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HomeMy WebLinkAbout002-1009-20-010 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 567300 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. .2 ?33 3 d rmaS.fb Permit Holder's Name: city Village X Township Parcel Tax No: Cronk, Richard & Brenda I Baldwin, Town of 002-1009-10-200 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: l66 }� G6T- 05.29.16.65A20 TANK INFORMATION A ELEVATION DATA TYPE MANUFACTURER , ^.y CAPACITY STATION BS HI FS ELEV. Septic F 13 /�o^ Benchmark $,� / • c�lJ �a Dosing ✓ 3,:5 j Alt.BM Bldg. Sewer A ZS �f/. (0 1 Holding St/Ht Inlet f 1 5 71, 3 J TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. ent Air Intake ROAD Dt Inlet Septic >1" f Z Dt Bottom ' O Dosing 1 / f Header/Man. O Aeration Dist. Pipe b �,W . �[l� Holding Bot.System Final Grade e2 3 PUMP/SIPHON INFORMATION Manufacturer GP �ema''nLL22 St Cover� /a +4 clS LtZ� e Model Number n "45 / I TDH Lift f Friction Loss System Head Ft / 2 /.33 ,S 20.231 �U 3.e(v t�3� ��- Forcemain Length Dist.to Well Z SOIL ABSORPTION SYSTEM BED/TRENCH Width t Length / No. s PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL LAKE/STREAM LEACHING nufact INFORMATION CHAMBER OR Typ Of SySte /► � ` r� UNIT del tuber: CJt/` X, Q DISTRIBUTION SYSTEM Header/Manifold �t Distribution ,r/„ r� x Hole rS psopl x Hole Spacin Ve it In Length Dia p ! ( v v r Length Dia /'�Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only d Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center _T' Over Edges Topsoil 0 Yes 0 No Ye�spr No COMMENT j ,(onn(,l e code f/diiscrepyenpies,persons present,etc.) Inspection#1: g / n/ / Inspection#2: Location: 229?Cty Rd. DD Baldwin,W�I 54002(NE 1/4 NE 1/ T29lN�R��W) N Lot 2 y�-� Parcel No: 05.29.16.65A2 1.)Alt BM Description= ( , �) a %^ ��. �- 2.)Bldg sewer length -amount of cover ll 6�u 3)5's, c -el�,,al lot- a' Iz + 1 - -- - Plan revision Required? Yes K No GG 7�j Use other side for additional information. o ate Ins cto nature Cert.No. SBD-6710(R.3l97) (4- 7-[S-fn I � a 0 � I g •. d v$ ' 00 0 rn ° � NM pa R7 t7a F a a U II g v N w a � a � ,� n. �N •N � s° ° � � � m�q ado Il 14 ti U ti i e UC Q N , d 11 W amp a k N 0 �k •Ct � o' o I d ! i w ' i q I U /b N / A 0 1 0 ..y*�Lvy County f ..., Safety and Buildings Division v d tztv II `. 201 W.Washington Ave., P.O. Box 7162 Y gt Sanitary.Permit Number(to be filled ed in by Co.) P# SCE Madison,WI 53707-7162 `4—�—_ 36 7 30 State Transaction Number Sanitary Permit t. n In accordance with SPS 383.21(2),Wis.Adm.Code,sub n i is fo to the appropriate governmental unit (72...?3 3 E .d is required prior to obtaining a sanitary permit. Note:A..11 ' fo for state-owned POWTS are submitted to ( _ • -,,c.crc.a„t than mailing address) _ the Department of Safety and Professional Servies. P..-,7•., info ation you provide may be used for secondary 2 2 1c e I J' Rp purposes in accordance with the Privacy Law,S. 15.04( tut ,S ts. my JIi I. Application Information-Please Print All In ormation ,R4 IJD VVj/(/,1 V(/Z Property Owner's Name / Parcel# A c X ce,- s/ ,4- is,,,,,h e�'a ,j , 6G 2— /00? - Property Own er's Mailing Address �� ' ,[p Property Location e 5-A-5-A-GO I� l/Y%S � CGti Govt.Lot City,State Zip Code Phone Number../j„ , / / / 2 i-1-7/‘ ; j , /s, -/,, Section &/ `-Y°0 v 2(5? Q� �q g circle one : ipe of Building(check all that apply) Lot# �J 4 �� :���, d°%/—N; R ��p E +� Cz , I or�2 Family Dwelling Number f Bedr��,�s,,p�, 2. ,,0 cd� Subdivisioon Name T�`�S G�„'�'r'v Block# 4-t. & h 31��Z�G/h��� ❑Public/Commercial-Describe Use ❑City of ❑State Owned-Describe Use CSM Number i ❑Village of 9772-5-5 ownof/9rt 4 4,, ,, v. 21o�R 5, 7z_ III.Typee of Permit: (Check only one box on line A. Complete line B if applicable) A. L�1 New System y ❑Replacement System ❑Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System(explain) B. ❑Permit Renewal ❑ Permit Revision ❑Change of Plumber ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV.Type of POWTS System/Component/Device: (Check all that apply) ❑Non-Pressurized In-Ground ❑Pressurized In-Ground iii<-Grade ❑Mound>24 in.of suitable soil ❑Mound<24 in.of suitable soil ❑Holding Tank ❑Other Dispersal Component(explain) p Pretreatment Device(explain) //� V.Dispersal/Treatment Area Information: t fX�! e/ 2 1 i/ e f ceaf1�t�L- Ui�1't'� Design Flow(gpd) Design Soil Application Rate(gpds1) Dispersal Area Required(s Dispersal Area Proposed(s0 System Elevation '54° ./ , 4 ✓ 7,-® - (� r7. 7,5 7 VI.Tank Info Capacity in Total #of Manufacturer Gallons Gallons Units o 6 7 v4 o 8 o New Tanks Existing Tanks y / ! '' g Septic or Holding Tank 0/4 d O -.— >a("Z", , r e 5 ,' L-- Dosing Chamber VII.Responsibility Statement-I,the undersigned,assume responsibility for i,stallation of the POWTS shown on the attached plans. Plumber's Name(Print) / Plumber'`i attire / MP/MPRS Number Business Phone Number Plum..er's Address(Street,City,State,Zi ode) �G /v. 7 1C,'.0 .S% ie, ‘-e.� j G-U/W J5-9252 j VIII.,County/Department Use Only L�l�/ Permit Fee Date Issued suing Agent.ignature I- Approved ❑Disapproved QO ❑Owner Given Reason for Denial $ � i / 3 4.4/,7 IX.Conditions of Approval/Reasons for Disapprove .e f Q, 4:F. ! ' V' w bath 3�r .L 6�� l j(4 SYSTEM OWNER: Lta i ash emm.41 - !g td-Z l2I G//1� v"ri?�Y1�yi�r 1.Septic tank,effluent filter and dispersal cell must b rmiiced_I maintaiuend a (/_ S/. ,,,,,, ,�, .„4.4 as per management plan provided �pby.p SIG fi` 2.All setback requir ibgd'� etc plans orf r theeesyystem and submit the County only on paper not less than 8 in x 11 inches in size as per applicable code/ordinances. SBD-6398(R. 11/11) rcrgARTIt DIVIS ION OF INDUSTRY SERVICES o\ 10541 N RANCH ROAD 9 HAYWARD WI 54843 D �� � .. Contact Through Relay 3 '.� � .e www.dsps.wi.gov/sb/ 9.J✓� p S} www.wisconsin.gov s�� Scott Walker,Governor -cssloN A� Dave Ross,Secretary November 21,2013 CUST ID No. 648443 ATTN::POWTS Inspector ZONING OFFICE KEITH E KNUDTSON ST CROIX COUNTY SPIA 927 150TH ST 1101 CARMICHAEL RD ROBERTS WI 54023 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 11/21/2015 Transaction ID No.2333330 SITE: Site ID No. 797806 Richard&Brenda Cronk Please refer to both identification numbers, DD above,in all correspondence with the agency. Town of Baldwin CONpIT10 St Croix County AppRO NE1/4,NE1/4,S5,T29N,R16W Lot:2, DEPT OF SA. FOR: p SSIONA Description:At grade,3 bedroom residence . ,u Object Type:POWTS Component Manual Regulated Object ID No.: 1459475 DIVISION • Maintenance required; 450 GPD Flow rate; 46 in Soil minimum depth to limiting factor from original grade; Syste II At-grade Component Manual,Version 2.0,SBD-10854-P(N.03/07,R. 1/12),Pressure Distribution Component Ver.2.0,SBD-10706-P(N.01/01,R. 10/12),SSWMP Pub.9.6; Effluent Filter die The submittal described above has been reviewed for conformance with applicable Wisconsin Administra• e odes SEE C� RR and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • In the event this soil absorption system malfunctions so as to create a health hazard,the property owner must follow the contingency plan as described in the approved plans.In addition, the owner must insure that the operation,maintenance and monitoring duties as described the At Grade Component Manual are complied with.A copy of this information must be given to the owner upon completion of the project. Reminder • The orientation of the at grade system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15'beyond the down slope edge of the at grade per At grade Component Manual. • Surface water drainage shall be diverted away from the system area. • Materials shall conform to the requirements of SPS 384. SPS 384.10.No fixture,appliance,appurtenance, material,device or product may be sold for use in a plumbing system or may be installed in a plumbing system, KEITH E KNUDTSON Page 2 11/21/2013 • unless it is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145,Stats. • Maintain well and waterline set backs per SPS 383.43(8)(i). 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/installation/operation. In granting this approval the Division of Industry Services 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 and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Patricia L Shando r- Please Include a Copy With Your POWTS Plan Re iewer •tegrated Services. Payment Submittal. (715)634-7810, `•► . 715)634-5150,M-F 8:00 a.m.-4:45 p.m. WiSMART code:7633 pat.shandorf @wisconsin.gov cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS'to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. .9G'N RESIDENTIAL AT-GRADE DESIGN Pressurized- Sloping Site INDEX AND TITLE SHEET Project Richard and Brenda Cronk At-Grade Mound Owner Richard and Brenda Cronk Address 1186 230th St. Baldwin WI 54002 715-222-4613 Legal Description NE 1/4 Of the NE1/4 Sec. 5 T29N-R16W Township Baldwin County St. Croix ALLY CO Subdivision Name Na Lot No. Na "TY F ° _ SE'RICES Parcel ID Number 002-1009-10-000 ;TRY SERVIGES Plan Transaction Number Index sheet Page 1 Calculations Page 2 ;PO E At-grade drawings Page 3 Laterals and dose tank Page 4 Specifications Page 5 Management&contingency plan Page 6 3 3 -? Pump curve&specifications Page 7 7-5 Plot Plan Page 8 Designer Keith K dtso License Number MPRS#648443 Signature A ,,, .%� Phone Number 651-470-1737 Date 11/03/13 Designed pursuant to: At-grade Component Manual Ver.2.0 for POWTS SBD-10854-P(N.03/07),and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81)and Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N.01/01) Version 7.0(03/12) Page 1 of 8 PRESSURIZED AT-GRADE DESIGN At-grade Design Worksheet-Sloping Site Flows and Site Data Entry. (r or c) r Residential or commercial? 300.0 Estimated wastewater flow(gpd) 450.0 Design wastewater flow(gpd) 6.00 % Site slope 99.75 Contour elev. below lateral(ft) 46.00 Depth to limiting factor(in) 0.60 In-situ soil application rate(gpd/ft"2) Distribution Cell Information • (1 or 2) 1 Influent wastewater quality 8.00 Linear loading rate gpd/ft 8.00 Effective absorption width(ft) 10.00 Max. effective width permitted (ft) 94.00 Aggregate length (ft) Pressure Distribution Data Entry (c or e) e Center or end lateral connection 1 Number of laterals 0.125 Orifice diameter(in)e.g. 0.25 Not a final 2.00 Estimated orifice spacing(ft) calculation 2.00 Forcemain diameter(in) 2.02 Forcemain flow velocity(ft/sec) 150.00 Forcemain length (ft) y or n y Does forcemain drain back? 87.66 Pump tank elevation(ft) y or n y Are laterals at highest point? 6.5 System head (ft)x 1.3 NA 11.59 Vertical lift(ft) 24.5 Forcemain drainback(gal) 1.35 Friction loss(ft) 42.0 5x Lateral void volume(gal) 0.00 In-line Filter Loss(ft) 66.5 Minimum dose volume(gal) 19.44 Total dynamic head(ft) 19.8 System demand (gpm) Lateral Diameter Selection Gallons/Inch Calculator(optional) Pipe diameter Design options Design choice Total Tank Capacity(gal) Designer 1 in 111111111.111, Total Working Liquid Depth(in) must select 1.25 in Gal/in (enter result in cell G46) one lateral 1.5 in x x diameter 2 in x Treatment Tank Information 3 in x 1000(Septic tank capacity(gal) Wieser Concrete Manufacturer Effluent Filter Information Dose Tank Information Poly-Lok Filter manufacturer 603.4 Dose tank capacity(gal) PL 525 Filter model number 16.8 Dose tank volume(gal/in) Wieser Concrete !Manufacturer Project: Richard and Brenda Cronk At-Grade Mound Transaction Number: Page 2 of 8 AT-GRADE PLAN VIEW 11---D ____, T v 116 B Observation pipes(2 typical) A 8.00 ft 4 1._..__.4r p B 94.00 ft 116 B 15.67 ft C 10.00 ft W C D 500 ft 1 L C) . . E 2.00 ft L 104.00 ft B W 20.00 ft 1 �, A x B 750.00 ft^2 L 1 i 1 �—Cap Typical obs.pipe. =Total aggregate cell A x B Slotted in the lower 6°,and ) = Plowed area L x W anchored securely. -411. AT-GRADE CROSS SECTION Synthetic fabric cover 101.54 ft Finished grade . : /j elevation Lateral ���r,��. '�, 100.25 ft ,; ..: invert elev. 7" •-- Observation pipe fr" ' fv. _ at aggregate toe E /7 6 %Slope ft Surface contour I 99.751 C A - �'`' and system D -4 elevation 'IN'#0 = 12 in. topsoil and subsoil Plowed layer over aggregate and tapered to toes. below L x W = 6 in. aggregate below pipe(s), and 2 in. above pipe. Project: Richard and Brenda Cronk At-Grade Mound Transaction Number: Page 3 of 8 PRESSURE DISTRIBUTION AND DOSE TANK Lateral Diagram-End Connection p r • Last hole drilled neat to end cap x°—�I Laterals 44 force main of PVC Soh 40 per SPS Holes drirt+ed on the bottom of the Werra Ta 3ft4,30. *goat;spaced • = Turnwp ritssfival oroloa toutPAu9 Lateral Specifications 0.125 Orifice diameter(in) End Lateral connection point X 1.95 Orifice spacing (ft) 1 Number laterals h 48 Orifices/lateral P 91.65 Lateral length(ft) ) 19.8, Lat. discharge rate(gpm) 1.50 Lateral diameter(in) 2.00 Forcemain diameter(in) 19.8 Sys. discharge rate(gpm) , 150.00 Forcemain Length (ft) 19.44 TDH (ft) Typical Pump Chamber Layout Approved manhole cover with Weather-proof warning label and locking device junction box L— ri Final grade Ths, disconnect 4" Tank component is r-NA [^ Alternate properly vented 0 E V----._ outlet location 18" min. 7 1 Electrical as per NEC 300 and ti.,-----•Approved SPS 316.300 WAG n i outlet Tank full joint c Inches Gallons A Provide 1/4" c B 18.0 2.0 301.7 33.6 Alarm on d aweep iphon or to Pump on --S UI device. E C 4.0 66.5 o D 12.0 201.6 88.66 ft C Totals 36.0 603.4 r N Pump off D 3"Bedding under tank • 4.......____ 87.66 ft Goulds Pump manufacturer SJE.Rhombus Alarm manufacturer EPOS Pump model number Tank Alert Alarm model number Project: Richard and Brenda Cronk At-Grade Mound Transaction Number. Page 4 of 8 At-grade System Maintenance and Operation Specifications Service Provider's Name Powers Sanitation Phone 715-246-5738 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow-Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow-Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 750.0 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the at-grade component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i),Wis.Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384,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-10854-P(N. 03/07). Lateral Turn-up Detail Finished Grade \if 6-8"Diameter Lawn ®-: : : : • : Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution __~ Long Sweep 90 or Two 100.25 ft = 45 Degree Bends Same Diameter as Lateral Project: Richard and Brenda Cronk At-Grade Mound Transaction Number: Page 5 of 8 At-grade System Management Plan Pursuant to SPS 383.54,Wis.Adm.Code General This system shall be operated in accordance with SPS 382-384 Wis.Adm.Code,and shall maintained in accordance with its'component Distribution Component Manual Ver.2.0 SBD-10706(N.01/01)] manuals(SBD-10854-P(N.03/07),SSWMP Pub.9.6(01/81),and Pressure P 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 SPS 383.33,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,State. 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. Pump 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-snide 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 BOD5 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 104 cfu/100 mt.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 performed 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 pending. Pending levels shall be reported to the owner,and any levels above 4 inches considered as an impending hydraulic failure requiring additional,more frequent monitoring. Continaencv 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: Richard and Brenda Cronk At-Gr Transaction Number: Page 6 of 8 Page 7 of 8 M GOULDS PUMPS Submersible Effluent Pump ga . MODEL. 3871 EP0EP04 5 ..,.. , ......, 0. .,„04,,„....„..„ III , APPLICATIONS •Fully submerged in high. •EPO5 Impeller:Thermoplas- •Bearings:Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. •Casing and Base:Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation.Auto- resistance. la Canadian Standards As dation • Heavy duty sump matic models include •Water transfer Mechanical Float Switch •Motor Housing:Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in"C"or"F") factory. strength,and durability. SPECIFICATIONS ■Motor Cover:Thermoplastic Goulds PI is 1509001 RegisbNeci FEATURES cover with integral handle and •Solids handling capability: float switch attachment points. '!A"maximum. •EPO4 Impeller:Thermoplas- •Power Cable:Severe duty •Capacities:up to 60 GPM. tic Semi-open design with rated oil and water resistant. •Total heads:up to 31 feet. pump out vanes for mechanical •Discharge size:11/2"NPT. seal protection. •Mechanical seal:carbon- rotary/ceramic-stationary, BUNA-N elastomers. •Temperature: 104°F(40T)continuous 140°F(60"l;)intermittent. METERS FEET •Fasteners:300 series o i stainless steel. 9•Capable of running dry without damage to 8- Z5 FT components. 25. e 7- i Motor: _ •EPO4 Single phase:0.4 HP, v_ 6- 20 115 or 230 V,60 Hz, 1550 RPM,built in overload with r s automatic reset. ° s' •EPO5 Single phase:0.5 HP, o 4 EPOS i 115 V or 2301V,60 Hz,1550 '' 3- 10 RPM,built in overload with Eppq , automatic reset. 2- •Power cord:10 foot s .. standard length,16/3 1 ;..- SHOW with three prong 0 o ' P 9 grounding plug.Optional o 10 9 9 P 9• P• 20 30.. ao so GPM foot length,16/3 SHW with three prong grounding plug ' (standard on EPOS). o z 4 6 8 t o t z math CAPACITY Goulds Pumps ®2001 Goulds Rumps ITT Industries Effective May,2001 83871 r ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Richard & Brenda Cronk Mailing Address 1186 230th St. Property Address (Verification required from Plan &Zoning Department for new construction.) City/State Baldwin Wi. Parcel Identification Number 002-1009-10-W8-2m LEGAL DESCRIPTION Property Location N E '/4 , N E '/4, Sec. 5 , T 2 9 N R 16 W, Town of B a I d W i n Subdivision Plat: , Lot# . Certified Survey Map# 9y / ,Volume Page# 2-!' Warranty Deed# (before 2007)Volume Z S ,Page# � Spec house 13yesOno Lot lines identifiable Oyes❑no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner,if needed,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in§SPS.383.52(1)and in Chapter 12-St.Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning Department a certification form,signed by the owner and by a master plumber,journeyman plumber,restricted plumber or a licensed pumper verifying that(1)the on-site wastewater disposal system is in proper operating condition and/or(2)after inspection and pumping(if necessary),the septic tank is less than 1/3 full of sludge. I/we,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning&Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s)of the property described above,by virtue of a warranty deed recorded in Register of Deeds Office. Nu V2 foom s3 SIGNATUR F APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.04/12) , L., 0 b k h o m h 0 Q b O 5 jillillii"t O O O )911: O O' / p O O 7\ / C m � a 1 W b b i y o "H / rb 1 a co co i t. E. 1 ► b GI o ! ., It .t h k to X K M C y7 h b.,',1- 0 t, co o w 0. b o �' 1 o 1 s 'b o O m o m is -._._a. 4 COI rwt cA Ms tq A m ► a o n° q to O R. A ti C e �r y Pe ti t0 (wN to 4.tll "1 y C Z moo . A o'ts 10 tti a s �I or � I 0 K., y R 0 to tri al II II N II 11r a' A I 0 ■00 V:,0 C' ;p, ;A c boo_ 00 8 co w ...o. 44. co ! w h ili 1 5 -" cL 2T Division 0 ., ..= SOIL EVALUATION REPORT . � of 3 . 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CROIX CO.,WI of part of the NE 1/4 of the NE 1/4 and of part of the NW 1/4 of the NE //4, RECEIVED FOR RECORD Section 5, Township 291Vorth, Range 16 West, 10/08/2013 1:43 PM LEGEND Town of Baldwin,St. Croix County, Wisconsin EXEMPT REC FEE:30.00 0 11x 18'iron pipe set, weighing 1.651b.54n.ft.. Inside diameter of COPY FEE: 3.00 1.049 inches and an outside diameter of 1.315 inches. PAGES: 2 • St. Croix Co.Surveyor's Monument of record.Alum. Cap Mono. in place 9 3/4'iron pipe found-inside dia. o 1'iron pipe found-inside dia. Scale: I"= 300' a I '` x43'iron pipe set, weighing 2 27 Ihs'3.n.ft.. Inside diameter of �i�® )® 1:35..v=fres arid 217 a lade arianeter of 1,66 alrs<1s!:s. 150' 300' 450' 600' � tie:F. -r-.....,7::-.:7:-......?;set NORn•i 114 CORNER NORTHEAST CORNER ` Sec. 5, T29N, RI 6W — ——— N87'47 51.'W ,26 :-79• I NE 'f5874751"E 871.48' County Trunk Hwy, CD r i '- -_.R__4--- s: - " 1817.31' L. _-._. ___ ��o Vol l49 P :73. --Li......._.._. ._. _ o rmpfaLted&rids' —._.._`»_ -. s, 15 ` _ 5874781E 1 T .--a -j vN nq, y, p 0 W A'h �k' _ reC os N894x 47£. :4.22• O ~tg a V*• O� IN) 1;i1 io IS to-° .=F Lot 2 a ��... w, s to �5 i W ..fer as N89'44471. 433.00' :1 `•° 1 417620 .ft.-pre , 58747' 1 1 I VI ,,,4 _ � O � 5 '�' 433.00)tzr ■ �-�. ,7 - O s' 32.55 Ac inc. r/w -n1 I n 2 w 2 2 s o ° " n1 '� 9 1,399,754 /k-exc. lea! 33.00' 1 Cb h o o �1 i I l $ u ,_ / s 32.13 13 Ac.-exc. r7ly ,C1 • >rs i i u1 i'h a co 4..-- w'• Aly. 550• 4 4 i y O 4 a . m? I7•051E 1u 4 2 1 i o 2 O +: O _ PI 5 v 4 O 4 T.9- W O NI _ N8834 54' 3 3' .4 O O': j-: o :.-- 1P� �� '"`" 240.70' • i9T.23- rxO 1 IW A4i ik D a m 9 Ic *t. �n iJ S7470'16 Eiiil iE" of �i a�t1... v - 9 ''s 0 3 ?a `. /I 131.23' e i y ''i ;o ^ y- _ Iii. f 'r,.., {� �. 1-,..,, 'C.1 -T' -y v� n • Vi 1 �! W� �� 0 t�� }�' -r �, C. i I W El l y w Z.. :QO 4 Lot. II-1. 'o• 41.i 588198'17T 541.77' I "' to 1 4, - A' 4.- 4' 'In swoon 414 i i sus 83' 34.84' 1 ri) rn 1po' ' 1� /septic rook 609.E+10sq.f.1-rpe:irlw z I vy -. a m h _ 14.00 Ac-pig �W .1 c� -- .COQ a• •...SPj6 5✓V.'f.IFJ.i61i fl.. 4*** *_�.(,i I (ti Ni =' 's �, SW Car. NE-W "°�. : ' 13.74 Ac:exc 0:1' v rn� ri o NW-NE r A. 'S ..-s i setback Mt_„t,;.........1,- --seine* 6,1 O •5W NE O —_. a i u i w 1 w v N8778 J5_W 35$86' 142.51' $5`"8?' 's' �ea02A ?5. •' a,i ht. CO- ii,i, 358.29' 4. 807.x'7' i �i unplatted lands 1 N8778 35"W 1455.76' i pond. 111.60+ iii I.i ti C' to , `v- f 1� rec as N893559'Ik 181466' 1 i 5gg i n n �f ' ni n unplatted lands '. C.S•M. ± - ,ZOtp �. vl. 2 P.ss7z 1 - .p z"'• 1 �4'. --!..god 5E Car. NENE god ,'. i i The Wetlands. Ordinary High Water Mork (OHWM) and �' i Lot p corresponding 75 foot and 50 foot building setback i GS 3 W-Il lines are shown for informational purposes only. 1 •• M, ,t'�s 5 t/ot.24 P,56'72. z i t 7 Note: The property depicted on this i ,.. a Certified Survey Mop contains shoreland - 1 et wetland areas and is subject to St. Croix V' o :` County Shorelond Zoning A Land Llse �� e N o n 4 permit or Special Exception may be required .- .- V! /r1 t{ v tvi -. 3.irla. aril/a construction activities. -9: --: t+!a 2 .ro. :, commencement or 4,,cr a tiVilies u (-�E�EL(? e.R rn 10 _ Q-1544 = IS" "This lot is limited to 1 animal unit per acre of fond C�y`�'.CROIX Fit 1 suitable for animal waste utilization.' tiL w 0 N b Ok co \ w -i b ,c, ~ 5 b Oq O OO p I co o o N A \Y/ : a. / O 1 ti / 1 O 1 w b / -4.1 1 '--.; . . . tio.0 iii -',. -.-_ tgo X P ,....0 tt N A,tel o b Y co h k A x O A o CO 0.� o A. co i b ®o O .° �i w o a I a b r O c h • ,n K A EN * a o az. a c„ .-ia. o 0. A II Ira o o0 oo m a ' N ti I"/ q I n b I o y ei 9 c $ b u b C " i 3 NQ O O� �. �7 H u P. 1O g "d n col o ° ' O O -ot 01 o II r I so I a I w o if i . . ,t G ,..,.) ,„ ,_. ,I H II II 1 c r� 1,_, . . 0:::, 00 0. ......_ 11 QOO_ ,'11x Oq { g C { w I 1- '' 3 I '‘,...1'-',.' ;',., N",_.6..V..1.1:S.W.V.."-.4".•:'ILIt!IL''..,:Z'.1, -s::*.tra.z.,+:-.ve vi...,..-,...---=,,^........,....... ---, -- .- lint. 5, STATE BAR OF WISCONSiN IsORX1 2.- 1182 WARRA!Nl 1 Y DEED DOCUMENT NO. -......-.....----- ■rr-r -k tiEGISTEJCS OFFICE ST. CROIX CO., WI _____DlefeDe. Veenenda11_,.._ ai)c/a R-senc. F. — Cited for Rleord Veenefldal.1 _and__S_anar_a__3Leane-ncla_LI.,____________ JAN e Z 1998 a/Kia_ZAndr ___E.....__Mean.mudaLl, b_usband...._______ and wife _____....._ 8:50, A.M conveys and warrants to _Richard R , C r o n X._.41.11.d__Br Iranda al(dft,t.......,-1-1/4 Lii.3-4-1.■ L,.....Cronis_e__hugband and wife. holdinq _ Register of Deeds _AD survivorstrita.,1__p_roperty _. _ -- - THIS SPAI.E RESERVED FOR Reconomo DATA NAME AND RETURN ADDRESS _ the following described real estate in St• Croix _county. c,-gfr -4 / '1 3g V State of Wisconsin: See Exhibit A attached hereto and made a part hereof . ., . . . . . PARCEL IDENTIRCATION NUMBER $ TRANSFER . :. . ,. This i $ it elf-. ______homestead property. X111 (is not) Exception to warranties: Easements and restrictions of record. • . Dated this 30th day of__December ________,A.D..19_21_.... '.: (SEAL) g.ed:,7 f,.......,, f -eLceetii,.., (SEAL) . - E aen F. Veen-ndall, !, - - : (SEAL) -_-,re ..—-4-.....- - - :--, ----a(SEAL) * - Sandra A. Veenendall • AUTHENTICATION ACKNOWLEDGMENT - Signature(s) State of Wisconsin, . ss. . , .Si-i. Croix County. authenticated this day of . 19 Personally came before me this 30th day of 1 DeNctombomr . 19-92. .,the above named Rugpaa vpcinspdall. afk/a Eugene v. Vtiscwo F■nd a 11 and Sandra TITLE:MEMBER STATE BAR OF WISCONSIN V4zozngbnel a 1 1 . AZIcja_Band ra A. (If not. Brenda Poulin Vtacsneznyi a 1 1 authorized by§706.06.NAILS. Suns.) Notary Public to inc lot to Oe the person - .who executed the foregoing ' Slat( of Wisconsig,stru e. and acknowledge the .me. THIS INSTRUMENT WAS DRAFTED B = : . a. -__TIMIIMA-AhggPXMAck . . Idir.\ , / _ - fil BaldWinl WI 54002 Not ry Co '- lie. IFFirfr - ----- unty.Wis. .— — (Signatures may be authenticated or acknowledged. Both are n,t M). commission is permanent tlf not. state ptrat. n date: necessary.) // /Y sLaLrb -Na,......;r.-,,,,...•,,,,,...4..,,...,.,,r.....•4i, ,,:.■in,...pea,.ralnteal beluss 0,,,§1,tp.r.v, S FA IF PAR OF VLASCONNIN Wmcoms.Legal(87,4,,..:, l'u, WA ReAN TV D11'0 Farm No. 2- 082 Woemikeev VOL 1285mc:509 A parcel of land located in part of the North Half of the Nort`oast Quarter of Section 5, Township 29 North, Range 16 West, Town of Baldwin, St. Croix County, Wisconsin; described ea follows: Commencing at the North Quarter corner of said Section 5; thence South 02 degrees 43 minutes 47 seconds Bast a dieta,nce_ Of 83,06 feet along the vest line of said Northeast Quarter; thence North 89 degree 44 minutes 47 seconds Eaet a distance of 811.48 feet along the south line of that parcel of land described on a deed recorded in volume 149, Page 463 in the office of the St. Croix County Register of Deeds to the point of beginning; thence Korth 89 degrees 44 minutes 47 seconds Rest a distance of 1384.22 feet along last said line/ thence South 02 'distance of 34S 93 feet along the degrees 35 mutes 11 6ecands Raet• i 'divot • vest line of that parcel of land described on a deed recorded 1.n Volume 352, Page 182 in said office; thence North 89 degrees 44 s%jnutea 47 seconds East a distance of 433.00 feet along the south line of last said .parcel.;. .tban a South 02 degrees 35 minutes 12 seconds Nast a _ distance of 856.27 feet along the east line of said North asst Quarter; thence Forth 89 degrees 55 minutes 59 seconds Nest a diewice of 1814.66 feet along the Routh line of said North Ralf of the Northeast Quarter; thence North 02 degrees 43 minutes 47 seconds West a distance of 1196.17 feet to the point of beginning. Containing 46.549 acres subject to right-of-say for the town road along the east line thereof and subject to all other easements, restrictions and covenants of record. Parcel #: 002-1009-10-000 12/20/2013 09:31 AM PAGE 1 OF 1 Alt. Parcel#: 05.29.16.65A 002-TOWN OF BALDWIN Current X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 1 00 0 Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner O-CRONK, RICHARD R& BRENDA L RICHARD R&BRENDA L CRONK 1360 6TH AVE APT 7 BALDWIN WI 54002 Property Address(es): *=Primary * 1186 230TH ST Districts: SC=School SP=Special Type Dist# Description SC 0231 SCH D BALDWIN-WDVILLE SP 1700 WITC Notes: Legal Description: Acres: 34.300 SEC 5 T29N R16W FRL NE NE EXC NSP R/W TOWN BALDWIN EX-U-1428/248 Parcel History: Date Doc# Vol/Page Type 01/02/1998 570638 1285/507 WD 01/02/1998 570637 1285/505 WD 02/18/1988 434592 803/301 LC Plat: *=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: *N/A-NOT AVAILABLE 05-29N-16W NE NE 2013 SUMMARY Bill#: Fair Market Value: Assessed with: 223740 Use Value Assessment Valuations: Last Changed: 07/08/2013 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 21,600 181,300 202,900 NO 10 AGRICULTURAL G4 30.300 3,300 0 3,300 NO 10 UNDEVELOPED G5 2.000 200 0 200 NO Totals for 2013: General Property 34.300 25,100 181,300 206,400 Woodland 0.000 0 0 Totals for 2012: General Property 34.300 29,100 246,200 275,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch#: 548 Specials: User Special Code Category Amount 010-GARBAGE SPECIAL CHARGE 60.00 Special Assessments Special Charges Delinquent Charges Total 0.00 60.00 0.00