 30 fps Frame Rate-Sub Stream 1080P (1920 × 1080), max. 30 fps; 720P (1280 × 720), max. 30 fps; D1 (720 × 576), max. 30 fps; 640 × 360, max. 30 fps; 2CIF (704 × 288), max. 30 fps; CIF (352 × 288), max. 30 fps Frame Rate-Third Stream D1 (720 × 576), max. 30 fps; 640 × 360, max. 30 fps; 2CIF (704 × 288), max. 30 fps; CIF (352 × 288), max. 30 fps Video Bit Rate 128 Kbps to 16 Mbps U-code Support OSD Up to 8 OSDs Privacy Mask Up to 4 areas ROI Support Video Stream Triple streams Image White Balance Auto, Outdoor, Fine tune, Sodium lamp, Locked, Auto2 Digital Noise Reduction 2D/3D DNR Smart Illumination Support Auto Scene Match (ASM) Support Flip Normal, Flip vertical, Flip horizontal, 180°, 90° Clockwise, 90° Anti-clockwise Dewarping N/A HLC Support BLC Support Defog Digital defog Page 76 of 152 Intelligent Smart Intrusion Prevention Cross line detection, intrusion detection, enter area detection, leave area detection (support false alarm filtering and the classification of human, non-motor vehicle and vehicle) Statistical Analysis N/A People Counting Support people flow counting and crowd density detection Attribute Collection SIP with color retrieval Events Basic Detection Motion detection, Ultra motion detection, Tampering alarm, Audio detection, Object removed, Object Left Behind General Function Watermark, IP address filtering, Access policy, ARP protection, RTSP authentication, User authenti- cation, HTTP authentication, Alarm input, Alarm output Audio Audio Compression G.711U, G.711A Audio Bitrate 64 Kbps Two-way Audio Support Suppression Support Sampling Rate 8 kHz Storage Edge Storage MicroSD, up to 512 GB Network Storage ANR, NAS (NFS) Network Protocols IPv4, IPv6, IGMP , ICMP , ARP , TCP , UDP , DHCP , PPPoE, RTP , RTSP , RTCP , RTMP , DNS, DDNS, NTP , UPnP , HTTP , HTTPS, SMTP , 802.1x, SNMP , QoS, SSL/TLS, SSH Compatible Integration ONVIF (Profile S, Profile G, Profile T, Profile M), API, SDK User/Host Up to 32 users. 3 user levels: administrator, common user and operator Client Alibi Vigilant CMS, APP Web Browser Plug-in required live view: IE 10+, Chrome 45+, Firefox 52+, Edge 79+, Plug-in free live view: Chrome 57+, Firefox 58+, Edge 16+ Interface Audio I/O 1 Input: impedance 35 kΩ, amplitude 2 V [p-p], 1 Output: impedance 600 Ω, amplitude 2 V [p-p] Alarm I/O 1/1 Serial Port N/A Built-in Mic Built-in dual-mic Built-in Speaker Support WIFI N/A Network 1 × RJ45 10 M/100 M Base-TX Ethernet Video Output N/A Certification EMC CE-EMC (EN 55032, EN 61000-3-3, EN IEC 61000-3-2, EN 50130-4) FCC (FCC 47 CFR part15 B) Safety CE-LVD (EN 62368-1) UL/CUL (UL 62368-1, CAN/CSA C22.2 No. 62368-1) Environment CE-RoHS (2011/65/EU ; (EU) 2015/863) ; WEEE (2012/19/EU) Protection IP67 (IEC 60529) IK10 (IEC 62262) NEMA 4X Page 77 of 152 General Power DC 12 V±25%, PoE (IEEE 802.3af) Power Consumption Max. 7.0 W Power Interface Ø5.5 mm coaxial power plug Dimensions Ø128.7 mm × 110.3 mm (Ø5.1” × 4.3” ) (Ø × H) Weight 0.99 kg (2.18 lb) Material Metal Working Environment -40 to 60C degrees (-40 to 140F), Humidity: ≤ 95% RH (non-condensing) Storage Environment -40 to 60C degrees (-40 to 140F), Humidity: ≤ 95% RH (non-condensing) Surge Protection 4 KV Reset Button Support Web Client Language 20 Languages: Traditional Chinese, English, Simplified Chinese, Polish, German, Russian, French, Korean, Dutch, Czech, Portuguese (Europe), Portuguese (Brazil), Japanese, Thai, Turkish, Spanish (Latin America), Spanish (Europe), Hungarian, Italian, Vietnamese Page 78 of 152 Accessories ALI-JB03-H-IN-V2 Junction Box for Metal Turret Camera (Support wiring from behind) ALI-A01-IN Waterproof Cable Gland ALI-UP06-C-IN-V2 Pole Mounting Bracket for Bullet Junction Box Only Dimensions ALI-WM03-B-IN-V2 Wall Mounting Assembling Bracket for 3 Inch Hemisphere ALI-JB07/WM03-F-IN-V2 Wall Mounting Assembling Bracket with Back Hole for 3 Inch Hemisphere ALI-UC08-C-V2 Bullet&Dome Corner Mounting Bracket Page 79 of 152 Taking the lead in Washington County STAFF MEMO Village of Jackson Public Works To: Brian Heckendorf, Village President Jen Heidtke, Village Administrator CC: Board of Public Works; Budget and Finance; Village Board From: Jack Straehler, Director of Public Works Subject: Proposal Review - Hickory Lane Park Security Cameras - Pros4 Technology in the Amount of $12,800.87 Meeting Date: May 26, 2026 – Board of Public Works Background and Analysis: This memo is to inform the Board of a proposal received from Pros4 Technology for the installation of security cameras at Hickory Lane Park. During the 2026 budgeting process, the Board allocated and approved funding in the amount of $45,000.00 for this project. The proposal submitted by Pros4 Technology totals $12,800.87 and includes all necessary parts and labor for the installation of the security camera system. In addition, a proposal was received from Midwest Fiber Network in the amount of $21,300.00 for the fiber infrastructure improvements necessary to support the project. The total cost to upfit Hickory Lane Park with fiber and security cameras is $34,100.87. The combined proposals are within the amount budgeted for the project. Therefore, it is my recommendation that the Village move forward with the proposal from Pros4 Technology for the installation of security cameras at Hickory Lane Park. Let me know if you have any questions. JS Recommendation: Board of Public Works recommends the Budget and Finance Committee and Village Board approve the proposal from Pros4 Technology in the amount of $12,800.87. Page 80 of 152 Prepared by: Pros 4 Technology David Becker david.becker@pros4tech.com Prepared for: Village of Jackson Public Works Jack Straehler jack.straehler@villageofjacksonwi.gov We have prepared a quote for you VOJ Hickory Park Cameras Quote # 001006 Version 2 Page 81 of 152 160 Vision Parkway Sheboygan Falls, WI 53085 pros4technology.com 920-400-1279 Proprietary Notice & Non-Disclosure Statement Information contained in this document is provided under an exclusive, perpetual non-disclosure agreement and cannot be copied, transmitted, excerpted, or otherwise communicated to anyone without the prior written consent of Pros 4 Technology, Inc. This package contains proprietary and trade secret information. All data furnished in connection with this package is intended for use in evaluating potential business opportunities with Pros 4 Technology, Inc. and is considered proprietary information. Intended recipients of this document shall have the right to duplicate, use, or disclose the data contained herein to the extent necessary to perform their duties in the interest of formulating a business relationship with Pros 4 Technology, Inc., but may not use this information as the basis to obtain competitive quotes from other vendors. These restrictions do not limit the right to use information contained herein if said data is obtained from another source, without restriction. These restrictions apply to all media comprising this package. Page: 2 of 6 Page 82 of 152 160 Vision Parkway Sheboygan Falls, WI 53085 pros4technology.com 920-400-1279 NDAA Compliance Statement What is NDAA Section 889? Section 889 of the 2019 National Defense Authorization Act prohibits the federal government, government contractors, and grant and loan recipients from procuring or using certain “covered telecommunication equipment or services” that are produced by Huawei, ZTE, Hytera, Hikvision, and Dahua and their subsidiaries as a “substantial or essential component of any system, or as critical technology as part of any system.” Specifically, Sec. 889 has two specific phases of prohibition: Sec. 889(a)(1)(A) required the federal government, as of August 13, 2019, to not “procure or obtain or extend or renew a contract to procure or obtain any equipment, system, or service that uses covered telecommunication equipment or services as a substantial or essential component of any system, or as critical technology as part of any system.” Sec. 889(a)(1)(B), which went into effect on August 13, 2020, prohibits the federal government from entering into or extending or renewing contracts with any entity that “uses any equipment, system, or service that uses covered telecommunication equipment or services as a substantial or essential component of any system, or as critical technology as part of any system.” What does this mean? Per Section 889, any federal government, government contractors, or agency or organization who receives federal grant or loan money is required to follow NDAA compliance. This means cameras and telecommunications devices that are produced by Huawei, ZTE, Hytera, Hikvision, and Dahua and their subsidiaries are not allowed to be used. Pros 4 Technology and the NDAA Pros 4 Technology understands the importance of cybersecurity which is why we provide cameras and systems that are fully NDAA compliant. All camera listed on this estimate fall under NDAA and TAA compliance. Page: 3 of 6 Page 83 of 152 160 Vision Parkway Sheboygan Falls, WI 53085 pros4technology.com 920-400-1279 Products Description Price Qty Ext. Price Alibi Vigilant 8MP 98 Feet Varifocal IllumiNite-IR Starlight+ IntelliSearch Vandal IP Turret Camera  8MP high-resolution 3840 x 2160 @ 30fps  2.8-12mm @ F1.2  111.5 to 54.1 degrees horizontal FOV to capture large areas  Smart IR up to 98 feet nighttime viewing  Color Attribute Collection  IntelliSearch Color Match Technology  Starlight+ technology - Color: 0.0005 Lux, 0 Lux with IR  130dB True Wide Dynamic Range (WDR)  Supports red & blue warning lights for Active Deterrence  Built-in mic and speaker  Audio I/O 1 in 1 out; Alarm 1 in/1 out  Micro SD, up to 512 GB  Supports Ultra 265, H.265, H.264, and MJPEG  ANR, NAS(NFS) Network Storage  IP67 weather-resistant rating  IK10 vandal resistant $623.49 7 $4,364.43 Alibi Vigilant Junction box for Metal Turret Camera $18.26 7 $127.82 Hanwha 4K Network Camera - Color - Bullet - White - 229.66 ft Infrared Night Vision - H.264, H.265, MJPEG, H.264H, H.264M, H.265M, H.265H - 3840 x 2160 - 6.91 mm- 214.70 mm Varifocal Lens - 31x Optical - 30 fps - CMOS - Gigabit Ethernet - USB - $2,181.54 1 $2,181.54 Steel Wall Box 6 x 16 x 12in Pebble Gray Bracket Mount IP66 $115.00 1 $115.00 1U Rack Shelf $49.00 1 $49.00 Zyxel GS1900-10HP 8-port PoE+ with [2] Gigabit SFP slots $219.00 2 $438.00 The SXTsq 5 ac is a compact and lightweight outdoor 5Ghz 802.11ac wireless device with an integrated antenna, perfect for point-to-point links or as a CPE unit. The device includes one 10/100/1000 Mbit Ethernet port to fully utilize speeds that 802.11ac p $80.00 2 $160.00 DW Spectrum Recording Licenses - 4 Camera Pack $435.54 2 $871.08 Page: 4 of 6 Page 84 of 152 160 Vision Parkway Sheboygan Falls, WI 53085 pros4technology.com 920-400-1279 Products Description Price Qty Ext. Price Wire and Supplies $694.00 1 $694.00 Subtotal: $9,000.87 Services Description Price Qty Ext. Price Wiring & Install Labor $2,800.00 1 $2,800.00 Programming and Setup Labor $1,000.00 1 $1,000.00 Subtotal: $3,800.00 Page: 5 of 6 Page 85 of 152 160 Vision Parkway Sheboygan Falls, WI 53085 pros4technology.com 920-400-1279 VOJ Hickory Park Cameras Quote Information: Prepared for: Prepared by: Quote #: 001006 Village of Jackson Public Works Pros 4 Technology Version: 2 Delivery Date: 05/13/2026 Expiration Date: 05/27/2026 W194N16660 Eagle Drive Jackson, WI 53037 Jack Straehler (262) 677-9001 jack.straehler@villageofjacksonwi.gov David Becker 920-400-1279 david.becker@pros4tech.com Quote Summary Description Amount Products $9,000.87 Services $3,800.00 Total: $12,800.87 Sales Tax will be added when applicable, hardware will be billed before ordering, labor will be billed after completion, prices and specifications subject to change. Although we strive to be as accurate as possible, this estimate is an approximation and is not guaranteed. The estimate is based on information provided from the client regarding project requirements and what we could see during the initial walk through. Actual costs may change once the project starts due to unforeseen circumstances, any need for changes, or any changes requested by the client. Prior to any changes of cost, the client will be notified. Pros 4 Technology Village of Jackson Public Works Signature: Name: David Becker Title: Director of Operations Date: 05/13/2026 Signature: Name: Jack Straehler Date: Page: 6 of 6 Page 86 of 152 IPVM Designer Calculation | May 13, 2026 Overview Camera 1 Page 87 of 152 Camera 2 Camera 3 Page 88 of 152 Camera 4 Camera 5 Page 89 of 152 Camera 6 Camera 7 Page 90 of 152 Camera 8 Camera 9 Page 91 of 152 Wireless Point to Point Wireless Access Point 2 This presentation is an output of the IPVM Designer / Calculator but is the work product of the individual who created it. IPVM does not guarantee nor warranty the work therein nor its implementation. Issues that may impact actual performance include but are not limited to lighting conditions, lens quality, and compression level. Page 92 of 152 Key Features: • 8MP high-resolution 3840 x 2160 @ 30fps • 2.8-12mm @ F1.2 • 111.5 to 54.1 degrees horizontal FOV to capture large areas • Smart IR up to 98 feet nighttime viewing • Color Attribute Collection • IntelliSearch Color Match Technology • Starlight+ technology - Color: 0.0005 Lux, 0 Lux with IR • 130dB True Wide Dynamic Range (WDR) • Supports red & blue warning lights for Active Deterrence • Built-in mic and speaker • Audio I/O 1 in 1 out; Alarm 1 in/1 out • Micro SD, up to 512 GB • Supports Ultra 265, H.265, H.264, and MJPEG • ANR, NAS(NFS) Network Storage • IP67 weather-resistant rating • IK10 vandal resistant • NDAA Compliant • One-click Cloud firmware updating VIGILANT PERFORMANCE SERIES Alibi Vigilant 8MP 98 Feet IllumiNite-IR Starlight+ IntelliSearch Vandal IP Varifocal Turret Camera w/Built-in Mic and Speaker Specifications Camera Max Resolution 8 MP Sensor 1/1.8" CMOS Min. Illumination Color: 0.0005 Lux (F1.0, AGC ON) Day/Night IR-cut filter with auto switch (ICR) Shutter Auto/Manual, 1 to 1/100000 s Adjustment Angle Pan: 0° to 360°, Tilt: 0° to 75°, Rotate: 0° to 360° S/N > 56 dB WDR 130 dB Meets federal government technical requirements NDAA PRODUCTTECHNICAL REQUIREMENTS ALI-PT80-VLUZAIS-D Page 93 of 152 Lens Focal Length 2.8 to 12 mm Iris Type Fixed Iris F1.2 Field of View (H) 111.5° to 54.1° Field of View (V) 60.2° to 30.6° Field of View (D) 128.7° to 61.9° Lens Type Motorized DORI DORI Distance (Lens) 2.8 to 12 mm DORI Distance (Detect) 63.0 m to 270.0 m (206.7 ft. to 885.8 ft) DORI Distance (Observe) 25.2 m to 108.0 m (82.7 ft. to 354.3 ft) DORI Distance (Recognize) 12.6 m to 54.0 m (41.3 ft. to 177.2 ft) DORI Distance (Identify) 6.3 m to 27.0 m (20.7 ft. to 88.6 ft) Illuminator Supplemental Light Dual light Illumination Distance (IR) 30 m (98.4 ft) Illumination Distance (Warm Light) 30 m (98.4 ft) IR On/Off Control Auto/Manual Wavelength 850 nm Light On/Off Control Auto/Manual Video Video Compression Ultra 265, H.265, H.264, MJPEG H.264 Code Profile Baseline profile, Main profile, High profile Frame Rate-Main Stream 8 MP (3840 × 2160), max. 30 fps; 5 MP (3072 × 1728), max. 30 fps; 4 MP (2560 × 1440), max. 30 fps; 1080P (1920 × 1080), max. 30 fps; 720P (1280 × 720), max. 30 fps Frame Rate-Sub Stream 1080P (1920 × 1080), max. 30 fps; 720P (1280 × 720), max. 30 fps; D1 (720 × 576), max. 30 fps; 640 × 360, max. 30 fps; 2CIF (704 × 288), max. 30 fps; CIF (352 × 288), max. 30 fps Frame Rate-Third Stream D1 (720 × 576), max. 30 fps; 640 × 360, max. 30 fps; 2CIF (704 × 288), max. 30 fps; CIF (352 × 288), max. 30 fps Video Bit Rate 128 Kbps to 16 Mbps U-code Support OSD Up to 8 OSDs Privacy Mask Up to 4 areas ROI Support Video Stream Triple streams Image White Balance Auto, Outdoor, Fine tune, Sodium lamp, Locked, Auto2 Digital Noise Reduction 2D/3D DNR Smart Illumination Support Auto Scene Match (ASM) Support Flip Normal, Flip vertical, Flip horizontal, 180°, 90° Clockwise, 90° Anti-clockwise Dewarping N/A HLC Support BLC Support Defog Digital defog Page 94 of 152 Intelligent Smart Intrusion Prevention Cross line detection, intrusion detection, enter area detection, leave area detection (support false alarm filtering and the classification of human, non-motor vehicle and vehicle) Statistical Analysis N/A People Counting Support people flow counting and crowd density detection Attribute Collection SIP with color retrieval Events Basic Detection Motion detection, Ultra motion detection, Tampering alarm, Audio detection, Object removed, Object Left Behind General Function Watermark, IP address filtering, Access policy, ARP protection, RTSP authentication, User authenti- cation, HTTP authentication, Alarm input, Alarm output Audio Audio Compression G.711U, G.711A Audio Bitrate 64 Kbps Two-way Audio Support Suppression Support Sampling Rate 8 kHz Storage Edge Storage MicroSD, up to 512 GB Network Storage ANR, NAS (NFS) Network Protocols IPv4, IPv6, IGMP , ICMP , ARP , TCP , UDP , DHCP , PPPoE, RTP , RTSP , RTCP , RTMP , DNS, DDNS, NTP , UPnP , HTTP , HTTPS, SMTP , 802.1x, SNMP , QoS, SSL/TLS, SSH Compatible Integration ONVIF (Profile S, Profile G, Profile T, Profile M), API, SDK User/Host Up to 32 users. 3 user levels: administrator, common user and operator Client Alibi Vigilant CMS, APP Web Browser Plug-in required live view: IE 10+, Chrome 45+, Firefox 52+, Edge 79+, Plug-in free live view: Chrome 57+, Firefox 58+, Edge 16+ Interface Audio I/O 1 Input: impedance 35 kΩ, amplitude 2 V [p-p], 1 Output: impedance 600 Ω, amplitude 2 V [p-p] Alarm I/O 1/1 Serial Port N/A Built-in Mic Built-in dual-mic Built-in Speaker Support WIFI N/A Network 1 × RJ45 10 M/100 M Base-TX Ethernet Video Output N/A Certification EMC CE-EMC (EN 55032, EN 61000-3-3, EN IEC 61000-3-2, EN 50130-4) FCC (FCC 47 CFR part15 B) Safety CE-LVD (EN 62368-1) UL/CUL (UL 62368-1, CAN/CSA C22.2 No. 62368-1) Environment CE-RoHS (2011/65/EU ; (EU) 2015/863) ; WEEE (2012/19/EU) Protection IP67 (IEC 60529) IK10 (IEC 62262) NEMA 4X Page 95 of 152 General Power DC 12 V±25%, PoE (IEEE 802.3af) Power Consumption Max. 7.0 W Power Interface Ø5.5 mm coaxial power plug Dimensions Ø128.7 mm × 110.3 mm (Ø5.1” × 4.3” ) (Ø × H) Weight 0.99 kg (2.18 lb) Material Metal Working Environment -40 to 60C degrees (-40 to 140F), Humidity: ≤ 95% RH (non-condensing) Storage Environment -40 to 60C degrees (-40 to 140F), Humidity: ≤ 95% RH (non-condensing) Surge Protection 4 KV Reset Button Support Web Client Language 20 Languages: Traditional Chinese, English, Simplified Chinese, Polish, German, Russian, French, Korean, Dutch, Czech, Portuguese (Europe), Portuguese (Brazil), Japanese, Thai, Turkish, Spanish (Latin America), Spanish (Europe), Hungarian, Italian, Vietnamese Page 96 of 152 Accessories ALI-JB03-H-IN-V2 Junction Box for Metal Turret Camera (Support wiring from behind) ALI-A01-IN Waterproof Cable Gland ALI-UP06-C-IN-V2 Pole Mounting Bracket for Bullet Junction Box Only Dimensions ALI-WM03-B-IN-V2 Wall Mounting Assembling Bracket for 3 Inch Hemisphere ALI-JB07/WM03-F-IN-V2 Wall Mounting Assembling Bracket with Back Hole for 3 Inch Hemisphere ALI-UC08-C-V2 Bullet&Dome Corner Mounting Bracket Page 97 of 152 Taking the lead in Washington County. MEMO TO: Brian Heckendorf, Village President; Budget and Finance Committee FROM: Jen Heidtke, Village Administrator; Darlene Smith, Village Treasurer CC: Ehlers Financial Advisors Brian Roemer and Ariana Schmidt RE: Discussion of Schedule for FMP Update and Preparing the 2027 Village Budget MEETING DATE: June 9, 2026 Background Staff are recommending the following schedule which captures review of the 2025 audit, an update to the 5-Year Financial Management Plan (FMP) with Ehlers Financial Advisors, and Staff preparation of an annual budget. 1. July 14, 2026 – Village Board Meeting at 7PM to include a presentation by Lucida to review 2025 Draft Audit of the Financial Statements and 2027 Capital Projects. 2. August 18, 2026 – Village Board Meeting at 7PM to include Financial Management Plan Workshop #1 reviewing Operations and Capital and to include a Presentation of Draft 2027 Budget. It should be noted the State of Wisconsin releases reports needed for a final budget such as the Statement of Assessment (SOA), Net New Construction (NNC), and 2026 Shared Revenue Estimates, generally in September and October. Once these reports are available, Staff and the Board may need to convene a second budget workshop to manage any meaningful discrepancies in financial forecasting. 3. September 8, 2026 – Joint Review Board Meeting at 6:15PM for Annual Meeting. 4. October 13, 2026 – Tourism Commission Annual Meeting at 6:15PM. 5. October 13, 2026 – Village Board Meeting at 7PM to include Financial Management Plan Workshop #2 reviewing Utilities, TIDs. This meeting also includes a final budget review and direction to Staff to publish a budget hearing notice for November 10 th Village Board Meeting. 6. November 10, 2026 – Village Board Meeting at 7PM to include a proposed budget public hearing and consider Resolutions adopting the proposed budgets. Potential Motion: Discussion only with the Budget and Finance Committee and the Village Board. N168 W19851 Main Street Jackson, WI 53037 Phone: 262-677-9001 Fax: 262-677-1710 www.villageofjacksonwi.gov Page 98 of 152 STAFF MEMO Meeting Date: April 16, 2026 Agenda Item: Item #5 To: Brian Heckendorf, Village President Village of Jackson Plan Commission Jen Heidtke, Village Administrator From: Collin Johnson, Director of Inspections and Zoning Subject: Ordinance #26-03 – Amending Section 48-156 for PUD-04 – Oaks of Jackson – Hillcrest Builders Description: The subject property, depicted as District V on the attached Zoning District Map, was originally imagined for townhome construction under the original development plan. The developer, realizing current market trends, is now proposing to construct ten twin -home buildings with a total of twenty dwelling units on the 3.96 -acre parcel. The proposed development ratio would be 5.05 dwellings per acre. This is under the 7.2 unit maximum detailed in the Village Comprehensive Plan for Multi-Family/High-Density Urban Residential land uses. Each dwelling unit will contain two bedrooms, one full bathroom and one ¾ bathroom, an open concept kitchen, dining, and living room space and a two -car attached garage with a twenty-five-foot-deep driveway allowing for parking of two vehicles per dwelling unit. The homes would be accessed by a private roadway off Spruce Street with an east/west private connector street to Ridgeway Drive. Four additional auxiliary parking spaces are provided along the west side of the private road . Curb and gutter are proposed for the west side of the private road only. No curb and gutter are currently planned for the east side of the private drive or for the connector road. Public sidewalks are currently not proposed by the developer on any portion of the private roadways. A private stormwater pond is also planned and will provide stormwater retention and management for the entire site. While the stormwater conveyance system is depicted on the concept plan, staff request that this item be excluded from this review. Staff, along with the Villages Consulting Engineer will continue to work with the developer to develop an adequate solution to stormwater conveyance and well as review the proposed stormwater management plan for this phase of the development . Comprehensive Plan & Zoning Impacts: The parcel is currently classified as Multi-Family/High-Density Urban Residential under the Comprehensive Plan Future Land Use Map. The proposed ordinance establishes the necessary zoning for the development. Site Plan: See proposed concept plan Signage: Not Applicable Village of Jackson Plan Commission Page 99 of 152 Page 2 __________________________________ Additional Staff Comments: Inspections and Zoning: Staff recommends approval of the proposed Ordinance as presented. Review Procedures: The Plan Commission is advisory; and the Village Board makes the final decision following a public hearing for re-zoning and conditional use review. Notice Requirements: • Posting on the agenda • Notification of all contiguous property owners. • Notification of all other municipalities located within 1000’ of subject property. • Class II Legal Notice for Public Hearing Potential Motions: Motion to recommend the Village Board approve Ordinance #26-03 amending Ordinance Section 48- 156 (PUD-04) Oaks of Jackson Planned Unit Development District, subject to the following: 1. The proposed stormwater lateral system intended to convey stormwater from each individual lot shall be reviewed and approved separately by village staff and the Consulting Village Engineer. 2. Sidewalks shall be provided on at least one side of the private road and private connector street. 3. A Development Agreement shall be executed prior to any approvals taking full effect and prior to any construction activity. 1. Plan Commission Application 2. Concept Plan 3. Oaks of Jackson Zoning District Map 4. Ordinance #26-03 (DRAFT) Page 100 of 152 Page 101 of 152 Page 102 of 152 Page 103 of 152 Page 104 of 152 Page 105 of 152 Page 106 of 152 Page 107 of 152 Page 108 of 152 Page 109 of 152 3/25/2026 C1.00 122 Wisconsin Street, West Bend, WI 53095 262.346.7800 www.parishse.com PRELIMINARY OAKS OF JACKSON - OUTLOT 6 PARCEL #0536047 JACKSON, WI 53037 \HB-20-26\ CONCEPT PLAN RSF KJP KJP Page 110 of 152 Ordinance #26-03 Page 1 of 5 STATE OF WISCONSIN VILLAGE OF JACKSON WASHINGTON COUNTY ORDINANCE #26-03 AN ORDINANCE TO AMEND THE ZONING REGULATIONS IN SECTION 48- 156 OF THE VILLAGE OF JACKSON MUNICIPAL CODE FOR PLANNED UNIT DEVELOPMENT DISTRICT PUD-04 WHEREAS, the Village of Jackson Village Board adopted zoning regulations for the Village of Jackson and has amended such regulations from time to time; and WHEREAS, the zoning regulations, as amended, are codified as Chapter 48 of the Village of Jackson municipal code, which is titled “Zoning;” and WHEREAS, Hillcrest Builders owns the property known as Outlot 6 in the Oaks of Jackson (hereafter subject property), more particularly described as Parcel: V3_0536047, and WHEREAS, the property owner has submitted a petition to amend Section 48-156 to create a District VI: Twin Homes pursuant to the requirements in Section 48-151 of the zoning regulations; and WHEREAS, the Village of Jackson Plan Commission reviewed the petition at their meeting on April 16, 2026, and recommended approval as set forth in this ordinance; and WHEREAS, upon due notice as required by the zoning code, the Village Board conducted a public hearing on May 12, 2026, to accept public input; and WHEREAS, the Village Board accepted the Plan Commission’s recommended code amendment without revision; and WHEREAS, the Village Board, after careful review and upon consideration of the recommendation of the Plan Commission and having given the matter due consideration having determined that all procedural requirements and notice requirements have been satisfied, and having based its determination on the effect of the adoption of the ordinance on the health, safety and welfare of the community and the preservation and enhancement of property values in the community, and having given due consideration to the municipal problems involved hereby determine that the ordinance amendment will serve the public health, safety and general welfare of the Village of Jackson, will enhance property values in the Village and will not be hazardous, harmful, noxious, offensive or a nuisance, and will not unduly limit or restrict the use of property in the Village or for any other reason cause a substantial adverse effect on the property values and general desirability of the Village. NOW, THEREFORE BE IT RESOLVED, the Village of Jackson Village Board, Washington County Wisconsin ORDAINS AS FOLLOWS: Page 111 of 152 Ordinance #26-03 Page 2 of 5 Section 1. To create Section 48-156(5) of the zoning code to establish a new residential zoning district to be identified as PUD-04 – District V as set forth below. (5) District VI: Twin Homes a. Generally. PUD-04 – District V is intended to provide for zero-lot-line, two-family residential development served by municipal sewer and water facilities. This zoning designation shall not be used in any other location except for those parcels described as Lots 1-20 on Exhibit 1. b. Permitted uses. Attached, zero-lot-line two-family dwellings with front-loaded garages accessed from a private drive. Stormwater management. c. Conditional uses. Group homes, foster homes, and halfway houses, provided there is a minimum lot area of 2,000 square feet per person (upon ultimate development) and a minimum principal building area of 200 square feet per person. d. Permitted accessory uses. Private garages (one per lot), home occupations and professional home offices as specified in section 48-1 of the Village of Jackson zoning ordinance. e. Building height and area. No principal building or parts of a principal building shall exceed 35 feet in height. The total minimum floor area of a dwelling shall be as follows: 1-bedroom, 700 sq. ft.; 2-bedroom, 1,000 sq. ft. The maximum impervious area shall not exceed 70 percent of the lot area. f. Lot area and width. Lots shall be a minimum of 4,500 square feet in area and shall not be less than 30 feet in width at the front yard setback line. g. Setbacks and yards. There shall be a minimum building setback of 20 feet from the front yard right-of-way. There shall be a minimum side yard of 5 feet. Shared interior party walls shall have a zero-foot setback. Corner lots shall have a minimum side yard setback of 15 feet from the street-side right-of-way. There shall be a minimum rear yard setback of not less than 15 feet. With the exception of shared driveways, driveways and other paved surfaces shall have a minimum setback of 3 feet from an abutting property line. h. Parking. A minimum of (2) two off-street parking stalls shall be provided for each dwelling unit. District V Zoning Text. Zoning Regulation District III Minimum Lot Area 4,500 square feet Minimum Lot Width at Front Yard Setback 30 feet Minimum Lot Depth 100 feet Minimum Front Yard Setback 20 feet Minimum Side Yard Setback 5 feet 0 feet for shared interior side (party wall) Page 112 of 152 Ordinance #26-03 Page 3 of 5 Minimum Corner Lot Side Yard Setback 15 feet Minimum Rear Yard Setback 15 feet Minimum Paved Surface Setback 3 feet 0 feet for interior side if shared driveway Maximum Building Height 35 feet Minimum Off-Street Parking Two off-street parking stalls per unit Maximum Impervious Surface Ratio 70% Visibility Corner lot porches, and bay windows may not encroach the vision triangle. The triangle is defined as the intersection of the curbs at the corner, and a point 30 feet back along each curb from the corner. Walls and fences located within the vision triangle shall not exceed 30 inches in height. Permitted Encroachments Bay windows and fireplace chases may encroach a maximum of 2 feet into the side yard. Minimum Floor Area None / Per Building Code Accessory Structures Not permitted Fences Per zoning ordinance Section 2. This ordinance shall become effective upon passage and posting or publication as provided by law. Section 3. The several sections of this ordinance are declared to be severable. If any section or portion thereof shall be declared by a court of competent jurisdiction to be invalid, unlawful, or unenforceable, such decision shall apply only to the specific Section or portion thereof directly specified in the decision and shall not affect the validity of any other provisions, sections, or portions thereof of the ordinance. The remainder of the ordinance shall remain in full force and effect. Any other ordinances whose terms are in conflict with the provisions of this ordinance are hereby repealed as to those terms that conflict. Section 4. The Village Clerk and Village Administrator are authorized and directed to make all changes within the Village of Jackson Code of Ordinances necessary to reflect this ordinance. Page 113 of 152 Ordinance #26-03 Page 4 of 5 Introduced by: Seconded by: Vote: aye nay Passed and approved VILLAGE OF JACKSON By: Brian J. Heckendorf, Village President Attest: Pam Wolf, Interim Village Clerk/Deputy Clerk Proof of Posting: I, the undersigned, certify that I posted copies of this Ordinance on bulletin boards at the Village Hall, Post Office and one other location in the Village. Village Official Date Page 114 of 152 Ordinance #26-03 Page 5 of 5 Exhibit 1 Page 115 of 152 Taking the lead in Washington County STAFF MEMO Village of Jackson Public Works To: Brian Heckendorf, Village President Jen Heidtke, Village Administrator CC: Board of Public Works; Village Board From: Jack Straehler, Director of Public Works Subject: Ordinance #26-06 - Amending Chapter 8 of Village Code, Regarding Sec. 8-167 – Cross Connection Control Meeting Date: May 26, 2026 – Board of Public Works Background and Analysis: This memo is intended to inform and remind the Board that the Village recently entered into an agreement with HydroCorp related to commercial cross connection inspections and compliance requirements. As part of implementing the Cross Connection Control Plan, it was necessary to adopt an ordinance amendment to ensure the Village had the appropriate enforcement authority and regulatory framework to administer and enforce the program requirements. The draft ordinance amendment and Cross Connection Control Plan are attached and are intended to support compliance, inspections, and enforcement obligations under the agreement and applicable regulatory standards. Let me know if you have any questions. JS Recommendation: Board of Public Works recommends the Village Board approve O rdinance #26-06 Amending Chapter 8 of Village Code Regarding Sec. 8-167 - Cross Connection Control. Page 116 of 152 Ordinance #26-06 Page 1 of 4 STATE OF WISCONSIN VILLAGE OF JACKSON WASHINGTON COUNTY ORDINANCE #26-06 AMENDING CHAPTER 8 OF THE VILLAGE CODE REGARDING SEC. 8-167 – CROSS CONNECTION CONTROL THE VILLAGE BOARD OF THE VILLAGE OF JACKSON, WASHINGTON COUNTY, WISCONSIN, does hereby ordain the following changes to the Village Code: SECTION I. Chapter 8 Section 167 of the Village Code of the Village of Jackson is hereby recreated to read as follows: Sec. 8-167. Cross connection control.    WHEREAS, Chapters NR 810, Section NR 810.15, Chapter 811, Sections NR 811.06, NR 811.07, NR 811.68, SPS 382, Wisconsin Administrative Code and Department of Safety and Professional Services 305, 381-384, require protection for the public water system from contamination due to backflow of contaminants through the water service connection; and WHEREAS the Wisconsin Department of Natural Resources requires the development and implementation of a comprehensive cross connection control program to effectively prevent the contamination of potable water systems;  (a) A cross connection shall be defined as any physical connection or arrangement between two otherwise separate systems, one of which contains potable water from the village water system, and the other, water from a private source, water of unknown or questionable safety, or steam, gases, or chemicals whereby there may be a flow depending on the pressure differential between the two systems.   (b) No person shall establish or permit to be established or maintain or permit to be  maintained any cross connection. No interconnection shall be established whereby potable water from a private, auxiliary or emergency water supply other than the regular village public water supply may enter the village water supply or distribution system, unless such private, auxiliary or emergency water supply and the method of incorporation into the village supply or distribution systems is approved by the water utility and the state department of natural resources in accordance with Wis. Admin. Code § NR 811.09.  (c) It shall be the duty of the utility department to cause inspections to be made of all properties served by the public water system where cross connections with the public Page 117 of 152 Ordinance #26-06 Page 2 of 4 water system is deemed possible. The frequency of inspections and re-inspections will be based on potential health hazards involved by the state department of natural resources.   (d) Upon presentation of credentials, the representative of the utility department shall have the right to request entry at any reasonable time to examine any property served by a connection to the public water system of the village for cross connections. If entry is refused, such representative shall obtain a special inspection warrant under Wis. Stats. § 66.0119. On request, the owner, lessee or occupant of any property so served shall furnish to the inspection agency any pertinent information regarding t he piping system or systems on such property.   (e) The village water utility is hereby authorized and directed to discontinue water service to any property wherein any connection in violation of this Code exists, and to take such other precautionary measures deemed necessary to eliminate any danger of contamination of the public water system. Water service shall be discontinued only after reasonable notice and opportunity for hearing under Wis. Stats. ch. 68, except as provided in chapter 44. Water service to such property shall not be restored until the cross connections has been eliminated in compliance with the provisions of this Code.   (f) If it is determined by the village water utility that a cross connection or an emergency endangers public health, safety or welfare and requires immediate action, and a written finding to that effect is filed with the clerk of the village and delivered to the customer's premises, service may be immediately discontinued. The customer shall have an opportunity for hearing under Wis. Stats. ch. 68, within ten days of such emergency discontinuance.   (Prior Code, § 11.08; Ord. No. 96-09)  Sec. 8-168. Private well abandonment.  (a) Coverage. All private wells, including geothermal wells, located on any premises, which are served by the public water system of the village, shall be properly filled by such time and in such manner as set forth by resolution. Only those wells for which a well operation permit has been granted by the village engineer may be exempted from this requirement, subject to conditions of maintenance and operation.   (b) Well operation permits. Application shall be made on forms provided by the village engineer. A permit may be granted to a well-owner to operate a well for a period of three years if the following requirements are met:   (1) The well has passed an installation that meets the requirements of Wis. Admin. Code ch. NR 812, and a well constructor's report is on file with the department of natural resources (DNR), or certification of the acceptability of the well has been granted by the private water supply section of the department of natural resources.   Page 118 of 152 Ordinance #26-06 Page 3 of 4 (2) The well has passed an inspection by a DNR licensed well inspector and DNR form 3300-221, the state well and pressure system inspection form, is on file with the village engineer. The inspection form on file shall be no greater than ten years old.   (3) The well has a history of producing safe water and presently produces bacteriological safe water as evidenced by a sample submitted to a state certified laboratory for microbial analysis.   (4) No physical connection exists between the piping of the public water system and the private well.   (5) The proposed use of the well can be justified as being necessary in addition to water provided by the public water system.   (c) Methods. Wells to be abandoned shall be filled according to the procedures outlined in Wis. Admin. Code ch. NR 812. The pump and piping must be removed and the well checked out, by the village water utility department, for obstructions and cross connections prior to plugging. Any obstruction or liner must be removed. An abandonment permit must be obtained from the office of the village engineer prior to the beginning of work.   (d) Reports and inspection. A well abandonment report must be submitted by the well owner to the department of natural resources on forms provided by that agency (available at the office of the village engineer). The report shall be submitted immediately upon completion of the filling of the well. The filling must be observed by a representative of this municipality.   (Prior Code, § 11.09; Ord. No. 96-09; Ord. No. 01-04; Ord. No. 09-10; Ord. No. 10- 03)  SECTION II. This Ordinance shall take effect from and after its passage and posting. Introduced by: Seconded by: Vote: aye nay Passed and Approved: VILLAGE OF JACKSON By: Brian J. Heckendorf, Village President Attest: Pamela Wolf, Interim Village Clerk Page 119 of 152 Ordinance #26-06 Page 4 of 4 Proof of Posting: I, the undersigned, certify that I posted copies of this Ordinance on bulletin boards at the Village Hall, Post Office and one other location in the Village. Dated: Village Official: _____________ Page 120 of 152 Village of Jackson │ 1 Prepared for: Village of Jackson – Municipal Complex N168W19851 Main St. Jackson, WI 53037 CROSS CONNECTION CONTROL PLAN For Village of Jackson, WI Prepared by: 5700 Crooks Road, Suite 100 Troy, MI 48098 844-493-7641 04/28/2026 Page 121 of 152 Village of Jackson │ 2 TABLE OF CONTENTS 1. INTRODUCTION ...........................................................................................................................4 1.1. Purpose ............................................................................................................................. 4 1.2. Legality .............................................................................................................................. 4 2. ORDINANCE – Cross Connection Control Ordinance ......................................................................5 2.1. General Policy ................................................................................................................... 8 2.2. Purpose ............................................................................................................................. 8 The purpose of this ordinance is: .................................................................................................. 8 AUTHORITY........................................................................................................................................8 2.3. Inspector/Designated Agent .............................................................................................. 8 2.4. Responsible Party for Specific Types of Inspections and Notifications ............................ 9 2.5. Other Applicable Laws ...................................................................................................... 9 3. INSPECTIONS ............................................................................................................................. 10 3.1. Rights of Inspection ......................................................................................................... 10 3.2. Responsibility of Owner ................................................................................................... 10 3.3. Initial Inspections ............................................................................................................. 10 3.4. Inspection Notification ..................................................................................................... 10 3.5. Inspection Forms ............................................................................................................. 11 3.6. Inspection Procedures ..................................................................................................... 11 3.7. Exit Interview ................................................................................................................... 11 3.8. Inspection Compliance Notification ................................................................................. 11 3.9. Initial Inspection Non-Compliance Notification ................................................................ 12 3.10. Request for Internal Cross Connection Control Information ........................................... 12 3.11. Request Notice for Internal Cross Connection Control Information ................................ 12 3.12. Submission of Internal Cross Connection Control Information ....................................... 13 3.13. Educational Material ........................................................................................................ 13 3.14. Residential and Commercial/Industrial Brochure ........................................................... 14 4. PERIODIC MONITORING ............................................................................................................. 16 4.1. Subsequent Inspection Frequency .................................................................................. 16 4.2. Re-inspection Frequency – Determination ...................................................................... 16 4.3. Re-inspection Frequency – Criteria ................................................................................. 16 4.4. Inspection Compliance Procedure .................................................................................. 16 4.5. Inspection Non-Compliance Notification #2 .................................................................... 16 4.6. Termination of Water Service .......................................................................................... 17 4.7. Shut-Off Notification ........................................................................................................ 17 4.8. Inspection Frequency Standards Form ........................................................................... 18 5. BACKFLOW PREVENTION DEVICES .............................................................................................. 20 5.1. Responsibility .................................................................................................................. 20 5.2. Device Abbreviation List .................................................................................................. 21 5.3. Approved Backflow Prevention Devices ......................................................................... 22 5.4. Cross Connection Control Device Performance Test Form ............................................ 23 5.5. Cross Connection Control Assembly Removal Notice .................................................... 24 6. NEW SERVICE INSPECTIONS ........................................................................................................ 25 6.1. Procedures ...................................................................................................................... 25 Page 122 of 152 Village of Jackson │ 3 6.2. Inspections ...................................................................................................................... 25 6.3. Compliance ...................................................................................................................... 25 6.4. Non-Compliance .............................................................................................................. 25 6.5. Bulk Water Sales ............................................................................................................. 25 6.6. Bulk Water Stations ......................................................................................................... 25 7. SAMPLE NOTICES ....................................................................................................................... 26 7.1. Non-Residential Inspection Notice (Initial Notice) ........................................................... 26 7.2. NonCompliance1and2Notice ........................................................................................... 27 7.3. Non Compliance Disconnection Notice ........................................................................... 29 7.4. Compliance Tags............................................................................................................. 30 8. REGULATIONS ............................................................................................................................ 31 8.1. Wisconsin Administrative Code NR 810, NR 811 ........................................................... 31 8.2. State of Wisconsin Department of SPS Cross Connection Control Manual ................... 31 8.3. Wisconsin Administrative Code: Chapter DSPS. 305 Licenses, Certifications and Registrations .................................................................................................................... 31 8.4. Wisconsin Administrative Code: Chapter DSPS. 332 Public Safety and Health ............ 31 8.5. Wisconsin Administrative Code: Chapter DSPS. 381 Definitions and Standards .......... 31 8.6. Wisconsin Administrative Code: Chapter DSPS. 382 Design, Construction, Installation, Supervision, Maintenance, and Inspection of Plumbing ................................................. 31 8.7. Wisconsin Administrative Code: Chapter DSPS. 382 Appendix – (partial) .................... 31 8.8. Wisconsin Administrative Code: Chapter DSPS. 384 Plumbing Products ..................... 31 8.9. Wisconsin Administrative Code: Chapter DSPS. 384 Appendix ..................................... 31 8.10. Wisconsin Administrative Code: Chapter 145 Plumbing and Fire Protection Systems and Swimming Pool Plan Review ........................................................................................... 31 8.11. United States Environmental Protection Agency Cross Connection Control Manual ..... 31 Page 123 of 152 Village of Jackson │ 4 1. INTRODUCTION 1.1. Purpose The purpose of this document is to outline the Village of Jackson’s Cross Connection Control policies for all commercial, industrial, public authority, and residential facilities, and is summarized as follows: • Protect the public water supply from contaminants and pollutants that could backflow through the customer service connection • Promote the elimination of actual and/or potential cross connections between the public potable water supply from any fixtures or systems containing water or other substances of unknown or questionable quality • Provide for guidance for an ongoing comprehensive Cross Connection Control Program 1.2. Legality In accordance with the State of Wisconsin Department of Natural Resources (DNR), the Village of Jackson proclaims this program as a continuing effort to maintain clean, safe potable water. By reference to the Wisconsin Administrative Code Department of Natural Resources Environmental Protection Water Supply Chapter NR 810, Section NR 810.15, Chapter NR 811, Sections NR 811.06, NR 811.07 , NR 811.68, and Department of Safety and Professional Services 305, 381-384, we hereby establish the Village of Jackson’s Cross Connection Control Program. This program was adopted by the hereby above described governing body on 10/1/2023. Page 124 of 152 Village of Jackson │ 5 2. ORDINANCE – Cross Connection Control Ordinance STATE OF WISCONSIN VILLAGE OF JACKSON WASHINGTON COUNTY ORDINANCE #26-06 AMENDING CHAPTER 8 OF THE VILLAGE CODE REGARDING SEC. 8-167 – CROSS CONNECTION CONTROL THE VILLAGE BOARD OF THE VILLAGE OF JACKSON, WASHINGTON COUNTY, WISCONSIN, does hereby ordain the following changes to the Village Code: SECTION I. Chapter 8 Section 167 of the Village Code of the Village of Jackson is hereby recreated to read as follows: Sec. 8-167. Cross connection control. WHEREAS, Chapters NR 810, Section NR 810.15, Chapter 811, Sections NR 811.06, NR 811.07, NR 811.68, SPS 382, Wisconsin Administrative Code and Department of Safety and Professional Services 305, 381 -384, require protection for the public water system from contamination due to backflow of contaminants through the water service connection; and WHEREAS the Wisconsin Department of Natural Resources requires the development and implementation of a comprehensive cross connection control program to effectively prevent the contamination of potable water systems; (a) A cross connection shall be defined as any physical connection or arrangement between two otherwise separate systems, one of which contains potable water from the village water system, and the other, water from a private source, water of unknown or questionable safety, or steam, gases, or chemicals whereby there may be a flow depending on the pressure differential between the two systems. (b) No person shall establish or permit to be established or maintain or permit to be maintained any cross connection. No interconnection shall be established whereby potable water from a private, auxiliary or emergency water supply other than the regular village public water supply may enter the village water supply or distribution system, unless such private, auxiliary or emergency water supply and the method of incorporation into the village supply or distribution systems is approved by the water utility and the state department of natural resources in accordance with Wis. Admin. Code § NR 811.09. (c) It shall be the duty of the utility department to cause inspections to be made of all properties served by the public water system where cross connections with the public water system is deemed possible. The frequency of inspections and re-inspections will be based on potential health hazards involved by the state department of natural resources. (d) Upon presentation of credentials, the representative of the utility department shall have the right to request entry at any reasonable time to examine any property served by a connection to the public water system of the village for cross connections. If entry is refused, such representative shall obtain a special inspection warrant under Wis. Stats. § 66.0119. On Page 125 of 152 Village of Jackson │ 6 request, the owner, lessee or occupant of any property so served shall furnish to the inspection agency any pertinent information regarding the piping system or systems on such property. (e) The village water utility is hereby authorized and directed to discontinue water service to any property wherein any connection in violation of this Code exists, and to take such other precautionary measures deemed necessary to eliminate any danger of contamination of the public water system. Water service shall be discontinued only after reasonable notice and opportunity for hearing under Wis. Stats. ch. 68, except as provided in chapter 44. Water service to such property shall not be restored until the cross connections has been eliminated in compliance with the provisions of this Code. (f) If it is determined by the village water utility that a cross connection or an emergency endangers public health, safety or welfare and requires immediate action, and a written finding to that effect is filed with the clerk of the village and delivered to the customer's premises, service may be immediately discontinued. The customer shall have an opportunity for hearing under Wis. Stats. ch. 68, within ten days of such emergency discontinuance. (Prior Code, § 11.08; Ord. No. 96-09) Sec. 8-168. Private well abandonment. (a) Coverage. All private wells, including geothermal wells, located on any premises, which are served by the public water system of the village, shall be properly filled by such time and in such manner as set forth by resolution. Only those wells for which a well operation permit has been granted by the village engineer may be exempted from this requirement, subject to conditions of maintenance and operation. (b) Well operation permits. Application shall be made on forms provided by the village engineer. A permit may be granted to a well-owner to operate a well for a period of three years if the following requirements are met: (1) The well has passed an installation that meets the requirements of Wis. Admin. Code ch. NR 812, and a well constructor's report is on file with the department of natural resources (DNR), or certification of the acceptability of the well has been granted by the private water supply section of the department of natural resources. (2) The well has passed an inspection by a DNR licensed well inspector and DNR form 3300 - 221, the state well and pressure system inspection form, is on file with the village engineer. The inspection form on file shall be no greater than ten years old. (3) The well has a history of producing safe water and presently produces bacteriological safe water as evidenced by a sample submitted to a state certified laboratory for microbial analysis. (4) No physical connection exists between the piping of the public water system and the private well. (5) The proposed use of the well can be justified as being necessary in addition to water provided by the public water system. Page 126 of 152 Village of Jackson │ 7 (c) Methods. Wells to be abandoned shall be filled according to the procedures outlined in Wis. Admin. Code ch. NR 812. The pump and piping must be removed and the well checked out, by the village water utility department, for obstructions and cross connections prior to plugging. Any obstruction or liner must be removed. An abandonment permit mu st be obtained from the office of the village engineer prior to the beginning of work. (d) Reports and inspection. A well abandonment report must be submitted by the well owner to the department of natural resources on forms provided by that agency (available at the office of the village engineer). The report shall be submitted immediately upon completion of the fillin g of the well. The filling must be observed by a representative of this municipality. (Prior Code, § 11.09; Ord. No. 96-09; Ord. No. 01-04; Ord. No. 09-10; Ord. No. 10-03) SECTION II. This Ordinance shall take effect from and after its passage and posting. Introduced by:________________________ Seconded by:_____________________ Vote:_____ aye _____ nay Passed and Approved:_____________ VILLAGE OF JACKSON By: Brian J. Heckendorf, Village President Attest: Pamela Wolf, Interim Village Clerk Proof of Posting: I, the undersigned, certify that I posted copies of this Ordinance on bulletin boards at the Village Hall, Post Office and one other location in the Village. Dated:________________ Village Official: ________________________ Page 127 of 152 Village of Jackson │ 8 2.1. General Policy 2.2. Purpose The purpose of this ordinance is: 2.2.1 To protect the health and welfare of users of the public potable water supply of Village of Jackson from the possibility of contamination or pollution of the potable water system(s) under the direct authority of the Village of Jackson ’s Public Water Utility. 2.2.2 To promote for the control and/or elimination of existing cross connections (actual or potential) between the customer’s potable water system(s) and other environment(s) containing substance(s) which may contaminate or pollute the water supply. 2.2.3 To provide for the maintenance of a continuing Comprehensive Program of Cross Connection Control which will systematically and effectively prevent the contamination or pollution of all potable water system(s) under the direct authority of the Village of Jackson Public Water Utility. AUTHORITY The Village of Jackson shall be the Authority and Administrator of the Cross Connection Control Program. This shall include, but not be limited to: • Inspections • Requirements/Recommendations • Data Management • Public Relations • Educational materials • Notifications • Periodic Re-inspections 2.3. Inspector/Designated Agent The Village of Jackson or Designated Agent (Authority/Agent) conducting inspections on behalf of the Village of Jackson must be designated/approved by the Village of Jackson. The Authority/Agent must meet both 1) an experience component and 2) a certification/training component. Acceptable certification/training components are as follows: • Possess a certificate of completion from one of the following: o University of Wisconsin Department of Engineering Cross Connection Control Course (40 hrs.) o Wisconsin registered architect , engineer, or plumbing designer in accordance with the Wisconsin Department of Regulation and Licensing requirements in chapter A-E1 o State of Wisconsin approved Surveyor Course conducted in accordance with ASSE 5120 Page 128 of 152 Village of Jackson │ 9 o ASSE Professional Qualification Standard #5120 - Cross Connection Control Surveyor certified o Certified operator or OIC with any of the above credentials. 2.4. Responsible Party for Specific Types of Inspections and Notifications • Non-Residential Program: o Initial Inspection Notices – Agent o Initial Inspections – Agent o Non-Compliance Notices – Agent o Shut Off Notices – Village of Jackson o Compliance Inspections – Agent o Re-inspections – Agent • Residential Program: o Initial Inspection Notices - Village of Jackson o Initial Inspections – Village of Jackson o Non-Compliance Notices - Village of Jackson o Shut Off Notices – Village of Jackson o Compliance Inspections – Village of Jackson o Re-inspections – Village of Jackson 2.5. Other Applicable Laws The Authority shall conduct this Cross Connection Control Program in accordance with: • Ordinance - Sec. 8-167. Cross connection control. • Local District/County Health Department Standards relating to cross connection control • The following chapters of the Wisconsin Administrative Code: o DSPS. 305 Licenses, Certification and Registrations o DSPS. 332 Public Employee Safety and Health o DSPS. 381 Definitions and Standards o DSPS. 382 Design, Construction, Installation, Supervision, Maintenance, and Inspection of Plumbing o DSPS 382 Appendix  DSPS. 384 Plumbing Products  DSPS. 384 Appendix  DSPS. 3145 Plumbing and Fire Protection Systems and Swimming Pool Plan Review • Any other applicable laws affecting public health protection through cross connection control Page 129 of 152 Village of Jackson │ 10 3. INSPECTIONS 3.1. Rights of Inspection Authorized employees/contractors, having proper identification, shall be permitted to enter the building/premises at reasonable times for the purpose of inspection for the presence or absence of cross connections, testing, repair, and maintenance of any part of the plumbing system or any cross-connection control device connected to the water system. The Authority shall deny or discontinue, after reasonable notice to the occupants, water service to any building/premises for refusal or failure to arrange for a cross connection inspection. The Authority sha ll deny or discontinue water service if there is reason to believe the building/premises pose a potential for danger to the public and/or occupants. 3.2. Responsibility of Owner The Owner of the property shall be responsible for the protection of the public water supply from contamination due to backflow through the Owner’s water service connection. The Authority may require Owners at their own expense to install, alter, replace, or repair any plumbing connected to the public water system that may pose a threat to public health. Failure, refusal or the inability on the part of the Owner to correct any deficiency or violation shall be unlawful and the Authority may deny or discontinue water service to the building/premises. 3.3. Initial Inspections Facilities, as defined in Section 1.1 , and connected to the public water system shall be inspected by a Cross Connection Control Inspector. The facility’s water use practices shall be reviewed to determine whether there are actual or potential cross connections to the plumbing system through which contaminants or pollutants could backflow into the plumbing system or the public water supply. This type of inspection must be done as defined in Section 5.0, and will range from once every two (2) to six (6) years depending on the degree of hazard recorded with the Authority. Residential homes will be inspected at the same rate designated for the meter exchange rate, every (10) to (20) years. 3.4. Inspection Notification An attempt to notify the facility owner shall be made prior to the inspection. This Inspection Notice will contain the following information: • Reason for inspection • Inspection date • Contact telephone number to contact for scheduling/questions The Inspection Notice (see section 8 ) will be mailed to the facility to be inspected approximately 14 days prior to the scheduled inspection. While either the building/premises owner and/or Authority/Agent can request a change in inspection date, the Authority/Agent still reserves the right to enter any building/premises Page 130 of 152 Village of Jackson │ 11 unannounced for the sole purpose of inspecting for cross connections. Refusal of entry by the building/premises constitutes a violation of this program and the Authority can enforce code actions or deny or discontinue water service as applicable. 3.5. Inspection Forms An Inspection Form (electronic or hard copy) shall be used in every inspection, as required, and will be filed in a location as identified by the Authority/Agent along with other pertinent information accumulated. 3.6. Inspection Procedures Cross connection control inspections shall be completed as follows: • Identify building/facility to be inspected and send inspection notice in advance. • Meet on-site with facility contact/owner. • Explain the Cross Connection Control Program to the facility contact/owner before inspection of the facility. • Provide educational brochure. • Inspect the building /premises and complete the inspection forms with the following information: o Identify facility type/classification and on -going inspection frequency based on the degree of hazard o Identify all building/premises water use equipment. Examples: water softeners, toilet ball cock assemblies, lawn sprinkling systems, hose aspirators, swimming pools, dry/liquid fertilizer feed, solar installations, hose outlets and laundry tubs o Confirm individual contact data o Do they have a secondary/auxiliary source of water (private well)? • Identify isolation hazards utilizing the Inspection Form. A diagram of the system may be requested or required. • Visually review all exposed piping and water outlets/uses. • Complete all forms, as required, to identify the situation. 3.7. Exit Interview After completing the inspection, the inspector will review with the facility contact/owner the cross connections found. If it is possible or necessary, the Inspector may request that the cross connections be addressed immediately. The Inspection Form wil l be signed by the Inspector and facility/owner during the exit interview. 3.8. Inspection Compliance Notification Upon completion of an inspection, a facility having no cross connections, or that has addressed all existing or potential cross connections will receive a Compliance Tag to be placed near the service meter. See section 8 for example of Compliance Tag. Page 131 of 152 Village of Jackson │ 12 3.9. Initial Inspection Non-Compliance Notification After the initial inspection, a Notice of Non- Compliance (see section 8 ) will be sent to each building/premises having unprotected cross connections. The Notice of Non-Compliance will include a list of requirements and provide the time allocated for compliance*. 3.10. Request for Internal Cross Connection Control Information The Authority has the legal right to request specific cross connection control information to include but not limited to piping information, piping drawings or information related to a specific point of water use in relation to cross connections. The Authority shall issue a request notice for any one of the following: • Facility is determined by the Inspector to be large and/or complex requiring considerable amount of additional time to inspect • Facility does not allow for free and unlimited access to areas requiring inspection/survey • Piping configurations are too complex or complicated • Piping is not readily accessible (i.e. concealed piping) • Multiple piping systems • Inadequate piping identification • Facility changes their plumbing configurations on a regular frequency • Secondary/auxiliary water sources • Manufacturing/use of industrial fluids in piping systems or facility operations • Refusal of entry • No current as-built/engineering drawings of the potable water system If the Authority/Agent is not able to complete an inspection the property owner must, at their own expense, have the plumbing inspected for cross -connections by a certified firm or individual that has met the requirements in Section 3.1. 3.11. Request Notice for Internal Cross Connection Control Information The Request Notice Internal Cross Connection Control Information shall contain the following information: • Reason for the request • Approved contractor requirements • Contracted performance insurance requirements • Time allocated to submit the cross-connection survey report to the Authority Failure or refusal to comply with this request shall be unlawful and the Authority may deny or discontinue water service to the building/premises. * The Authority reserves the right to adjust the number of days allocated for compliance based on the degree of hazard associated with existing and/or potential cross connections Page 132 of 152 Village of Jackson │ 13 3.12. Submission of Internal Cross Connection Control Information Information that must be included is as follows: • Methodology used to conduct the survey • General facility overview • List of violations/requirements - information must include the following: o Type of backflow prevention device to be installed o Size of backflow prevention device to be installed o Location description/remarks to include what the backflow prevention device will be supplying • List of all existing backflow prevention devices (both testable and non -testable). Information that must be included is as follows: • Type of backflow prevention device installed • Size of backflow prevention device installed • Manufacturer of backflow prevention device to include: o Model o Serial number • Location description/remarks • A proposed plan for the correction of violations/requirements must be submitted along with a proposed timetable for completion • Drawings of the facility’s potable water piping system may be required Information can be submitted to the Authority/Agent in an electronic file format or hard copy. 3.13. Educational Material • Residential and Commercial/Industrial Brochure – at time of inspection and every three years • Additional Educational Brochure – upon request Page 133 of 152 Village of Jackson │ 14 3.14. Residential and Commercial/Industrial Brochure Page 134 of 152 Village of Jackson │ 15 Page 135 of 152 Village of Jackson │ 16 4. PERIODIC MONITORING 4.1. Subsequent Inspection Frequency Subsequent inspection frequency will be determined by the degree of hazard existing within the facility. The term degree of hazard shall be derived from the evaluation of conditions within a facility which can be classified as either a pollution or contamination hazard. Degree of hazard shall be determined by the Authority or Designated Agent. 4.2. Re-inspection Frequency – Determination The re-inspection frequency is based on the hazards present at the time of the inspection and will be assigned to the facility by the agent. Frequency will range from every two (2) years for high hazard facilities, six (6) years for low hazard commercial facilities, and ten (10) to twenty (20) years for residential, and multi-family facilities. 4.3. Re-inspection Frequency – Criteria • High hazard facilities every two (2) years - examples: Medical, Industrial/Manufacturing facilities, Car Washes, Mortuaries, Labs, Restaurants, Wastewater Treatment Plants, Marina’s, Greenhouses/Nurseries, etc. • Low hazard facilities every six (6) years – examples: Retail Outlets, Warehouses, Storage Buildings, Office Buildings, etc. • Residential and Multi- family homes will be re -inspected every ten (10) to twenty (20) years based on the meter exchange frequency. Educational material will be provided at least every three (3) years to all residential homes. 4.4. Inspection Compliance Procedure Upon notification from the facility that all violations have been corrected and the necessary backflow prevention devices are properly installed, a compliance re -inspection will be conducted as outlined in Sections 4.6 and 4.8 of this plan. Upon completion of the compliance re -inspection, a facility having no cross connections, or having addressed all existing or potential cross connections, will receive an Inspection Compliance Notice or a Compliance Tag to be placed at the meter. 4.5. Inspection Non-Compliance Notification #2 Failure to comply with the Inspection Non-Compliance Notification #1 within the number of days as determined by the Authority will result in issuing a second notice of inspection non - compliance*†. Included with the notice will be a Requirements List. The facility will be given a specific time frame to comply with Inspection Non-Compliance Notification #2. † The Authority reserves the right to adjust the number of days allocated for compliance based on the degree of hazard associated with existing and/or potential cross connections. Page 136 of 152 Village of Jackson │ 17 4.6. Termination of Water Service Termination ‡ of water service will be for any of the following reasons: • Immediate health threat • Non-compliance (i.e.: Failure to test devices and submit device test forms or refusal to comply with the requirements as outline in the Requirements Form) • Refusal of entry 4.7. Shut-Off Notification Failure to comply with the Inspection Non-Compliance Notification #2 within the number of days as determined by the Authority will result in issuing an Inspection Shut -Off Notice. The notice may be sent registered mail, return receipt requested or other means of service as deemed necessary by Authority. The water shut off date will be “days after shut off notification” days from the date of notification. Example in section 8. ‡ Termination procedures to be determined by the Authority Page 137 of 152 Village of Jackson │ 18 4.8. Inspection Frequency Standards Form Typical Survey Frequency Based on Facility Types HDI CODE Facility Type Survey Frequency AIRPOR Airport 6 APARTM Apartment Complex 10 or 20 depending on meter exchange rate BANK Bank 6 BAR Bar / Pub – no kitchen 6 CARDEA Car Dealership 6 CARWAS Car Wash 2 CHURCH Church 6 CITYOF City Owned -Other 2 CITYOF City Owned -Office 6 COLLEG College Property 6 CONCRE Concrete Mixing 2 CONDMN Condominium 10 or 20 depending on meter exchange rate COUNTY County Owned Building 6 DAYCAR Day Care Center 6 DENTIS Dental Facility 2 DOCOFF Single Office – Doctor 6 DRYCLE Dry Cleaner 2 FITNES Fitness Center 6 FLOWER Florist 6 FUNERA Mortuary /Funeral Home 2 GARAGE Auto Repair Garage 6 GASSTA Gas Station –No Garage 2 GASWAS Gas Station -Car Wash 2 GOLF Golf Course 6 GROCER Grocery Store -Market 2 GYM Gym 6 HALL Hall 6 HOSPIT Hospital 2 HOTEL Hotel/Motel 2 INDUST Industrial Facility 2 LAUNDR Laundry 6 MARINA Marina, Dock or Warf 2 Page 138 of 152 Village of Jackson │ 19 Typical Survey Frequency Based on Facility Types (continued) HDI CODE Facility Type Survey Frequency MALL Shopping Mall 6 MEDCOM Medical Complex 2 MOBILE Mobile Home Park/Court 10 or 20 depending on meter exchange rate MOVIE Movie Theatre 6 NURSE Nursing Home 2 NURSER Nursery 6 OFFICE Office Building 6 OTHER Other 6 PARK Community Park 6 PHARMA Pharmaceutical Plant 2 RESIDE Residential 10 or 20 depending on meter exchange rate RESTAU Restaurant 2 RETAIL Retail Store 6 RETMAL Retail Store in Strip Mall 6 SALON Hair Salon / Barber Shop 6 SCHOOL School 2 SMALL Strip Mall 6 STADIU Stadium – Civic Center 6 TRDSCH Trade School 2 TWP Township Owned Facility 6 VACANT Vacant Building/Suite 1 - Unless Water Service Has been discontinued VETERI Veterinary Clinic/Hospital 2 VILLAG Village Owned Property 2 WAREHO Warehouse 6 WASTEW Waste Water Plant 2 **This Chart Reflects Typical Survey Frequencies. A more frequent survey frequency may be required in some cases and will be determined at the initial CCC Survey based on the hazards present at the time of the inspection. All initial surveys should be completed in first two years of program. Page 139 of 152 Village of Jackson │ 20 5. BACKFLOW PREVENTION DEVICES 5.1. Responsibility • Installation and maintenance of devices/methods shall be the responsibility of the building/premises owner • Any installation in a health care facility involving a backflow prevention device requires Wisconsin Department of Safety and Professional Services plan approval. Refer to the Department of Safety and Professional Services DSPS 382.20(1)(a), table 382.20-1 entitled Submittals to Department for a list of instances requiring plan submittal • Plan submittals for devices shall include a completed General Plumbing Plan Approval Application; form SBD-6154, along with the appropriate fee • If a device is installed without prior approval from the Wisconsin Department of Safety and Professional Services, a fee of two (2) times the standard application fee must be paid. Provisions for exceptions to this rule are provided as follows: o If an inspection determines that a device must be installed immediately to correct an existing cross connection, the Wisconsin Department of Safety and Professional Services will accept the normal review fee provided: - The application includes a copy of the inspector’s written report - Plan submittal is made within 30 days of the inspection date • All testable assemblies shall be tested upon installation and at yearly intervals thereafter as required by the Wisconsin Department of Safety and Professional Services or as determined by the Authority • Completed device test form(s) for the reduced pressure principle backflow preventer assembly, reduced pressure principle backflow preventer detector assembly, pressure vacuum breaker assembly and the backflow backsiphonage vacuum breaker assembly are to be distributed to the following parties; o The Wisconsin Department of Safety and Professional Services o The Owner o The Purveyor o The Tester • The Authority/Agent may require additional testing for any of the following reasons: o Loss of water flow/pressure to the facility o Repair or maintenance to the water distribution system at or near the facility Page 140 of 152 Village of Jackson │ 21 5.2. Device Abbreviation List HydroCorp, Inc. Device Legend A.S.S.E Legend Acronym Testable Device Standard 1001 Atmospheric Type Vacuum Breakers AVB No 1002 Anti-siphon Fill Valves (Ballcocks) ASBC No 1011 Hose Connection Vacuum Breakers HBVB No 1012 Backflow Preventer w/Intermediate Atmospheric Vent VDCV No 1013 Reduced Pressure Backflow Prevention Asy. RPBP Yes 1015 Double Check Backflow Prevention Assembly DCV Yes 1019 Vacuum Breaker Wall Hydrants HBIVB No 1020 Pressure Vacuum Breaker Assembly PVB Yes 1022 Backflow Preventer for Carbonated Beverage Machine VMBP No 1024 Dual Check Valve Type Backflow Preventers DuC No 1032 Backflow Preventer for Carbonated Beverage Machine VMBP No 1035 Laboratory Faucet Backflow Preventer LFVB No 1037 Pressurized Flushing Devices (Flushometers) PFD No 1047 RP Detector Backflow Prevention Assembly RPDA Yes 1048 Double Check Detector Backflow Prevention Assembly DDCV Yes 1052 Hose Connection Backflow Preventer HCBP No 1053 Dual Check Backflow Preventer Wall Hydrant HBIVB No 1055 Chemical Dispensing Systems AG No 1056 Spill Resistant Vacuum Breaker Assembly SVB Yes 1057 Freeze Resistant Yard Hydrant W/Backflow No 1081 Backflow preventers with integral pressure reducing VDCV No boiler feed valve and intermediate atmospheric vent A112.1.2 Air Gap AG No Vacuum Breaker Tee VBT No 1001, 1002,1014 OR A112.1.2 Restroom Fixture (Common restroom fixtures) RRF No Device and/or piping requires a cap CAP No No Contact Was Not Available INSPECT No Install approved device INSTALL No Pipe requires labeling LABEL No See Remarks OTHER No Refusal of Facility Inspection REFUSAL No Device is in need of repair REPAIR No Requires replacement REPLACE No Requires relocation and/or new piping REPLUMB No Survey Required SURVEY No Single Check Valve SCV No Page 141 of 152 Village of Jackson │ 22 5.3. Approved Backflow Prevention Devices The Village of Jackson accepts backflow prevention devices as recognized by the Department of Safety and Professional Services. The Department of SPS stipulates backflow prevention devices must be of the type recognized in accordance with the Wisconsin Administrative Code, DSPS. 384, Plumbing Products, and shall be listed by a recognized listing agency acceptable to the department. Agencies acceptable to the department may be found in the Wisconsin Administrative Code, DSPS. 384, Appendix. Page 142 of 152 Village of Jackson │ 23 5.4. Cross Connection Control Device Performance Test Form Page 143 of 152 Village of Jackson │ 24 5.5. Cross Connection Control Assembly Removal Notice Page 144 of 152 Village of Jackson │ 25 6. NEW SERVICE INSPECTIONS 6.1. Procedures All plumbing plans and permits for a proposed building shall be reviewed by the Authority, Plumbing Inspector, Building Inspector and building contractor(s). The Authority’s Cross Connection Control Plan and Backflow Prevention requirements will be review ed with the responsible party. 6.2. Inspections The Authority/Agent conducting the cross connection control inspection shall inspect the building/premises for compliance with the Cross Connection Control Program. 6.3. Compliance Upon completion of the cross connection control inspection and it is determined that the facility is in compliance and has been met any required actions of this plan, certificate of occupancy and water service will be initiated. 6.4. Non-Compliance If the facility does not comply with the Cross Connection Control Program, the Authority shall enforce this plan as required. The water service and the certificate of occupancy will not be initiated until compliance is achieved and approved. 6.5. Bulk Water Sales Persons purchasing water in bulk shall contact Utility office prior to taking water from hydrants or fill stations. Utility personnel shall be present to insure tanks are properly equipped to prevent cross connections to the Utility water supply. 6.6. Bulk Water Stations Bulk Water Fill Stations shall be inspected to ensure they are properly protected against backflow in accordance with NR 811.78. At a minimum, all Bulk Water Loading Stations shall be installed with either (1) a free air break to prevent back siphonage of contaminated water or other substances or (2) a reduced pressure backflow prevention assembly installed on the supply line to the loading station. All hoses and other connections at loading stations shall be installed in such a manner that they cannot be contaminated by contact with the ground. Page 145 of 152 Village of Jackson │ 26 7. SAMPLE NOTICES 7.1. Non-Residential Inspection Notice (Initial Notice) Page 146 of 152 Village of Jackson │ 27 7.2. Non Compliance 1 and 2 Notice Page 147 of 152 Village of Jackson │ 28 Page 148 of 152 Village of Jackson │ 29 7.3. Non Compliance Disconnection Notice Page 149 of 152 Village of Jackson │ 30 7.4. Compliance Tags Page 150 of 152 Village of Jackson │ 31 8. REGULATIONS 8.1. Wisconsin Administrative Code NR 810, NR 811 8.2. State of Wisconsin Department of SPS Cross Connection Control Manual 8.3. Wisconsin Administrative Code: Chapter DSPS. 305 Licenses, Certifications and Registrations 8.4. Wisconsin Administrative Code: Chapter DSPS. 332 Public Safety and Health 8.5. Wisconsin Administrative Code: Chapter DSPS. 381 Definitions and Standards 8.6. Wisconsin Administrative Code: Chapter DSPS. 382 Design, Construction, Installation, Supervision, Maintenance, and Inspection of Plumbing 8.7. Wisconsin Administrative Code: Chapter DSPS. 382 Appendix – (partial) 8.8. Wisconsin Administrative Code: Chapter DSPS. 384 Plumbing Products 8.9. Wisconsin Administrative Code: Chapter DSPS. 384 Appendix 8.10. Wisconsin Administrative Code: Chapter 145 Plumbing and Fire Protection Systems and Swimming Pool Plan Review 8.11. United States Environmental Protection Agency Cross Connection Control Manual Village of Jackson Cross Connection Control Plan Date: __________________ In accordance with the State of Wisconsin Department of Natural Resources (DNR), the Village of Jackson proclaims this program as a continuing effort to maintain clean, safe potable water. By reference to the Wisconsin Administrative Code Department of Natural Resources Environmental Protection Water Supply Chapter NR 810, Section NR 810.15, Chapter NR 811, Sections NR 811.06, NR 811.07, NR 811.68, and Department of Safety and Professional Services 305, 381-384, we hereby establish the Village of Jackson’s Cross Connection Control Plan as adopted on . Page 151 of 152 Village of Jackson │ 32 Page 152 of 152