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HomeMy WebLinkAbout032-2107-50-000 . 'Vtconsln Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT S Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar Permit No -: Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 3J3398 Permit Holder's Name: ❑ City ❑ Village ❑ own of: State Plan ID No.: B artley, Heather Somerset Township CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: M • O 1(5D.0 o o F SQL P°Sr = CST B0r"a 032- 2107 -50 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic Benchmark r03 1 0 f.0 i Dosing _ - - Alt. BM Aeration Bldg. Sewer S Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet tQ. 4$• 33 Veno TANKTO P/L WELL BLDG. Aiirintake ROAD Dt Inlet Septic 2 / > I --_ NA Dt Bottom Dosing NA Header /Man 13,�� Aeration NA Dist. Pipe S 5 ° 229 Holding Bot. System 1 0' ° t PUMP/ SIPHON INFORMATION Final Grade �, /S •68 M acturer nd St cover ST t ao a- � . Model Nu r GP TDH Lift L fiction System TDH t Forcemain Length DI H Dist. To SOIL AB PTION SYSTEM( BSD TRENCH width k Len th ( No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIME N �7 S DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manuf ct rer, SETBACK CHAMBER Wo ` e `'J r� INFORMATION Type O � � a / t 7 � �d ' OR UNIT elNum Number: System: , DISTRIBUTION SY T _k--- Header / M fold,- t+ Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Le SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only 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 discrepancies, persons present, etc.) Inspection #1; I2 /o/ Inspection,*,2 --T—, Location: 785 165th Avenue, Somerset, WI 54025 (SE 1/4 NE 1/4 11 T30N R19W) - 11.30.19. 00 orth Bass Lake Estates -Lot 15 S) S �2J i a 1.) Alt BM Description = 5� �� ( n 2.) Bldg sewer length = � °� f Gr�c/ D+e�ox � �t,�19 Sy • - amount of cover = > Z� " 5� �vqo Lam^^"i � Plan revi .regluired Use bt�er side for add itio al for on. SBD 6710 (R.3/97) _„ cA� U re t Vor� Si ng aCur_e Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 3 _ f _ _ _q ee i s , _ A ., _ .... , .. s as ._. ,.......z... � a , i s x me„ , „e.,.. p e @m .. .i .fie, �a .. ............. .� .F.,, �ma..l, ... ..m ., .. ._ ._a,®. a. z .w,.e .......e.,..... „„ „. .dm.� , ,,eg ........m...nb. ...ww,,. we ..... .. ..,.. ,... .�.. ... �.._ 'r .__:_.. .. e___ ._..,.. �........_ .__ _.. .. .. ._ ._. _a ... r E � _ e �. i s ,�, .. .. -------- W _ e J # E e Sae e gym. ... ...... e,.... ,., e r ...ems.. , . . .. ... ... ..... ., E 4 z`rn t 785— 0/o, A 9 k ,d � 4 •, . f7 V -. Safety and Buildings Division Wisconsin PERMIT APPLICATION 2 1 W. W shington Avenue Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less Count than 81/2 x 11 inches in size. 2- • See reverse side for instructions for completing this application State Sanitary Permit Number 353 Personal information you provide may be used for secondary purposes ❑ Check if revision to previous appRCawen [Privacy Law, s. 15.04 (1) (m)). State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION Prop rt Owner Name Property Location 1/4 1 /4, 5 T , N, R (or Property Owner's Mailing A dre Lot Number Block Number City, State Zip Code Phone Number Subdivi n Name or C M Number _ ( ) N II. T PE F BUILDING: (check one) ❑State Owned 11 It � Nearest R oad Public 1 or 2 Family Dwelling - No. of bedrooms o Town are III. BUILDING USE (if building type is public, check all that apply) Parcel Tax Number(s) _�- 11.3 1 ❑ Apartment/ Condo — 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5_ ❑ Repair of an ------ System -------- Sntem - -- -------- _ Tank Only______________ Existing System ___- ---- System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 JR3 Seepage Bed 21 ❑ Mound 30 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure r / 42 E] Pit Privy 13 E] Seepage Pit Y7; 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (MinJ'nch) Elevation Feet Feet VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel glass Plastic App New Existin structed Tanks Tanks eptic Tank k ® ❑ El El 11 E] lift Pump Tank /Siphon Chamber I ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume r esponsibility for insta ation of the onsite sewage system shown on the attached plans. Plumb r' ame• Print) Plumber' Si ofSt s TP/MPRSW No.: Business Phone Number: i A07 S? : ys' Plumber's ddress (Stregt, City, tate, Zip Code): IX. COUNTY/ DEPARTMENT USE ONLY []Disapproved Sanitary Permit Fee (includes Groundwater ate sue issuing Age3pAIg r (No Stamps) Surcharge Fee) A roved Q}� pp E] Owner Given Initial 17,4 pp � ,Cl Adverse Determination X. CONDITIONS OF APPROVAL / REASQNS FOR DISAPPROVAL: SBD -6398 (R. 4/99) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper'whenever necessary, usually every 2 to 3 years. r w system, contact your local ode administrator r h f b y � n c n concerning u onsite sewage e s s e co act o oca c o the State o f 6 1 you have questions o ce g yo g y y Wisconsin, Safety and Buiddi.ngs-Dwisien, 608 - 266.3151. - - - To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete'dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction Loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data'on a 1 15 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) fora number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. l d � 3� _9r i A l�iQ � W4 AV �,� •o Size �o va isconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and J percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. If APPLICANT INFORMATION - Please print all information. Rev wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property ner Property Location Ci Govt. Lot — 1/4 1 /4,S T N,R(or� Property Owner's Mailing Address Lot # Block# Subd. ame or C M# S SS City Stag Zip Code Phone Number ❑ City ❑ Village Town Nearest Road t, s _ ( ) -rte/ E4 New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow %Do gpd Recommended design loading rate ._7 bed, gpd/fi gpd /ft Absorption area required &r� bed, ft2 ��e trench, ft Maximum design loading rate Z bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations Parent material & 4)4 4,6,� Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for s jZS ❑ u I Em ❑ u ®s ❑ u I [A ❑ u ❑ s (& u ❑ s ,® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell ou, Sz. Cont. Color Gr. Sz. Sh. Bed Trench /. Z 3 Ground �. elev. IV A. < S Depth to limiting V t, factor Remarks: Boring # zl ,A i Ground c_ — — © ellev... Depth to limiting factor L>� in. Remarks: CST Nam (P ase Pr' t) k Signature ) Telephone No. / S Address Date CST Number SOIL DESCRIPTION REPORT PROPERTY OWNER Page of PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench r c J- 7 Ground elev. Depth to limiting ll' factor > �J_lin. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Ground elev. ft. Depth to limiting factor in ' Remarks: Boring # .......................... Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) I j a 3 \ 6 Wisconsin Department of Industry SOIL AND SITE E T I O N R E O R T Page 1 of 3 ysLabor end Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. O 3 z ZO " 70 APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION REVIEWED BY DATE -16- PROPERTY OWNER: PROPERTY LOCATION Gerald J. Smith GOVT. LOT SE 1/4 NE 114,S 11 T 30 AR 19 : k(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # I BLOCK # SUBD. NAME OR CSM # 11160 190th. A e. N.W. 15 na N. Bass Lake Est ates CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD Elk River M. 55330 [ New Construction Use be ] Residential / Number of bedrooms 3 ( ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate _ bed, gpd /ft gpd /ft Absorption area required 643 bed, ft 563 trench, ft Maximum design loading rate .7 bed, gpd /ft .8 trench, gpd /ft Recommended infiltration surface elevation(s) 96.27 ft (as referred to site plan benchmark) Additional design / site considerations alt site system el= 95.90 Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem I ® S ❑ U ® S ❑ U 0S ❑ U ®S ❑ U ® S ❑ U EIS ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench -10 10 r3/3 none sil 2msbk mfr 2f .5 .6 2 10 -20 10yr4/4 none sicl lfsbk mfr gw if .2 .3 Ground 3 20 -24 7.5yr4/4 none sl 2mgr mvfr gw na .5 .6 elev. 4 24 -82 7.5yr4/6 none co s Osg ml na na .7 .8 99 ft. Depth to limiting factor 2� - +82 3 3.I( Ce 6u covet Remarks: Boring # 1 in-1 1 1 Oyr'l /- none c nnnp mfr 2 2 1 11-24 10 r4 4 3 1 24-30 7.5 r4/4 none is os mvfr Ground elev. 4 k0-82 7. 9 9.7 ft. 7 � X Depth to limiting � ��, ,�CC�� 'A facto S1 Cq Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 SON Address: 1554 200th. v . New Richmonc 54017 Signature: /f , , Date: 4 -16 -97 CST Number 29 PROPERTYOWNER ('P al d - Smit SOIL DESCRIPTION REPORT Page .2 of 3. PARCEL I.D. ar _3 Z. , 2Q '�d r- 70 Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Ou. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Bo Roots Bed Trends 1 0 -8 10 r3 3 none sil 2msbk mfr cs 2f .5 .6 3 2 8 -21 10yr4 /4 none sil 2msbk mvfr gw if .5 .6 Ground 3 2T- elev. 10 ft. Depth to limiting factto8 , yb g . 9 Remarks: Boring # 1 2 8 -13 10 r4 4 none sil 2msbk mfr C1W if .5 .6 Ground 3 13- elev. 9 8.8 ft. 4 30 -80 7.5 r4 6 none cos osa ml na na 1 .7 .8 Depth to limiting factor +80 Remarks: Boring # 1 0 -11 10yr none sil CS 5 2 11 -26 10 r4 4 none sil 2msbk mfr qw if .5 .6 Ground 3 26 -36 7.5 r4 4 none sl 2msbk mfr C1W na .5 .6 elev. 4 36 -82 7.5 r4 6 none Cos osa M1 na na • 7 9B_g ft. Depth to limiting factor +82" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 1 Gerald smith New Richmond, WI 54017 ' MPRSW 3254 SE4NEq S11- T30N -R19W town of Somerset ( 71 5) 246 -6200 lot #15 -N. Bass Lake Estates N 1"=40 ''BM.= top of NW lot stake @ el. 100' ✓Alt. BM.= top of drive survey stake for lot #13 - #14 C el. 97.40' 2-I k. o4 M Gary L. Steel 4 -16 -97 FAX 2 - /6 - Zvrn) ST. CROIX COUNTY ZONING OFFICE 1101 Carmichael Road Hudson, WI 54016. �v7L (715) 3864680 DATE: a --1 (0 TO: Fax Number: Name: �E�✓ FROM: Fax Number: 386-4686 Name: Kf5V /#J G R ARA-a Number of Pages Including Cover Sheep D) IF COMPLETE AND LEGIBLE INFORMATION IS NOT RECEIVED, PLEASE CONTACT: NAME: &I?,& Lk TELEPHONE NUMBER: FED -10 -00 11:29 PM BELISLE EXCAVATING 7152473038+ P.03 k 1" ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENTst�1' AND *� OWNERSHIP CERTIFICATION FORM` Owner/Buyer e TMfl- Bft•t2TL� ' Mailing Adds sir '3LI1 5 ` ' • N 0AP - PtE!t f ete, Property Addrpts /�'L�- O f etAF:. (Verification required from Planning department for new construction) City/State /State ory -� ef. W �- — O J� Y Parcel Identi Number 03 .,� Property ocfati6 ' 'h /a 5� [` PertY �.�._ , .,�,. ' ,Sec. �, T,� N -R�W, Town of Subdivision ..«� . 2 � �E5ft � , Lot N . Cer•titied Sulo tll # . Volume , Page # i Warranty De #. , Volume , Page # ,� �87t j Spec house no Lot lines identifiable yes d no SYSTEM Hjj��ANCE Improp', ' Malntenanceof your septic system could result in its premature failure to handle wastes. Proper rnaintea consists of punt a septic tank every three years or sooner, if needed by a licensed pumper. What you put into the sys can aMet the the septic tank as n treatment stage in the waste disposal system. The prge t ' er egrees to submit to St. Croix Zoning Department a certification form, Signed by the owner and by, r nnasterplu#er, ' plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal sy>tt" is in proper bptp ilion and/or 2 aflcr inspection and pumping if necessary), the se tank is less than 1/3 full of stud e, t , O P P P g( rY P g � R� e a/we, the gn�errt � a recd the above requirements and agree to maintain the private sewage disposal system with the standard. let forth, bereltl� th Depa rtment of Commerce and the Department of Natural Resources, State of Wisconsin. Cartifieatl0p� ,; Utirtg that your. rem has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 day of the thre�t'� lttation date, Y ��SIONA nak C IVT DATE ill statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) ofu dle pr operty 'd ',Ve, by virtue of a warranty deed recorded in Register of Deeds Office. }, id ,1 ATLU T DATE "'•'• Any In( , n 'that is mis represented may result in the sanitary permit being revoked by the Zoning Department. ••'••" y �, '• Include with W Opplieatlon: 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 'VOL �i7�ucf 07 � �++mwnf N + +mhwr ' TY DAD This Deed, made !between Forest Oaks Condos, Inc., a Minnesota REGISTER OF-ICE Corporation, Grantor, and Heather L. Bartley, Grantee. ST. CROIX CO Wi f° Witnesseth, T' 'tie said Grantor, for a valuable consideration conveys to Grantee the +.,,cwing described real estate in St. Croix County, SEP 1 s 19� State of Wisconsin: . 9: AM Ro inter of Deeds . v Recording Area Name and Return Address „ Heather L. Bartley 14251 55" Street North Oak Park Heights, MN 55082 :s' 032 -2107 -50 (Parcel identification Number) Lot Fifteen (15), North Bass Lake Estates in the Town of Somerset, St. Croix Count•, Wisconsin' r t TRANSFER $.j - FED This is not homestead property. t Together with all and singular hereditaments and appurtenances thereunto belongin And Seller warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except NONE and will warrant and defend the same. Dated this 14th day of August, 1998. *t Forst Oaks Condos. Ina � � � - -- - -- - - -- •$y: G 'th, President - -- - - - - - -- -- ` ,' V ;+ AUTHENTICATION ACKAinurl _��• -_ — rs- I Sinn a!+,,rn i' - ` ! , .� ! � •.,te 3� ,�, • � � � _ _ � ' 1 i NIQ 'v - - O CQ . /. Y L a.• ! � L t _ i ' �Ulr B �.UORl� qAGr D E� s 24 I(Wjh 34 ` � GI S_ \ - -- lid Lij � r • r \ T 3 -L Standard Erosion Control Plan for 1 & 2 Family Dwelling Construction Sites ...... ..... ........ . U .. .... . ...... .. 0 OU." kl iii ... ........ iio 'Mm'' C f the .. i!(-*.9 1. ............. . ......... ..... ... M U ..... - J - ft - h - Its :neestotubmltted and a roved prior to .. ....... . ..... X ..... 2 fam ... . .... . ...... o tda .............. ..... .... ........ A U . ...... . "Ift. u .Ow .......... ..................... -- - --- Y.4 . .. ... ....... ............ 0 01 qV w; ... d. .... C d Pmly .............. aach 0 standa re !Om ..... A "d "b"Ift" V "ha -. 5 ............ ... ( �ii ....... ...... u ..!w T 0 .. .... ......... ... . ..... ... .. . . .... .... ..... .... ...... ..... . . . . ..... ...... 0-.- . .. .. ..... .... ...... .......... . . ... ........... . .. . ..................... ......... .... ... . ... ................. .. ... . ....... . ....... . . .... . ... . .... . . ... . . . . .. ..................... ...... . .. ........... ......... I .. .......... ......... ... ............ ......... ...... ... 1. ................ ............ ....... ......... ................. ................... ...... ............... ... .. ....... ............... .. . .................. ........ . . . . . . ... ... ..... Applicant: ame Daytime telephone number Street address, city, zip code Landowner. Name Daytime telephone number Street address, city, zip code Location of the building site (complete as appropriate): 5'1- quarter of Section —AIZ Town Q N., Range � S by Lot J6 Block Street address Instructions: 1. Complete this plan by filling in requested information, marking (oO appropriate boxes, and completing the site diagram. 2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading. Water runoff patterns can change significantly as a site is reshaped. 3. Chapters ILHR 20 & 21 of the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management Handbook, and UW - Extension publication Erosion Control for Home Builders can be referred to for assistance in completing this plan. The Wisconsin Uniform Dwelling Code and the Wsconsiri Construction Site Best Management Handbook are available through State of Wisconsin Document Sales, 608W&3358.' Erosion Control for Horne Builders (GW0001) can be ordered through Cooperative Extension Publications, 608262-3346. 4. Submit this plan at the time of building permit application. 1 Cbeck appropriate boles mow+ and complete the site diagram with necessary information: -e ���� v CP °� s Site Characteristics Of North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. tO ❑ Location of existing drainageways, streams, rivers, lakes, wetlands or wells. ❑ [� Location of storm sewer inlets. (� The gradient and direction of slopes before grading operations. The gradient and direction of slopes after final grading operations. Location of existing and proposed buildings and paved areas. ❑ It Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices 61 ❑ Location of temporary soil storage piles. Note: Although not specifically required by Code, it is recommended that soil storage piles be placed behind a sediment fence or more than 25 feet from any downslope road or drainageway. �1 Location of gravel access drive(s). Note: Recommended gravel drive design is 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick Drives should extend from the roadway 50 feet or to the house foundation (which ever is less). ❑ Location of sediment fences (filter fabric fence, straw bale fence) or vegetative strips that will prevent eroded soil from leaving the site. ❑ M Location of sediment barriers around on -site storm sewer inlets. ❑ Location of diversions. Note: Although not specifically required by Code, it is recommended that concentrated flow (drainageways) be diverted (re- directed) around disturbed areas. Overland runoff (sheet flow) from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. 1 ❑ Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note: Such ractices include maintaining existing v e g etation, placement o additional sediment en P g g g n• P f ces, f diversions, and re- vegetation by sodding or by seeding with use of erosion control mats. ❑ Location of practices that will control erosion in areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod and rock rip -rap. When used a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area In- channel practices should not be installed in perennial streams. ❑ Locat of other planned practices not already noted. -Site Diagram - Note: Any base map of useable scale can be substituted for this sheet. Site Diagram Legend Please indicate north direction PROPERTY SILT by completing the arrow. LINE FENCE EXISTING STRAW DRAINAGE BALES TD TEMPORARYr. GRAVEL I DIVERSION N FINISHED TREE l � -� DRAINAGE PRESERVATION LIMITS OF STOCKPILED GRADING TOPSOIL VEGETATION 1O SPECIFICATION Scale: AREA 1 inch = feet I Indicate management strategy by checidng (,/) the appropriate box: Q/ o� Management Strateeies Fk ❑ Temporary stabilization of disturbed areas. Note: Although not specifically required by Code, it is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April 1st and September 151h), or by other cover, such as tarping or mulching. is Permanent stabilization of site by re- vegetation or other means as soon as possible` • 9L Use of downspout and/or sump pump outlet extensions. Note: Although not specifically required by Code, it is recommended that flow from downspouts and sump pump outlets be routed to stable areas such as established sod or pavement. • JO Trapping sediment during dewatering operations. Note. Although not specifically required by Code, it is recommended that sediment -laden discharge water from pumping operations be ponded behind a sediment barrier until most of the sediment settles out. �l Proper disposal of building material waste so that pollutants and debris are not carried off -site. Maintenance of erosion control practices. • Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the barrier's height. • Breaks and gaps in sediment fences and barriers will be repaired immediately. Decomposing straw bales will be replaced (typical bale life is three months). • All sediment that moves off -site due to construction activity will be cleaned up before the end of the same workday. • All sediment that moves off -site due to storm events will be cleaned up before the end of the next workday. • Gravel access drives will be maintained throughout construction. • All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized. L. hereby certify uiiderstand t he construction site erosion control provisions:of the>Wisootsin Uniform: Dwelling Cade, d that'l accept nsibility for carrying out the:above erosion ontro plan as ppcoued by the cod erifo ent< thou Stgnature of.appi�cant A publication of the University of Wisconsin - Extension, Ron Struss, UWEX Water Quality Education Specialist (12192). T/ris publication may be freely duplicated Additional copies are available through the UWF.X Environmental Resources Center, 216 Ag Nall, 1450 Linden Drive, Madison, Wl, 53 706. 6081262 -3652 EROSION CONTROL FOR HOME BUILDERS Preventing Erosion Is Easy Erosion control is important even for home sites of an acre or less. The materials needed are easy to find and relatively inexpensive —straw bales or silt fence, stakes, gravel, plastic tubes, and grass seed. y Putting these materials to use is a straightforward pro - cess. Only a few controls are needed on most sites: • Preserving existing trees and grass where possible to pre - `" vent erosion; • Silt fence or straw bales to trap sediment on the down - slope sides of the lot; By controlling erosion, home builders keep our streets • Soil piles located away from any roads or waterways; and waterways clean. • Gravel drive used by all vehicles to limit tracking of mud onto streets; Erosion Is a Costly Problem • Cleanup of sediment carried off -site by vehicles or Eroding construction sites are a leading cause of water storms; quality problems in Wisconsin. For every acre under con- struction, about a dump truck and a half of soil washes • Downspout extenders to prevent erosion from roof into a nearby lake or stream. Problems caused by this sedi- runoff, and ment include: • Revegetating the site as soon as possible. Local taxes— Cleaning up sediment in streets, sewers and ditches adds extra costs to local government budgets. Dredging —The expense of dredging sediment from lakes, x harbors and navigation channels is a heavy burden for taxpayers. Lower property values— Neighboring property values are damaged when a lake or stream fills with sediment. - Shallow areas encourage weed _ g growth and create boat- ing hazards. t= Poor fishing —Muddy water drives away fish like north- ern pike that rely on sight to feed. As it settles, sediment smothers gravel beds where fish like smallmouth bass find food and lay their eggs. Nuisance growth of weeds and algae — Sediment carries fer- tilizers that fuel algae and weed growth. '" Erosion Con For Hoi STRAW BALE or SILT FENCE • Put up before any other work is done. • Install on downslope sides of site parallel to contour of land. • Extend ends upslope enough to allow water to pond behind fence. SAMPLE EROSION ' \ • Bury 8 inches of fabric in trench (see back page) CONTROL PLAN ' \ • Stake (2 stakes per bale) FOR 1 OR 2 • Leave no gaps. Stuff straw between bales or overlap sec- FAMILY FAM DW ELLIN GS tions of silt fence. \ • Inspect and repair once a week and after every 1 /s inch rain. Remove sediment if deposits reach half the fence i �\ height. Replace bales after 3 months. I \ O • Maintain until a lawn is established. \ SOIL PILES \ •Locate away from any downslope street, driveway, stream, lake, wetland, ditch or drainageway AREA TO BE TOPSOILEO, • Temporary seed such as annual rye or winter wheat is SEEDED AND MULCHED recommended for topsoil piles BY OWNER AT THE HOUSE COMPLETION OF ( GARAGE CONSTRUCTION GRAVEL DRIVE • Install a single access drive using 2 to 3 inch aggregate. \ \` • Lay stone 6 inches deep and at least 7 feet wide from \ (OEM the foundation to the street (or 50 feet if less). TD • Use to prevent tracking mud onto the road by all vehicles. R/W LINE • Maintain throughout construction. r �.. SEDIMENT CLEANUP SOIL TYPE: SILTY CLAY STREET NAME • By the end of each work day, sweep or scrape up soil SLOPE: 3% tracked onto the road. • By the end of the next work day after a storm, clean up the soil washed off -site. SEWER INLET PROTECTION g' • Protect on -site sewer inlets with straw bales, silt fences o i or equivalent measures (see back page). • Inspect, repair and remove sediment deposits after every storm. s u DOWNSPOUT EXTENDERS a an • Not required, but highly recommended. o ! Install as soon as gutters and downspouts are completed to prevent erosion from i oof runoff. 1 Route :water;to a grassed .or paved. area. a f ; F F +. • Maintain until a lawn is established. + of Practices r e Sites PRESERVING EXISTING VEGETATION • Wherever possible, preserve existing trees, shrubs, and other vegetation. EROSION • To prevent root damage, do not grade, place soil piles, CONTROL PLAN or park vehicles near trees marked for preservation. LEGEND . Place plastic mesh or snow fence barriers around trees PROPERTY to protect the area below their branches. N LINE I EXISTING TOPSOIL - - DRAINAGE REVEGETATION —�- TD TEMPORARY DIVERSION Seed, sod or mulch bare soil as soon as possible. DRAINAGE FINISHED SWALE —� DRAINAGE _ LIMITS OF SEEDING AND MULCHING GRADING * Spread 4 to 6 inches of topsoil. F-49---w SILT • Fertilize and lime if needed according to soil test (or FENCE apply 10 lb. / 1000 sq. ft. of 10 -10-10 fertilizer). 0 *---0 BALES • Seed with an appropriate mix for the site (see table). GRAVEL • Rake lightly to cover seed with 1 l /a "of soil. Roll lightly. CONSTRUCTION VEGETATION ' Mulch with straw (70 -90 lb. or one bale per 1000 . •••- ENTRANCEAExrf ® SPECIFICATION sq. AREA • Anchor mulch by punching into the soil, watering or TREE by using netting or other measures on steep slopes. PRESERVATION . Water gently every day or two to keep soil moist. Less STOCKPILED watering is needed once grass is 2 inches tail. SOIL SCALE: 1 " = 40' �+ PROJECT LOCATION: SODDING . EXISTING CURB PROPERTY OWNER: • Spread 4 to 6 inches of topsoil. AND GUTTER ANTICIPATED STARTING DATE: a Fertilize and lime if needed according to soil test (or CONTRACTOR: ANTICIPATED COMPLETION DATE: apply 10 lb. / 1000 sq. ft of 10 -10-10 fertilizer). PREPARED BY: DATE: • Lightly water the soil. • Lay sod. Tamp or roll lightly. • On slopes, lay sod starting at the bottom and work toward the top, overlapping like shingles on a roof. Peg each piece down in several places. • Initial watering should wet soil 6 inches deep (or until water stands 1 inch deep in a straight -sided container). Then water lightly every day or two to keep soil moist . but not saturated for 2 weeks. o If construction is completed after September 15, fmal seeding or sodding may be delayed. Temporary seed (such as rye or winter wheat) may be planted until October 15. _ Mulch or matting may be applied after. October 15, if y weather permits. Straw bale or silt fences must be main- tained until final seeding or sodding is completed in spring (by June 1). l ? ', ' i•.ryi d... .. .,_ J� .i. 1+ 4a lr v ��^�� ; ?. r 4,.•���r x 2 ''i _'. . - r'` ... C autions Consider public safety when using inlet barriers. These barriers create ponding and mud deposits on streets. Frequent maintenance is essential. After every storm, remove sediment deposits and repair barriers. Repairs may be needed several times a day during major storms. Curb Inlet 1. Place concrete blocks on their Figure 6 —Curb Inlet Block sides around inlet. and Gravel Barrier Block & Gravel 2. Put a 2" x 4" wood stud through _ Curb inlet Barrier outer holes of side blocks to support front row of blocks. 3. Put wire mesh with half inch openings on outside of blocks. Wire mesh Cover mesh with filter fabric & filter fabric Concrete block extending fabric 12 inches onto Gravel fitter Runoff pavement. water with Overflow Filtered water sediment 4. Pile 1 to 3 inch washed gravel on fabric to top of blocks. Sediment Note: Allows overflow to prevent wire mesh 2"x 4' R Curb inlet excess ponding. & filter fabric "rood stud Drop Inlet 1. Place concrete blocks on their Figure 7 —Drop Inlet Block sides around inlet. Adjust height of and Gravel Barrier Block & Gravel barrier by stacking rows of various Wi mesh Concrete block sizes of block. & fitter fabric - - - Barrier - = - 2. Put wire mesh with half inch openings on outside of blocks. 1 = L Cover mesh with filter fabric — — extending fabric 12 inches onto pavement. Gravel filter 3. Pile 1 to 3 inch washed gravel wa overflow w ire mesh alter t Filtered water Note: Allows overflow only when water on fabric to top of blocks. sediment -� " 2 reaches top of blocks. Adjust height to t prevent tragic hazards or damage to Drop inlet structures. Sediment with grate Drop Inlet 1. Build a frame of 2" x 4" wood Figure 8 —Drop Inlet Filter around inlet. Drive stakes into Fabric Barrier Filter Fabric ground at least 12 inches. 2 - x4 "wood frame Barrier 2. Dig an 8 inch deep trench _ outside frame. 24 maximum 3. Attach wire mesh to frame ' extending mesh 2 inches into ; i i i 12• minimum trench. �,} VA 4. Attach filter fabric to frame Wire mesh & filter fabric extending fabric at least 8 inches into trench. Overlap joint to next Overlap ends ' �_ of fabric stake. Note: Allows overflow only when water f c S 1 between reaches top of frame. Adjust height to 5. Backfill and compact soil in trench. —� prevent tragic hazards or damage to structures. --- - G` }f � o Co tro s - t .r Straw Bale Figure 2 —How to Install a Straw Bale Fence Fences 1. Excavate a 4" deep trench. 2. Place bales in trench with bind- ings around sides away from the ground. Leave no gaps between Figure 1 —Cross Section �'< , �, bales. of Straw Bale Installation Y;;., . to - f w -- - a V� Bale w I+ Width •� B . 'I 1 �. • . i� i - Staked and Entrenched �� �_ : 1 Binding Wire Straw Bale 3. Anchor bales usin g two steel re- or Twine I I Compacted Soil to bars or 2 " x 2 " wood stakes per Prevent Piping Filtered I II j III I Sediment laden bale. Drive stakes into the ground 4. Backfill and compact the Runoff II(�Il I Il 1 Runoff at least 8", excavated soil. 1 �p�F Source: Michigan Soil Erosion and Sedimentation Control Guidebook 1975. Silt Fences Figure 4 —How to Install a Silt Fence 1. Excavate a 4" x 4" trench along 2. Stake the silt fence on downslope Figure 3 —Cross Sections the contour. side of trench. Extend 8" of fabric into the trench. of Trenches for Silt Fences Filter Fabric a• II Flow. h lli1= 4" rf III III Flow d trench �,� 3. When joints are necessary, over- lap ends for the distance between 4. Backfill and compact the two stakes. excavated soil. Filter Fabric •--► III Jill Source: North Carolina Erosion and Sediment Control Planning and Design Flow ! Flow 1 Manual, 1988. Gravel Entrance 1. Install as soon as possible after Figure 5 —How to Install a Gravel Entrance start of grading. � O 2. Use 2 to 3 inch aggregate stone. Hard surface road 3. Drive must be at least 7 feet wide t o o distance to foundation and 50 feet long or the distance to the foundation, whichever is less. 6" minimum 4. Replace as needed to maintain d epth 6 inch depth. 701 1 7 T. / 7 /- "/�•Tf/,E� �i9�T.0 � l� s',E� - �,E yy- .s` "c /�- � � l��- �/ y6 U ✓�`�" IN �� _ . -9T A e e 0 � °°sd i .8� ✓�1f'�'su1 �o?:�0?�3 .30, ,dam �'