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Home My WebLink About020-1345-20-000 (3)zo C 7 3 v v y z 01 c � v E z c m N N d 0 I N �i c C�a P� c a N N N d a o 0 0 ¢ zmz m m E N R C N G 0 o a w y U) a a a � g o O p N N 2 v NNy > � O O CD M q a c r, N N W d 0 � � o r E `m m` a a c � m O to U aDi $ v C omE60 a v r m N N y C 1 v U—_CC O W 5 N r0 V N N a? m w o o 8F, vm�o 2> y o o ;Q L C 0 y C N b c— mm CMv go a ¢ or0m c _o c� F N m 0 z E Of `y t C g O � 0 Z Y N C QN 7I ST CRO�x COU 1 May 21, 2007 Joel & Carrie West 721 Packer Drive Hudson, WI 54016 RE: Remodeling/bedroom addition, Town of Hudson, St. Croix County Code Administration Lot 2 Homstead Subdivision 715-386-4680 Parcel # 020-1345-20-000 - Computer #11.29.19.1852 Land Information & Dear Mr. & Mrs. West: Planning 715-386-4674 You have requested the Zoning Office review your remodeling/addition project for Real Property compliance with the state sanitary code (COMM 83). When remodeling or adding 715-386-4677 onto a dwelling, you are required to examine whether or not the planned modifications involve an increase in design wastewater flows to the Private On -site Wastewater Recycling Treatment System (POWTS). 715-386-4675 I have reviewed your remodeling plans for the above residence. The project involves two additional bedrooms with three existing bedrooms within the structure. The existing POWTS was designed and installed based on wastewater Flow for four (4) bedrooms with a maximum occupancy of eight (8) persons. This project will result in a total of five (5) finished bedrooms. Technically the POWTS will be undersized for the number of bedrooms within the residence; however, current occupancy does not exceed the design wastewater flow for the POWTS. An Occupancy Affidavit is required to disclose the disparity between number of bedrooms and septic system sizing to any future owner(s) of the residence. An affidavit has been submitted to the St. Croix County Register of Deeds office for recording against the deed prior to issuance of a building permit from the Town of Hudson (Document #851135). The original system was installed in April 2001 by Mike McDonell and was inspected by zoning staff. The system was found to be code compliant at the time of installation. Inspection report and sanitary permit documents are on file with the zoning department. To prolong the POWTS lifespan, the septic tank should be pumped at least once every three years or when the tank becomes 1/3 full of sludge and scum. The effluent filter on POWTS installed after April 2000 should be backwashed as needed to prevent clogging of the septic tank outlet. In addition, water conservation measures are recommended, such as repair/replacement of leaking plumbing fixtures, reducing shower time, running the dishwasher only when full, avoid using a garbage disposal, using a wash machine with a suds -saver feature, etc. The long-term function of your POWTS is dependent upon proper maintenance of the system. Sr CROIX COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD. HUDSON. W1 54076 715386-4686 FAX If this POWTS should fail at any time in the future, the system will be need to be inspected by a licensed plumber or POWTS maintainer to determine if it requires replacement according to state code requirements in effect at that time. The proposed remodeling and room addition project must comply with all applicable building codes. Please contact the Building Inspector for the Town of Hudson to obtain a building permit. Should you have any questions, please contact this office. Since ela Quinn Zoning Specialist Cc: Brian Wert, Building Inspector ( 6a-Xe1, g351 u-4-) Mike McDonell MP#225036, POWTS Installer file ST CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICI-IAEL ROAD. HUDSON. Wl 54016 715-386.4686 FAX Document TNe St. Croix County Occupancy Affidavit .1 Ci.y Gncl CG((tc. We,<A Name — (Owner) Typed or printed being duly sworn , states, under oath, that: 1. He/she is the owncr/part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume Page _ Documcnt NumbeL St. Croix County Register of Deeds Office: 83o J0/ A parcel of land located in the SS u; % of the Su: % of Section I 1 T a`l N — R I 'l W, Town of 14 U615 on St. Croix County, Wisconsin, being duly described as follows (include lot no. and subdivision/CSM or detailed legal description): Lod- :2 Nomesitaet. S013ewlj,stoh, IIIIII lllfl Illll IIIII lull Illll Illl Illlll IIII llll 851135 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO.. WI RECEIVED FOR RECORD 05/22/2007 03:30PH AFFIDAVIT EXEMPT i REC FEE: 11.00 PAGES: I Name and Retum Address O Cc.f(t0 < j o c 1 U-A:--, iD 1 o - (3 4S - do orx--) As owner of the above described property, I acknowledge that the septic system serving this residence is sized for a 4 bedroom home, or a design flow of L oo pd. The design flow is calculated by assuming 150 gpd for 2 Individuals per bedroom. There are currently occupants living in this residence. _ occupants are permitted based on the design flow. Therefore the septic system serving this residence is code compliant. However, I understand that if there are intentions to exceed the number of permitted occupants, the system will need to be modified to acoomodate any increased wastewater flows and/or contaminant bads. I also acknowledge that I wig make this information available to any future parties interested in purchasing this property. Dated is l day of Ma V ;1 D 0 • Jo West AUTHENTICATION Slpnaturets) aullwitcata 'Y'f1 n n � m ' moTARY PUBLIC * ISCONSIN TITLE: ME 1N (If not. authorized by § 706.06. Wis. Stars.) TITS NSTRt1WNT WAS DRAFTED By (Signatures may be suehenlicated or advrowledged. Both are not 1A)4 k ' Carrie West ACKNOWLEDGMENT STATE OF WISCONSIN ) )ss. St. Croix County. ) 2 2 red da Personally came before me this y of MaY 2001 the above named .kcal West and_Carrie west —lus an ano w -e to me known to be the person(s) who executed ttta bregoiN Instrument and the same. �1 l * Pamela .T Goulet notary Public. Stated Wisconsin necessary.) O Commission Is permanent. If not. state expiration01�2 Uuy 'THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE - This irllormarbn must be coapNted by i n trAw. name a return atldrsu and Pffl ro tog~. Oaw kda nation such as die VVf* p dauasa. reagaf desallotim etc aw be pieced an Ws bar paps of fM doctanent or may be placed on addgialef pages of the dooument h6ft Use of gds oowr page adds one papa to your dDcwwht aid $2,00 to the recardbia Me. tNaearsln S/a ass, 59.517. of 1 Wisconsin'Department of Commerce Safety and Buildings Division GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) Personal Inronoanon you prowce may De usea ror secondary purposes [Privacy Law, s.15.04 (1)(m)l Permit Holder's Name: - ❑ City ❑ V1UagG fl T,gwn o Miller, Sam HH❑❑as6 lownshlp CST BM Elev.: Insp BM Elev : . BM Description: toc Sm TANK INFORMATION • TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holdin TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. Vent to Air Intake ROAD Septic Z 2 ( -- NA Dosing NA Aeration NA [Holding PUMP / SIPHON INFORMATION Ma acturer -- Demand Model ber GPM TDH Lift riction System Ft feead main Length Dia. H Dist To wen SOIL ABSORPTION SYSTEM((��_� ELEVATION DATA County St. Croix Sanitary f?erMP0 State Plan ID No.: Parcel Ta10o1345-20-000 STATION BS HI FS ELEV. Benchmar 3.3s o3.3 r �.o t. LiM .3z `7.0' Bldg. Sewer Loa St / Ht Inlet SO 13.4S r St/ Ht Outlet 9 4} 93. y g Dt Inlet Dt Bottom Header/Man. Dist. Pipe 9.80 3•s�r Bot. System to -Is 9 2 5 7' Final Grade S • g 1�7, 5/0 / St cover 5.9 r a�.yD $BD RENCH DIMENSIONS Width t Len h 9-3--k< No Of Trenches PIT I ONS No Of Pits Inside Dia, Liquid Depth SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING g"� ct re �e INFORMATION CHAMBER Type r _ r �---�' ModelNumber: qy� System: U, 3 OR UNIT u DISTRIBUTION SYSTEM f V Header / rvJyn old 4 Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Au Intake Length Dla en Di ti , 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:y��y/� ( Inspection #2• '--i---1 Location: 721 Packer Drive, Hud�o^n, WAI 401G (SW 1/4 SW 1/4 11 T29N R19W) - 1129191852 Homestead -Lot 2 1.) Alt BM Description '�o11°�roC�cX1- (5EHoyt{r) 2.) Bldg sewer length = 2 1.0 N / -amount of cover - >`i2 50+ I [ovit/ 3j106L4- lubEW14�r (4t;/. xd vuok- is ,c4v 4 L-� Plan revision required ❑ Yes at No L Use other side for additional information. ZT �SZ(o SBD-6710 (R.3/97) e �L� Inspector's Signature Cert No ADDITIONAL COMMENTS AND SKETCH N SANITARY PERMIT NUMBER: SCA[ E