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HomeMy WebLinkAbout002-1005-40-000Wisconsin Department of Commerp 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)]. Permit Holder's Name: City Village Township Cronk, B an Baldwin Townshi CST BM Etev: Insp. BM Elev: BM Description: r~IAT.A\1 l1ATA r-uxn uxrvl~lnr+l lvlx TYPE MANUFACTURER CAPACITY Septic ~t~~ Z~ ~~ Dosing u Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ 300 „ I (0 f ~ ~ `~~ Dosing ~ ! ^- I10 ) ~ Aeration -- Holding PUMP/SIPHON INFORMATION Manufacturer ~~~-~ ~` ~ Model Number ~ ~~ o;CS DH Lift Friction Loss Syste I Forcemain Length~~ / Dia. ~ I/ I 3 'i3~ SOIL ABSORPTION SYSTEM BED/TRENCH Width f Length ` DIMENSIONS ~ O 2~ SETBACK SYSTEM TO INFORMATION _ _ _ _ I d'Pt` ' yw-~ DISTRIBUTION SYSTEM GPM Z~ `o Head TDH 1. -S'O 21•~ t. to Wel! I -> I I o No. Of Trenches ~~ .~ ~3~f ~^~3~~f~ ~ 3~' GGG Y/'111V1~ Y/11A ~ = ea.~. ounty: St. Croix Sanitary Permit No: 395232 S to Plan ID No: ~` foV3 ~ I+~+S• . reel Tax No: 002-1005-40-000 STATION BS HI FS ELEV. Benchmark ' •~,~) ./ ~ ~ tvOl ~ ~~ Alt. BM Cp ~ "~(~ ~/ 0 4 ,~ 3 ~ F~J, Bldg. Sewer ~, t rr ~ SUHt Inlet ~ t( ~' ~ 02 . /~ SUHt Outlet Dt Inlet Dt Bottom (.A ~ ~ 1~,1 (.~2 88,~y Header/Man. Cist. Pipe t 99.0 Bot. System ~ /•~ ~ ~-~q Final Grade w~l( „ l2 + ~ o0 St Cover Ct~4w,,,~ s S~ . Z -sn q 9, o v, `L • ~ ,.~ Of Pits Inside ia. /,,, uid Depth ,- CHAMBER 6 L\y~ ~-~ UNIT Model Number.-- •-- Header/Manifold Distribution 1l x Hole Size II x Hole S pa cing 1j Vent to Air Intake ~"~' ""' _ Pipe(s) I I t~ •(OD i 2 •0 S l~ g p ) 10 I ~3 •g 1-------~~ ia Length pac ng Length Dia . SOIL COVER x Pressure Systems Only xx Mound Or At-Grade SYStems OnIV Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection#~~ ~ ~ , Location: 2406 110th Avenue Baldwi~ln,WI 54-002 (SW 1/4 SW 1/4 3 T29N R19W) N Lot NA 1.) Alt BM Description = ~ c~otx~L_1s~~ ~s~"' S•~{ 2.) Bldg sewer length = 5'~ ~~ -amount of cover = 3).~„(,~ f~--lea E{~`: ~ I-11~- Plan revision Required? ~ Yes ~No ~~ ~4 O/ ~ .~ Use other side for additional information. _ L.. ~ ~~~ Date Insepctor's Signature SBD-6710 (R.3/97) Inspection #2: Parcel No: 03.29.16.43 w f~, ~ ~, 3l ~ ~> ~s '~ L _ (~~)- ~~.~ Cert. No. ~,) Say -~ 7 ~- .~r~ ~ ~,~ I ~' P ' 1~ r ~11 ~ ~ ,~ 1` ~~„ ~~ _ r ---- ~ ~~~ g' 08/24/2001 ~~ PROJECT': 14:57 7152353650 E < < Cfonk ~~ ~~ ~ ,oo~ ati ~' , E -bbd ' +a LnGEND Scale 1'~-40' i System Elev. No Comm 83 set ~~ ~~5 r SITE PLAN BOWMAN PLUMBING INC --~--_ _....._--.~_._..~ __......._.,..---~.____-___. ~~,o X 0 ~ -- ~~r m q4.o 98 0. PAGE 02 ~.~ b~ ~ ~ept where indicated "~ b" z~ y~~ .5' on contour 99.0' _~,~ ~, 3ek probxems ~< ~y~ c~,ls rv M ~~ ~ ~a~ ~q,~ ~ h ~ ~ ~An-.~-.r~.i~/ ~ ~ Ye ~ ~000faII G~h, Q~ y~ c ~_ W .e~~ ~ ~! 2yo `'= g ~ ado ~ ,~ ti `~ ~~ ~i 3~ y ~tl-..-~ A/ 1 h pu~+ . J(e~ ~~ ~ ~ ~e. t~1.~K page 8 of 9 ~ ~~-~ Safety and Btul~ is vg D ision County , ~ ~} 201 W. Washington Ave., P.O. Box 7,162 ~ _ • ~' -. d \ X ~ ,~~On~,~ Madison, WI 53707 - 7162 ' ~ Site A ess ` - Department of Commerce t f ' . ~.~ ~~. , YJ ~ ~ "' 1. ~ • f`.~ Sanitary Permit Appl' 'oil, ~~~ ~ Sanitary Permit Number < ... . In accord with Comm 83.21, Wis. Adm. Code, perso in'~iation e v ~~ ^ Check if Revision ,~ ~- ma be used for secon oses Privac w, 15.0 I. Application Information -Please Print All Informatio ~ ~ '-- ~ ~ - rate Plan LD. Number ° _ ~ } _. ~ 317 Property Owner's Name ,~ .r-( - ~ Parcel Number ~~ are ~ ~is~. ~ o ~ k ~:'~ ~o° ©t~ ~ - ioo ~ - D - Propetty er's Mailing Address ,\ •~ 2 `~ ~ / z. ~~ ~, " Property Location /~~ ~yQ \ ~ ,..1, t . ~/- .a ~ ~~1,~ ,/< SIAI1/; S .~ TZC/ N, R ~~o City, State Zip Code Phone Ntmitser Lot Number Block Number Subdivision Name CSM Number Q l~ w ~° n ~ ~~ 5 ~/o o ~-. `lip 6 ~~/- ~~ z ~ ---t- ~Dacr --~ II. Type of Building (check all that apply) ^City 1 or 2 Family Dwelling -Number of Bedrooms ~~ ,~ -7--~ . ^Village ^ Public/Commercial -Describe Use ®T hi d owns p / ~~ h ^ State Owned Nearest Road III. Type of Permit: (Check only one boa on line A (numbering scheme for internal use). Complete line B if applicab ~~~~,~-"- A' 1 ~ Now S 2 ^ Replacement System 3 ^ Replacement of Tank Onl 6 ^ Addition to Existin S stem For County use '' .~,. ~ ! ` ~,~ B. ^ Check if Sanitary Permit Previously Issued Permit Number Date Is u' ~~~~ ~ ? _ IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) ' " g,( COX 44 ^ Non -Pressurized In-Ground 21^ Mound 47 ^ Sand Filter 50 ^ Constructed We " d ~,, C,QA1N~ , 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line ~` ~ ~ `~ l,.. c,. 4i ~ At-Otnde 46 ^ Aerobic Trea en Unit 49 ^ Recirculating 30 ^ Other ' r 7-_~'~\ •"'`' V. Dis ersal/T'reatment Area Information: QQ .,~ ,,.a••^ " Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) Elevation ~~ ~ a ~ ~ l~ ~ v ~~ ~ --->~ ~~.~ / X60. ~"~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks sep[io ~ ~~ ~~ -- ,~~ / Wieser Concrete Dosing Chamber ~7JJ - ~Oi) ~/n o liJ1 ~/ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature ~ MPlMPRS Number Business Phone Number Jack A. Bowman ~ ~ Fes" -t ~• " ""`` ' - Mp # 5875 222839 715-235-4634 Plumber's Address (Street, City, State, Z' e) l-' 2819 Kna Street Menomonie, WI 54751 VII ount /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ^ Owner Given Initial Adverse Oa Determination ~~5 /!J ~ 8~2 `'mil ~ ~Q~ G IX. Conditions of Approval/Reasons for Disapproval '~` ,A ~ ~..~N ~ ,,' J • I {..'~ n~ ~ ~ R/ ~~ ~1\I \ Q-~+,c,.... ~ p.u- p a.~..e.~ - Sew r ev i5~ ~i b-+s~~«~ , ~t D,,,c.. II u ~c Ma ~ l !~ b-,o~- (~ ~ vPe 6 W ~¢r `S r~SPa~~~~r~~ ~ yr ~•~ ~~~ g ~ .uyf,~ur u•c sysam paper noT Tess aril a 11 inches m size ~ J 'rC 7~t0 K ~fC.ir.~ rj ~~~~~~~~ 08l24f2001 14:57 7152353650 BOWMAN PLUMBING INC `, i. , j I , i Bowman Plumbing, Inc. Msster Plumber No. 587'5 I 2819 Knapp Street Menomonie WI 54751 ~ (715) 235-4634 ~ FAX 1715) 235-365Q PAGE 01 t' ~ Y a ~ ~scons~n 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 Brenda J. Blanchard, Secretary August 01, 2001 CUST ID No.222839 A7TN: POWTS Inspector ZONING OFFICE < JACK A BOWMAN ST CROIX COUNTY SP[A 2819 KNAPP ST 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON Wi 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/01/2003 Identification Numbers Transaction ID No. 663473 SITE: , Site ID No. 633567 BRYAN CRONK Please refer to both identification numbers, 110TH AV above, in all corres ondence with the a enc . TOWN OF BALDW[N ST CROIX COUNTY SW1/4, SWl/4, S3, T29N, R16W LOT: 1, FOR: DESCR[PT[ON: FOUR BEDROOM AT-GRADE SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 804151 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "At- grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems" SBD- 10570-P (8.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). 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. [n addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VII[ of the at- grade manual, and section V[ of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. h4aintenance information must be liven to the owner of the tank explaining that periodic cleaning of the tler is required • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. JACK A BOWMAN Page 2 8/L/01 • Comm 83.52 Responsibilities. 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). In addition, 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. • 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. • Comm 83.52(3) 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. • A Sanitary Permit must be obtained from the county where this project is -ocated 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 constructionlinstal lationloperation. 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, ~, ~~~~~ FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 Charles L Bratz POWTS Plan reviewer II- Integrated Services (608) 789-7893, Mon.-Fri. 7:45 AM to 4:30 PM cb ratz@commerce. state. wi. us cc: BRYAN L CRONK WiSMART code: 7633 .~:. 1' RESIDENTIAL AT-GRADE DESIGN Pressurized -Sloping Site INDEX AND TITLE SHEET Project Cronk Owner Brian Cronk Address 1054 240th. Street Baldwin, WI 54022 Legal Description SW,SW,S3,T29N-R16W Township Bladwin Subdivision Name N.A. Parcel ID Number Plan Transaction Number Cand~tionall y Index sheet - Calculations APPROVED At-grade drawings Laterals and dose tank pARTiIENTOFCOMMERCE Specifications ~ MG8 Management & contingency plan SEE CORRESPONDEN Pump information Site plan Attachments (soil test to state's plans) RECEIVED JUL ~ 9 2001 Page 1s~~ & BL~GS DIV. Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Designer loretta/Jack A. Bowman License Number MP222839 Signature Phone Number (715)235-4634 Dat 07/18/01 Designed pursuant to: At-grade Component Manual for POWTS SBD-10570-P (R.6/99), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) County St. Croix Lot No. 1 version s.o (R. osio~) Page 1 of 9 0$/01/2001 14:25 7152353650 BOWMAN PLUMBING INC PAGE 02 PRESSURIZED AT-GRADE DESIGN At-grade design Worksheet -Sloping Site Flows and Site Data_Entry. (r or c) r Residential or commercial? 400.0 Estimated wastewater flow (gpd) 800.0 Design wastewater flow (gpd) 7.00 9t, Site slope 99.00 Contour elev. below lateral (ft) 36.00 Depth to limiting factor (in) 0.50 In-situ soft application rate (gpd/ft"2) pistributlon Call Information (1 or 2) 1 Influent wastewater quality 6.00 Linear Ivading rate gpd/ft 10.00 Effective absorption width (ft) 10.00 Max. effective width permitted (ft) 120.00 Aggregate length (ft) Pressure Distribution Date entry (c or e) a Center or end lateral connection 1 Number at laterals 0.126 Orlflce diameter (in) e.g. 0.188 Nut a Onel 2.00 Estimated orifice spacing (ft) CAlculetton 2.00 Forcemain diameter (in) 2.56 Forcemain flow velocity (ft/sec) 380.00 Forcemain length (ft) 88.00 Pump tank elevation (ft) !3.5 System head (ft) x 1.3 3.67 Vertical Ilft (ft) 5.30 Friction loss (it) 15.47 Total dynamic head (tt) Designer must select one lateral diameter Lateral Diameter Sel ection t'1 a dlametlr pest n opdans Design choice 1 In '_ 1.25 in X t .5 in X _ 2 In X X Galtvns/inch Calculator (optional) _ 800 Total Tank Capacity (gel) 38.5 Total Working Liquid Depth (in) 20.8 Gal/in (enter result in cell G46) Treatment Tank Information 1280 Se tic tank capacity (gal) Weiser Manufacturer Effluent Fi~ter Information Dose Tank Information 7.abe1 Filter manufacturer 800.0 Dose tank capacity (gal) A100 ___ _ Filter model number 20.8 Dose tank volume (gaUin} "~~`~` ` Weiser _ Manufacture Project: Cronk Transaction Number: Page 2 of 9 ~:. y or n n ~T' Does forcemain drain back? y or n n Are laterals at highest point? 62.50 If no, glue highest elevation (ft) 0 Forcemain drainback (gal) 98.0 5x Lateral void volume (gal) 96.0 Minimum dose volume (gat) 25.1 System demand (gpm) rV AT-GRADE PLAN VIEW D -~ 1 /6 8 Observation pipes (2 typical) A 10.00 ft ~ ~ B 120.00 ft ~t--~ 1/6 B 20.00 ft W C 12.00 ft c D 5.00 ft . ~ E 2.00 ft L 130.00 ft ~ B W 22.00 ft A x B 1200.00 ft^2 L ~~ Cap Typical obs. pipe. =Total aggregate cell A x B Slotted in the lower 6", and anchored = Plowed area L x W ~ ecurely. 5' AT-GRADE CROSS SECTION Synthetic fabric cover Lateral invert elev. gg•50 ft Surface contour gg.00 ft and system elevation 100.83 ft Finished grade elevation ~~~: E C ~A ® = 12 in. topsoil and subsoil over aggregate and tapered to toes. = 6 in. aggregate below pipe(s), and 2 in. above pipe. Project: Cronk Transaction Number: Observation pipe at aggregate toe .~ 7 % Slope D -+ Plowed la er Y below L x W Page 3 of 9 0$/01/2001 14:25 PAGE 03 Lateral piagram -End Connectlon P it flyht at]¢f~>~Jllq the d189f21rn Into th~5~~~ (oroe m+ino(PVG Svh f0 6+st ho(• drlN~d M~k to •n0 o-D, J Noks drillr<d on cv~iobtfbM'dIFZtSeT~t-YY lti~-'[;C~NrNP1'+bl• 84.0-61 eQueilgspeoed ~ Turn-upwlballvahr~orol••noutplup Lateral Specifications 0.125 Orifice diameter (in) End X 1.98 Orifice spacing (ft) 1 81 OrificesJlateral P 117.60' 25.1 Let. discharge rate (gpm) 2.00 2.00 25.1 Sys. discharge rate (gpm) 380.00, 15.47 TDH (ft) Typical Pump Chamber La! weather-proof Junction .box Final grads 7152353650 BOWMAN PLUMBING INC PRESSURE DISTRI6UTION AND DOSE TANK Tank component Is properly vented Efectrlcal ss par NEC 300 and Gomm 18.28 WAC Tank full Inches Gallons A ~ o A ~ 20.7 430.4 Alarm on B 2.0 41.8 [i C 5.8 1 Z0 0 Pump on o p T~10:0 208.0 88,8 ft C Totals 38.5 800.0 pump oft D disconnect Lateral Connectlon point Number laterals Lateral length (fl) Lateral diameter {in) Forcemain diameter (in) ~ Forcemain Length (ft) bout a" gpproved manhole cover with weming Isbel and locking device Alternate ~` outlet IOCdtk)n 18" min. Approved Outlet ioint Provide 114" weep hole or antlslphvn device +~ 88.00 N Moeller Pump manufacturer 137~~ ~,-_~W~~~ Pump model number Project: Cronk Transaction Number SJ Electro Inc Alarm manufacturer S.,,11 , _ Alarm model number Page 4 of 9 ~. At-grade System Maintenance and Operation Specifications Service Provider's Name Bowman Plumbing_Inc. -r Phone 715/235-4634 - - -- POWTS Regulator's Name St. Croix Zoning Office ~ Phone 715/386-4680 System Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 400 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1280 gal Maximum TSS 150 mg/L Soil Absorption Component Size 1200.0 ft2 Maximum FOG 30 mglL Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for ondin and see a e once eve 3 ears Initial) se tic filter should be checked eve ear Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the at-grade component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The at-grade structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. 6. Areas within 15 feet of the downslope toe will be protected from compaction. 7. All other construction details are as per the at-grade component manual SBD-10570-P (R. 6/99). Lateral Turn-up Detail Finished •............•. ................ Grade \ ' • ~ :: 6-8" Diameter Lawn ~ . . Threaded Cleanout Sprinkler Valve Box Plug or Bali Valve Distribution Lateral ~~- .:>:::::<: »»»::>;:>::::»>:>:>::::>::.::><:::>>< Long Sweep 90 or Two ~~ ~ 45 De ree Bends Same 9 Diameter as Lateral Project: Cronk Transaction Number: Page 5 of 9 At-grade System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD-10570-P (R. 06/99) and SSWMP Pub. 9.6 (01 /81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. At-grade and Pressure Distribution System No trees or shrubs should be planted on the at-grade. Plantings may be made around the at-grade's perimeter, and the at-grade shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the at-grade is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the at-grade be heavily mulched as protection from freezing. Influent quality into the at-grade system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 10` cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is pertormed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the at-grade component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by renovating the biologically clogged absorption and dispersal media, installing new piping, and replacing other components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Cronk Transaction Number: Page 6 of 9 08/01/2001 14:25 7152353650 i[Y~ O >1 0 PAGE 04 O CAUTION Model 19ti/41tiS ~Ipytd nol 00 •ut~ct~d b le>p tl1eln ~0 fwl TDH, u. ~ 1w NO ~9 .00 .w Sw ew 0 IIW o[e YW/rF ~ e TOTAL DYNAMIC MEAD/ '• ~` Ul. listen 3-were is n standara carp. --_..._ ''~" "13T " CA S T I RON SERl~S BOWMAN PLUMBING INC WfpO C4PAC1 Y CURVE ~ ErFLUENi MOOflS ~ ~ lee .~ /» w 1J0 H ~a1 170 N 111 /Yl ~• •.p 77 1q 1M >o /) 76 w W . N pa e1 N w Ye 161. 71 .le 77 ~0 ~ w w 1» . le e tia ~ e9, 11 •~e0 19 'e •! 17 b uo, les 7! e. w ao uv l~i s to a e :o le e 10 7 a y~ » ar 9e 0 s wiol+s w ao w ra w se •7 0 l> D le o t! o l • BNfBE Models available packaged with e piggyback variable levot Aoat switch. • OuraDle Cast Iron CAnSINGlIpn. • ~ b 3 Phase models available. (>>s. zooaoa a 23ov • ~ an). (2tx}-208.23Q d 460V • 3 Ph) • Non-Clogging vortex Impeller design. • Passes 5!8" solids (sphere). • 1 %i NPT discharge. (1 Y~ X 1' PVC adapter fitting included with BN and BE models.) • Automatic reset thermal overload protection, • Stainless steel screws, bolts, guard. handle. UL listed 3-wire 15 ft standard cord. •ree.es+~r `:: '"""' TOTAL pYNAMIC MEap/CaPS~lrv PER MINUTE EFFWENi aN0 t7CwaTERWG MOOE~S iJ7 i`I. u6Mn Ga. U•a. s 1.1 a »7 90 1.l *9 m 1s ... .. r.z 7v e.l ae. tae 7! r.e • ao lx. ~el.c te- 0090:1. AIOrE: 9rOtK I,aenp ter lDO~JDa'1%~ Olaws ~~ . , tt. J PROJECT: Cronk I W'~ qG.O k -- - _ __- ~°p~ ~ . ~~vo1 ~ •W'd ~ Derr `I,,,--~,~,.~ -~.,,~, ~ , ~ -bb ~ .w ~tl 0 ~~I 0 ~~ N - - - - - - _ ~,~ ~ .~ _ _T q ~ ~ - ,o. ~ ~ ~ LEGEND Scale 1"-40' except where ina~alcated System Elev. 99.5' on contour 99.0' No Comm 83 setback problems ~~~~ - SITE PLAN < ih~ s~~ w <1°10 st.,r.- Ire --~ ~~ 4 ~~~ Zoo="S~. ~~~ /o< //n e 2 i y c9``'w ~° $nf ~ 3 ' 1,~ ~ 2g~ nb o~..:_ l~.-~ ~O ~ ~ a scl~ ~O WI -fl~~ ~~ No R-µ, /per nivc. page 8 of 9 1. Wisconsin Department of Commerce Division of 5afery and Buildings ...~ ~~.. ~ ~ '~. q~,,,.,~. ~.=~ ~~i ` ~- .~ I _ --~ SOiL^~ ~'+/Tl REPQRT in ornSnrHmnru wi~F. ~f`.a~..rIIRYRii.. nd... f--L+~ .. _ _ _ ___. _ Pape _._,._ of ____„ Attach complete site plan on paper not less thart~8~112,x 11 a indude, but not limited W: vertical and hodzontai erai-iC# M), dl percent stops scale or dimen i th ai f Parcel i D , ons, nor s arrow, a at Anaps! di~aet~ est road. * L ~0 Please pr/nf al! !r-forma ~ ~ Bt a R b ate Peaonal informslion you provide may bs uaed far secondary purposes (Privacy law, s. 15.04 (1) (mi). Ply Ovvrter Property Location r C~ -a ~ Govt. Lot 7i4~$' /4 S To~ 9 N R E {or Property Owner's Malting Address . Lot # Bbdc # Subd. Name or CSM# ~ r ..,~ !/ ,._. ~ State p Code Phone Number • ~ Q City ^ Vt/ita 'Town Nearest Ro ad S`1~~ ~ - --~1 ~ / ,~/ ~! _~_1T~ Nero' Construcdon Use:~'Residenaal /Number of bedrooms ~...._~ Code derived design flaw rate _~~„~,•,__,,,, GPD ^ RepiacemeM ~.q~~1 (~ Pubfic commercial • Describe: __ _ _ _ _ _ Parent material tJ~SGl e=~~ _.__.__~~ Plain elevation i! appticebte __~~Y...._. - - ft. General corrrrrrents and reoornmendatbns:~,~ r, ~ Gt~ ~t ~ I ~ 1 ~~g # ,t[~~ Boring ~~ U ~6t Pit Ground surface elev. tt, pepth to Iimfting factor y~.~,_ in. ~ ~~ ~ Horizon Depth Dominant Cdor Redox Description Texture Stnu.~ture Consistence Boundary Roots P in. Mur~selt Qu, Sz. Cortt. Color Gr, Sz. Sh. "Eff#1 "EfgK2 o • . ~2 s/ c~r- a~ . s Y ~ /3 { y ~ 6 ,~ . ~. -60 ~ _ ~ „~ ~ , , sow # ~ e~~ ® ~ Pit Ground surface eiev.~~ R. Depth to limiting facxor ~ b _ in. Soli Rate Haizon Depth Dominant Cobr Redox Desaiption Texture Structure Consistence Boun;lary Roots GPD/M in• MtirrseM Qu. Sz. CoM. Color Gr. 5z. Sh. "EffAtO "Efpl2 o ~z ~ ~ e .~ ,,,,,_ . s . r i .~ y/119 / ~/ fit/ ~ - uauen[ e, = ovu a ~u ~ ctu rrtiys. ana rss >3~Q<~75o mgrL " EtflueM At2 = BOD < 3Q ff>AJL tend T53 < 30 tttglL CST Name {Please PriM~~Cc,wti .~; r~ ..Q4~ SI'~ .~ 7 .~~) r r~ • ~s F ~O~Y Owmet Paroel ID # Page of Boring # ^ Boris 3 ~ _.. „---~-~ ---~--- -~- 99. ~ _ _ ....... ~ ~ Horizon • Depth ~~ ,~ -_ . ~ Dominant Color .._ __..~~ ~.~.. ~~-~~~__~ ... var.., w ..,..1 x, ea .oY~ ~ A I, Redox Description Texture Structure Consistence Boundary Roots ~ GP n Rate p/fl< in. MunseA Qu. 5z. Cont. Color Gr, Sz. Sh. •EfYpt~ ~~ ~~ i , b i~i- .~J Ong # ^ Boring n_.,, ,.... d ,j...._ _~.. o Horizon . Depth r ~ ~f _..._._._ ~_..~~~ ~.~ vvrx. w m~uu,ry .w.w pl. Dominant Rsdvx Description Texture Structure Consistence Boundary Roota ~ Rat@ GPWf! in. Murtsell Qu. Sz. Cont. Coior Gr. Sz. Sh. •Eff#1 •Eff#2 t..J Pit Ground su-face elev. ft. Depth to limiting factor fn. a ~~ # tQ~t B°~~ SoA Rate Horizon Depth DomMant Color Redox Description Texture Stnrchxe Consisterxx Boundary Roots In. MurtsaN Qu. Sz Cont. Color Gr. Sz. Sh. 'Efl(91t •Eir#z • Effhtent #4 =BODE > 30 < 220 mglL end TSS >30 < 150 ntglL • EfllueM #2 = BOD, < 30 mgfi. 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 608-266-31 S 1 or TTY 608-264-8777. St~S7~ (R.6100) ~~ • ~ ~ ~ Soil Test Plot Plan Project Name Brian Cronk Sha r Address 1054 240th Ave Baldwin Wi 54022 M #226900 Lot ----- Subdivision ------- Date 10/28/00 S W 1 /4 S W 1 /4S 3 T 29 N/R 16 W Township Baldwin ~] Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. top of white stake with orange ribbon v System Elevation At-Grade *HRpsame as Benchmark ,i Alt. BM Top of white stake with orange ribbon @ 99.3' i 110th Ave ~-' ..~ • , ~ ~ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD to CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary August O1, 2001 CUST ID No.222839 ._.. ., `~/, ..~~ i . .\ ~~ ~ ATTN: POWTS Inspector t_, i ~' r ~ ~,`'~ ZONING OFFICE JACK A BOWMAN ~~~cA4. ~~! ST CROIX COUNTY SPIA 2819 KNAPP ST ~~ , ~~' i'~~ ~ 1101 CARMICHAEL RD MENOMONIE WI S47S1 ~~~ >' ~~' ~~~~ ~ HUDSON WI 54016 CONDITIONAL APPROVAL - PLAN APPROVAL EXPIRES: 08/01/2003 SITE: BRYAN CRONK 110TH AV TOWN OF BALDWIN ST CROIX COUNTY SW1/4, SWI/4, S3, T29N, R16W LOT: 1, Identification Numbers Transaction ID No. 663473 Site ID No. 633567 Please refer to both identification numbers, above, in all corres ondence with the a enc . FOR: DESCRIPTION: FOUR BEDROOM AT-GRADE SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 804151 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "At- grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems" SBD- 1OS70-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-1OS73-P (R.6/99). 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. [n addition, the owner must insure that the operation, maintenance and monitoring duties as described in section V[I[ of the at- grade manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • Access to the filter for cleaninti must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank. explaining that periodic cleaning of the filter is required • The well must be a minimum of 2S feet from any POWTS tank, and a minimum of 50 feet from the absorption. area. • Limited activities are allowed in the area I S feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. N ~, JACK A BOWMAN Page 2 8/1/0l • Comm 83.52 Responsibilities. 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). In addition, 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 PO WTS. • 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. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan sha(I be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • 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 lat ion 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, FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 Charles L Bratz POWTS Plan reviewer II- Integrated Services (608) 789-7893, Mon.-Fri. 7:45 AM to 4:30 PM cbratz@commerce. state.wi.us cc: BRYAN L CRONK WiSMART code: 7633 ' ~ ST CROIX COUNTY _ :: < ~ : - . _ ,. ~._ , .: - _ SEP~'IC TANK .IVIA~IyTBiJANC$ -~-GKtEF~VI~NT ~ -- .._ - - . _ AND_-.. _- - ....OWNERSHIP CERTIFICATION FORM _ . 1 OWnerBuyei ~'. Brian Cronk Mailing Address. 1054 240th Street, Baldwin, WI 54022 o~ 'L}' ~ ~o -. _ . - _ - - - - - Propeity Address ~_ - 'XX X X _ - ~ ~ _ ~~ _ - .. _ _ .- (Verification required from planning Deparment for new City/State k ~ 1 ~ ~ _ ~ Parcel Identification Number ~ ~ - I ~~ `~ - `~ L1 LEGAL DESCRIP~'ION Property Location sw 1/., Sw '/., Sec. 3 . T 29 N R 16 W, Town of Baldwin Subdivision Lot # Certified Sarvey Map # Volume .Page # Warranty Deed # ~ ~ `~ `~ ~ ~ Volume ~~ .Page # ~,(~ ~ Spec house ^ yes [xl no Lot lines identifiable ^ yes ^ no SYSTEMMAIIV'lcE1~TA1yCE ;; Ia~propattse and anoeof }roar septic:ystem could result in its premadu+e faihu+e to ~andlewastes. Proper maintenance consists of P8 art'~e septic.tanlc every -throe years or sooner,-if aetded by a licxnsod Pumper. What You Put into the system. can affect the fimctt`gmof th~e``septic taalc-as ,ti ~nt stage in 8ie waste disposal system. The: pmpetty o~rnor agrieea m tnbmit to St. Croix Zoning Department a certification fazm, aigaod by the owner and by a m$sterPlumbe~ jouiaeymmPlumbe~, n~icOodphm~ber or a licensedpvmper verifying that (1) the oasite wastewaterdisposal sysbcm is in proper openttiag condition and/or(2) after inspection and pamping (if necessary), the septic tank,is.less than 1/3 full of sledge. ~.. Uwe. the un~dersignod have read the above requirements and agree to maintain the :private sewage disposal system with the standards sct fa:tu, h„h~~, :; tit ~; vie i oif;Commer~ ana ttu ~epartmeat of Natural Resources, State of Wisconsin. Certification stating that yora septic systemfias boon maizitainod mnst be completed and redunod to the St. Cmix County Zoning Office within 30 days of the throe year expiratica,datc. SIGNATURB OF ~PPLIC~AN'T DATE owNER ~T~©N . ----~ , , I (arej owrtlfy fat all statements on this form are true to the best of aiy (our) lmowledge. I (we) am (are) the owner(s) of the property des<xlbed above, ;bY virtue of a warranty deed recorded in Register of Deeds Office. SIGNATtJRS OF APPLICANT DATE ««ssss Any information that is mis-represeatedmay result in the sanitary permit being revoked by the Zoning Department. ***sss ** Include with this applleatIon: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ~,,.~t_ 1.5f5P~~* X01 STATE BAR OF WISCONSIN FORM 2 - 1999 ~ 3 4 818 Document Number WARRANTY DEED FtE~IS TES ~)= DEEDS This Deed, made between R & S Farms, a Minnesota Partnership RECG?VE;I F[iR RECORD Id-~RP,RI~TY DEER Grantor, and Bryan L. Cronk and Lisa C. Cronk, husband and wife ~i+~s~~ C,. Cf!. Y FEE: as Survivorship Marital Property GO~'Y FED: TRRNSFER FEE: X49.44 RE:.I?R11I~#6 FEE: 14.44 ~afiES: I Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): A parcel of land located in the Sw '/4 of the SW '/< of Section 3, T29N, R16W, Town of Baldwin, St. Croix County, Wisconsin; described as follows: Beginning at the Southwest corner of said Section 3, thence North 00 degrees 28 minutes 21 seconds West, along the West line of the SW '/a, 1322.77 feet to the north line of said SW '/< of the SW '/4; thence South 87 degrees 27 minutes 17 seconds East, along said north line, 1317.98 feet to the east line of said SW'/< of the SW'/4; thence South 00 degrees 28 minutes 47 seconds East along said east line, 1317.54 feet to the south line of said S W '/a; thence North 87 degrees 40 minutes 56 seconds West along said south line, 1317.88 feet to the point of beginning. Recording Area 002-1005-40 y ~ a,~; ~5.~.~~iZ 2~~s ~4~~ Y~~Y WC~ Parcel Identification Number (PIN) This is not Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~ day of I*le~ee~be~- ~~.G~r+'+~!', 2000 * * AUTHENTICATION Signature(s) ^^^wN~n..i n:4r,, ni,n vnnivHMl~ authenticated this d of NOl`As'~' `~iiE._IC , - :`iSCONSIN TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both aze not necessary.) ~) (is not) homestead properly. D " r R arms ACKNOWLEDGMENT STATE OF WISCONSIN ) C~ ss. ~7'.. ~ t X County ) Personally came before me this ~ day of Ne~ealber ~-L C P.rn bG/` 2000 the above named R & S Farms, a Minnesota ParMership by . its. to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. * Notary Public, State of Wisco n My Commission is permanen (If not, to expiration date: ~s, * Names of persons signing in any capacity must be typed or printed below their signature. Urtormation Praressionais company, Fond du Laq wl STATE BAR OF WISCONSIN soo-s5s-2oz~ WARRANTY DEED FORM No. 2 - 1999