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HomeMy WebLinkAbout002-1001-20-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division _~' ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Mentink, Jon Baldwin Townshi :ST BM Elev: Insp. BM Elev: BM Description: CUb - d~ .D TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing / ~7b . ~ w (J Aeration Holding TANK SETBACK INFORMATION TANK TO P/L Q. WELL BLDG. Vent t nir Intake ROAD Septic > M ~ t / ~,ms P~~ Dosing ~ 1,~7~ "' Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number / ~~.~ 2 ~ ,'l.~ TDH Lift Frictio Los Syste Head TDH Ft For. i ~ ain Le~ h ~ Dia. M Dist. tv W~~/ ~/ r S ILA SORPTION SYSTEM County: St. CroiX Sanitary Permit No: 420484 0 State Plan ID No: Parcel Tax No: 002-1001-20-000 ELEVATION DATA STATION BS ~ . ~ HI o~-y FS ELEV. Benchmark ~/ Alt. BM S-r Cam. 9~• Z- Bldg. Sewer I3. q -S` SUHt Inlet r/' s- ~~ ` St/Ht Outlet i ~~ Dt Inlet ! Dt Bottom a Header/Ma Dist. Pipe ~~ -~~ ~ D 3 ' Bot. System~~ ~~~ ~~ ~ ' ~p2 -~ Final Grade ,} ~~ ~ J D . 3 ~ St/C~over l.- I- , '] rr BEDITRENCH DIMENSIONS Width , Length ~ No. Of Trenches 1 ~ PIT DIMENSIONS ~~ No. Of Pits Inside Dia. Liquid Depth ~ 12~ ~ / SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM L Manufacturer: INFORMATION CHA OR Typ Of system: ~'Db, ~/ >'~. N ~ Model Number: DISTRIBUTION SYSTEM -fr~r-~ LCI,r~- ~ ~• , Header/Manifold ~ Distribution / x Hole Size x Hole Spacing Vent to Air Intake ~p Pipe(s) , , ^^ ( I S" r' ~ '3/ /, 3 / ~~ / Length Dia Length_u ! Dia ~ Spacing ((p SOIL COVER x Pressure Svstems Only xx Mound Or At-Grade Svstems Onlv th Over ~ ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched e /Trench Center . ~_,rr~ Bed/Trench Edges Topsoil Yes [J No ~ Yes ~I No r COMMENTS: (Include- bode discrepencies, persons present, etc.) inspection #1:~/~/ ~ 2/ inspection~~ /~/~~'- Location: 1107 260th Street Baldwin, WI 54002 (W 1/2 SW 1/4 T29N R16W) NA Lot ~~ Parcel No: U1.29.16.11 1.) Alt BM Description = 1 _ , 2.) Bldg sewer length = ~ 10~ V / - `I'j,(.~~ -77.C~k~JIL G~'~:'fy~L- Gtl/~.4~y''` '/'w „~-/ ~-~?~Y - amount of cover = L~2 ~ ~~` G~~~ 3.) Contour = f~~ r ~ ~~'e Plan revision Required? Yes ~_:_, No ~ i ~ c~L~/i Use other side for additional information. ~ i i L7 7 J Date Insepctor's S nature Cert. No. SBD-6710 (R.3/97) 0 2 i Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. PO Box 7302 • ~ ~ I See reverse side for instructions for completing this application Madison, WI 53707-7302 /$C~IZJ 1t Department of Commerce Personal information you provide may be used for secondary purposes ~priy~y Law, s. 15.C4(1)(m)] to coun if not (Submit completed form ry d ~~~ 3 >rD /~ ) state owne . Attach complete plans (to the county copy only) for the system, on paper not less than 8-1l2 x 11 inches in size. County ~ Permit Number Cho State Sarli ~ sa pious appl' . s State tan I. D. Number f~ ~ s a f ; I. Application Information -P lease Print all Information, Location: /D t?wner ame rl ~i ~ ~ ~AJ~ ~ ~ ~s ~ l p~-~/ n Q 1~ Vv 1/4, S Ta / ,N, ~!~ (or petty ei's Mailing Address Lot um r Block Num r Ciry, State Zip ode ~ P one Number u ivision N e or CS Number ~ po Z (ZI S" ) LS`f- ~ZS" II. Type of Building: (check one) ~ "-S `~ ~ Q^%1'''~=x-r"'"^ of Bedrooms : ~ `" il Dwellin - No 2 Fa Q~ 1 ^ ciry ~~ CI Village ~~r4~ y g . or m 7 ~ ,,~PTown of ^ Public/Commercial (describe use):_ S.R.- s-{~- ~~>~ ~ Rjrd~oz- to r oZ ~`r ^ State-Owned ~$' -~' (- a, ~ ~f- " D '' ~ r1/l~'Wvt,d Wl G~i~S-~-, CQ,~Q ~'{ r ~ ~ Z~ r' "i ~~ Nearest Road ~ , // i (i"h- fdh.~ tUl7. ~ .fir! o~'S~~ -~"~( a>F'~ +w''°. ar ax u i{s --rool-alb III. Type of Permit: (Check a line A. Check box on line B if applicable) A) 1. New Replacement Replacement of 4. S. 6. Addition to Existing System System S stem Tank Only B) Permit um r ate ssue ^ A Sanitary Permit was previously issued IV. Type of POWT System:. (Check ail that apply) ^ Non-pressurized In-ground ou and Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V. DispersaUTreatment Area Information: 1. Design Flow (gpd ~ 2. Dispers Are is ersal 4. oil Application ereolation Rate 6. ystem Elevation T. Final ade Required L~~j Propose 273 Rate (CralsJday/sq. R) (Iviin.linch) Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks ^ ^ ^ ^ ~~ f.,-.- _ ^ ^ ^ ^ ,.~,~i~' bov o ~i/N~l~a VIII. Responsibility Statement I, the undersigned, assume res onsibility fo ' stallat' of a OWTS shown on the attached plans. Plumber's Name not um s igna nos ps : MP o. Business P ono Num r er's Address (Street, City, State, Zip Cod Plumb ~• / ,sS'~,1vO5' ~i~8 ~ /~~ ~~vr(d rl,/ [~... G/T J rf ~d7 IX. Co nty/Department Use Only Disapproved Sanitary Permit Fee ncludes Groun water } Fc h S Datc Issued Q suing ent Signatu o stamps} Approved ^ Owner Given Initial Adverse arge e ~ ~ ~ ~ ~ urc .~ /` ~ 0 Y GG~''~'Yt Determination ' X. Conditions of Approval /Reasons for Disapproval: !~ ~ Z u!/~E~1~~' /~ 9 '7'a ~~ ~ m ~CCO1Z1~iNC~ 7ir ~ /~/~' L?Cr~l131r/ONS" FpfL .57797"3 fI PPlLd~!14z ~ /NSrA Wit-- syS l7iV~i .SibrJ aFSd2~AG~ui.~"x- cvr~c. g~' S ~Y1SEp PGA-r~ AC1a~Ar/ 9~0-'r~~ ~L1G~ ~ 7e, Li~~~ pW Pr4~r-oG /'tbvN1~ t~l.s~.dc~~or~ ~ ~ "~~1~ /T `~ ~°r~~S /vJC~-t. ~G~ 0~ f~pirt13E1~- ?b /ROy1IJ~ h~0'o't~zc1/JLK-- w/~ i/R~ ir''~UL~ >rD~ ~~GU~1'~~ ~7ta~R- 71~/ks j3ir»i~- S l v7~ o ST L.L ~/l -~ ,q./olc /fit-ic.uR.~ o>~ rv~s~A~ -A7-rw r'.~~Yja,,,7'a'rt s e¢~'~,'(~mn' ~3•~13 onr~ c~no ~n n-rinm ,,.:.. ,, «~ ~ ~~~~ `~,. ~<~~~ :~~ - ;~:~~~}` ~~_x_U ~.k~-ALL x~;~ ~~~~~~ ~ ~ mC ®' pew ~jt r P~ F t r~ 'e ,r~"" r N r I- Q O~ ~ ~, © r ~ rc "~~ ~, ~ r ~ ,~ ~ ~ ---~ ~ '~- G a" ~ ~ o ~ ~~~ ~ r ~o ~I ~ ~mJ it ~Z'~1 + a o s ~ b f 1 ~ ~ r °Q ~ a ~ a-- ~, ~ r ~ ~ r ~ ~ ~ ~ $ ~ ~ . ~ ~r-~ ~' ~Q i r ~ ~ ~ (~ ~~ F r ..- v ~ ~~ ~ ~`" .. / r J 9 __ __ f _~ ~___~ ~ ~~ ~ ~ Q~88 ~ Iv+ ~~~ ¢r`1 s ~ bC, ~`~ ~J g ~ ~~ ~ N ~ ~ ~~ ~' ~- ~ P '. ~: ~: i ~' ~r fp • ~ 1 ~ k ~' ~ rocs J .._ e ,~, ~ r ~~£ r ~~.~ i s ~~ ~~ f ~ _~ ~ * , ,~ ~°c ~ ~ ~ r °- '~ ~ ~ ~ ~ ~ '~ o a `~ ~ P ~ ~ ~ ~ D 777~~~ ~, 1 N ;~ '~ o 'p' ~ r ! ,v N~ S ~_ r~ A t n if .c 0 Q~ r a G !r/ Y p ~ . .p ~ r ~ N ~ ~~ t ~ f r~~ of l r i ^~ ~ v s e .A f-°- f 1 r p ~~ .~ ,. C r• ~+ ~ ~ ~ t • r ~, r e r ~ o ~~ r o r l ~s '~ T ti ~~' i 4 `A 0 I ~ A A h 1 r. I o ~ y ~ ~~ / g ~ t ~- ,~ a ~ v .~ 0 L~ [~[ r _J 0 r t N .G `` Y -l F r f r ~ isconsin Department of Commerce September 16, 2002 OUST ID No. 222774 HENRY F GROTE CERTIFIED SOIL TESTING E4366 353RD AVE MENOMONIE WI 54751 A7TN.• Inspector Safety and Buildings Division 4003 N. Kinney Coulee Rd t.a Crosse, WI 54601-1831 www.commece.state.wi. us/sb ~~ Scott IV{cCa(lum Gi?verrtvr; PhiCip`Ldw:'Alb~rt, Saereta ` ~..: ~, F ?QQ2 ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 5'J'r C~r~ ~k` fa.~ S CONDITIONAL APPROVAL - Identification Numbers PLAN APPROVAL EXPIRES: 09116/2004 Transaction ID No. 787_ 909 Site ID No. 650457 SITE: Jon Mentink Residence Please refer to bothidentification numbers, Town of Baldwin, St Croix County above, in alt correspondence with the 5W 1/4, SE 114, S1, T29N, R16W a en FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 870515 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • Approval is hereby eranted pursuant to Comm 85.60 (2), Wis. Adm. Code to estimate the depth to seasonal soil saturation based on an ~nreroretive determination. This approval and determination negates the regiurement of Comm 85.30 (2) (b), Wis. Adm. Code to designate t e groan su ace as e g est level of sat ration wlf~ c eatures are less than inc -~s'-beTaw~he ottom of the A horizon. • Recouuneudations by depariiiient or county staff that must be considered during plan approval for this project and include using a linear loading rate of 3.75 gpd/ft or less and a highly treated effluent basal soil application rate of 0.2 dlft^2 or less to im rove hydraulic performance of the mound system. i,. i 0 • At least 30 inches of sand lift on top of 6 inches of unsaturated in-situ soil for adequate treatment is required. • Lan~scaninw „n slope of the mound shall be incoroorated into the mound design to divert surface water ~ drainage around the up slope toe of the mound structure. The. diversion ditch should be at least 2 feet deep. • The down slope toe shall be at ratio must be 4:1 or more to ensure adequate down slope basal area for absorption. • This approval shall remain valid unless the site or sites are altered in such a way that the depth to soil saturation would change or if saturated conditions were observed for seven consecutive days at depths less than three feet below the infiltrative surface of the POWTS distribution component. • This approval letter and attachments must accompany the mound system plans for this project. This approval in no way relinquishes the uses of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits HENRY F GROTE Page 2 9/16/02 required by the state or the local municipality shall be obtained prior to commencement of constructiton, installation, or operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~- eroy ansky, W water a ialist Field rations B eau (715)726-2544 Office (715)726-2549 Fax lj ansky@commerce. state. wi . us Fee Required $ 100.00 Fee Received $ 100.00 Balance Due $ 0.00 WiSMART eode~ ~ ~ isconsin Department of Commerce Safety and Buildings 4003 N KlNNEY COULEE RD LACROSSE WI 54601-1831 TDD #: (608) 264-8777 www. com merce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Phifip Edw. Albert, Secretary October 10, 2002 OUST ID No.139462 AT1tV.• POWTSInspector TODD L SINZ T L SINZ PLUMBING INC E5609 708TH AVE MENOMONIE Wl 54751-5520 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/10/2004 SITE: Jon Mentink 110th Avenue Town of Baldwin 5t Croix County SW1/4, SWI/4, Sl, T29N, R16W FOR: Description: Three Bedroom Mound System - Revi Object Type: POWT System Regulated Object o.: 816223 Identific ~ rs Transaction ID N 486 Site ID No. 637416 Please refer to both identification numbers, above, in all cones ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved changes will become an addendum to the plans that were reviousl a roved on Se tember 16 2002 under ransaction ID No. 787909. Ail other ortions o t remain the same. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with a co~C a requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. 5tats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1}. • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 ~dlttlV. ~" $. Qnah» __ TODD L SINZ Page 2 10/10!02 Owner Responsibilities Continued: • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. [n granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, /l~ " , Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. '7:30 am to 4:15 pm j swim@commerce, state, wi. us Fee Required $ 60.00 Fee Received $ 60.00 Balance Due $ 0.00 WiSMART code: ?633 cc: Leroy G Jansky , Wastewater Specialist, (715) 726-2544 Jon Mentink -Mound Revision to Transaction # 680114 Site ID # 650457 (9!16!02, Jansky) Site ID # 637416 (11!19/O1, Jansky) Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01101) Pressure Distribution, SBD-10706-P (Ol/Ol) Location: SW 114, SW 1/4, Sec. 1, t 29 N, R 16 W Town: Baldwin County: St. Croix Date: October 16, 2002 Owner: Jon Mentink Address: 817 220th St. Baldw~n, WI Plumber: Todd ~Sinz Signature: License # MP~9462 Attachments: 6748-Plan Approval Application SBD-8330 Trans # 787909 A+0" Approval Letter page l: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management RECElU~D ~E~' ~ v X002 ~~R®VE® DEPARTMENT Of COMMERCE DIVISION Of SAfETYANO 6UILDINGS T SEE CORRES NDENCE page 1 of 8 ~FETY ! Igo ,~ s 7 (~ ~ d 1 i f J s __ 1 .~ a ~~ o a 6' d ~ Q t r $ ~ l~ ~ d ~`~ =~ .~ c'~{ 1 ~ ~~ a+, 1 ~. ~ A 9 1n ~ r in ' --~ 0 ~ o :! 1 .f 1 --1 tt~ ~, ~ l o -~ 4 ~ ~ ~+ 1: M r ~S ~ '~' y~y ~ f4` 1 J_ p i ~ J 's n` ~ .., b a s~ `~! r { '0 M ~ N \J n ~ d a ~ ~e °; r ;, ~ ~ .~ r~ a ~ 1 a ~. ~ 1 h ~ d V n ~° i ~ ~ ~ i ;~ t „~, Yd d J O d ~ ~ ..~ ~ ,~ ~ 3~ ~~ ~~ s,/,.y S '" 3 ,r ~~ ,. ~' { r ;~ d ~ ~ 3 ~, ..~ ~' ~ e ~; 1 x ~~ N 'f d ~ ... 1 J d ~ ~ "' 4 t ~ ~' ~ ~ ~ ~.,r ~ J ~ ~ 9 ~ ~ .. ° ~~ N ! ~ ~ J ~ ~ -~ o ~/' /r --f 3 J , p V / f ~~ ~ c --~°~ s ~ ~ ~" ~ ~- ; ~ o ,, . '~ 9 O r ~. a J j° r _ o ' ~~+ ~,,, `~~ 1 i J ;~ r r d / '; A,,,, i ~ ~ ~ .~ ~ ~ ;~ ,i- M ~ ~y r 0 ~! r ,~ ~~ ~~ ~ o~ aS ~0 i ~ e 4 p J- S~t2`,f ~~ 3 3 '~ '~ J __/_ - - - 3 C„~ Q ~ ~ ~ ~ l.r Z A ~i ~ ~ ~ gy , ~ --t- ~ e o ~ p 9 J p .. ~ ~ ~ ~ ~ ~ ' O ~ ~ -'n ~ ~' d~ ~ ~ ~ ~(..~~ u •"..h ~ lG~ ~ r C ~Zd ~ v ~ C ~ ~~ 1 -f ~ s ~._. ~o E S ~~ ~ T © s t 0 "' ~~ ~~ a ~~ ~- 3 7 O ,~ ~~ • ~ J d ~- .~ j ~~ !~~ m ~,y~,,. ~~~~:: ~~.;.Tm -,~~s~ mm~ ~,~~, cocc`d`o'" ~ccc~c '»_>a`» mm9mmm ...;i' .. • Design Criteria ~ ~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold/header length Drain-back Lateral length 2 Lateral elevation Lateral hole size 3~i e in. ~.O hnlae/1~*aral @ @ Lateral volume Total lateral discharge rate Network pressure compensation losses Elevation difference Friction loss Total dynamic head Pump/sip~on 34' gpm @ Manufacturer ~Oe-« Dose volume Lift/sip~'ion tank ~~ ~S-S ~~~ ~vw Septic tank •~ Effluent filter d ~~ ~a 1- ~.~•1 • ls-ao Co ~.,.~ ,, ., Measurement pump on and off Height alarm from tank bottom Reserve capacity ipecs.calcs res a. Design Calculations ~ ~ t y~ gallons/sq. ft. per day ?i ~ in. ~ Z o in. ~' S~ 18S ft. of Z in. Nom' ft. of -' in. 10 2 • ~~ gallons _ - S~•S' ft of ~'~i. l 03.0 3fa•° \o.~-bar ~b.~t m .'}g~ ~~.is' is . 2 2.2 •~ Z ~' S~~ `' 1 o wQ,i~o...~a ~ v •~/L~L m. ft. @ bottom of lateral in. ( 3 • ° ft.) Spacing holes total gallons gallons/minute @ Z -~~ ft. head ft. ft. ft. @ Z-~' gallons/minute ft. ft. of head Model # ~ ~ Z gallons ~ ~ gallons ~ `~'° gallons in. m. gallons Page Z of g FT o gz.z - .4 6n ~•9 ~ ~' . 9 ~.~~ ~w ~" ~ o,~.,~;1 M b s..~co: ~~°`~ 0.v ~.+` ~ o.p. p T',S ~ ~7 •p "'r w b ~,~~ ~~ • q,l t~~02 S~'~ J `V d'Y6: S 4.w~ ~O 0{a•~ c0.~raw. = O. Z ~`^/ ~ir2 CO .~9$4, -~ U(' ll ( (' .~.o....:.,,,,,,\ ~ 2 yo b~ o ~ o~ LOS- 1R•~. ~i~ i Y~+ ,. ~-o ~ a,,;~-, ate. S .,. ~e ~ ..,.r ~w~rs- cXr T ~~ .r oL Mt R~~ ~y'~ ~\Ow ~u V' OG.k ~ ~ 11 ~~ ~S l (~ 1 \ 4.~i„ i ~q • ~` e..v~ V iG~M, , I • I~ ~;, i -~ Z o' ~~ I ~~ 213 b~ ~I 2 0' ~ ~ ~ 4 .q' I Z-o•o~ ~ 4-.g' ~-- '' I 1y~.~'. p ~, 4 l~ v L c, ...~ ~ t~ o~ S c.r. ~ .~ ~ o ~, ~.... a, \ 1 -4O bO~ (` 11 i o •.-. o } r o~1~ o} Yu~.l~ `O~ ~^ . h . yi } ~'e+WGr 4~ ~' ~`~Z p , l .~.. ~' ~.~' r s.~, ~ `r;.,..9 ,~ ;., ~ ~ ti~a.,.Q, ~..5~. ,, ~`IL Q~ ~ c ~~ 4v ~ a~..,~ ~ 3.0' Ira' ' ~.~' ( 3.a' I ;.o' I 3.0' _~ I _ .. S~P.S ~^ 5~.~ 1 ~,~.~, l l la , ~ 01 .~ o ti \ .. ~ 2~..J~ cu.~,.~ bO~ o ~..~. \ :..a.. ~ 3 b. ~ " f ~ • ~ ' ~ a ...~.. ~" ( ~( ' V O~Q• I7Y~tQ-~.T 'TMVh K(`/~y~~~l~~ (~~ V' 0.{V e 7V x Z.O' 2.0 ' ~o~~~ ~Z•~~I,n Sr o ~* $ (~ "`~~ 10~1~' ~_ 4.0' 33.4' 1$.~' .. 4' ^~ • -LOCKIUG COVER -'~ t</A~N /aG ,l /~BE~ . Q~icK ~~~~•OVV~cT---~ G- ~-~ w ~~ -~--~ 4m P l P 6 3' --""" fl U NDISTUR6~p Soles 24" 2.D. MA~u~ iAU r A W -t ovc.D SY,rT .'3~iNT"J 1. DIIG KrrEC.TioN.S C~ev tS~i.~a' ~ A \ ___~__^ `~ gAF' FL E a ~~4'KC.p CIII ~ .4~ F'`' o ~ti~_ -c41~3 ~ Uv : h O w •} 1. a.. Zl.. t .. z" ON - ~,,g ,. OG8 ~ ,~ ~ ~ V ~ F o rc e ~"~ n ~ rr WEATNER/PROJF ~.nJNCTION J 8c~c ~~wtcc H (~ 4z° PuKP ~~ ~. ~ ~ I I L1~ I ~ oNC,~RFp'c bcoCK ,~ ~~ . /7/i~i~7 T I 4~ 4 0 vEh~T --~ ~,. ~' 4 p~ S ~~ 40 3' ono G ~u-+o ~ `~ . p - • SEPTIC f SPECIFI~GATIOIJ$ I~~~ ~~'"S`` 005E I 1 ~ r TAUS S MA-JUFACTUREi>;; f-} "-,-~"c..~~ IJUMBCR OF DOSES. ~'L PEK DAB TA-UK SIZC ; ~ ~'~ - ~-~ GAt.t.O1JS 1 D05C VOLUME ALAR/"1 MMiUFACTURCR: S `~ ~}I °K-t~s IAJCLUDIAJG 6ACKFLOW: I~Z'~ GA~~ ONS MooCL -.luthl~CR: . 1 o i 1-F ~., z~ 1 CAPACITIES A c IIJCHCS OK 3'd 8'9 SWITCH TyPC: ~~`'" "~<<o GA~LO4j i'..MP ~eE.6 ¢iv B= Z IuCNESOR 2R~g Gn~~J..S MAIJUFACTURCR; lS Z C a ~•~ iUCHES OH I17~:}~ SWITCH TYPE; ~MQ.~..,~v „_ 0' ~ IN~HE, OR ~QC~- JA.,.J~,;~ IJOTE' PUMP AWO ALARM ARC TJ BC MIAIIMUN'~ DISCKA,I~C.!< RATE Z~' GPH INSTALLCO 01J SEP~aATC CikC.. r~ VERTICAL DIFFERCIJCC DfTWCCU PUMP 0 13,Z~ rs (off ~ OISTRIDUTIO-J PIPE,. FEET + Miu~MUM uETWORK SUPPLY PRECSURE ~ , • Z.~ FCCT i~.~~~ + 385 FE E7 OF FORCC MAI-J X ~ •~O,_,~,_ F~ _ loo /tFRICTIO-J (ACTOR. ~'Z' FEET ~ Z ~' TOTAL py1JAMIC HEAP - Z2•} _-~ U ~~ - FEer IlJ7CK1,1AL, DIr1EA1610A1C 'pF TA1.lK: LE-.IGTH 1 ~q~1 ~2 ~~ ;w1pTH ;LIQUID DEPTH ~ 2 P ,.. .- ~ ft ~• 0 a w V Q Z r 0 a 0 ~-. TOTAL DYNAMIC HEA(S/CAPACITY PER MINUTE EFFLUENT AND OEWATERING MODEI. 152 153 Feet Meters , Gal. ~ Uters Gol. Liters 5 1.5 ~ 69 261 77 291 10 3.1 I 61 j 231 70 265 15 4.6 53 ! 201 61 231 20 6.1 44 ~ 167 52 197 25 7.6 34 129 42 ~ t59 30 9.1 ' ---- 23 87 ' 33 ~-- i ' 125 'I 35 ~ 10.7 -- -- j 22 fi5 ~~ 40 12.2 -- -- i ' 1 42 Lock Valve: i 38.0 FL (1 1.6m) i 44.0 F!. (' 3.4m)', 014506 0 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle contrbls. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 152/153 Series _ _ 1521153 MODELS ~' C ontrol Selection Model Yolts-Ph Mode - Am I --- - Sim lex Du fex N t 52_ 115 1 l Non 8.5 1 2 or 3 BN152~ _.. _ -- 1t5 1 - 1 Auto ~ 8.5 Included __ 2or3 E152 _ 230 1 '~, Non 4.3 1 2or3 _ '_ BE t 52 ~ 230 1 Auto 4.3 Included 2 or 3 N153 t15 1 Non 10.5 1 2or3 _ BN 15.3_ t 15 1 ~ Auto 70.5 Included 2 or 3 _ E 153 230 1 ~ Nan 5.3 1 2 or 3 BE t 53 230 1 Auto 5.3 Incuded 2 or 3 A CAUTION All installation of controls, protection devices and wiring should be done by a quaiifled licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act tOSHA). s z~/ 3~ ~--~ ~~ __ 1z-_-~°I' ~~ -- ~ c ~ _ `___~__ sKZOao SELECTION GUIDE 1. Single piggyback variable level float switch or double piggyback variable level float switch. Reter to FM0477. 2. See FM0712 for correct model of Electrical Alternator E•Pak. 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. ~' d ~, ~ RESERVE POWERED DESIGN ~~ For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. J'? MAIL T0: P.O. BOX 16347 ~"7 ~ Louisville, KY 40256-0347 Z • r ` ' 1 ~ SHIP T0: 3649 Cane Run Road Manufacturers of ~~~ Louisville, KY 40211.1961 QU.4UTY PUMPS SN~E /9,99 PUMP !O, (~2) 778.2731.1(800) 928•PUMP http:/lwww.zoeller.com FAX (502) 774.3624 © Copyright 2000 Zoeller Co. All rights reserved. ` `~~~ 0 80 160 240 320 FLOW PER MINUTE ~~. ~ . System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. [f problems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 715-235-2644, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system wil I function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . [f the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throug ut the week. Maintenance ~~~ ~~eLIJ~~/L7~ 1. The septic tank must be inspected every three years by roperly licensed son. /Lc ~~"']~~ ~ `}°T?j~ 2: «~~~~~~~-- /~ ~' cnliric vnhimP~ ~~ y, t e septic tank must be pumped to remove so{id n p mping is required if the combm equals one third of the tank volume. ~ Y~ /~~~ • /~i4'~G, 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or 't/w~o~ ays should pass before any necessary repairs can be made. 7. Aty~b compaction such as vehicle traffic within 15' down-slope of the adsorption system. _ 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. ~- 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 1. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. 12. Surface drainage above and around mound must be maintained to minimize surface water infiltration into the system infiltration area. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 r~RlGll~lAL ' 1615 SOIL VALUATION R~PO~T Wisconsin Department of Commerce ~ ~ ~~ j Page I of 3 Division of Safety and Buildings in accordance within 85 Wis. Adm. Code Certified Soil Testing County Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and~~ percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. ~ Z _ ,~ _ p o O Please print all i Personal information you provide may be used for s Property Owner Mentink, Jon Property Owner's Mailing Addre$ 817 220th St. City State Zip Co ~~ ondary ~(PAua~y~a~.04(1)( Q ~ Prope ovt. Lo Lot # _; viewe B Date )1~ /O /SQZ Location ~ f Z SW1/4 S 1 T 29 NR 16 W Block # Subd. Name or xCSM# U~ ity , Village Town Nearest Road Baldwin ~ WI 54002 715-684-3825 Baldwin 260Th St. New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD / Replacement ~;-j Public or commercial -Describe: Parent material loess over till Flood plain elevation, if applicable NA General comments and recommendations: install 4' x 120' rock bed mound on 100.0 contour as upslope edge of rock w/ 2.5' sand fill and 0.2 gpd/sq ft basal loading -accepted interpretive determination required Boring # -_; Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 10.5 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIit= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 10YR 3/2 - sil 2 f sbk mvfr gs 1f/m .5 .8 2 4-10.5 1 OYR 3/2 - sil 2 f-m sbk mvfr cs 1 m .5 .8 3 10.5-18 10YR 4/3 m2p 7.SYR 4/6,5/8 l OYR 6/] sil 1 m abk mvfr - 1f .2 .3 j _ i ~ horizon 2 abk parts to 2 m pl; 0-10.5 has occasional inclusions 10YR 4/3,4/4 sil, 1/4-1"diameter-likely due to plow mixing; lacks A+4" ^ Boring # _.i Boring /' Pit Ground Surface elev. 98.5 ft. Depth to limiting factor 10.5 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 ! 0-5 10YR 3/2 - sil 2 f sbk mvfr gs 1f/m .5 .8 2 5-10.5 10YR 3/2 - sil 2 m sbk mvfr cs 1f .5 .8 3 10.5-18 10YR 4/3 m2I0YR 6/14/6 sil 2 m pl mvfr - 1f 0 .2 I 0-10.5 has occasional inclusions 10YR 4/3,4/4 sil, 1/4-1"diameter-likely due to plow mixing; very occasional gr & cob; lacks A+4" Effluent #1 = BODS> 30 < 220 mglL and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mgC ;ST Name (Please Print) Signatu e; CST Number -ienry F. Grote 222774 address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 8/2/2002 715-233-0398 -. Property Owner Mentlnk, )On ParcellD # Page 2 of 3 ' ^ Boring # ---~ Boring ' /; Pit Ground Surface elev. 98.9 ft. Depth to limiting factor $ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-4 10YR 3/2 _ sil 2 f sbk mvfr gs 1f/m .5 .8 2 4-8 10YR 3!2 ~ - sil 2 f-m sbk mvfr cs 1f .5 .8 3 8-11 10YR 3/2 f1f 7.5YR 4/6 sil 2 m sbk mvfr cs 1f .5 .8 4 11-18 10YR 4/3 m2p 7.SYR 4/6 flf lOYR 6/1 sil 2 m pl mvfr - 1f 0 .2 0-11" has occasional inclusions 10YR 4/3,4/4 sil, 1/4-1"diameter-likely due to plow mixing; lacks A+4"; occasional gr 8 cob ^ Boring # -- Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 10 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture SWcture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-4 10YR 3/2 - sil 2 f sbk mvfr gs 1 f/m .5 .8 2 I 4-10 10YR 3/2 - sil 2 m sbk mvfr cs 1f .5 .8 3 10-18 10YR 4/4 c2p 7.5YR 4/6,5/8 lOYR 6/2 si 1 m abk mvfr - 1f .4 .6 i I occasional gr & cob; lacks A+4" ^ Boring # „__ Boring 'Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' i in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I I 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L "Effluent #2 = BODS <_ 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8310 (R.07/00) Certlfled SOiI Testing :.. ,• r .n .^ to w a. n d r~ pg t fi o u ~ •. t- ~ ~ ~ v~ ~ ~ ~ ~ ;' "' s 1 ~ t a s 0 a ~'' ~ ~' aS ~4 i ~ 1 ~ _ ____ _ _-~- 3 - ------- _ _.._ - 3 ~ d 0 D t, ~ ~ ~ 3 a ~ ~~ ~ e o q i .n ~ o ~ ~ .9~ i n qq u' ,.~' f i ....1' -~ b ~-~ ~ d~ ~ ~--~ Q J s o C ~- ~Zd 3~ s f ~~ -~- 0 ,! ~ d ~ 3 .~ ~ ~ ~ o ~ ~~ ~-~ .~ ~ H =` ~ r .~. .~ ~ ~ Z ~---- d `dn a v _ ~3L O / `f~~ I, ~ ~ J ~ E---_ ~O C." ~y- ~- ~ ~ ~ ~ c/t S 33 o ~ c~ ? © s ~ ~ ~ ~~ ~=1 m ~~~~g~:~ ~m~~N ~~=,m.m m T. jVm`m~y F~~~;>T ~000~0 C"~-~C ?-~>m> m ,r m isconsin Department of Commerce R~C~~VE~ -i . ! ~ Q ZDOZ ZOi~ll`.'.G UF. iCE Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary October 10, 2002 CUST ID No.139462 TODD L SINZ T L SINZ PLUMBING INC E5609 708TH AVE MENOMONIE WI 54751-5520 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/10/2004 SITE: Jon Mentink 110th Avenue Town of Baldwin St Croix County SW1/4, SW1/4, S1, T29N, R16W FOR: ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 793486 Site ID No. 637416 Please refer to both identification numbers, above, in all correspondence with the agency. Description: Three Bedroom Mound System -Revision Object Type: POWT System Regulated Object ID No.: 816223 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. T_he approved changes will become an addendum to the plans that were reviousl a roved on September 16, 2002 under ransactlon ID No. 787909. All other portions of the plans shall remain the same. The owner, as defined Inc apter 101.01(10), Wisconsin Statu es, I compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. TODD L SINZ Page 2 10/10/02 • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. Owner Responsibilities Continued: The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi.us Fee Required $ 60.00 Fee Received $ 60.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 $~ PAOE 52 ~ ~" DD ~ ~6r Ny, Lone Thomas & Melody uz • aKn.b • ktt.akt Nsr k ~^ Nsr Michael I.ee Nse Jeanne • Roger ~r Bradley chenbach 6r Cho 1 k Pamela D E 4s Q"•m • n5 Kanten t~~ c~~ • Mi~~drt lames Robert 147.9 ~~~ s Sr Patricia b 77 4.s Bratfial Dorwin ^ Mondor """ ~ & Fa e u ~~ • ~ w rco 120 Dotwin • Trust D'"'d k 153.5 ~ y 1H.9 77.5 Otis ee„maa. w v & Ma wuK 123 James ~ 74 AkRG10 A~ • 157 Graf • 155.5 4o skBs Gillis ]• ~ M •ns Dougw Henry k A & loan ' ' i Thwn+s V '"°`° 3 k Qvd.ey ~d ~a Kenneth 129.8 Anthony & Helen 142 PA1 113.2 & ~~, Cronk L n Q 120 k MdodY F-~ • a . Van Someren A'~1e1'~ ~ & Marna 80 ttei en Hurt V • ~~' l • r e Swtt Joane sawa~d 5t4Nm p-,gw Graf k )aim Riduld Green Gerken k a~ H w Toga k sr;an Braaley 40 ~• Schmidt k ramda g Delore Jr Scott ~ ~ 160 phyllis Mark 1 ~J • 160 k Marion r ae ~ p • lia, e o 72.3 40 40 FearmtXo mi ~ g la" trot w • 40 D°""'" • ,a 72.1 • ~!/ Barriault , TB • 20 a Kadd«n ,o k lna Douglas Edwara • ,o 3 HPny uis tad A Mm-~ik • ~ ss 73 ~ Phihp k Nancy • ~ 100.9 ' c W _. ~ ~ • •e ~oeta6en a 40 4.6 °M Audre b 120 k Bmro • Z Connor ~ ~ li 95 t- O k 120 . V ~ ~ p 5 ~ ~ y Ralson ~ Douglas ~ ~~, Ackley Teny + & Christine nia w; iw. , Robert amen & Ka 1 Y • M & Sharon . s Jo • t ~ =p z ^~ Ramona Thoresen Glenn ,y ey .ry ks 159 • Veenendall ttomwia ~.5 Gregg 66J y~ &H dra • Rarer 120 ~~ ~ 93 Malcein , Ixtoa S • Dwayne Robert • r m Donald & 395 80 B IeffreY 120 'w g ~ 160 Kruize ga & Ke<uteth ann d Y Ga 240 • ~ ~ ` °d ' & Mazda wka n Colleen m • B V , g T r Glenn & f _ dr Willard & Ne ltlbl e ~ WI .y ~ ~ t.er°Y 3 g ~avln 4 ~ • David & ~ Jr Gra Joan Lavem dr Nola C~gt~e • °hi15OD Kasilek yazil na ~gg ONR a~'AZ ~1e^ i• • Voskuil ~ Crystal ~ Teri Garhnann ~ go Malcein • • K k " S ~ • g0 ' 80 Fem • P w4x 20 60 • E • E ~ 16b • BO • • JOhn d< • ~ • + 1ST Robert Midteue a 90 ~ • 40 David • • • $10Ik1 ~ David AIMTine an 95 40 ar T ylor ar Rtn 100 168.9 IosePh ksh Ba Ito Morsel a ~ g ~ & Joan ) w wanwn lonnson Ronald A iv 70.6 ro Ra and 0 Ym l D ~ Mentink Donovan • A & J~ 60 & Laurie l7elc a~ t Kus a e °~~~ s. k DA,,, & Pauline 37,2 7s.z & Mariana Cronk Tr LE Monteith a o:~n,r a r 69.3 ~ Attwcer Henke 313 6 80 ohnson 80 ;~,y worm Robert 4r Terry 162 Wayne . •FwaaFa ~ ~'1 ~ 5tevmk Garold ~ • Kua~itek • t~1dm Rea Jl~nk Rademaker Fad m ~ Ruth • tx~c 160 ll ~„t,~"""b, Charles • `~ 160 David B e ,~ ol~ ~ ya Z [W ~ w4+era ao 70 k,,, • ~ ~~ s,,,uxrmk Veenenda z ]a4 ~ Cathie ' ed ~ wxyn Gary ~ ~: Alvin & Pamela n w 40 P n Eleanor a Simmons ~ David & Do ' 1p1"~ w ea Andrew d • 782 k ~ 4 Lokker • k r r . toe t a va wBlmk Fem AlnlO • • Stan Berge " IO i 712 10 R Peterson ~y • Z 3S.g 114 • ~~ t~ 82 9 •~ o.a • David t w• 263.5 • . glom 19 34 • okr us 55 ~ Jerry & Carol z • ~ a 20 120 . Lorentz Nayt . ~ ms 6d MenBnk °4S ~ ~ ~ n ~ ~ 236 D~e1 • °ai' k ~, Paul & Geraldine ~ ~ 57. Timothy r'r`te u' B 3 Tou vane & ao 160.8 R4tbert & Shfrley p ~ Webb 81 °j'k ;1°` . ~ 75 • L,okker ey 266.2 $ Smith ° .s N : Veenendall xamay ~ Reirdtardt Le _.^ ~ a z , B • ru u • k ~ ~ ao Y to z i Robert k Dorothy in ~ is ' 149 'c ~.w Timothy 1.as d EggmTr• ' iette Luckwaldt $ Reinnarat ~ :a & ~ ~ ~ ~ a Nygaazd ,~, BO Carl ~onard D iry Inc l PK &Joan h ~ ~ zo H a~tt r B Agriculture a 3 scer.la p• ~ Farms Inc ae Mic ~ xay Bvkaeal a Jens & RodteOe 113 Leonard ~ 4 ~ s S a Margery 2 0 ^ 1913 gae ~ cko Z.illmer • 80 . & Shirley • ~ = 18 ~ •• K•a.ch ~ • '~ CJ 40 ~ z „ BBS as ~s 101 • ovs SmTrs Erickson = , Kent dr Ieri - ~ • • ~ • a • rss to 6os b ~ lot" Ronald a,~e Radtutzel w • ~ A"d1e1N 40 ~ ? 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Dawn • B s ~• •Hillstead 53b ., k lames (LE) Sell Md~ 34 ~ 9 r9.9 50 ^~ Sa~Me ~ .,, snn 2600 2700 A & R Cabinets, Inc. Andy Rudesill 1962 Cty. YY taidwin, WI 54002 715.684-3881 Your Complete Hardware Store Plumbing • Tools Housewares • Appliances 'TVs Sporting Goods Headquarters for Western Wisconsin Over 800 Guns in Stock GREGERSON ~~®Hard ware (715) 684-3246 880 Cedar Street Baldwin,Wisconsin OWNERS: ROGER & SHARON WOLSKE ST CROIX COUN'T'Y SEPTIC TANK IVLP-INTLNANCB AGRBBMENT ~~~~~~ AND OWNERSHIP CERTIFICATION FORM ~ya0 ~~~ ~cs~t OwnerBuyer r {~1~~-i ntL Mailing Address ~ `ZZ~~`"' C~~ 1 d w i ~ v~ 1 pxoporty Address I 1 O'"i ~ ~Q~" ~-~ ~~ U ~ If ~ v (Verification required from Planning Departnieat for new canstrtictian) t;ity/State UU~©d ~ U U ~-' Parce:l Identification Number Via- - <C7~ ~ - O OQ~ - /OV / - -~-~ ~ i+`t'`AL DESCRIPTION Location~il , 5 ~ '/•, Sec. _ ~ , T.,~_N ~ t _W, Towa o Gl ~ d W 1-'~ Property ~~~~ Lot # Certtified Survey Map # .Volume ~_____ -.Page # -- Wt~nanty Deed # ~y~ Z~ 1 ,Volume ~ ~ la O ~ Page # 8~ Spot house ^ yes t9~no Lot lines identifiable l9~ yes ^ no MA~NANCE use and nii~of your septic system ccinld resultsn its prrmatiu+a failure to handk~wa~ates. ratio oaosists of primping out the tank ovc~3' three y~ or sooner, if needed by a licensed '. 1~ 1?~ c;aa affect the function of the septic tank as a ti~eatmeiit stage in die wasoe disposal system. The property owner agrxs to submit to St. Croix Zoning Department a cxrtificatiori foma, signed by the owner and by a mast+tx"Pl',e'Y~uPlumber• restrictedplumbor ~ a licensodpumper verifying tT>at (l} the on-site wasteRrat~erdial system is is proper operating condition and/or (2} after won and pumping C¢`no~uY}, ~ tank is loss than 1!3 full of slndgc. T/~, ~ have teaa. the above requircme~ and agree ~ mainbun die Private sewage disposal system with the standards ~ f as set by tha Departuieat of C and the Dq~artment of Natural Rees, State of Wisconsin. motion c em has been maintainad must be ccumpleted and returned to the St. Croix County Zoning Office within 30 stating your septi days of tie year expiration date. , Si~.TtIRE OF APPLICANT DA's riwl~. CERTIx~tCA.~oN (wc} certify that all atatemcuts on this form arc true to the best of my (our} lcaowledge. I (wc) am (are) die owner(s) of the ve, by virtu of a warranty deed rcoordcd in Register of Deeds Off:cc. sI TvRB Og PI.ICarrr HATE t be' revoked by the Zoning ~pattmeat. «*«««« «««««« Any information that is mis-represented may result in the sanitary permi mg «« Include ~rlth this appiicatian: a stamped warranty deed from the Register of Deeds office a cagy of the certified survey map if reference is made in the warranty deed ~~~~ 1Ei6~~,~ 86 6482 z ' ~ STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Lillian Rattaei, a/Wa Lillian M. Rattei, RECEIVED FOR RECORD a single person 06-14-2001 10:04 AM YARRANTY DEED EXEMPT N Grantor, and Jon M.1Vlentink and Jean A. Mentink, husband and wife, CERT COPY FEE: holding as su vorship ma tai property COPY FEE: TRANSFER FEE: 510.00 RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croiz County, State of Wisconsin (if more space is needed, please attach addendum): .west Half of the outhwest Quarter (W 1/2 of SW 1/4~ of Section One (1), Township Twenty-nine (29) North, Range Sixteen (16) West. B Ana ~~ e and Return Address ~r~ma~ l~. ~c~ormac~C ~A~ aF~~ce 1020 10th Avel~ue oo2-IOOI-lo, oo2-IOOI-2o Parcel Identification Number (PIN) This is homestead property. Exceptions to warranties: Easements and restrictions of record. Dated this llS~ day of ~~ ~.[r ~ 2001 AUTHENTICATION Signature(s) authenticated this day of , TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack al w , (Signatures may be authenticated or acknowledged. Both are not necessary.) ~,c.e..P,cs~c•~/~~~ ~, +' Lillian Rattei ACKNOWLEDGMENT STATE OF WLSCONSIN St. Croix _. ss. County ) Personally came before me this 1 ~___ day of ~y ~ ~ , 2W 1 the above named Lillian Rattei M-,i s ~~ . • ~,. to me known to be the pe who executed orego ~~ ~, instrument d acknowl ged same..r-r ~~; ~ V,~ --j7S+L~ t .4 /KLLlP.i117,1G ~ ~ ~ ~ ,'~ ,: ~ ..::. Notary Public, State of Wisconsin ~' p ~' ' My Commission is permatt~: no , ~ exp~ati9 of persons signing in any capacity must be typed or printed below their signature. inrorm.aon Pror.s.pn.a company, Fond au ~..~. ~ WARRANTY DEED STATE BAR OF WISCONSIN ~ FORM Nu. 2 - 1999 ~~~~~~~~ Department of Commerce r ` ~~• + INSPE ~~£?N ~: , ~ ~~ SAFETY AND BUILDINGS DIVISION Field Operations Bureau 13 East Spruce Street Chippewa Falls, W{ 54729 ,. www.commerce.state.wi.us -°~ Scott McCallum, Governor t Philip Edw. Albert, Acting Secretary Date of Inspection: November 19, 2001 Project Name: Mentink Use: Replacement Residential Legal Description: SW, SW, 1, 29, 16W Site Number: 637416 Subdivision: Municipality: Town of Baldwin County: St. Croix Co Plan Transaction Number: 680114 Sanitary Permit Number: NA Wastewater Flow: 450 gpd Persons Present: A. Schumaker, R. Eslinger, J. Sonnetag f ~rw,n~ PlumbeK~ttitfi~f and Address: -'~i '~, MP;;~9462 E5609 70>3t ~9rve 11~engrrioh' 154751-5520 _,__ _s Certified Soit Tester Name and Address: Adam Schumaker, CST 253309 2113 80th St Somerset, WI 54025 (715) 247-4008 Owner Name and Address: Jon Mentink 817 220th St Baldwin, W 154002 (715) 684-3825 This onsite soils verification was requested by St. Croix County Zoning because of questionable soil profile results reported by the CST in an area mapped. Freeon Silt Loam. Two hand-dug soil borings were constructed within the proposed mound area evaluated by CST Schumaker. Neither soil boring supports the mound design proposed. and technically the site should have been deemed unsuitable by the initial soil evaluation and report. The typical soil pedon for this area can be described as: 00-06" 10YR 3/2 sil, 2msbk, mfr, ac. 06-09" 10YR 3/2 sil, 2msbk,mfr, aw, w/f1f 7.5YR 4/6 redox concentrations. 09-13" 10YR 5/4 sil, 1 mpl, mfr, w/ c2d 10YR 5!8 and 5/2 redox concentrations. The seasonal level of soil saturation at this site is considered to be at the ground surface unless other information supports a greater depth. The redox features observed in the subsoil were easily seen and should have been reported by the CST as a limiting condition. It is recommended that CST Schumaker make an effort to attend future continuing education classes related to soil profile descriptions and identification of redox features and other limiting soil and site conditions. Even though this site may is assumed to be unsuitable for a mound system based on Comm 85.30(2)(b), Wis. Adm. Code, CST Schumaker or another CST could complete a soil saturation determination pursuant to Comm 85.60 Wis. Adm. Code. Such determinations may show that redoximorphic features within the A horizon are not indicative of extended (z 7 consecutive days) seasonal soil saturation. If a determination under Comm 85.60 is successful, the mound must still be designed and installed with the following conditions in mind: 1. The linear loading rate should not exceed 4.0 gpd/ft. 2. Basal loading rate should not exceed 0.2 gpd/ft^2. 3. An up slope surface water diversion (ditch) should be installed 15-25 feet up slope of the mound and to a depth or 18-24 inches. 4. At least 30 inches of sand lift needs to be used along with at least 6 inches suitable natural soil. September 19, 2001 Jon Mentink, Owner Page 2 of 2 If there are any questions regarding this report, please contact me. y G. J sky ___. Wastewater Specialist Ljansky@commerce.state.wi.us E-mail 715!726-2549 Fax 715/726-2544 Voice cc: County '~ Plumber ~, CST Owner ^ Other ~, ;y~r '.-. err'-= , ,.- ...,,s ~ ~ ~ ;' -~. ~~rxru~Mr - ;~~~~ M~ December 26, 2001 Todd Sint T.L. Sinz Plumbing, Inc. E5609 708`x' Avenue Menomonie WI 54751 RE: Jon Mentink site, Town of Baldwin Dear Mr. Sinz: ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 • Fax (715) 386-4686 Enclosed is your check in the amount of $325.00 for the Mentink sanitary permit application. St. Croix County cannot issue a sanitary permit for this property until further soil evaluations are done which show that it can support a private onsite wastewater treatment system (POWYS). Also enclosed is a copy of the Wisconsin Inspection Report by Leroy G. Jansky dated November 19, 2001, supporting this determination. S~ d~ Rod Eslinger Zoning Specialist RE:jo Encl. (2) T.L. SINZ PLUMBING, INC. E5609 708TH AVENUE MENOMONIE, WISCONSIN 54751 (7i5) 235-2644 PAY TO THE ^ '- ORDER OF _~~ TO { x ~ , BREMER BANK, N.A. ~ O O MENOMONIE, WISCONSIN 54751 79-973/918 ~~ ~ D/ _, $ r ~bo ~!` f DOLLARS o _ ~, E MEMO THOR GNATUR ryp 11'0 L00 2 211' x:09 L809 7 3 l~: 808 08 7 711' 1 Safety and Buildings Division County • 7 ~ ~~ ~~ 201 W. Washington Ave., P.O. Box 7162 X , ,SCOn~',~ Madison, WI 53707 - 7162 Sia Address ' De artment of Commerce Sanitary Permit Ap ~j~p~-)-. _ ~ lJ ~~' Permit Number ht accord with Comm 83.21, Wis. Adm. Code, pe o n pro ~ ^ Check if Revision ma be used for seen Pri w, s15. ? I. Application Information -Please Print All Info State Plan I.D. Number r~ Property Owner's N~ _ ~ ` '- -~ Ct `~ Z r-_ ~ S ` , ~ Parcel Number ~ !X '~ ~.G~ 1 (Ili ~ f~ ~ ~'~ ~ Property Owner's Mailing Address '` ~:• `L ~ Property Location G-tJ J ~ '~ .! _~.. (_ ` . ~ Sf S4 ; S ~ T~ N, R f rP City, State Zip Code Phond Ntmt _.....~. Lot Number Block Number Subdivision Name CSM Number u. IYPe of ssuaamg (cttecx au mat apply) ^City 1 or 2 Family Dwelling -Number of Bedrooms ^Vitlage ^ PubliclCommercial -Describe Use ^ State Owned ownshrp ,~/ Nearest Road III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A• For County use 1 ^ New 2~Replacement System 3 ^ Replacemem of 6 ^ Addition to stem Tank Onl Exis ' S stem B • ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued )!V. Type of Permit: (Check all that apply)(numberin r /~'~" 44 ^ Non -Pressurized In-Ground 21~Mou~ li/~/ L ~ ~ ,~~/ 50 ^ Constructed Wetlabe 22 ^ Pressurized In-Ground 41 ^ Holding Tank ~/" ~~''~~, ~l ^ Dtip Lim 45 ^ At-Grade 46 ^ Aerobic Treatme ~~~~~ ~ 1 /1~ 1 ^ Other V. D' eatment Area Information: L - Design Flow (gpd) Dispersal Area Dispersal Area ~ / _.aaon Rate System Elevation Final Grade Required Proposed -, (Min./Inch) Elevation VI. Tank Info Capacity in .Tots! Number Manufacturer Prefab Site Steel Fiber plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Talcs ten` ~~` - ' " T nosing clant>~ t VII. Responsibility Statement- I, the ed, ility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) P is S' 1-SP/MPRS Number Business Phone Number l ~vv ~ 5~,~ ~ ~r39 ~~ ~-- ~~s z~ z~ Phtmbet's Address (Street, City, State, Z' e) ~bo ~a Fs T ~~ E'.u ~ d'vL t t~~- ~S~~,T- VIII. Coun /De artment Use Onl ^ Approved ^ Disapproved ~t~Y Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stumps) Surcharge Fee) ^ Owner Given Initial Adverse . Detetminadon I7L. Conditions of ApprovaUReasons for Disapproval Attach ~P~ P~ tto we County Daly) ra~ we tr>trt~ m paper not lea wan 81/2 z u Inches In sift SBD-6398 (R. OS/Ol) ~ 101 ca~nkhae+ Rosa. Hudson, wl " pis) 386690 '' pt ry 3es-tees -tax Fax To: ~ Fax: Phone: From: Pages: St. C roi x County Zoni ng Of fice ~a~ Date: y ~ ~ (p b ~ Re ~ ~ CC: ^ Urgent ^ For Review ^ Please Comment ^ Please Reply ^ Please Recycle • Comments: Jon Mentink ~ 17 220th Street Baldwin, W 154002 200 0 200 400 Feet FnB = Freeon silt loam, 2 to 6 percent slopes AdA = Adolph silt loam, 0 to 3 percent slopes MaB = Mangor silt loam, 1 to 60 percent slopes Section 1. T29N-R16W. Town of Baldwin •, ~v~scc;,,sinDepa,-tmentof.Commerce SOIL EVALUATION REPORT Page ~ of~ f,Jivisior ~;Safc-tv and Buildings s, m awa~uancx wnn ~.ornrn aa, vv~s. r~urn. ~.oae Couniy ~~ er not less than 8 1/2 x 11 inches in size Attach com lete site lan on a Plan must X p p p p . include, but not limited to: vertical and horizontal reference direction and parcel I.D. percent slope, scale ordimensions, north arrow, and to ri~1'~,ta o nearest road. ~ ~ "" T°' Please print all inf r'' ti6n. ~ -~ f ` Reviewed by Date c> ~ Personal information you provide may be used for se r~a purpose Law, s. 1 (1) (m)). Property Owner -, ` < Pr Location ~~\p'~ `~ ~ `~~ s~ Go S'(, J 1 /4 114 S T Z ~( N R ~ (p E (or) ~V Property Owners Mailing Address = ' ST (~~-• '~ k of Block # Subd. Name or CSM# 2a S • :;~ ~' City State Zip Code P h umbe ~ ' y ^ Village [Town Nearest Road lv~in Wt cal '~3al / ~.~ Q ~-- ~ ~ c . ~ New Construction Use: ®Residential / Number of bedrooms Code derived design flow rate y~o/~ a d GPD ^ Replacement / ^ Public orcommercial -Describe: 'n Parent material ? i~ ~ ( Flood Plain elevation if applicable /t/ / ~ ft. General comments t YSL ~ ~ (.~, ~• /0 ~ . ~y Q and recommendations: ` /fa/t ~ u r e (e V_ /G4 ~ 3 ~ I ~ Boring Boring # ® Pit Ground surface elev. /~/ d ft. Depth to limiting factor ~_ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ~ ~-~ I 313 S;1 LIT1W~k m~ c Ivy • 5 . ~d- -L4' ! ~ r `f~~ Si I Zma.bk ~r c s - . 5 . $ !`f-Ig i0 ytly C2P1.5 ~lCo Sl. 2m5bk mfr - - • 5 .9 Z Boring # ~ Boring ~ Pit Ground surface elev. /dd• sn ft. Depth to limiting factor ~_ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/f~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I o-~z io - 5~ ~ ZlMobk -~ ~ I u~ 5 •8 2 I2 - ~ y `~ -- S i ~ ~r ~5 - . 5 g * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and T55 < 30 mg/L CST Name (Please Print) Signature CST Number Address Date Evaluation Conducted Telephone Number a Property Owner ~M (]~(~1t Parcel ID # ,~ ~ ~' . .- ~ Page Z of ~j v Boring # ^ Boring ~ Pit Ground surface elev. 99 y~ ft. Depth to limiting factor ~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I I - S C I 2~r,c~, m-~'r c I v ~ 5 .~ 2 - 9 ( - S i l Z mfr' ~5 -- . 5 • 8' 3 9-Ilo ID `I ~ 1.5 ~ L zm5bk r - - 5 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 . - ,~ ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary I~oots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS > .i0 < 220 mg/Land TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. if you need assistanc; to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 60F,-264-8777. SBD-8330 (R.07/00) • .` ,' ~T~.AME ~ e ~~" ~~~ IC LOT#~U/B~- LFGAL DESCRIPTIONSW ~ ~ 14 ,~ i T Z ~( ,N,R, /G Elor~ ALTERNATE ELEVATION CONTOUR ELEVATION ~ ,~~,~~,~ ~ac~.f r~~s ~ k ~, Sc~.Cs~ PAGE~OF3 wee _ C -1- ~" 0 I~ 37,E nl ., I Y ' I ~~ ~~ ~1 0 'U ~~fa"0 i ~~ o t1 ~''r -- ~3 • _~-- ---' g~ z 1~- Z p ~~~ ~~ ~ ~ a „" r9 v~ //U'~ ~t~.e- TURE ~~~~ - -~~/~ DATE ~- ~-O / i s ~ Wisconsin DepaPJnent of Commerce SOIL ALUATION REPORT Page ~ of~ ; t Division os Safety and Buildings in accordance with Comm 8 . Attach compla~te site pla include, but not limited tc percent slope, scale or d • ~ Date O ~~ Personal information you p Property Owner f ~~ ~~ N R ~ (~ E (or) .. ~~(~ .. Property Owner's Mailing Ac - City Sta ~~ st Road 'r~olldwi n L ~ ~ ~ ~-- r ® New Construction UsE M d GPD ^ Replacement "` Parent material i ~ ~ ~ a ~+/ G ~ ft• General comments 5 y and recommendations: I ~ Boring Boring # ® Pit Ground surface elev. /~~ d ft. Depth to limiting factor ~_ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I p-to I 313 S; I Zmcbk m~ c Ivy • 5 IOr t`{' l ~ r y1~- S i l Zrrr~.bk ~r c s - • 5 .$ ~'f-1'g tp ylt'.c C2Q1.5 ~/~ S~ 2msbk mfr - - • 5 .9 Z Boring # ~ Boring ~ Pit Ground surface elev. /ad• ~ ft. Depth to limiting factor ~~~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 1 0-12 10 - Si 1 Zr>~bk ~ ~ i v~ 5 •8 2 12- ~ y 'f - S i ~ ~r ~s - . 5 8' 3 ~(Q_ ~~ (y/ CZP .5 `~~(.n Sl.. Sb ,mfr - . 5 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = t3Ul)5 < 3(J mg/L anq i ss < su mgi~ CST Name (Please Print) Signature CST Number Sc r zs 3 ~ . Address Date Evaluation Conducted Telephone Number Property Owner M ~r,-~nk Parcel ID # .• ,~ , y Page ~ of Boring # ^ Boring ® Pit Ground surface elev. ~9 ya ft. Depth to limiting factor ~ in. _ Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft'- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2 -9 t - Si) Z rn~' ~5 5 ~ 3 9-l~ ID `{ ~ 1.5 ~ L ZmSbk r - - 5 . kp ~~~ r2 . I rJ `t Boring # ~ Borin9 fir] gbh +- ~j Pit Ground surface elev. ~ ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary ' Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ -- ~ ' ~ a ~ ~ ~ - ~ - 3 ~ ~ ~ ~ u Z . ~Z 5 , ~ 5 - ., ~-~ ~ _ ^ Boring ~,' ~lG ~... ~? ~ ~ 0 j~ ~'~ /~c~ ~~~ i~C'C. ~~ ^ Boring # Ground surface elev, ^ Pit Soil lication Rate Horizon Depth Dominant C;alor Redox Description Texture Structure Consistence Boundary Foots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 * Effluent #1 = BODS > :30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. if you need assistanc:; to access services or need material in an alternate format, please contact the department at 608-26G-3151 or TTY 60b-264-8777. t~~ SBU-8330 (R.07/00) PAGE~OF~ ~z~,Ab'lE ~ e ~~- ~'h ~C LOT# Nl~- LEGAL DESCRIPTION__.~ f -~ ~ .~ ti T Z ~( N R /G E(o~ SCALE: 1"= ~~ BM 1 ELEVATION fU(~ . U BM 1 DESCRIPTION /r~ )e y. a-f-13Q S e o ~ SFre-1 cv~ ems. c S BM 2 ELEVATION 99. / v BM 2 DESCRIPTION f ~ ~ ~e - l ..~,~.cP r le~_ Gc. .7~ase c~~ S~~e./ F~ru. Pos¢. ' SYSTEM ELEVATION /OT. Co D ALTERNATE ELEVATION ,~,~~ _ -t~ CONTOUR ELEVATION /~-~ . ~ p ?~ na k ~ ~~~ ~. 3~S ( x 13,~ ^1 O 'U ~~~a"4 ~~ SI I ~f C~"G l~' - f 'n-~ G~~°-- - ty3 ~ •. g~z c ~ 4 ^^ 1 ~~- :O~ /~~ ° :Z ____ //U'~ .t1~ - ATURE y%~ _ ~~/~ DATE Y - ~'O l --~• -.. .Jon n/lentink ' 817 220th Street Baldwin, WI 54002 200 0 200 400 Feet FnB = Freeon silt loam, 2 to 6 percent slopes AdA = Adolph silt loam, 0 to 3 percent slopes MaB = Mangor silt loam, 1 to 60 percent slopes Section 1, T29N-R16W, Town of Baldwin Notes from 11-19-01: Hand dug boring (next to Adam's B3) (1) Apt, 0-6, 10 YR 3/2, silt loam (2) Apt, 6-9, 10 YR 3/2, Redox: f1f 7.5 YR 4/6, silt loam (3) B, 9-13, 10YR 5/4, Redox: c2d 7.5 YR 5/8, silt loam Adam will submit additional information to you for an A + 0 determination. Other notes: A drainage trench should be constructed 15-25 feet upslope to divert the subsurface drainage from affecting the soil absorption area. This drainage way should be approximately 1.5 feet deep. Linear loading rate of .4 should be used to re-design the soil absorption component. Rod Eslinger Zoning Specialist Zoning Department 1101 Carmichael Road Hudson, WI 54016 Phone: (715) 386-4680 Fax: (715) 386-4686 mailto:rode(a~co.saint-croix.wi.us Wisconsin Department of Commerce Division of Safety and Buildings ~~~ # ~ l r_~~o ~ SOIL EVALUATION REPORT Page ~ of Z in accordance with Comm 85. Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size Plan must . inGude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ~Z - 1001 - I.D -o0p C N~''~'Sw percent slope, scale or dimensions, north arrow, and IocatiSan;and distance to nearest road. Q Z _ 1001 -?A-UO Sk)-Sw Please print all infor a~w~f,= ~ Reviewed by Date ~ Personal information you provide may be used for second rposes (-PTrnacy Law, •5:15.04(1) (m)). Property Owner ~~~ ) Property'4ocation ~~ ~ ~~~ 1/V~ ~ ~ ~ r ~ ~ '6~SW 1/4 S ~ T Z~ N R ~ 6 E (o ) ~'Z -,a . Property Owners Mailing Address Lot # .' Block # Subd. Name or CSM# ~ 1~ z~ ~ sr. i .~ ~ ~~~ ~.., ~ _ City State Zip Code P onb u er ~ ^ C. ^ Village ~ Town Nearest Road 8>'c~.Dw~n1 bvt S~1ozZ (~ ~~ -3~zs- . :.° 8~ow~N Z60 `r~F s1-: ^ New Construct'son Use: ® Residential /Number of bedr Code derived design flow rate L1 S ~ GPD (~. Replacement ~ ^ Public or commercial -Describe: Parent material Flood Plain elevation if applicable N A ft. General comments and recommendations: V~JSUl`~'(~3~.~ ~R PCr.i~'1 `(~-Lplr UF- SOtL t~'C>3SUR-G~77UlJ S~S`(~. R~-- ~ U ~ - ^ Boring ..- :._ _ Nll r-m~ _., Boring # _ ®pit Ground surface elev. ft. Depth to limiting factor tiQ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color - Gr. Sz. Sh. *Eff#1 *Eff#2 I o-to lp~ 23l - s%I Z`Fsbk ~'i'1~ Cw • S ~$ Z ) p -z Z i o~ -z 513 C1.b~ -1 S~ R S l g s- i z-Fs b>z r-1'f-- c w • s -~ 3 z.z ~0 ~ -S'~ t2-Y/ ~~ s i cJ Ow, ~`~i- ~ v . 0 Boring # ~ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell ~ Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1~0 ~'No ~ ~ NPrt, ~ ~ w - ,~.,~ ~ .S k $~TLCyti) 'r a ~~ N * Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L - tmueni ~~ _ ~sws < su mgru ana i as ~ su mgrs CST Name (Please Print) Sig tore CST Number Arthur L. tde~erer - O1_ 13Z 224254 Address 4~ e g e r e r S o i l Testing & Design S e r v i c e Date Evaluation Conducted Telephone Number 421 lei. Bain St. River Falls, 41I 54422 ~-Z~~ol 715-425-0165 • Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~ of Z Division gf~Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ST • ~~~ LK include, but not limited to: ven5gl and horizontal reference point (BM), direction and Parcel I.D. ~Z - l00 ~ - LD -000 C Nw-Sk! percent slope, scale or dimensions, north arrow, and location and distance to nearest road. p 'Z _ 1001 -?A-UO S}t)-SW Please print all information. Reviewed by Date Personal information you provide may be used for. secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner `- Property Location ~~ ~ ~~ ~ N rc ~ Sevt*-Lot- ~ ((Z'I# jlt} 114 S ~ T Z~ N R l (~ E (or Property Owners Mailing Address Lot # Btock # Subd. Name or CSM# City State Zip Code Phone Number ^ City _ ^ Village ~ Town Nearest Road 8~.ow~t~J wi s~ozZ (~~s~ 6~~/_38~zs 8~~w)~ i zb~ `r~+- sr• ^ New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate Ll S ~ GPD [~. Replacement ^ Public or commercial -Describe: Parent material ~ Flood Plain elevation if applipble 1~1 A ft General comments __ _.. _- - _. _ and recommendations: V~JSU1`T`Itt3t_~ ~R ~~'I `ittP~ U!= st)lL t~13So~[~Tiox1 S`-ZS~~- - -- , - ~ ~ ~..D t >v G 't~,vlz pi'1~1~~'1Z S . `tU ~~~ `rct~- ox~ ~y ~ _ _ __ - R~ ~iU-~ -- Boring# .U Boring .:_~-- -~.; ;- ._...__ :, _.._ -- - -- --_.:.. ... 'Np ~-~~.._ .~,. _~__._.._..:~_:-.., 1 ® Pjt Ground surface elev. n nenth t~ rR,~t~~~ r~M„~ lf1 - Horizon Depth Dominant Color ` - Redox Description ~' Texture Structure Consistence Boundary Roots Soil Appliption Rate GPD/ftz in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. , 'Eff#1 'Eff#2 I - Z ., ._3.._ o-lo ~ ~ -_Z Z zZ,3p ~o-~ rZ3i ~ ~~ ~z- 513 -~,S~~y/ - _ c l~L ~ •S ~ tz S 1$ ~~ s~i s ~` ~ stc.J Z`Fs6k Z-Ps ~t2 Ow, m'f~ r~'F~- 1M.`~1- mow ~,,~ s . s .p •~ - ~ .0 ^ Boring # ^ Boring ~ _ n pit Ground surfiace etev- a ne..«. ~.. ~:~.:.:.,.. ~.,...... --r-~ -- ~~~~~~- ~ --~-~ ~~~~ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/fiz in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 ~ •Eff#2 ~0 .....- r~aa~ ~/vf~t ni w - >~~ o ~ ~`C'11- ~, UX ~ ~ llu P L _ _ k $~-0111 ~ rr y ~~ _ N . _ - 'Effluent #1.= BODs > 30 < 220 mg/L and TSS >30 _<.150 mglL • Effluent #2 = BODa < 30 mglL and TSS < 30 mglL•.;.~. ~,'_ ~:-~= :- CST Name (Please Print] :.. ,. , ~,-~- ., : , Sig lure . ;CST Number Arthur L. ~[Jegerer ~- O1_ -13Z 220254 Address [~ e g e r e r S o i l Testing & Design S e r V i C e Date Evaluation Conducted Telephone Number 421 I1, t~iain St. River Falls, ElI 54022 ~-`ZO~01 715-425-0165 PLOT PLAPd " Scale 1'=ypQl NOTE ~S~T~SLR~T~~j __ oti~. Page z of Z 1 ~p ~i- r~ut~, rC. ~-~.~-OJ 715-425-0165 220254 'CST Signature Date Telephone Ido. CST Pdo. ~ l -- 13 Z Job PdO. Oct 14 02 02:17p Bonte Excavating [7151796-2519 p.2 ' ST CROIK COUNTY SBPTIC TANK 14IAII+1'TBNANCB AGR:SBMBN'I' AND .,.,,. OWNBRSHIP eERTII7ICATIOI~i FORM ~ o vt OwnerBuyer ~(IY~-~-1 nl~- i~dailing A~adress _ $1 ~ Z2 gA.l d w i n w 1 Prop~orty Aaaress ~ I D~ a bow'' 6.1- Wood ~ (I ~• UJ ~ (Verification roqusted firoact Planning Department for oaw eonstruetion) ' (~ty/State L 1~Od ~ ~~ ~ Parcol Idantification Number LLGt#.L_ DESCRIPT~O~Y properly Location ~/~ _`'~~ %,, Sec. ~ . T ~" N-R`=V~. Town of ~1 ~ w~ I, Yl Subdivision .Lot # . Volamc _ _ , .Page # Certified Survey Map # warranty Deed # ~ `~ S ~'i ( -~ Vohune ~ b ~ 0 .Page # ~b Spoc house ^ yes f~no Lot lines identifiable f'~ yes ^ no Imiuropac use and aaaiateaaaoeof Your septic system could result is its prCmatuco failure to handle wastes. Proper a~aiat®aacc oonsi~a of pumping out tho septic tank every flues years ar sooner, if aoedod by a lieansed purnpet. 'What you put into the system can affoet the function of rho septic tsak as a t~eatmeat stage is the wants disposal systeaL Tl>e property owner agree: to submit to St. t~oDt 7,oniag Deparmaeat a c~ettifi~tion foa0. sigand by the owner and by a masterphunber, jo~ameymsaplumber, t~estric~ttdplumbet or a lioeasedPm~ ~Y~S that (1) tba eo-sits wasoewaterdisposal system is is proper operating condition and/or (2) aRer iospo~on sad pumping C~ aY}, ~ ~P~ tank is loss tttsa i!3 full of sludge. i1~ tin; uedorsig~d have read ths. above requireaaeats and agree to adaiatai~ the private sewage disposal system with the standards set f a: ant by tha Department of Commerce sad the Deparlmeat of.Natotsl Resooa+oes, Staoe of Wiscon,. ~. Ceatification tic has been maiatsiaod mast be completod and returaod to tba St. ~~ County ZoaiaB t~ffice within 30 >~ ~ davs'of t#~e tlut~year expiration date~J a8 i o~ DATB, owr~R cERTr~cAT><oH (we) ceztify that aII statements on this form are true to the best of nay (our) Imowlodge. 1 (we) am (are) the owner(s) of ~ vc, by virtu of a warasaty daod rcoorded in Register of Deeds tx5ioc. ~ o ~ i z8'i o1 l- ~ Dw~re s zvzza of plic~-xr t boiag revoked by the Zoning Department. •••`s• ~•+••• Any iaformatioa that is min-reptexentedaasy result in the sanitary pttss~i •• Iaciade with this applicalfion: a stamped wscaaaty d+ood from tho Rtgrsbat of Deeds officn a Dopy of the oectified surny aug if rnfeceace is mado is tho waaaaty deed Oct 14 02 02:17p Honte Excavating • ~~.~ 1Ei60r~~ti 86 ~ STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number WARRANTY DEED This Deed, made between Lillian Rattaei, a/k/a Lillian M. Rattci, a single person Grantor, and Jon M. Mentink and Jean A Meatink, husband and wife, holding as survivorship marital property Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St Croiz County, State of Wisconsin (if more space is needed, please attach addendum): West Half of the Southwest Quarter (W 1/Z of SW 1/4) of Section One (1), Township Twenty-nine (29) North, Range Sixteen (16) West. Recording Area Exceptions to warrarnies: Easements and restrictions of record. Dared this (S~ day of ~~ ~ ~ 2001 AUTHENTICATION SignaturE(s) (715]796-2519 p.3 64827'1 Y.ATHLEEN H. WALSH REGISTER OF DEEDS ST. CkOIX CO., WI RECEIVED FOR RECORD 06-1-2001 10:00 AM YARRANTY DEED EXEMDT p CERT COPY FEE: COPY FEE: TRANSFER FEE• 510.00 RECDRDING FEE: 10.00 PAGES: 1 1a e and Return Addn.ss anr~a~ ~. ~~~ormac~ t.~w tY~'FiCE '1 X120 10tte A>;enue BaidEYin. Wi SA002 002-1001-10,002-1001-20 Patt:el Identification Number (PIN) This is homes[ead prvpatry. ~,~.,e..~,~~ • Lillian Rattei ACKNOWLEDGMENT STATE OF WLSCONSIN ) ss. St. Cruix County ) authenticated this day of TITLE: IvIEMBER STATE BAR OF WISCONSIN CIf not. authoriud by § 706.06, Wis. Slats.) THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack $aldwin, 34002 (Signatures may be authenticated or acl:nowledgod. Hoth are not necessary.) Personally emne before me this !~~___ day of y,uQ_, , 2Wl the above named Lillian Ruttci s-Mir~ to me known to be the per who executed t}~forego ,~ , instrument d acknowl ged tl same..r' ~ V'• j r ~ I ~,~1- • ~- • -T1SlGl~ c .~ /K.tl~?./1l`/J~ _ • s+~ No Public, State of '' ~' • -s tury Wisconsin '. ~ t• . My Commission is pcnnau~ent. no ,s rxpY~tiQn of persons signing in any capacity must be typed or printed below their signature. ~mo~m.eon Pio~m~lonak ~«ro.~r. Fond a~ ~. 1M WARRANTY DEED STATE DAR OF WISCUN~IN ~ FORM No. 2 - 199'J ' ~_ '~~O~~I ~ ~ ~ . Department of Commerce ~,~' d' R~~ ~ ~~ 2~t~g ,,--t Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601-1831 TDD #: (608) 264-8777 vnww. com merce. state.wi. us/sb wrww.wisconsin.gov Scott Mccallum, Governor Philip Edw. Albert, Acting Secretary October 22, 2001 CUST ID No.139462 TODD L SINZ "' T L SINZ PLUMBING INC E5609 708TH AVE MENOMONIE WI 54751-5520 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/22/2003 SITE: Jon Mentink - 110' Avenue St. Croix County, Town of Baldwin SW1/4, SW1/4, S1, T29N, R16W ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 680114 Site ID No. 637416 Please refer to both identification numbers, above, in all comes ondence with the a enc . FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 816223 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/operation. Owner Responsibilities: • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner must insure that the operation, maintenance and. monitoring duties as described in section VIII of the mound component manual are complied with. A copy of the instructions and information regarding proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. s1 Cr,,,,. .~- ~~~>:~ . .~:~ ,ya 1 •• ATTN.• POWTS Inspector --:_._._ TODD L SINZ Page 2 lo/22/O1 • The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, /~ Gerard M Swim POWTS Plan Reviewer -Integrated Services (608)789-7892 ,Mon -Fri, 7:15 AM - 4:00 PM j swim@commerce. state. wi. us Fee Required $ 175.00 Fee Received $ 175:00 Balance Due $ 0.00 WiSMART code: 7633 cc: Jon Mentink isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi.us/sb www.wisconsin.gov Scott Mccallum, Governor Philip Edw. Albert, Acting Secretary October 22, 2001 0.139462 TODD L SINZ T L SINZ PLUMBING [NC E5609 708TH AVE MENOMONIE W[ 54751-5520 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/22/2003 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SP[A 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Jon Mentink - l 10~' Avenue St. Croix County, Town of Baldwin SWI/4, SWl/4, Sl, T29N, R16W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 816223 Identification Numbers Transaction ID No. 6A0114 Site ID No. 637416 Please refer to both identification numbers, above, in all comes ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.OI/O1). • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/operation. Owner Responsibilities: • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of the instructions and information regarding proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. TODD L SINZ Page 2 10/22/01 • The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, /~ Gerard M Swim POWTS Plan Reviewer -Integrated Services (608)789-7892 ,Mon -Fri, 7: l5 AM - 4:00 PM jswim@commerce.state.wi. us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Jon Mentink Jon Mentink -Mound Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Location: Date: Owner: Address: Plumber: Signature: License # < Attachments: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (O1/O1) SW 1/4, SW 1/4, Sec. 1, t 29 N, R 16 W Town: Baldwin County: St. Croix October 8, 2001 RECEIVED Jon Mentink Q ~ i~ ~ 20 01 81 22 h st. ~~FETY ~ ~L~GS Dll~. B ldw' . WI 540,0'2 T~~d S C. ~Il 139462 6748-Plan Approval Application SBD-8330 page l: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management P. ditionatly Con ~PROVE~ A PpR7MENS OF COMMERCE DE 7Y p1t0 BUtWtNG9- DNis~aN of SEE CORRESP ,DENCE page 1 of 8 ?~ ' _ , Design Criteria ~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L ~ Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load Design Calculations In situ designed loading rate ~'Z•Z gallons/sq. ft. per day Depth to estimated high ground water '~ ~ in. Depth to bedrock ~ ~ `~ in. Cross slope at system ~ Force main length 3S~- ft. of Z in. Manifold/header length NA ft. of - in. Drain-back S ~" ~ ~ gallons Lateral length ~ @ ~ ° a `~~ ft. of ~ in. Lateral elevation ~ ° 3•d5~ ft. @ bottom of lateral Lateral hole size S~~~z- in. @ ~~'~ t in. ( ~- •`~ to ft.) Spacing ~ `a holes/lateral ~ ~ holes total Lateral volume 1 ~'•~ s~ gallons Total lateral discharge rate ~ °'~ Z gallons/minute @ 3'S ft. head Network pressure compensation losses 1 ' °S~ ft. Elevation difference ~ 2' ~ ft. Friction loss ~' •~`~ ft. @ ~~ gallons/minute Total dynamic head ~t'~ 3 ft. Pump/siphon 3~ gpm @ Zti~ ft. of head Manufacturer ~'°`'~`0'`' Model # ~, 2- Dose volume ~ d-'~~ gallons Lift/si~ontank `~'`~~'~ °N~ ~~- ~'''° ~O"`~'O b"`° gallons Septic tank ` ~ ~C' gallons Effluent filter ~ ~~ '~ ' ~ ~ Measurement pump on and off ~'~ in. Height alarm from tank bottom ~~'~• in. Reserve capacity 3bi+ gallons specs.calcs.res Page Z of g ~, ~., ' 9 0' ~ Q. S f ~ ~' .._.g X901 .~- -~" :, d r ~ ~ ~ ~~ ~ ~ ~ ~ J ~ .i ~ ~ {~t ~~, q C" ~~~ ~ ~ ~~ I l ~} ; ~~ -- °~° ~-- Q ~° ~ ~.~ .~ d ~ ~ a i1 I J n ~ a N ~ ~ ~ ~~ ~ ~ J ~` ~ ~ 9 1 ~ :y ~ ® ~ ~O n` + ~-~' C ~~ J d ~/~ S ..9 ~v ~ ~ ~~ 0 ~ a ~ --t' ~ J `~y, 1-~ 0 l °~ .' Z 0 Y S 0 r ~' i 0 q 0 t/'~ "b 0 ~~ t N OQ ~~ ~i r~ ~~ v N G ~p IW d_ 4 e/~ ~ ~ ~ pp XJ a ~ N r r` G a G r~ IW / (; S ~ P / ~ J ~ 6' ~~ P r 1! ~ ~ ~ ~ ^ ~ N .r S ~ G r ~ ~ ~, ~ ~~ 0 Z r ~-~ c ~ /~ ~ ~- f N ~ r. P 1.~~ . v.; ~..~ .. s.o • ~F--.' 143' '~ ~..._4 S ` '""'~~ 11.; ` .a' ~- Z9.1 ' IS. ~' 13 .q ~ ---~ I;.q' E- ~ 12 J~ 140.3 ` p ~ ~•, p v c c.n ..~ o `o s ~ v .~ ~: a•^ .,.. a.\~. L ~•. ~ o~` o .-. o ~ ~ o c.~ ~a ~. ~~ ^r N o`~'+~~. `a.~ nor .~Q ~0.r w.:.r..~S 1 ~ ~ ~ ~ o w. o...~ o ~ r o~ K .. _ ___ ~ _ ~ Z•glo' I 2.y b' I Z.q(~' I 1 r` S~ C~ ` 1 \ ~ JJJ • S~3 Z V~ 01 ~ O h 1 ~,T W. vC tC..~ ~ QM b O~ O W. 1: w 3 S'~ ~'' Z .. ~~ 3~ ~,o~ ~ ~~ ~.~ o~~~ ~.. i~ (~ ) ~U ~ J 0 S o~ Y . ~ , .r.-_ M P1 i N WEATHERPROOF LACKING COVfiR JUNCT-oN BGGC l~/A/t'N LNG ,( ~BE~ • GiVICK DNGOVV~GT---~ Cr ^-~ \ - ~ `.- ~. ~ 1 ~. I ,, ----~ .~. 4" Prc ~ ~~, , J7~~~;,'7 T 4`m DIP6 3' (lU NDISTUR6~0 SOIL_ 24" I.U. 11 4" 4° r~a~+uo~ ... ~ ~ vE Kr . , ~, N ~~K.f r avrt ~ z4~3" Nc-:c ~}" P~~ oWKOVtD A S slc~T ~,rrr~ ~ ~'FLE ll 4 0 ' ~ P-K _ _ a 1 a~ o«rro 3 C L e v , ~v : h O w'T 1, nr ~. '~' ~ PuKP D ~„ 1 CoKG4E7'c ~'w' 1 bcoGK ~~.~ 14~~ /;.~, SEPTIC f _ SPECIFI~CATIO-JS ~ DOSE ~ ~ ~ ' - ~ K . ,,,. ~- TA-,I..S MA-JUFAGTURCR: (DUMB ~' , o etr, ER OF DOSES: PEK D~~ TANK SIZE : l ~~ " ~~ GALLOIJS ~ DOSC VOLUME i ALARr1 !'1NJUFACTUiI,GR: S J ~~~ °t-~'~d IAJCLUOIAJG 6ACKfLOW: ~ GA~~ONS MOOCL IJUN4SCR: • 1 ° ~ ~~ ``~ CAPACITIES: A= Z4'~ I1vCHfS OR 3frz,l GALL0~;5 aWITCH TyPC: ~'~~` w`b Z 'Z.4•g _ ~"~ ` 8 ° WCNES OR GALLC~,S PUMP MA-JUFACTURCR: ' ~` \450 C= ~'~ i \~ Z UCHES OR G~~~OUS ' ~ MOpEL -JUMDCR: D• ~ ~R~ SWITCH TbPE: ~~""~ " IN~HE$ GR GA~~ON;, IJOTE' PUMP A1J0 ALARM ARC TO BC MIAJIMUM DISCHARCsC RATC~_~,-/~ INSTALLED OA1 SE PARATC CIKC:.~T~ VERTICAL. D1FiERfIJCf CfTWC[IJ PUMP Oif AUO OISTRIDUTIOAJ PIPE.. 12 ~ FEET + M~uIMUM -UETWORK SUPPLY PRECSURE .. . . CT } 1,~5~ ~'S~ FE 33 ' + FEET OF FORGC MAIIJ X ~ F~ `1 100 /tFRiCT101J FACTOR, . 4'~g FEET ~ ZL = ~~ U TOTAL. Dy-JAMIC HEAD = 2~.5 3 FEET ~ IIJTERAJAL. DIMEIJ610AJ>; '0/ TAA1K: LEAIC•TH ~~1, ;W DTN ~~ 2 „ ~2' ~ ;LIQUID OEPTH ~.~1 , ~~ v• , , y aY ~ ~ ° , li? Al ~t"~v141~1~ ~IC4':,•''CAF'A:;IIY Hk AI> C/1P/~CiTY CURVE 'r~ l'""~T~ - . r r .IrNr aNli :i.vJ,~.lthl\t: ~, rr MODEL 152/15. .". _. .. ,., ~ ~ NC'?I t~2 1. ^,~ ,~ JO Fyrl 6lrlcrtr Cnl. t.iterG~. ~.aN -. I;fr.•~r 1~J r .. .. l.f: sa zt;1 ; ~ ... . ~a1 1,>2 . Iy 1.~i `',3 701 ;i' ~}! w ~ 30 --..... 7:: l.ti Sn ... 12;i 47 ::~c1 b v _.._..__... . 4 '_qr,{~ Valvr.: 1i!.0 rl. {' 1.6rn) ~ ^ 0 F t ! Lt.~ :rl i U ... ...._ ..._.. ot.ca 0 20 4o co eo 100 .DUNS LI l tkS 120 0 a0 160 24U F~pW PER MINl1TC CONSULT FACTORY FOR SPECIAL APPLICATIONS • rimed dosing panels available, • Etecbical alternators, for duplex systems, are available and supp4ied with an alarm. • Variable level corrtrol switches are available for controlling single phase systems. • Double piggyback variable level float switches are avaAable for variable Iflvr+l long and short tycle controls, • Sealed Qwik-Box available for outdoor Irutslis6ons. See FM1420. • Over 130"F. {54°C.j spt+clal quot~tbn required, 1521153 Se*ias Modell YoltrPh 11cda, ~m S lwr Dupla t rt 5 5 Non 8. 1 7 nr 3 .• ... aH1S2 115...,_ 1 fl;5 lnokrdad 2 or J E f 52 _230 t h~YT 4.3 1 2 w 3 , BE152 230 1 Auto 4,~ Inckrdad 2a3 NtpJ tt5 t Non _-• t Z or•3 BN153 t t3 t Auto 10.6 Inokrdcd 7 d J E153 234 t Non lx3- 1 .___ 2or3 O CA ON All insWlfuon of cotw+ots, protadl0n dwlcaa clod vArlny Mou10 Dt tlone trY w nuWmeo Ncensad alaelrfclan. All alactrkatl and y+kty oodaa should be folionwd Including tha moss ncwrt WrGvnrri Elrclrle Coda (11F~Cf and tha Occupational iarky and Naakh Act (C>StiA). I i ~ '/3: y , j ~.~ ~. ~,1- ~~ 1 .11~ ~ `----~ ,;y _~ ~_. -- ' l .... x~a-a ~ _. SELEC71ON OUiDt3 1. Sirt9le Dp9Yback var4rtrl~ lava) float awltdt or doude ppgybedc varub4 laws flofll switch. Refer to FM~4TT. 2. gee FM0712 for correct rttodel of Eledxical Allernslor E-Rak. 3. Variable level control twitch 10-0225 used as a conlroi activator, spracify duptax (3) or (4) Aoat system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engirMered Into the design of every Zoeller pump. IfAIL Tn: P.O. BOX 10747 ` Louucvdra, KY 402567347 AranuiaclWCr4 0(. , SNfi T0: 3849 Crnv Rurr Rol ' LoukvY(~.KY 40211.1951 ` ~ (5021 ny.?731 • i (60cy D?&PUtAP qtr Puy S~cF /939 yfttpy/www.rorrlNr.com I~L//t~1J !~ PAX (5(Y1f 7763821 © Copyright 2000 Zoeller Co. All rights reserved. ~ ~ }~ s-. '~ ' ~ ~ System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 715-235-2644, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany- their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 1. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.4 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing. and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8