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HomeMy WebLinkAbout002-1009-30-110Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)l Permit Holder's Name: City Village Township Crystal Currier TOWN OF BALDWIN CST BM Elev: linsip. BM Elev: IBM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer St/Ht Inlet SUHt Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cilivet BED/TRENCH DIMENSIONS Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO Type Of System: P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer: Model Number DI5TRII3UTION SYSTEM Header/Manifold IDistribution x Hole Size x Hole Spacing Vent to Air Intake Pipes) Length Dia Length Dia Spacing SOIL COVER Y Pressure SVStemS Only YY Mound Or At -Grade Svstems nniv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedlTrench Edges Topsoil Yes H No [,,-S] Yes ® No COMMENTS: (Include code discrepancies, persons present, etc.) Location: 2260 115TH AVE 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? 0 Yes 0 No — Use other side for additional information. _ L Date SBD-6710 (R.3197) Inspection #1: Insepctoes Signature Inspection #2: L 1_ Cert. No. 5AN-2 02z bya ' Industry Services Division y 22 Madison Yards Wa County V n Madison, WI 53705 Sanitary Permit Number (m be filled in by Co.) v l-/ P.O. Box 7162 bison WI53707- ' / � n y `, d5 S"" "' '°" "" "7 f L ZZ O0 G 1 anitary ermi Ap ication >� In accordance with SPS 383.21 2), Wis.9" RA4ef pion of s form to the appropriate govemmrntal unit Project Address (if different than mailing address) is required prior to obtain a tiflcge s for state-owned POWTS are submitted to the Department of Safety and purposes inaccordance with the esstott derma ion Privacy Law, s. 15.04(l xm ), Stars. you provide may be used for secondary ^� 1 4 ve�_ ZC-6 l / 1 Print All Information I. Application Informatiion-Please Property Owner's Name Parcel k 00-3u -i►� Property 'S Mail' g Address Property Location Govt. Lot Section City, I Zip Code Phone Number S�A0 A ex IL Type ota.lhlina (check an that apply) Lot A Subdivision Name rMIor2FamilyDwelling-NumberofBedrooms _ 111bIic/Commercial -Describe Use Block 4 :]City of rate Owned -Describe Use illage of CS Number Zoe � Z 2� 31- ��� g ®Town of III. Type of POWTS Permit: (Check either "New" or "ReplacemeaC mod other applicable on tine A. Check one box on line R. Complete line C i a 6cable A. EDNew System ]Replacement System L�JIn-Ground ❑fter Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) B' [:]Holding Tank E]4t-Grade Mound De Individual Site sign Other Type (explain) (conventional) C. Renewal Before []Revision Plumper Transfer to New Owner is[ Previous Permit Number and gate Issued Expiration d/ S Q ✓l, / ! rV.DisppersaVrFrts eat Area and Tank Info 00` Design Flow (gpd) Design Soil Appl n sf) Dispersal Area Requi Dispersal Area Propo,gCd�O i0 System Fdev8111011 i ,C ISOa l ass Tank information Capacity in Gallons Total Gallons N of Units Manufacturer P01, /!b� S� U NerrTda Existing Tanks 6Y �r o n. U `� 2 y ah 8 rn cz 0 e Septic or Holding Tmk �, _ Doting Clamber rm o =EJ V. Respo ibility Statement- L the naderaigoed, aanme hrlity fsr imhYmtioa of the POWTS shown on the attached phim . Plum PI Number Business Phone Number _ =MPNPRS Plumber's Addrem (StreK City Starve, Zip ) VI. County/Departmeat Use Only Approved ❑ Disapproved Permit Fee S� 75 O C> Datis Issued Z Issuing Agem O Owner Given Reason for Denial Conditions of Approval/Reasons forDp)1� I ( Lo 1. ! 44U✓lS i 1 S G�� Ott C 7 SYSTEM OIWNER; // / //� 1. Septic tank, effluent filter and ? K /fit e p r l.J / F �Y` ✓, dispersal cell must be servicoWmahltained /I 14 �( as per management plan provided by plumber M { p��i s ✓S 2. All setback acquirements must be ma)ntainod / l / as pee apphtobie kocieiordlnances. ) y� /rtkC / / / /�6 6 J p t r Attach to complete plans71k s and submit to the Coualy oaty m papv ant Iry a to i 1 r tatasa m arena coed 11�`oKs ifs LU - Z�Z) z_d l� Cy VC ;n SBD-6398 (R. 03121) TTI 0 i j_ February 28, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-2-28 Plan Review: PWT5- 022200274-C Kin Oconnell 504 3rd Ave E Osceola, WI SITE: Crystal Currier 1151h Ave Town of Baldwin St Croix County SW % NE A S5, T29N, R16W FOR: Description: 4 Bedroom — 600 GPD —19" to limiting factor- Effluent Filter- Maintenance required. OWISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 548434462 Relay hIIp„M..m.go,,, 4n -m w wiscor in.gov Tww Even - Governor Dawn Crim - seorab" [RECEIVED MAR O1 2022 St. Croix County Community Develop, Mound Component Manual — Ver. 2.0, SBD- 10691-P (N.01/01, R 10/12) Pressure Distribution Component Manual — Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes 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: Reminders The site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the Mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • Components and soil removed from an existing drain field shall be properly disposed of so that there is no risk to public or environmental health. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 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 state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS 383.54(1). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of 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, Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715)813-9111 Joshua.rowley@wisconsin.sov Private Onsite APPLICATION FOR REVIEW °s� = -Complete all pages- Wastewater Treatment s _ NOTE: Personal information you provide may be used for secondary purposes �- (Privacy Law s. 15.04(1)(m). Slats.) Systems For Electronic Plan Submission provide SharePoint User name below: For plan status, check our website at htroJ/www.dstx5.wisov Several counties have been delegated certain authority to review plans in lieu of Division of Industry Services. For a current Fist of those counties and their delegation check our webstte at htto/rwwwAsosmi.aov 1. Project Information in ail/known information. Confirmation of assignment to a reviewer. /-Fill Project)Site Name �l nrl (�U f �'7r� Transaction to: Location, Number & Street of project (if unknow , indicated nearest road) Previous Related Trans. to: ,C7 'F71 it Estimated Completion Date: Assigned Reviewer. Legal Descrip'on:_ . - �S " - - County '- () City () Village X Town of Assigned Office: - Mall to your office of choice below: Hayward, Lacrosse, Waukesha 2. After plans are reviewed, please: (check all that apply) Call customer 1, 2 {circle number)' Plans to be E-filed (Enter NOTE: We reserve the right to re -distribute plane to _ Requesting party will pick up harePoint User Name Above) another office N needed to reasonably balance _ Mail plans to customer 1. 2 (circle number)* turnaround times. Check htto:Hdsos.wi.eov for office availability and next available review date `Refers to customer number from below 3. Complete the following designedownedrequesting information. Utilize the check boxes when designer, our nor or requesting pa ity is the same to avoid repeating information. De9i a nformation (Customer 1) DSPS ` Other Please Specify Below (Customer 2) OSPS First me Last Name Customer Number Firs', e Name Last NamCustomer Number Company la Companygame /. Address Address I - City�s State �p+a (9digits) C/. u)'r _ � �� City State - IOdigits) rim < 1 �y =:29 2 Phone Number (area code) Fax or Inemet cell phone 7 Phone Number (area code) Fax or Internet ceP phone Check if applicable zs ( ) Owner Check if applicable or specify relationship (x) Owner ( ) Other- specify relationship 4. Information and Plan Submittal Checklists. POWTS scheduling is not available. Plans will be assigned to a reviewer after receipt of plans. If you select a specific office your estimated completion date maybe considerably greater than what would be possible in another office. Submittals received without a specific office indicated on the form may be assigned to offices other than the receiving office depending on reviewer availability. Submittal checklists can be found in each applicable component manual. You may email technical code questions to DSPSSBPowtsTechij!bwt.eov. Hayward DSPS 10541N Ranch Rd Hayward WI54843 715-634-4870 Fax: 71 M34-5150 Email: DSosSbPlanSchedule9Dwi.00y LaCrosse Area DSPS 3824 N Creekside Holman WI54636 (NOTE CHANGE) 608-785-9334 Fax: 608-785-9330 Email: DSosSbPlanSchedule0wi.00v Waukesha DSPS 141 NW Barstow St 4w Floor Waukesha WI53188-3789 262-548-8600 Fax: 262-548-8614 Email: DsosSbPlanScheduie0wig9 Make Checks Payable to: Division of Industry Services OR ❑ Check box to invoice designer and sign below TOTAL AMOUNT DUE s_ Review coda 7633 Designer signature SPS-10577 (R. 3114) S. POWTS SUBMITTAL (check all that apply — Incomplete forms may result In processing delays) N' NEW () Aerobic TreatmentUnit(e) () Chlorinator ( ) Tank Replacement only () REPLACEMENT () Commercial System () UV Disinfection Unit ( ) Add Effluent Filter SYSTEM TYPE(S) NOTE: Submit separate sheets for each system it submitting multiple systems on the same site. Enter fee () Revision to previously approved plan $85 00 O Mlscallanecus Review (i.e. replacement or a septic tank, addition of an effluent filter or pretreatment device to an existing system, etc.) $Bmhr ❑ Component Manual All treatment components are previously approved O At -Grade Component Manual - Ver. 2.0, SBD-10854 (N.03/07, R. 1112) Design Wastewater Flow in under a. BPS 384.10 (2) or (3): WIn -ground Component Manual - Vac 2.0, SBDA 0705-P (N.01101, R 10/12) O Gallons Per day Design wastewater flow of the proposed system: Mound Component Manual — Ver. 2.0, SBD-1OB91-P (N.011/01, R 10112) O0 Pressure Distribution Component Manual— Ver. 2.0, SBD-10705-P (N.01101. R 10/12) , 't) 1,000 gpd or less $ 260.00 () Ddp-Une Dispersal Component Manual, SSMIO657-P (N099) O Other - Please sped ry GPD 1,001-2,000 gpd $ 325.00— 2,001 —5,000 gpd $ 400.00 ca? 5 C-' ❑ Sol Based Individual Site Design' One or more treatment components are not previously O At Grade Design approved under s. SPS 384.10 (2) or (3): (Individual O Nan -Pressurized In -ground Wastewater Flow In Gallons Per day site design/deviallon from component manuals and use of components without product approval): () Pressurized In -ground () Mound () Drip line Design wastewater flow of the proposed system: O Constructed Wetlands GPD 1,000 gpd or less $450.00 " Documentation must be provided to au p support treatment and dispersal claims. In a separate statement, 1,D01 — 2,000 gpd $600.00 2.001 — 5,000 gpd $760.00 provide rationale for the project and allach supporting documents (code sections, test reports, technical greater Ihen 5,000 gpd $90(1.00 plus $0.08 papers, research articles, etc.) for each gallon over 5000 gpd State-owned facilities: Design Holding tanks Previously approved under O Holding Tank Component Manua(, Ver. 2.D, SBD-10855-P (N.OV07, R ill 2)" Wastewater Flow In s. SPS 384.10 (2)(3). Design wastewater flow or the Gallons Per Day proposed system: • Non -slate awned Commercial and ResidentialHolding ranks that completely utilize this manual and have an esftrnated daily flow of loss than 3000 gallons per day must be submitted to the appropriate governmental unit for review Instead of the Department. (see SPS 383.82(3)(a)] GPD 5.000 gpd or less $90.00 5,001 —10„DOD gpd $150.00 greater than 10.000 gpd $225.00 ❑ HoldingTank Individual Site Design', i.e. site constructed, <5 de holding 9 ( Y 0 capacity, Co -mingled Holding tanks Including site cwtskucted tanks NOT wastewater, eta) Design previously approved under s. SPS 384.10 (2) or (3). Wastewater Flow in Design wastewater Ilow, of the proposed system: Please specify' Gallons Per Day 5,000 gpd or lass $180.00 • Docu mentallon must be provided to support the rationale for the project. In a separate statement, please GPD 5.001 — 10,000 gpd $300.00 greater than 10.000 gpd $450.00 inckuk all code serllons, test reports, technical papers, research articles, etc) - O Soil Saturation Detenninaoon Report (using observation pipes) O interpretive Determination $240.00 () Experimental System (One time additional tee). Submit fee for individual system as per appropriate above system type) Experiment Number $400.00 Priorapproval from a section Goof is required for a priority review. If approval Is granted, the priority will he reviewed within 5 days of receipt. Priority Review (enter same amount as normal review fee listed above) $ Priority review fee is double Ilia normal review foa Entor Total rounded to the nearest dollar MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: Crystal Currier Owner's Name: Crystal Currier Owner's Address: 304 Wedgewood Circle Hudson W154016 Legal Description: SW-NE-sec5-T29N-R16W Township: Baldwin County: St. Croix Subdivision Name: Lot Number: 11 Block Number: Parcel I.D. Number: 002-1009-50-050 Plan Transaction No.: Comma lw lly Page 1 Index and title APPROVED g DEPT. OF SAFETY AND PROFESSIONAL Page 2 Data entry SERVICES DIVISION OF INDUSTRY SERVICES Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency -plan SEE CORRESPONDENCE Page 7 Pump curve and specifications Page 8 Plot Plan Page 10 ATT soil evauabon Designer: Kim A Oc nell License Number: 224263 Date: 02/1 f2 ' �� Phone Number: 715-381-7917 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SBD-10691-P (N. 01/01, R. 11/12), 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, R. 10/12) Version 7.0 (R. 11/12) Pagel of 9 Mound and Pressure Distribution Component Design Design Div' Fks')eei Site Information (R or C) R Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1 0 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 2.00 Site Slope (%) 99.20 Contour Line Elevation (ft) j 19.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpdfe) Note: Sand fill (D) calculations assume a Table 383-44-3 in -situ soil treatment for fecal colifonm of <= 36 inches. Distribution Cell Information 100.00', Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) II Dispersal Cell Design Loading Rate (gpd/ft2) Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2! Number of Laterals of the highest point. C� 0.125j Orifice Diameter (in) 2.50 Estimated Orifice Spacing (ft) = 7.50 felorifice 2.00 Forcemain Diameter (in) 105.00; Forcemain Length (ft) 86.001 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 14.45 Vertical Lift (ft) 2.42 Friction Loss (ft) 0.00, In -line Filter Loss (ft) 23.37 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. options I choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Does the forcemain drain back? �� Enter Y or N Forcemain Drainback (gal) 5x Void Volume (gal) A Minimum Dose Volume (gal) System Demand (gpm) Manifold Diameter Selection in. dia. options choice 1.25 x x x 1.50 2.00 _ 3.00 Gallonslinch Calculator (optional) Treatment Tank Information 1200 0 Total Tank Capacity (gal) 1200.00t Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) i Wieser - Manufacturer 33.33 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 0 008 0 Dose Tank Capacity (gal) j Polylok Filter Manufacturer 22.24 i Dose Tank Volume (gaUn) PL-5525 -!Filter Model Number Wieser -Manufacturer Project: Crystal Currier Page 2 of 9 1 Mound Plan and Cross Section Views —t JJ — T A i T L Mound Component Dimensions Al6 00 ft E 18.44 in H 1.00 ft K 9.81 ft B 100.00 ft F 9.50 in 1 9.03 ft L 1 119.61 ft DI 17.00 in G 0.50 ft J 1 7.67 ft W 22.69 ft 600.00 (ftZ) Dispersal Cell Area 1502.66 (ftz) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 1 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.41 (ft) --% H I F 101.12 ftLateral Cell ( ) 100.62 (ft)— — Invert Dispersal Cell j Elevation D 99.20 (ft) Contour Elevation 2.0 % Site Slope Geotex6le Fabric Cover Shading Key o e. Dispersal Cell r See lateral details on 1❑ Topsoil Cap c O a 1.5 ft Page 4 for number, size, © ands n of laterals. Q Subsoil Cap 2 o � Laterals are equally ASTM C33 Sand / F g ti Tilled layer © Aggregate m c s v o 0.5 ft TWical Lateral spaced from the distribution cell's 4- centerline in the *- A — distribution cell (AxB). Project: Crystal Currier Page 3 of 9 End Connection Lateral Layout Diagram Laterals centered over the A & B dimension •=Turn -up wtball valve or cl can outplug P All laterals are identical IE X—i I Holes (killed on the bottom of the lateral equally spaced Force main connection via tee of cross to manifold at any pant_ Laterals 8,forcemain Sch 40 PVC per SPS Table 384.30-5 Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 2 Orifice Diameter in Orifice Spacing (X) ft Orifices per Lateral ft Orifice Density gpm Manifold Length gpm Manifold Diameter I ft Forcemain Velocity 1.50 98.67 3.00 16.48 32.95 23.37 Dose Tank Information Electrical as per NEC 300 and SPS 316.300 WAC — Tank component is property vented Wieser Manufacturer Ca act 800.00 Gallons Volume 1 22.24 gal/inch Dimension Inches Gallons A 20.13 447.70 B 3.00 66.72 C 4.84 107.66 D 8.00 177.92 Total 35.97 800.00 3" _t A i B C Disconnect Alarm Manuafacturer �SJE Rhombus - Tank Alert Alarm Model Number 1101-01H -01H Pump Manufacturer ;Goulds Pump Model Number APE 551 Pump Must Deliver 32.95 gpm at 23.37 ft TDH 0.125 in 2.63 ft 7.50 ft/orifice 3.00 ft 1.50 in 3.37 ft/sec Locking cover with warning label and locking device and sealed watertight I 4 in. min. 4— Altemate outlet location Forcemain diameter 2 in. Weep hole or anti - siphon device Pump off elevation (ft) 86.67 Dose tank elevation (ft 86.00 Note. Switches containing mercury may not be used in this system. Project: Crystal Currier Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name ! Phone- J POWTS Regulator's Name i St Croix County Zoning Phone[;j System Flow and Load Parameter Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 f:2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Service Frequency Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test month) Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage once every 3 years 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 mound 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 mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ••............ •• goo* ••••••••• Grade 6-8" Diameter Lawn Sprinkler Valve Box Distribution Threaded Cleanout Plug or Ball Valve Long Sweep 90 or Two 45 ge ree Bends Same Diameter as Lateral Project: Crystal Currier Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD-10691-P (N 01101, R 11112), SSWMP Publication 9.6 (01181), and Pressure Distribution Component Manual Ver 2.0 SBD- 10706-P (N. 01101. R. 10112)] 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, 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 fitter 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 lank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 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 Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound 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 mound 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 mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg1L TSS and 30 mg/L FOG for septic tank effluent or 30 mg1L BOD, 30 mg1L TSS. 10 mg/L FOG. and 104 cfU1100 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 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 ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring Contingenev 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 components) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound 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 removing biologically clogged absorption and dispersal media, and related piping, and replacing said 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. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Crystal Currier Page 6 of 9 Wastewater 11 0l FEAT T: MODELS: PES 35,7 - _ 2 GPM 30 25��I —.— 20 is -- - -- - -- -- —i — 10?10 -.�.�-- i f JV � 50 W � �Y L • 0 5 10 15 IN% CAPACITY PERFORMANCE RAl7NG5 PE31 TOW Hood (foK o1 aour) GPM 5 5z 10 42 15 29 20 16 25 0 PE41 ToW load (feet of wa4r) GPM 8 61 10 57 15 46 20 33 25 16 M51 Tobd load foot of warn) GPM 10 67 15 59 20 50 25 39 30 26 35 e PAGE) i �J/I't II/ L��/�I,,/I G� - � � � i �/. �, I✓/ ; I 1 I i _i...,�y�'� I i r i j /1 "�I�%PA V!�l✓1�F Y! ✓V' I .A�.... � !? I ' ' II I I � ,,� , ' r i I i I I I I I � 1 r � I 1 i I , to// A341T I _ 1 Al��%% nn__ ; '�% eV I rG.S%.AJGI�, I� "/°1'iiA '_ f /O p�'S ,�( rY%'+/ r�.ir- L ✓•. /��b ', ! I I /� i /f jJy i i i _ ( jl �i�'• �/// A4' / 1 Ji �r F� �1 ff j �(yy i I r I �. ! I LOCATION SKETCH PART OF THE S1/2 OF THE NE1/4 OF SECTION 5, T29N, R16W, PREPARED FOR: 1 TOWN OF BALDWIN, ST. CROIX COUNTY, WISCONSIN. TOM t2mii°s°[LNT"T`" BALDWIN. WI 54007 NIM711 / 1 8 � t\ ,_ _,, .. 'r ':rJf1��/.;�j. ,' � h/! .I r"'—+�_.=1... .." ` -- - _w.pPt _._-`___•.--- � I f e i i LOT 13 I \ _LOT 4 IOTA[ ARFA-4J.776 ACRES I,r it{1j �' i _ •'+'• t .' ,, / -'.`i �,:� PROPERTY IS ZONED RURAL RESIDENTIAL FII' itl -.� .rr II r^n I 1 r' —I PROPOSED DRIVEWAY LOCAI ION �r a �I lJ r I J.jt 0lU1F11N[ INDEX CONTOUR Fl >t 1 A` ' LOT 9 $_ LOT 34 g - LOT If 7-FOOT CONTOUR QQ ® a 1 i s - •• ^ /''•••; ` N •AFT1ANOSIAmEORNONI' N.m,% ORAINA _ BE'uFFt INE 109-ALp . ^yam FASEN.LVT I+�• _ LOT SZ 1 .. l -Y' a a - l'' _ NRTIANJS LESS THAN IA(MI. IN ARIA � . I / I • - }' WI TIANO AMID SHOWN AHI APPIKUWAIr ` /'-i__ _. _ r' - Al /� ".N'�y` LOT 2 '( OEWVEOIpOMACRIM ANO ODNt OAIA. AL- -I Imm Mn. IIN I,NrATrR EIPPf �1 NIAB l p a. f ---��- l:IS ON 1 r . . • . 7AR 0 StOPF Z Z _ Arrr%%FASFA'FAI '� ° - - - ( .10' 2, SWI'L ^� EXISTING SMALL TRACT LOT 1, 12'. zo . SLOPE w 401.4 NUN NIPONi WNNVG r_Soil -doM_Aal a v=2 Z ...i•ov I ST. C 2 NTY SANITARY SYSTEM File # -1= i.;r,�;;.;;�; Office Use Only OWNERSHIP/ADDRESS FORM creared.?,=1 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. OWNER/BUYER INFORMATION Owner/Buyer Crystal Currier Mailing Address 304 wedgewood circle City/State/Zip Hudson, WI 54016 651-600-1602 Phone Number Email Address ccurrier@idealcu.com Parcel Identification Number part of 002-1009-30-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location SW 'A, NE 1/4 , Sec. 5 T 29 N R16 W, Town of Baldwin Subdivision Plat: , Lott # —LI . Certified Survey Map # Z % ,Volume � ,Page # [v(�� Warranty Deed # 11 �6 Do�j (before 2006)Volume , Page # Number of bedrooms - -V Spec house O yes 6 no Lot lines identifiable )EJ yes O no OFFICE USE ONLY New Property Address 2 Z C� O / / 57- 7-1-4 A V2 (Verification of new address required from Community Development Department for new construction.) (Staff Initials) `31Z /Z2._ (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is mode in the warranty deed. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center 715-245AZ50 Fax 1101 Carmichael Road, Hudson, WI 54016 www.sccWLgo_v FOR BIDDING ONLY NOT FOR CONSTRUCTION -- 1 � b N Y@ nn9r =tv. WudCt I ww 1 rn^aoa � `. IP••r. �•— ec.wwi" rw•r.i Iv xwca, xr xo,n+➢Jcc I 7 r --------ri i I ii iii ' � Y!L � cJ.un:wwvrw .:.I 1 1 I-J i ii iii II Pain .xin -1 rromr ai+o>z 1 ______-____— II III ➢ iWl➢ It}Y �.Qv>�,•nf�wo - k I 'uaT II w'I°m ea.irt - - � III pT • I IL � IF - 11 esd..wr III N[v I➢a d erw'vioi5 cu ° m ii 3�x DIY ermin 2 a S iii "F YYL •wrs.-as W=� «.0 P .+Ts a cwP a '' •.:r mtt IT as WI.T .nrxc RG'� � xwcrv) MOT.ii u k O vlNw � I I I I I 1 I I I I -n' m•+c RttR I I :sort ro cow ry I 1 •new .. wnr.. war p Q rvwce a.v -------------- Y`�}j ,d I I M1.r:•aunm b .0 C a<� 3G -0 , woxvert MAIN LEVEL RAN I/4' I'-O' p rnNYr.'s Mp.c�r n'W.O,.- Cvw .'M� vli abe Y .Pwy bstlw. rl�b a�.nn.e. M 4P,rtw...•Y A..O.w M'•a yyy yr ® wi. u.. �, u... Id-I I/C' CEILING W/ VAULT ®GREAT ROOM R21-109 �.--..r...m..ra�..•:,r w .3 a FOR BIDDING ONLY NOT FOR CONSTRUCTION REAR ELEVATION 1/8'_ 1'-0• MWnI CLCVRFIWN 1/0-m IV Gry+yT. b�<-m Nxwy „wY Y/Yn, Gan• WR 91-a POURED CONC. FOUNDATION V-1 1/S'CEIUNG®MAIN LEVEL 10-1 I/B'CEILING W/VAUL- 0 GREAT ROOM a � ROOF PLAN I /4' - I'-O' n b /a n�M re'r.n Ga�ga�.m �R BIDDING ONLY X FOR CONSTRUCTION 121-189 ur b d i j/ 'I 11 "sp19 SOI'EVALUATION R�O�f Pa I 3 Wis. Dept. of Safety and Ak6 onal ervices Page of Division of Safety and Buildings in acco ance with SPS 385, Wis. Adm. Code �crn ens County St. Croix Attach completaii; e#lerr on paper rio ess than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Panel I.D. a 1/19 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. oo� C04- 30sDoo Please print all information. Review y Date Personal inforrnalion you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). UAW, Property Owner Property Location ❑ El Tom and Melody Kanten Govt. Lot S 1/2 1/4 NE1/4 S 5 T 29N R 16E (or) W Property Owner's Mailing Address Lot # IBlock# orCSM# 1 187 220th St 1 I na tftat t 1k f evaluation City State Zip Code Phone Number ity ❑Village own Nearest Road Baldwin , WI . 54002 . , 715-684-2613 n-1A—:-. 115 th Ave E] New Construction User Residential / Number of bedrooms 4 Code derived design flow rate blRf GPD ❑ Replacement Public or commercial - Describe: na Parent material Pitted Glacial Drift Flood Plain elevation If applicable na ft. General comments Mound Design, system elevation 100.60ft based on contour line elevation 99.20ft. Minimumj3,mches ASTM and recommendations: mound sand. ❑ 1 Boring # 11 Boring (� 99.20(3—( El pit Ground surface elev. ft. Depth to lim ting factor i Soil Aoolicetion Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. nsistence Boundary Roots GPD/ft P I'Mi ff#2 1 0-0 1Oyr3/2 none sil 2msbk mfr cs lc .6 .8 2 9-19 tOyr4/4 none sicl 2msbk mfr cs na .4 .6 3 19-28 7.5yr4/4 ftf7.5yr5/6 sl ono mvfr na na .2 .6 ❑2 Boring # ❑ Boring qq 20 21 O Pit Ground surface elev. ,ft. Depth to limiting factor in. Sal Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Clu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. nsistence Boundary Roots GPD/ft ' ff#1 ' H#2 1 0-11 1Oyr3/2 none sil 2msbk mfr cs lvf .6 .8 2 11-21 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 18-25 5yr4/4 t7f 7.5yr 516 scl/sl om mvfr na na A .0 ' Eftent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD s < 30 mgIL and TSS < 30 mg/L CST Name (Please Print) Sign CST Number David J Steel v / 248956 Address Date Evaluation Conducted Telephone Number 1699 150th St New Richmond, WI 54017 7-26-2019 715-760-0347 Stall-8330 (RI I/ 1 I ) Property Owner Tom and Melody Boring # ❑ Boring 99.40 ' Pit Ground surface elev. na Parcel ID # Page —ft. Depth to limiting factor Yin. 2 3 of .,nil Onnlirafinn Rafa Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots I GPDlft z tff#1 ff#2 1 0-12 10yr3/2 none sil 2msbk mfr cs lvf .6 .8 2 12=27 10yr4/4 none sicl 2msbk mfr cs lvf .4 .6 3 27-36 5yr4/4 f1f7.5yr5/6 sl om mvfr na na .2 .6 a Boring # 11 Boring rl Pit Ground surface elev. ft. Depth to limiting factor in. .,nil Gnnlirafinn Rafa Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. nsistence Boundary Roots GPD/ft 3 ff#1 ff#2 ❑ Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPDlft ' ff#1 ff#2 ' Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD s < 30 mg/L and TSS < 30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altemate format, contact the department at 608-266-3151 or TTY through Relay. SBD-6330Test4Rl 1/11) i I STEEL'S SOIL SERVICE David J. Steel Tom and Melody Kanten 1470 7 220th St CST-POWTSM S1/2,NE1/4,S 5,T29N,R16W Baldwin, W1 54002 Lic. #248956 Town of Baldwin, St. Croix Co. 715-684-2613 715-760-0347 Lot li This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend 1"=40' ♦ = Benchmark Ele. 100.00 ft To of 1/2" PVC Pi e ;'I�/" FI, 99=#04- 4`, za-F,— 9 7' P P • = Alt Benchmark El 99.70 ft Top of 1/2 " PVC Pipe O = Borings Boring Elevations B 1 = 99.20 ft B2 = 99.20 ft B3 = 9'f40 ft B4 = 0.00 ft �-� sly 3 of 3 JoCIA Ad - A �/Le- LOCATION SKETCH a PART OF THE S1/2 OF THE NE1/4 OF SECTION 5, T29N, R16W, PREPARED FOR: �- ' - _I fI.,- .� - - TOM & MELODY KANTEN TOWN OF BALDWIN, ST. CROIX COUNTY, WISCONSIN. 1197 220TH STREET BALDWIN, WI 54002 SCALE: i" = 200' la D zoo aoo T ' �1 NORTH S)l(F\'ITf — cam.-. c� \/�(L/ / / ?, /I ///Ir����—��\,S\ a i--+-; s._ .- Al 1 I—`fr /1(OrIA `1 ` /p/ f / % 151111 1 LOT13L/\/(0 t\( / _ ij . �lsTOTAL AREA=42.776ACRE5I J( / } -- IsPROPERTY 15 ZONED RURAL RESIDENTIALl r \n ci •� \��J 1170� �/" 7 ys trA n —>PROPOSED DRIVEWAY LOCATION .; — — J(BLUFFUN � tee` /�j \L.� � INDIX CONTOUR (`l TC�`�-/ ) ( / `� pia, �r%/ --. LOT 14 yt I' / / m / I (I I JII 2-FOOT CONTOUR is "^ \1 �. / / /' , — \\\� �/% WETLANDS I ACRE OR MORE IN AREA DRAINAG y ` 1 ( / 1: _ / /, i• — i- — / BLUFFLINE S ACKJ ll +l>1t, / CL r t r `=EASEMENT 1\ r % / /LOT 12" S — r ( ) 1, . • 7 \ \ lV� f j y �yy c/. WETLANDS LESS THAN I ACRE IN AREA t l \ ( / 1 0 / \ l ( / / r WETLAND LIMITS SHOWN ARE APPROXIMATE. ZO l I / I \ \ ° o� l ^ 1 DERIVED FROM AERIAL AND LIDAR DATA I/ l 1tfl \ _✓u� f a r 873)90' Clr I. -J 1 y () 30% OR GREATER SLOPEn n 3 a 25%-30%SLOPE L �(IT / �Jr/( �� ACCESS EASEMENT I / llII I I 20%-25%SLOPE L. EXISTINGSMALLTRACT; SG CwixC Q ,i\� L� =\� /J - "� IClJ �' Jt,./�`�'n�—, y !.i \I ` (`` ^��\~�� ��\\\\\\l�,/ f/� /� I )-�•r��a n) c" �r/—r/�/ti�\J _ m L SOIL REPORT BORING OS I^ I P�J,^l 4MMIL I`ii W r lLiL \ ` c� \ • CTOj�,COUNTY q a e drvo Oti NO. 641905 STATE SANITARY PERMIT zzroo 115f_�_ OtgANOS�'��. AL PR S NO. OWNER PLUMBER J� wi0 ' TOWN OF &Ljuj,'4,, SEC 6 ,TAN, R AND/OR LOT /1 THIS PE EXPIRES POS LIC.# 2 Z q T,i 3 V� BLOCK vswow SUBDIVISION "ZoAtL CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and maybe renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. ISSUING OFFICER - DATE 3 UNLESS RENEWED � t O THAT DATE AIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION r SBD-06499 (Rl1/20) L • C mm 3/17/2022 Wittstock Builders PO Box 395 Somerset, WI 54025 Community Development 1101 Carmichael Road Hudson WI 54016 Telephone: 715-386-4680 Fax: 715-386-4686 www.sccwi.gov RE: Conditional Approval: File# LUP-2022-019 Project Location: Sec 05 T29N R16W, Town of Baldwin Project Address: 22601151h Ave To whom it may concern, Community Development staff have reviewed the Land Use Permit application for the construction of a single-family dwelling, driveway, and POWTS within a Shoreland Overlay District. The request has been conditionally approved based on the application submission and the following findings: • The conditionally permitted structures are proposed in the Town of Baldwin, on a riparian lot, within a Shoreland Overlay District. • The property owner is Crystal Currier. • The proposed land disturbance and impervious surface are proposed within 300 feet of the ordinary high-water mark (OHWM) of a navigable pond as per Ch.16.345.3.a and Ch.16.335.2.b. • The proposed structure meets the 75-foot setback to the OHWM. The setback shall be measured to the closest point of the structure pursuant to Ch.16.315.1.a. • The proposed principal structure meets the 35 ft structure height requirement. • The proposed land disturbance will not affect slopes within 300 feet of the OHWM that are greater than 12%, measured over a horizontal distance of 50 feet pursuant to Ch.16.345.2. • The total impervious surface calculation within 300 ft of the OHWM resulted in 3.0%. Mitigation is not required pursuant to Wis. Stat 59.692. • Erosion and sediment control plans have been submitted and meet Wisconsin Department of Natural Resources Technical Standards. Best management practices will be incorporated. • A sanitary permit application was submitted on February 28, 2022, and is pending approval. Based on these findings, approval of the Land Use Permit is subject to the following conditions: 1. Prior to Construction, erosion control measures, such as silt fencing must be installed. A tracking pad is recommended at the entrance of the property to reduce sediment being tracked onto 1151h Ave. 2. A pre -construction inspection is required to validate setbacks and verify the installation of erosion control. Please call me at (715) 386-4742, to schedule this inspection. 3. The following must be staked prior to the pre -construction inspection: Ben Hetzel benjamin.hetzel@sccwi.gov (715) 386-4742 a. The OHWM b. 75 ft setback from the OHWM c. Proposed structure locations d. Property lines e. POWTS location 4. The proposed driveway must meet the minimum 5-foot setback from a property line! Measure from the edge of surface mat as per Table 15.425. 5. St. Croix County reserves the right to require additional sediment and erosion control measures to be installed if found necessary due to site -specific concerns and will be documented in an as -built site plan. 6. All temporary erosion control measures shall be left in place and maintained until the site has reached a point of at least 70% permanent vegetation. Permanent vegetation shall be established once final grade is reached or as soon as applicable per plan. 7. A post -construction inspection is required prior to removing the temporary sediment and erosion control measures to verify proper vegetation cover has been established. Please call me at (715) 386-4742, to schedule this inspection. 8. The Department of Natural Resources shall be contacted for a NR 216 permit if land disturbance equals one acre of greater in size. Upon approval, the applicant must provide a copy to the Community Development Department. 9. It is the applicant's responsibility to secure any other required local, state or federal permit(s) and approval(s) prior to land disturbance activity. 10. Failure to comply with the terms or conditions above may result in the revocation of this permit by the Zoning Administrator pursuant to Chapter 16.570.1 This aooroval is subiect to the conditions listed above: it does not allow for anv additional construction, structures, or buildings beyond the limits of this request. Your information will remain on file at the St. Croix County Community Development Department suite. It is your responsibility to ensure compliance with any other local, state, or federal permitting or regulations, including contacting the Town of Baldwin and the Department of Natural Resources to inquire if additional permissions are required. This permit is valid for one year, with the possibility of up to two (2) six- month extensions if the applicant submits the appropriate permit extension fee and documentation to the Zoning Administrator. A copy of the Land Use Permit placard should be submitted to the town's local Building Inspector upon applying for town building permit(s). The orange placard must be posted on the job -site and visible from public view. If you have any questions or concerns regarding the information outlined in this letter, please contact our department prior to commencing any construction activities. The property owner is responsible for meeting all permit conditions. Please feel free to contact me with any questions or concerns; I am typically available Monday -Friday from 8:00 a.m. — 4:30 p.m. Respectfully, Ben Hetzel Land Use Planner Ben Hetzel benjamin.hetzel@sccwi.gov (715) 386-4742 cc: File ec: townofbaldwin(@baldwint-telecom net• Town al@wittstockbuilders com; Agent ccurrier@idealcu.com; Owner Ben Hetzel benjamin.hetzel@sccwi.gov (715) 386-4742 PROPERTY DESCRIPTION: PART OF THE SES/4 OF THE NE1/4 OF SECTION 5, T29N, • ��«i. R16W, TOWN OF BALDWIN, ST. CROIX COUNTY, WISCONSIN; LOT 11, CERTIFIED SURVEY MAP VOLUME 31, PAGE 6918. IMPERVIOUS AREA CALCULATION SCALE: NORTH I l� '1\/ AREA WITHIN 300'OF OHWM=277,000 SQ. FT. ± u 100 P00 )i PROPOSED HOME = 3,519 SO, FF. t ELEVATIONS SHOWN ARE NAVD 1988 DATUM. i I PROPOSED DRIVEWAY = 4.900 SQ. FT. i ) TOTAL PROPOSED IMPERVIOUS = 8,419 SQ. FT. t 3.0 % IMPERVIOUS OF WISCti r'oOUG ASJ. `y I, Douglas J. Zahler, Wisconsin l/ ZAHLER * SDI Professional Land Surveyor, hereby certify that this Site Plan was q OQ- prepared by me or under my direct SURVE{ supervision and is correct to the best of my knowledge and belief. 03/02/22 PRELIMINARY FOR REVIEW — i/ j I J ') ♦ \� t l li \ 1\111 i f + 1 \\ / / /ice `.�..-\ \\ \ \ •Z`\ ll-t/ t `I ) \Jjj � t �� .7i r r X ../�\ EGA Itl;jll iE� 9 I \ \ J \ \ t \ \ \ APPROX. OiiWM 75-RON t \ PROPOSE / DRANrNE �. 1 i J AU ♦ VM 1 ) ♦ \ Pi VCE PkoP r � oRkrvvEEuu�kr —l— 0IIIl)//rj I1 E J V11SSAG ) /1II1ljlj l / ai1,\\\ a\OPHWM J `4k kill f /(/4 II \ I IIII fill lllllllllll'r A' Vl — �/ w