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034-1032-30-100 (2)
Wisconsin 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)]. Permit Holder's Name- City Village Township JOSH MELSTROM TOWN OF SPRINGFIELD Ulu _ I CST BM Elev: Insp, BM Elev- r Wtion TANK INFORMATION TYPE MANUFA TI '[DER M CAPACITY Septic Dosing �� � {�' • ry `�t Aeration r% TANK SETBACK INFORMATION ) e— NAZI,_A� TANK TO P/L WELL B L MR0. Ina, -A ' Tentdo 0 e ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer 't a A 113 Ill LI - W D cym a n GPM q-0 Model Number TDH L Fricti s Systel e T11. f74— ,,Ft Forcemaln Lenqtb,, IDist. toVVell bUIL AbbUKV I IUN ZSYb I EM BED/TRENCH Width Length, No. Of ILe s DIMENSIONS 4T SETBACK SYSTEM TO P/L BLDG E L L INFORMATION Typ 0 System, I 1 04 U t (\V DISTRIBUTION SYSTE SOIL COVER County..St. Croix Sanitary Permit No: 645490 Sta'e Plan ID No: Parcel Tax No. 034-1032-30-100 Section/Town/Range/Map No 15-29.15.226B FI FVATIr)Kj nATA P--` -n i ,j -c- -7 .1 �& .4 - ELEV. 10 0 Benc mark 0 pff,"aWAAM4M I — =4 I f 'Dt Bottom 6 Header/Man. Dist. Pipe ot. ystem �Final Grade PIT DIMENSIONS INO. Of Pits (Inside Dia. 1Liquid Depth LAKE/STREAM LEACHING Manufacturer: CHAMBER OR UNIT Model Number� ^A IVIVUIIU %al ML-u10UU' "F] COMMENTS: (include code d'iscrepencies, persons present, etc.) Inspection # f I-Fank's AX 1 1175 Inspection #2?�Zlv/ Location: 3062 100TH AVE lot of 00 1.) Alt BM Description = wjo 2.) Bldg sewer length - amount of cover - t Uj/ Plan revision Required? Yes NO <1 Use other side for additional information. SBD-6710 (R.3/97) Date w ignature Cert. No. ns� *45(f,mk V{' Yid r� i 'SAO County S __...- Cyc Industry Services ivlsion r ., r 1400 E Washington Ave � � �`� � � T � � � � �� � Sanitary Permit Num� (to be filled in by co.) P.0, 'Sox 71 62 � Madison, W 53707-71620 • . " ... , .� St. CrOIX .County Cotes m ytelopi tim- I Application State Transaction Number i.JUITIMJT;In aw'ordance with SPS 383.21(2), Wis. Aden, Code, submission of this form to the appropriate oyernmenW unit is required prior to obtaining a sanitary permit. Nofe; Application forms for staM-owned POVv7S are submitted to Project Address (if different than tmOing address) the Department of Safety and Professional Servies, Personal information you provide may .be used for secondary es in accordance with the Primy Law, s. 15.04(1 m Stats, V� If A lication -information — Please Print All Information Properiv Owner's Name Parcel # Pr wtier's b4afling address . Pr party Location M� i , State Zip Code Plume Number c(circle ortA., I1 Type of Building (check a that apply) � Lot #----.---�-�- NR 1 � .� E o I or 2 Family DwtlIinS— Number of Bedrooms Subdivision Name Block # 5-T P05 13 Public/Commercial — Describe Use ❑ City of State Owned -- Describe Use CSM Number [ Village of 'own of III, 'Type of Permit; (Check only one bfl on line A. Complet line B if applicable) A. )(New System ❑ Replacement System EJ Treatment/Holding Tank Rephicement Only ❑ Other Modification to Existing System (explain) `"" l�rcvious Permit Number and Date issued B. iJ Permit Renewal ❑ Permit Revision � ❑ Change of Plumber Permit Transfer to New List Btfort i Chimer rV.,,jyjLe of POWTS stern/Com onent(Deviem Check all that00, ❑ Non -Pressurized In -Ground Cl Pressurizes! In -Ground ❑ At -Grade mound 24 in, of suitable soil nd l' WKa soil ► � ❑ Holdin Tank ❑ Other DispersalComponent Corn Went (ex in) Netreatmant Device ( plain) saw V, hid Crulfrreatment Area Information: 10 X C V = l) Design Flaw (gpd) Design Sail Application Ra gp sf) Dispersal Area Requi st" ispersal Area Propo d (sf) System Elevation Vl. Tank Info. Capacity in Total # of Manufacturer Gallons Gallons Units -�- New Tanks Exist3ng "ianks es - V L„ ' t..� U� i. Septic or Holding Tank Z-6—X 0 V11. Resj2nsibilfStatement- t, the undersigned, assume responsibilltylar lnstailatfon of the PC�WTS shown on the attached plane, Plumber' Name (Pent} Plumber's Si MP/MPRS Number Business Phone Number 23 t3,011 5-2 (0 & Plumber's Address (Street, City, State, Zip Code) VILL Coun e artment Use Only. 9 Approved ❑ Di a proved QPermit Free Date Issued Issuing kgent Signature ❑ C n for Denial I , Conditions otApprova SYSTE R: I. Septic tank, effluent filter and dispersal cell,It rr I r%,-if_ 0 -e f must be serviced 1 maintained as per r IV t L' X'bw �L Sys/�, c 'plans for the m ark subm' to the County onty on pa r not than 8 in x t ) inches rh slte 2. All setback requirements rust be rrlaintained as per appllcabio code 1 ordinances. SBO-6398 R•03 l3 Desiigney- Ryon Bechei *All property lines not Benchmark Cerb,fied Soil Tester: SP-111500001 ADVSNCED drawn are >100ft from I Desi,gner of Engiieering Systems: D 2263-7 Fi J i .1 % I i-. 1- Soil Boring 44 system P/L P/L P/L P/L P/L SCALE Former Wieser 1000/650 driveway cut 301 w/ Best GF-10 ,, effluent fll r boundary & _U 00 O� ±501 sch 40 i j PVC e; 11 Anticipated finished ±20 4 grade N 91.00 \, sch 40 or c (buildinc be 3034 PVC ft J_ q.� 6 Vo, ,i pad to W 9 r-F-1 0/)? graded1filled) 00 vok -li-f-1 ±701 411 BMA \ ` -� � sch 40 or 1 Shop wi�, th I 1 sink & toilet I � �, �� �,. 3034 PVC L *-*Well to be located >50ft00 from soil treatment area & Current grade >25ft from tanks`•. `�** 93.00 R-O-W BMI = 1O0.00 Edge Top nail in 16" shftwood "NOTE: Cleanout � � ` (`r 16 It above grade) required immediately�. � �� � , upstream of wye int" ercept � ', BM'2 100.00 liq ILO I Top nail in 32" Oak tree (25 above grade) Ce:rffmd S1c&!vwrrL This system has been designed and evaluoted In c=ordance with State and Loco] codes. The soil treatment area MUBt remain protected from disturbance and/or compaction before and after construction. SYSTEM NOTES Septic Tank: -Wieser 1000/650 gallon 2-compartment tank -Bring risers 4' above final grade -Best GF- 10 filter w/ alarm -Do not mute clear water sources into septic tank Pump Tank: -640 gallons Pump needs z 30gpm @ 20.5TDH jAove tank as necessary; maintain all setbacks �kfticulate pump Friction Loss and TDH after install -Event counter, time meter, or water meter recornirrinded STA: -10'x 45'Aggregate Mound (A x B) -62.5'x 26.4'outside dimensions (L x W) -100,67'system elevation on 100.00'conbur 41 ASTM C-33 sand lift (D) -Cut stumps flush to ground; avoid digging -Mow entire absorption area and remove clippings -Plow absorption area to depth of 6'-8' -Dived surface water away from asiern -Protect 15'donslope absorption area from compaction during construction -Depth to restriction = 28" (Redoximorphic features) Distribution: -(3) 42'long 1 " sch 40 PVC laterals with cleanouts-use sprinkler boxes for protection -Lateral top elevation = 10 1.29' -1 ? header, end -fed network, I" orifices @ 10'spacing -Laterals to be spaced 18" ftom end of bed & 24' to sides -Demand dose float settings per design LOCATION MAP (not to scale) 100TH AVE PREPARED FOR: Joshua Melstrom Site Address: TBD 100TH AVE Glenwood City, WI 54013 PID: 034-1032-30-100 7.0 Acres Legal: NW 1/4 NE 1/4 S15 T29N R15W Town of Springfield C,r.:kliQ- in . '4n, rintp- JR/7417? to Wisconsin Department of Safety and Professionai Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, W1 53707 September 16, 2022 OUST ID NO.: 1330832 RYAN GARY BECHEL 779 SPRING CREEK RD S RED WING, MN 55066 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/16/2024 MUNICIPALITY: TOWN OF SPRINGFIELD ST. CROIX COUNTY SITE: JOSH MELSTROM TB 100TH AVE GLENWOOD CITY, WI 54013 NW 1/4 NE 1/4 S 15 T29N R 15W TOWN OF SPRINGFIELD FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factor(s): 28" Maintenance Required: Effluent Filter Phone: 608-266-2112 Web: http:, dsps.kvi-,goo Email: dsRs,4�wisconqin,_yAw\' Tony Evers, Governor Dan Hereth, Secretary, Identification Numbers Plan Review No.: PWTS-092202233-C Application No.: DIS-082243612 Site ID No.: SIT-106502 Please refer to all identification numbers in each correspondence with the Department. CONDITIONALLY APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES sm� 1 66,4 )2tAA� a� SEE CO ESPONDENCE Mound Component Manual - Version 2.1 (May 2022-2027) Pressure Distribution Component Manual - Version 2.1 (May 2022-2027) SITE REQUIREMENTS • A full size copy of the approved plans, specifications, and tlUs letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans -vvhich are used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: • The building sewer shall be installed/insulated per SPS 382.30(11)(c). Cleanouts shall be installed per SPS 382.35. They are required within 5' of where the building drain and building sewer connect, immediately upstream of the Private Interceptor Main and not more than 100' apart along the building sewer. Frost sleeves shall be provided and the caps shall be watertight and of sufficient strength to sustain the weight of anticipated traffic. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be 41 determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • The dispersal cell 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 dispersal cell site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • Care must be taken to set the dose volume as approved in the plan design. If the minimum tether length of a single switch mechanical float does not allow the proper dose volume, two separate floats must be used. 0 Verify property line prior to installation and maintain proper setbacks from any neighboring wells and buildings. OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code§ SPS 38 • 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 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 ' T eThe owner, as defined inchapter 101.01(10)., the enclosed approved plans and with any component manual(s) referencedabove. 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. All permits required by 7 the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of Industry? Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 10 1. 12(2). nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, CeCe Rudnicki Division of Industry Sen-ices Phone.- 608-400-3186 Email: clizabetli.rudnicki(ti,,wisconsin.goN,, Fee Required: $250.00 Fee Received: $250.00 Balance Due.- $0.00 Refund Expected: $0.(X) Site Address: TBD 100TH AVE, Glenwood City, W1 54013 County: ST Croix FL 0 W Pg. 2 SITE PLAN Pg. 3 SOIL DISPERSAL COMPONENT Pg. 4 EFFLUENT DISTRIBUTION LATERALS Pg. 5 TANK SPECIFICATIONS Pg. 6 DOSING AND PUMP SELECTION Pg. 7 FILTER MAINTENANCE Pg. 8 MANAGEMENT PLAN Pg. 9 MANAGEMENT PLAN Wastewater Type: Residential Estimated Wastewater Flow: 300 gpd SOIL & SITE EVA L UA TION.- Design Flow: 450 gpd POWTS Type: Mound Limiting Condition Depth: 28" Maximum System Depth: Above Grade Contour Elevation: 100.00' Limiting Condition Elev: 97.67' Land Slope: 9% Pg. 10 MATERIAL ESTIMATES Pg. 11 SO I L TEST Pg. 12 SOIL TEST Pg. 13 SOIL TEST Pg, 14 Sol L TEST CONDITIONALLY APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INbUSTRY SERVICES SEE COESPONDENCE # Bedrooms (residential): 3 # Occupants (per capita flow) *. - Public Facility Flow: NA Treatment Level: Effluent 1 Code Required Separation: 3611 Soil Texture: SIL In -situ Soil Application Rate: 0.6 gpd/ft2 Dispersal Cell Loading Rate: 1.0 gpd/ft2 POWTS DESIGNED PURSUANT TO: Mound Component Manual (Version 2.1) Pressure Distribution Component Manual (Version 2.1) ,-Comments ----------------------------------------------------------------------------------------------------- :New 3 bedroom home and shop with sink & toilet only. No home business. No sewage ,ejector/grinder pump proposed. CON RYAN G. ------------------------------ --------------------------- --------- ------------------------------- BECHEL D-2263-7 8/29/2022 RED WING SIGNMNED: L01 e-woov ADVANCED ENVIRONMENTAL LLC I G 779 Spring Creek RD S, Red Wing, MN 55066 (651) 327-0074 //11111111111"k Des'y:-�ef- Ryon Bethel Cer.'-ed Soil Tester: SP-111500001 Deg .er of Engi.ieering Systems: D 2263-7 P/L SCALE 15, V 301 P/L F&I0040 ADVANCED P/L Wieser 1000/650 w/ Best GF-10 effluent filter P/L Former driveway cut ti boundary sf 7 *All property lines not Benchmark drawn are > 1 00ft from systern � Soil Boring P/L -D /0 0 'xz) C� e.0 ±50' 2 \NOOO 0 sch 40 PVC <\ ±20' Anticipated finished 4 sch 40 or grade 91.00 ote (Dg04 PV0QC6 Z uildimPad to be 33C 0 .10 raded1filled) r� t \ 000 ±701 4 if /% � / `�B M 1 � � -� � sch 40 or Shop with I sink & toilet I 3934 PVC "Well to be located >50ft 100 fr-onn soil treatment area & �,� � >25ft from tanks** Current grade ~93,00 �, _ R_O_W P&WIff 1 = 100.00 Edge To nail i n 10" softwood "NOTE: Cleanout - - _ _ _ � y It .. .. .. .. . . . . . . required immediately 06 above grade)�, upstream of wye Bf "'W 12 100-00 in te rcep t Top nail in 3Zr Oak tree ...... (25 It above grade) Gertified Sicdement: This system has been designed and evaluated in accordarx>e, with State and Local codes. The soil treatment area must remain protected from disturbance and/or compaction before and after construction. rzW*UI4CN0Ak.rIV kC ISArAr TWAT TUIC C-VC-rrkA UnI I fInkITIkil IC Tn rI Ikie%TIr'\kI IkIr\CMkIjTrI V C-4— ------- SYSTEM NOTES Septic Tank: -Wieser 1000/650 gallon 2-comparment tank -Bring risers 4" above final grade -Best GF- 10 filter w/ alarm -Do not mute clear water sources into septic tank Pump Tank: -640 gallons -Pump needs = 30gpm @ 20.5TDH -Move tank as necessary: maintain all setbacks -Recakulate PUMID Frii;bon Loss and TDH after install -Event counter, time meter, or water meter recommended STA: -!D'x 45'Aggregate Mound (A x 12) -62.57 x 26.4ou&e d 1r,e -i ss lo ns (L x -100.67'systerr elevallc,-, cn 10HO'contour -80 ASTM C-33 sand 4ftDj -Cut stumps flush to ground; avoid digging -Mow entire absorption area and remove clippings -Plow absorption area to depth of 6"-6' -Divert surface water away from system -Pmtec*. 15'downslope absorption area from compaction during ccinstruction -Depth to restriction = 28",1R.-doximorphic features,: Distribution: - 3) 42'long sch 40 PVC laterals wi:h cleanouts-use sprinkler boxes for protection -Lateral top elevati o n = 10 1,29' -1 J' header, end -fed nevork, -Lo orifices @ 3,0'spacing -Laterals to be spaced 18" from end of bed & 24" to sides -Demand dose float settings Der design g . LOCATION MAP (not to scale) 100TH AVE PREPARED FOR: Joshua Melstrom Site Address: TBD 100TH AVE Glenwood City, WI 54013 PID: 034-1032-30-100 7.0 Acres Legal: NW 1/4 NE 1/4 S1 5 T29N R1 5W Town of Springfield Scale: I" = 30' Date: 8/24/22 MOUND DISPERSAL AREA i Obs. pipes � F0 z Z- 1 i A 10.0' F 9.5" J 4.6' B 45.0' G 6.011 K 8.7' .0„ D 8.011 H 12.0" L 6 2, 5' E 18.8" 1 11. 7' W 26.41 Observation Pipes (1/10th of B) 4.5' Dispersal Area Required: 750 ft2 Absorption Width (A+I) 21.7' Dispersal Area Proposed: 979 ft2 Dispersal Cell Media: 112" - 2-112" Aggregate Geotextile Fabric �.- 102.46' Topsoil y & Seed 101.29' 100.67' lei - 2 + Aggregate _ ! ASTM C-33 SAND .mot+ .4^`'1 ',j- �'i �.. y, \ - ,,I�lr, .'1 - �4•�.. �' _ s '1 1{ l ,r , ' -� ♦_ t �� 1 Y `'_ ► w;ti- �_ _ _.I r+1 i � -r` r I - � � rev � o, t _ j - •i],r-� __ _ _tilt_ __ L_ „a.►.....` . � __ .. . ,. 2�-.1'-�. i - � _ !`' i _ 100.00, Plow 6"- 8" deep (min.) 9 / prior to placing sand OBSERVATION PIPES Screw -type or slip -top a 4" SCH 40 PVC pipe Top of pipe to terminate or above finished grade 4" - " x 6" slots spaced 90' apart Anchoring Device (Toilet flange) Finished Grade (mulched & seeded) Topsoil cover (V minimum) filtrative surface Pan4 2 DISTRIBUTIONNETWORK SPECIFICA TIONS •, +---------------------.--------------------------------------------------r-----`--� ICI .�` Manifold Detail 1 1 1 1 101.29' 1 1 1 1 1 1 f 1 1 1 1 1 , 1 � 011/2 7.01 0 1 1 2" 1 1 � 1 1 1 � 1 0 1 3.5 •t !ll------w-------w-w---w---w--lwi-w---i-w-iiwi ii-.--------------------------------i- Pipe Selection Forcemain Diameter: 2" Pleader Diameter: 1 1/2" Lateral Diameter: 1 1/2" /s "All pressure piping to be Bal Schedule 40 PVC unless rewr otherwise specified 3 . 0 ' • r f� � I � i_1 Cleanout Detail pander box Threaded cap )90` / 45` --------------------------------------------w-------------------------------------- -------------------------------------------------------------------------------ww--w--w---------.mow---------------- LateraQ Discharge Rate. (Orifices Per lateral X OriAce Discharge Rate) Orifices/Lateral 15 X 0.66 gpm Orifice Discharge Rate = qM8.gDM ---------------------_-----------------------------------------------w------------_------------------------_.-------------------------.-------------------------------------------------.------------ ----------------------------------------------------------- ------------------------- ------------------------------------------------------------------------------------------------------------------- System Ff ow Rate (Orffices Per Lateral #Cetera/s X Orifice Discharge Fate) Orifices/Lateral 15 X 3 Laterals X 0.66 gpni Orifice Discharge Rate = 29v5Dr�r. _4 ---------------- ----------------------------- ---------------------- W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Orifice Density (Bed Area f rota/Number of Orifices) = 10.0 ft2/Qrifice Panp d TANK SPECIFICA TIONS • Minimum cover =- 6 inches; Maximum cover =. 8 feet (unless specified by manufacturer) • All manhole covers shall extend 4 inches above final grade : If the tank is within 2 feet of final grade, insulate the lid to an R-Value of 10 .. r Minimum 18" of cover required over building sewer; Insulate if greater > 30' long and < 42" from grade or if : < 60" from grade under all high traffic/snow cleared areas (driveways etc.) • 1f forcemain will have a 'J-Nook" assembly, dri11 a weep hole in the "hook" • Buildingsewer. No 90's, keep 3 feet between 45s, maintain 1 inch in 8 feet (1%) slope, install Watertight control bcrx with and Separate pump alarm circuits 93800 - 91:fl0' � Clean Out Quick Disconnect S149ve forceinain in 4" SCH • , , - 91.00 87.92 40 PVC pipe across tank ! .. excavation to prevent pipe 4" CH 40 B d er Effluent Filter settling { 1 "-1.5" PVC Float Tree +/ 70r' ; ; . r 85.25 (Pump Off) Weep Hole 84.00' • - 4" Pump Block ,� .., .. #ram#rwrA##wwr�w#-#wr-#-rww-##w###w#ww#--#wrwwww#Rw�-w#ww##########ww#r###w####-########r##-######w#####r-###-�w#w�.w######■.#ww#w+##w#w#w#wwwwwww Tank Manufacturer/Model: Wieser - WLP1000/650-MR rwwwsrwwwwwwwwwwwwwrwwwwwwwwwwwwwwwwrwwwwwwwwwwwww wwrrww..rww.wwww----ww-w-w--w--ww-w-www-wwwww-w.wr-ww--ww wr----wwww--w-ww-ww ww-r-www ww w--w www-www Filter Manufacturer/Model: Best - GF#-10 wwwwwwwwwww------- "----- w-----www-r-w---ww www w-ww-wwww---ww ww------wwww-ww-w--wr--w-w-wwwww-rwwwwrw rww www--- r--w---------------------w-wrr-w-r Panel Manufacturer/Model: SJE Rhombus - Tank Alert 1 wrw www www-rw rw-ww--w-www--ww-www w-----w---w-w-wwwwww ww--ww#w-w----------w-------------------w--w-w------r------------- =-------rrrrrrwwrw-rwrrrw WL 1000/67./0—M1 TANK SPECIFICATIONS DIMENSIONS: 146" WALL: 3' ~ BOTTOM: 3" COVER: 5" • MANHOLE: 24" I.D. PRECAST CONCRETE RISER � HEIGHT: 54 1 f2" O.D. LENGTH: 148 O.D. WIDTH: 84" O.D. BELOW INLET: 43" O.D. 4" CAST -A ---SEAL 4" CAST -A --SEAL U0UID LEVEL: 38' WEIGHT- 14.940 LBS. 4"� r INLET ANO OUTLET: '2 l f �� p 4" CAST -A -SEAL BOOT OR EQUAL aD i ``� / / GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: m 8 FILTER OR WISCONS1N. SEE DETAIL f10 i BAFFLE(OTHER STATES SEE CHART) LIQUID CAPACITY: 26.32 GAL/IN (SEPTIC) 11.00 GAL/IN (F'UMF) o �r lE 1QE VIE LOADING DESIGN: 8* 0" UNSATURATED SOIL t4 TANK CAN BE USED AS: cn g 4" VENT SEPTIC/SEPTIC. SEPTIC/ PUMP OR SEPTIC/SIPHON I CN 0 I O Cr COVER: MIX DESIGN /8 (NO FIBER) In _ a0 � TANK: MIX DESIGN i10 STRUCTURAL FIBER) `-" `_— • • 4—_—_ —_ —_ CUSTOMIZED TANKS: � t T T FOR CUSTOM TANKS CONTACT WIESER CONCRETE LILJ }�' 1 `... .�---j-L--s"- . 25 � P"I''IP PAD DRAWINGS SUBMITTED; FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: Pitti0lXTS �tE�DLD $Y: TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REOUIREMENTS 1 OF Darin ;. DOSE SETTINGS & PUMP SELECUGN PUMP PERFORMANCE REQUIREMENTS Elevation Head: 16.11 91,00, Distribution Head: 3.25' Equipment Head Loss: 0.0 Forcemain Friction Loss: 0.9 ft TOTAL DYNAMIC HEAD 20,3 ft TDH 88-54' MINIMUM FLOW RATE 29.5 gpm Dos REOUIREMEN Minimum Dose: 58.0 gallons 87.421 ---- — --------- 306.9 gals 18,1" A RESERVE) ( Maximum Dose: 90.0 gallons 85.9 1 Design Dose: 76.0 gallons 85-66' 51.0 gals 1.. 3 T, B (ALARM) Forcemain Feet: 50 84.2 gals 5.0" C (DOSE) Forcemain Q�: 2.0 of 85,25' --\-- Drainback: 8.2 gallons 204.0 gals 1211 D (PUMP COVER) TOTAL DOSE = 84.2 gallons 84.25' _t A] AO A Option 1: O Lion 2: Zoeller - 152 PUMP PERFORMANCE CURVE MODEL 1511152il 153 153 F 7S t 11 A 36 k 5O 60 ?,0 80 9D 10, Ff" 30 25 20 is 10 5 0 0 Goulds - EP-05 5 CAOM 2-5 5 FT 10 20 30 40 so GPM PAnp- 6 Installation Instructions for the GF10 Filter S" 1: Locate and remove the septic tank cover, on the outlet side of tank. Stop 4: Glue the filter case onto the outlet pipe. Insert the filter cartridge into the case. (Make sere the filter Is completely kviefted into the case.) VBEST 'Aw TECHNOLOGY Step 2: Before installation, place the filter case on to the outlet pipe. Make sure the case is positioned so the filter can be removed from the tank for mainte- nance and service Step 3: For installations that require or desire additional support. (If additional support is not needed, go to Step 4) Glue a section of I" Sch. 40 pipe to the two hubs located on the bottom of the case and the hub located on the side of the case. Step 5: For installations where it will be difficult to reach the handle, place 1 " Schedule 40 pipe into the tee on the handle and extend it to height that will make it easy to remove the filter. Installation of an Same as a new system only the septic tank existing system. must be pumped prior to installation. : = � . M � M M M " as i s r M M wo wo M M Maintenance of the GF 10 Filtcr A time frame in which septic tanks are serviced is set by state and local codes. Although they may be different, most regulatory agencies suggest two to five years. We recommend the GF 1© filter be cleaned when the septic tank is normally cleaned and pumped, or as needed WARNING: If the liquid level in the tank is above the top of the filter, pump the tank prior to removing the filter cartridge. -j- t"'g-:tj- l 0 CAUTION: USE RUBBER GLOVES WHEN HANDLING FILTERS! Step 1: Remove the septic tank cover and pump the tank if necessary to prevent any solids from escaping to the field when the filter is removed. [3 4 Step 2: Pull the filter Step 3: While holding the handle and slide the filter filter cartridge over the out of the case. access opening of the tank, rinse the cartridge off with freshwater. Take care to make sure all solid material falls back into the tank BE T TECHNOLOGY 3 Fairfield Blvd, Wallingford, CT 06492 1-877-765-9565 Fax: 203-284-8514 Step 4: Insert the cartridge back into the case making sure that it is properly aligned and completely inserted into the case. Page 7 MANAGEMENT PLAN The owner of this Private Onsite Wastewater Treatment System (POWTS) shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. This management plan identifies operation and maintcnan-c activitic- ncce—ary t- ensure long-f-tcrm Systcm perform.-incc. Tar- I/ r- 3 f r- I ) I f4 % / U %3 %3%1 U %n3 6 r %Jrk%J thUl. .3houid bc perfor,,mcd by thc% h,om,,_-%,ownc,r are identified. Professional management tasks shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code, however, it is the homeowner's responsibility to ensure all tasks get accomplished in a timely manner. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. 10- Keep this Management Plan with your Septic System Owner's Guide. 10- Keep copies of all pumping records, maintenance activities and repair invoices with this document. Pip- Review this plan with your POWTS Maintainer at each visit; discuss any changes in product use, activities, or water -use. MANAGEMENT FREQUENCY Design Parameters System Specifications Number of Bedrooms 3 Septic Tank Manufacturer Wieser Design Flow (gpd) 450 Septic Tank Capacity (gallons) 1000 Soil Loading Rate (gpd/ft) 0.6 Effluent Filter Manufacturer Best Standard Effluent Quality Effluent 1 Effluent Filter Model GF-10 Biological Oxygen Demand (BOD) 220 mg/1 Pump Tank Manufacturer Wieser Total Suspended Solids (TSS) 150 mg// Pump Tank Capacity (gallons) 646 Fats, Oils, Greases (FOG) 3 0 m911 Pump Manufacturer Per Installer Treated Effluent Quality Pump Model P e r Installer Biological Oxygen Demand (BOD) moll Dispersal Cell Type Total Suspended Solids (TSS) IngIll Mound Fats, Oils, Greases (FOG) mg/// Pretreatment Unit Description NA Max Effluent Particle Size (in) 1/8 Homeowner Management Tasks Professional Management Tasks Check (listen, look) for leaks in toilets and dripping faucets. Repair leaks promptly. Regularly check for wet or spongy soil around your soil treatment area. Contact service provider if issues arise. Control burrowing animals (gophers, groundhogs, etc.) Keep bikes, vehicles, snowmobiles and other traffic off treatment area. Alarms - Contact your service professional if any alarm signals. Lint Filter - check for lint buildup and clean when necessary. If you do not have one, add one after washing machine. Effluent Filter -Inspect and clean twi ce per year at a_ minimum. Caps - Make sure that all caps and lids are intact and in place. Inspect for damaged caps often. Fix or replace damaged caps. Effluent Screen - Check and clean per manufacturer recommendations. .Liquid levels -Check sludge/scum/effluent levels in all system tanks. Recommend if tank(s) should be pumped. Pump all compartments every 36 months at a minimum. Inspect tank inlet and outlet baffles (if applicable) Check drainfield effluent levels (if applicable) Verify pump and alarm system functions (if applicable) Inspect wiring for corrosion and function (if applicable) Clean drainfield laterals (if applicable) Check event counterlelapsed time meter and evaluate water usage rate compared to system design flow. ,Check dissolved oxygen and effluent temperature in tank. Check for surfacing of effluent or other signs of problems. Verify inspection pipes are capped and intact. Provide homeowner with list of management results and any action to be taken. Septic system replacement area: Protect secondary system site from traffic,, compaction, etc. (if applicable) .................................................................................................................... * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . POMvTSREGULAr0R.* STCrolx County Zoning Office A DDRESS: I 101 Carmichael RD, Suite 1200, Hudson, W1 54016 PHONE: (715) 386-4680 ..................... 0 ............... * ................. 0 ........................... ......... ................................. ............................................... Poinis A S TAR T-UP & OPERA TION For new cQnstruction: Prior to system operation, check septic/pump tanks for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cells. If high concentrations are detected, have the contents of the tank removed by a licensed septic professional prior to use. System start-up shall not occur when soils are frozen at the infiltrative surface. During power _outages: Pump tanks may fill above normal high water levels for system utilizing pumps. When power is restored, the excess wastewater will be discharged to the dispersal cell in one large dose potentially resulting in overloading of the cells. Backup or surface discharge of effluent may also result. To avoid this situation, it is highly recommended to have the contents of the pump tank removed by a licensed septic professional or have a septic professional manually dose the system to return the pump tank to normal operating levels prior to restoring power. " --I �+ + DO not drive or -park vehicles over any Septic syStem components. Do not drive, park over, or otherwise disturb or col-11PEACL the area within 15 feet downslope of any mound or at grade system or secondary septic system site. MA IN TENA NCE INS TR UC TIONS Inspections of tanks and dispersal cells shall be made by an appropriately licensed individual or business. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum, and to check for any backup or ponding of effluent on the ground surface. Access openings used for service and assessment shall be sealed watertight upon completion of service activities. Any ,unsound/defective access openings shall be rQplaced immedi The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. Ponding of effluent on the ground surface may indicate a failing condition that requires immediate attention by a licensed septic professional. Tanks must be pumped when sludge accumulation is within 12 inches of the bottom of the outlet baffle, or whenever the scum layer is within 3 inches of the bottom of the outlet baffle. In no case shall total sludge and scum volume occupy greater than 25% of the tank liquid capacity. The effluent filter shall be cleaned as necessary to ensure proper operation. The filter should not be removed unless provisions are made to retain solids in the tank that may slough off the filter during removal. 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 and should be evaluated by a licensed septic professional. Pre-treatment components shall be maintained and serviced by a licensed septic professional according to the manufacturer's recommendations. CON TINGENC Y PLA NS If the septic tank, or any of it's components, become defective the Lank or component shail be I MrflediaLelly repaired or repiaced according to the original system design specifications. If a dosing tank, pump, pump controls, alarms, or related wiring becomes defective, they shall be immediately repaired or replaced with components of equal performance. If the soil treatment component fails to accept wastewater or discharges wastewater to the ground surface, it shall be repaired or replaced by; increasing basal area (if toe leakage occurs), rebuilding the component at the secondary system site (if identified), or removing and replacing biologically clogged absorption and dispersal media and associated piping. If repairs or rebuilding is not possible, a new soil and site evaluation must be performed to locate a suitable replacement area if one has not already been identified. If no replacement area is available, a holding tank may be installed as a last resort replacement POWTS. ABANDONMENT If the septic system falls and/or is permanently taken out of service, the system shall be abandoned according to SPS 382-384, Wisc. Admin. Code abandonment regulations. Requirements include: - All piping to tanks shall be disconnected and abandoned pipe openings sealed. The contents of all tanks shall be removed and disposed of by a licensed septic professional. Tanks snail be crushed & filled, or removed. - A septic system abandonment notification shall be submitted to the appropriate local governmental unit. WA RNINGLf SEPTIC, PUMP, AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ALWAYS CONSULT A LICENSED SEPTIC P R 0 F Ef* 5"S 10 N A L B rE F 0 R E D 0 1 N "I" A 111%41 Y W 0 R K . Pane A I , INS TA L L ER MA TER 1A L EST/MATES THE FOLLOW/NC PARTIAL MATER/ALL/ST/S INTENDED FOR ROUGHB/D PURPOSES ONLY. INSTALLER fS�4ESP0/IfS/BLffOR�4LL f/l1fA-L MATERIAL -CALCULATIONS. TANK(Sh Tank 1: Wieser - WLP1000/650-MR Tank 2: Effluent Filter 1: Best - OF-10 Effluent Filter 2: PIP1N Diameter Building Sewer: f 70' 4" SCH 40 PVC Forcem a i n: t 50' 2" SCH 40 PVC Header: f 7' 11/2" SCH 40 PVC Laterals: t 126' 1 1/2" SCH 40 PVC PUMP(%: IMPORTANT: Ping estimates are exact. A Material wad a11Qw@n!Q!2 has NOT been added. Minimum plead Minimum Flow Effluent Pump 1: 29.5 gpm 20.3 ft TDH Pump 1 Model: Zoeller - 152 Minimum Head Minimum Flow -Effluent Pump 2: - - Pump 2 Model: - SOIL TREATMENT AREA: Washed Rock: Mound Sand: Top Soil: YARDS TONS 17 yd3 24 TONS 67 yd3 94 TONS 90 yd3 126 TONS (11211- 2 2/2"Aggregate) (ASTM G33 Specification) IMPORTANT.- A % MATERIAL WASTE ALLOWANCE HAS BEEN ADDED to all the abovei r rn n rea matgrials estimatQa tQ allQw f r n r i iii pano in Wisconsin Department of Safety and Professional Services Page 1 of 2 Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, -,1LjT- Croix but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 034-1032-30-100 Please print all Infdrmation. Reviewed by Date Personal information you provide may be used for seconday purposes jPriva Law, s. 15.04 1 m . Property Owner Property Location: Joshua Melstrom Govt. Lot: NW '/4 NE S 15 T 29 N R 15 W Property Address Lot # Block # Subd- Name or f''SM# TBD 100TH AVE City State Zip Code Phone Number ❑ City ❑ Village Ui Town Nearest Road Glenwood City JWI 154013 (480) 261-9014 1 1 1 Springfield 100TH AVE © New Construction Use: ® Residential/ Numberof bedrooms 3 Code derived design flow rate 450 GPD ❑ Replacement ❑ Public or commercial — Describe: Parent material Loess over loamy till (Whalan sil) Floodplain elevation if applicable NA ft. General comments and recommendations: Recommend minimum 8" sand -lift POWTS mound on 100.00 contour with 0.6gpd/ft2 loading rate. LF = 28" (Redoximorphic features) **Soil test area outside of all FEMA mapped floodpialn portions of property" 1 Boring # ❑ Boring Pit Ground surface elev.100.85 ft. Depth to limiting factor 35 in. Snil Annhnntinn Rnta Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 "Eff#2 1 0-8 10YR 3/2 - sil 3mgr mfr cs 3c-vf 0.6 0.8 2 8-13 10YR 5/3 - sil 2fabk mfr cs 2c-vf 0.6 0.8 3 13-35 10YR 5/4 - sil 2mabk dsh gs 1 c-vf 0.2 0.3 4 35-46 10YR 5/4 f1 d 7.5YR 5/8 & 10YR 6/2 sil 1 cabk dh - 1 c-vf 0.4c 0.6 2 Boring # ❑ Boring © Pit Ground surface elev. 98-00 ft. Depth to limiting factor 28 in. Anil Anniinntinn Rnta f Horizon Depth 1 n. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 '` Eff# 1 * Eff#2 1 0-8 10YR 3/2 - sil 3mgr ds cs 3c-vf 0.6 0.8 2 8-14 10YR 5/3 - SO 2fabk ds cs 3c-vf 0.6 0.8 3 14-28 1 OYR 414 - sil 2mabk dh gs 2c-vf 0.6 0.8 4 28-44 10YR 514 #1d 7.5YR 5/8 & 10YR 6/2 sil 1 mabk-Om dh-dvh - 1 m-vf 0.4c 0.6 M;2tl91r_7l1tfAE�11Lill IEM-2KI/L�>JINsiTi11W_-1aTiM IWAN 14-111i-4iTiT1 main"_Tal&-!F8:{8ZEMIK-=tfCIWPlI `'iTi MPUT MIC4lW, I>■`TUI CST Name (Please Print) Signature CST Number Ryan Bechel � 5J4 SP-111500001 Address Date Evaluation Conducted Telephone Number 779 Spring Creek RD 8, Red Wing, MN 55066 08/24/22 (051) 327-0074 �rsu-ts,s,w tKu4/� a} Pap 11 Dec_,:�er Ryan Bechel Cer- - -� Soil Tester: SP-111500001 Des�:er of Engineering Systems: D 2263-7 P/L SCAU 15, 0-2 30 pz A D VTOA N C E D *All property lines not 1 Benchmark drawn are >103ft from Soil Boring system P/L T /0' / > � <1f - ± e� �. Anticipated finished �. ,� grade 91, 00 � �,, �� � (building pad to be � � � graded1filled ) 00 BM1 `� '� `, Shop with II/A. K I sink & toilet I �, L F **Well to be located >50ft m soil treatment area & Of >25ft from tanks** Current grade ~93-00 N NI BM1 100.00 ��` /f To nail in 16" softwood �'`-- � � (16 above grade) �, , R-O-W Edge BM2 100.00 Top nail in 32" Oak tree 511 above grade) Cmffigodl SbAen-o-ent- This system has been designed and evaluated in accordance with State and Local codes. The soil treatment area must remain protected from disturbance and/or compaction before and after construction. &A&M9>4WTV VC &"riC TUAT TWIC C-VCTr-Ii UAI 1 r-n&rTIkII C Tf-I CI lkw�nnjki Ik1r%r.7C)ILIITrI V C..-*-- _4 fi%� -4., --'-+n:4 4 P/L P/L P/L Former driveway cut boundary SYSTEM NOTES Septic Tank: Pump Tank: STA. -Recommend minimum 13" sarv&iff POWTS mound on 100.00 contourwith Hgpdtl loading rate -Depth tc restriction z 28" 1 Redoxtm.orp�ic feakires; -Contour= 1 DO.00 -Slope = 9% Distribution: -System will require pressure distribution L"TION MAP (not to scale) 100TH AVE PREPARED FOR: Joshua Melstrom Site Address: TBD 100TH AVE Glenwood City, WI 54013 PID: 034-1032-30-100 7.0 Acres Legal: NW 1/4 NE 1/4 S15 T29N R15W Town of Springfield Seale: 1" = 30'p;;npl�*: 8/24/22 r ff r ,off,. ,. n y,� A.' 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'4 dry .a i � r X d r , �+ or ZZ le r " r`` ., in , 1 „ j " r .:.., .. .. "', Y - � � * Me _ Y { SA'µ, , �.�,�,.' • + � • 1 • .. ' .,, n -f- M P . � v " r l n on ,v a , .. r u , , S"1'. CR Il1NTY SANITARY SYSTEM File #: ce Use =96' OWNERSHIP/ADDRESS FORM OffiCreated 2120Only27 00- 1 L L) I J)f-Oper-- OW-lef- With %.-un-trnur-i ty "'e-ve'opi-tTent U L Will Lit-II'lZe thlIS II-I'101-11la-00TI ILLO Pf-L)-V]U'e LL ly Lr 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, r,Lirfacp water. nrnnprty values. and rnijntv rPrntjrcPr'. Once annrovpd. thir, completed farm and PdUrational . # 1 .11 J 1-1 1 information will be sent to you by email. If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. nminior/Ri w4nr Josh Melstrom Mailinn Address 0 City/State/Zip Z41190733m, Glenwood City, WI 54013 Phone Number (required) 480.261.9014 Email Address (required)melstromjosh@gmail.com ����r~� �.�..�.:�:��;.�. +�.� 034-102-30-100 t ai%-Cl fulziltillk-CIM-ITI IVUIIILJCI (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location NW ,z4 I NE iz4, Sec. 15 T29 N R15W Town of Springfield I f Subdivision Plat: > aC.4,-e S Lot Certified Survey Map # — Volume Page # Warranty Deed # (before 2006)Volume Page # Ni A -Ai Ir"I I k p rt rN..ak n A rrrrI iI c-J 3 perIkI rre r%t'ok- r.0 M 1n1 rr+ 1i; rcc4a n + l f1j n l e E yoc " ri r i- OFFICE USE ONLY A I I -1Uyt:FLy 1-'AUU INJCVV r 4n z / () ) r-, 2 �Verification of new address required from Community Development Department for new construction.) 12 / q Z202 2 I (Staff Initials) )Bate)I I - - .1 1 This form must be submitted with all Private Onsite Water Treatment System (POVVTS) applications. kl~L&V Clk P&-*A-k MONO% 0 %Af;+I% ^ &�^ 0- -% V'4^ .4 1 A 1'-V &%+I I A^^ .4 &-.,% 44% -% 1) ft e'% ; #- 4-^ ap e% 9f n ^ ^ e4e. /-) "j' -^ ^ &ft A o" .-e% &ft , , ^ ir +i-�. ^ ^^ A,+ ;A* , 4 mv%. VV ftoy 4 %V6 " 16 0 1 %- CL4WV- kf W LL& r L I tL -I I W I I IF w I %- Lot- L' Fir Ll I f %.'r rr'.y t,4 w r, wr r r Lt,%.; r %v-!;f Ljt%�.# %_-f L--%. U. %.J-P %-�r L W- -- L4 *I%-& LA I- 1,�'.,y k.01 L I fl- L 4.1 (.%- W survey map if reference is mode in the warranty deed. Community Development Department — Land Use Division 71 S-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd2sccwj,.aov 1101 Carmichael Road, Hudson, Wl 54016 www.scc k � $ / 7 � /�`/2�\|\� CA � . °§f��°-� • \ ¥ � � q 4n ty cc .......... ---------- .......... ........ ........ ........ .. .. . UNEXCAVATED ... ......... -7 ......... . . ...... ................ ......... .................. ................. JNEXCAVATED ^ A /A 3 35 .. ............................... ------- . . . . . . . . . . . . . . . . . . . . . . . 7771- . . . . . . . . . . . . . . . . . . . . . . . . . . . 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GAf• W MW .• 1 n = AT a..sea , I D n L-I q 6*AcdD a"'O i ..T M.eT kdA:) a '. � - f .:ur„,F •' -Cc; •' fT.Qa _ .. _ ._- _-._ # __ _. - -_.. � �YE#2! v P4"''RG.+. _ 1 -.:.- -.:,. : _f, sr_tne af'4aa► u' �atlr �•r �s,Rc 1CM sc+. - UJALLrSTRUCTURAL 5"'rr15nLS Q � ! �� I• 1 i [[[� 1/SrV//fjj _E� I - �.' - I.TFmil�! =-�.r •..fm.ti fe4�_ •w�i R � j ♦ r"�'� �q'.: �� " w 4 a -• . x •"�' C air ' ..-....�.T _. �- F max•._ :,! I I; i s A+��In •1^ry lCli C� ww- 1114 MASTER BEFOG"" _, i # ftlaltknia -Aj" ncuN� .`A" r..es at i � � a,j ..p' y -, .. I f •ra �^- c +� mrTK9aLi Vti"!.m e'Nl "M^ 7° A-4 13 C' I �i h I L_ CG•S afi iota = ,- _--_-r, m 4 L �'�- #.��' I :� BRACED WALL CHART (SRS321.23) -.� d ♦-5e #O• 9'a' pA-� lir �� U A °, !'iEG.:/L4+:1Y" 2Y - r a- �_- - -s ♦ e •'•;.' ? O �y Il CIANOL& A WALL 4s<a'Nr- #" SMA To Amin PWNWr. Y, 1t' mwr. orlwwaamemwrR ' Ar sudden [ir: 8 - * lox?"" (Lis, cOnTrwuous NET"*& � rost�al rRwtmti am*?"" WxR 4sx, as, rat tCWW K caarde} 1 Ittsx rmtAx all3" + -a. a 5t RI -6" * * lraaa+x SUPteMMO AM a or malwLe rxi awe Ta'TAi L51061114 0114101111110 114e0CAT66 liumrsu OF Pr aldeetx q Twi 3"-W Pest TaIPLI Z"J64 ! 1i-,aa' Waee Pma4wep lti+m< ;� a• 1 I _,...ma• f i 'ry - anal. Paaeda. WSATn (Toile maD► PalreL mm»Tla RAea.e j nwa. n WtaTq rraauee , -0. T 1Gi w --i ♦ a' ( .. C • ur.u�l+ N a"2441dr ae' all.s�wi� mrA �- - - f ; etATxldeee amdeeiw aft rc° WAl1A LaaM °axe °Adele" leis° Lae w lmaow► saes aa' loan Aril j Aland" aaae I P Lh1TR weep Las ounae erlr wa wa Tar o'dr MA I wa •'-al`,'°°' am ftem mw A" comma wa mra wa der m►a ' wA rlemoii iaam AND clnswr amiTE FINUKIRMVIL . r-sis roUrD aN� YCTraw dPeiet.LW W TONSS Wm+rawwd 0 OMLLm11 C04M iVow .8004 BE 0� f f R i 4 Ortks" !ON[DL&I w Oj rseaucT case rn I wkac +u+wro cosa,T awn ! Y a ry 14 -3' ! -3 e�nii i x _c�a f •t KiCW - • - ` iA•� :��P•"•Eff R!C'w 'C +f aN.:;..' 4tw o R a r . �,.6e. g �• 3CJG" 1-0' �,� I.ut�ua v'e....ss . [ �.•,.: - ' - _ y -`i _ _ "` _. / i / j J � �a TC +w+A ir'. • i• G T• , a ... h4 oT. :-wart as u MAIN FLOOR 5Cr+L_Z- /A'. 1 - ---- - ni•s y �cls ABC 24x3& ARCH D AL_ PIM61"6 "C4AX7046i OUT NOT L M TED To r0ATOOG6+T6 ,P THE 8L,i8-"WT5 OR F--QOma P LAN& C PJLATM I,NUER 'I,+..6 A4PVEff"LrNT. ARSRou w._0#4 c:tmr +e LIC9%6f6 THE !k lfT Oat M-001t -LAN TO '-E CiA'OrBR aOR PIU l 04 M Oa COT'b'a18X_1PIG '•,E 6TfRJCT6A%P DET• C-W N -.42 OL..l kT OR RG*Osi -_A-a --of CUB-OrgM 6-A- NOT ::l_CATE D6TWauTE TO TbW OR FLOOR RAh. --- • Tl __'�. OR FLOCK -Lt.^ ,IQd]PK MADE -010 •-aaE A-S .04cem AL `1'4.l ErE1Rt %F.Fz:-a ^ e�Aj OEM T+47E ti wilt :�i+a TWM -LAN* AND C-GCK446 T6W' •OR AGG,diAC- c.O%"QAc'cai Neli T+44T Vote— Got- c)" roaTdvrl G-ift ELt`rArCY6 wz%4d4 O . EA OR AND CeAt" SrZ6 A.40 ALL 0-.MR Qt^Etc5.0%6 AnG Y"€1:5 AN CE RE6PONS OLb FOR '«f 6AY`E SCALE AS NOTED ;R,.,sN 5.- 4LEXA LUEDTKE g..-E- h 44 &WEE" 4 of 5 9 Anv "0 w B7C sv L6'3 1.;6 -,- 8 5-VRO Ix, Li 514Ct4 715.553.3'161 S'BX4,'U&O*.K'g =,Or 131-4 Document Number Document Title St. Croix County Accessory Structure Affidavit Name — (Owner) Typed or printed + e-N r-% A A —7 C% —7 ix:5132084 116 0 990 9 BETH PABST REGI-15TER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 11110/20221 06.'29 AM Me F. T"r REC FEE 30.00 He/she is the legal owner of the following parcel of land located in St. Croix County, Wisconsin, with their deed or document of ownership interest recorded as Document Number 1084365 St. Croix County Register of Deeds Office. 1 Recording Area Name and Return Address This property is described as follows (include lot no. and subdivision/CSM V M - VW'e_i4-Vt r or detailed legal description): I 1B 0 Y, -3 'S I (See below) OR: (X) See attached deed copy for legal description t W k L-3 Parcel Identification Number (PIN) 034-1032-30-100 & 034-1022-95-000 As owner of the above described property, I acknowledge that the Private Onsite Wastewater Treatment System (POWTS) services both an existing principal dwelling and an accessory building on this lot and is sized for a (-3_) bedroom home with a design flow of 450gpd. This accessory building may not be used as a second residence on this parcel. I also acknowledge that I will disclose this information and stipulation to any future parties interested in purchasing this property. Dated this /0day of ff2) V1fA IlaWz,��-NCI. avU EN ltn'c Signature(s) _*'.. authenticated this day of ? TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY: Community Development Department RYAN J. GRIFFIN NOTARY PUBLIC �S TE (Signatureisinay e auPheri ficat Vol qa9iPINAINare n©t necessary.) ACKNOWLEDGMENT STATE OF WISCONSIN) )SS. St. Croix County. 'a Personally came before me this dayof- the above named $ to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. Notary Public, State of Wisconsin My Commission is permanent. If not, state expiration date: 207_p Date: St. Croix County 1160999 Page 1 of 2 T 114 'A 7 LAI I r. Wisconsin Dep Professional S rvices Page 1 of 2 Division of Indus S rvices �Q SOIL EVALUATION REPORT C0�10"n ac or nce with SPS 385, Wis. Adm. Code County CV01Y, rl ST Croix Attach complete site p n on p��r eDe 1 inches in size. Plan must include, but not limited to: verb I c-od erence point (BM), direction and percent slope, Parcel I.D. scale or dimensions, n row, and location and distance to nearest road. 034-1032-30-100 Please print all information. Reviewed by Date Personal information vou orovide may be used for secondary ournoses (Privacv Law, s. 15 040)(m)). Property Owner Property Location'. Joshua Melstrom Govt. Lot: NW 1/4 NE 1/4 S15 T 29 N R 15 W Property Address Lot # Block # Subd. Name or CSM# TBD I OOTH AVE City State Zip Code Phone Number El city [:1 Village M Town Nearest Road Glenwood City IWI 154013 1 (480) 261-9014 I 1 Springfield 1100TH AVE 07 New Construction Use: X Residential/ Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ Replacement Ej Public or commercial — Describe: Parent material Loess over loamy till (Wha!an sill Fioodplaln eievailon 1"I'applicab!e NA ff o r_% eneral comments and recommendations: Recommend minimum 8" sand -lift POWTS mound on 100.00 contour with 0.6gpd/ft2 loading rate LF = 28" (Redoximorphic features) **Soil test area outside of all FEMA mapped floodplain portions of property" Boring # F-1 Boring 100.85 ft. 35 F M-1 pit Ground surface elev. Depth to limiting factor in. Iqoll Annllr.,qtlnn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr, Sz. Sh, Consistence Boundary Roots GPD/Ft 2 *Eff#1 *Eff#2 1 0-8 1 OYR 3/2 Sil 3mgr mfr GS 3c-vf 0.6 0.8 2 8-13 1 OYR 5/3 Sil 2fabk mfr CS 2c-vf 0.6 0.8 3 13-35 1 OYR 5/4 - S11 2mabk dsh gs 1 CM 0.2 0.3 4 35-46 1 OYR 5/4 f1d 7.5YR 5/8 & 10YR 6/2 Sil 1 cabk dh 1 CM 0.4c 0.6 Boring # F-1 Boring 98.00 28 - Pit Ground surface elev. Depth to limiting factor in. I.0,nll Annlir-Afinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu, Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots I GPD/Ft 2 Eff#1 r— *Eff#2 1 0-8 1 OYR 3/2 sil 3mgr ds CS 3c-vf 0.6 0.8 2 8-14 1 OYR 5/3 Sil 2fabk ds CS 3c-vf 0.6 0.8 3 14-28 1 OYR 4/4 - Sil 2mabk dh gs 2c-vf 0.6 0.8 4 28-44 10YR 5/4 f1d 7.5YR 5/8 & 10YR 6/2 Sil 1 mabk-Om dh-dvh 1 m-vf 0.4c: M CST Name (Please Print) Signature CST Number Ryan Bechel 5ej SP-1 11500001 Address L/ Date Evaluation Conducted Telephone Number ,779 Spring Creek RD S, Red Wing, MN 55066 1 08/24/22 (651) 327-0074 I 0 4 1 Boring # rok0 98.80 ft pit Ground surface elev. Depth to limiting factor 31 in. IAnil Ann11r..qt1nn RqtP Horizon Depth In. Dominant Color Munsell Redox. Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' *Eff#1 *Eff#2 1 0-12 10YR 3/2 sil 3mgr mfr CS 3c-vf 0.6 0.8 2 12-21 10YR 4/4 sil 2mabk ds CS 3c-vf 0.6 0.8 3 21-31 10YR 3/6 - 511 2mabk dsh gs 2c-vf 0.6 0.8 4 31-42 7.5YR 4/4 f1f 10YR 5/8 & 10YR 6/2 sil 1 cabk dh-dvh 1 c-vf 0.4c 0.6 Boring # F Boring F pit Ground surface elev. ft. Depth to limiting factor in. Cnd Annnf-Afinn i-,qtp I Horizon Depth In. Dominant Color Munsell Redox Description Qu, Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft 2 *Eff#1 *Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Anil Annlir;;finn RAtP Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft 2 *Eff#1 —*Eff#2 IL L * Effluent #1 = BOD, > 30� 220 mg/L and TSS > 30:5 150 mg/L * Effluent #2 = BOD, > 30:5 220 mg/. L and TSS > 30!5 150 mg./L Boring # ■ 98.80 ft Pit Gro'u'nd surface elev. Depth to limiting factor 31 in. I Anil Annfirnfinn RMP Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-12 10YR 3/2 sil 3rngr rnfr CS 3c-vf 0.6 0.8 2 12-21 10YR 4/4 sil 2mabk ds CS 3c-vf 0.6 0.8 3 21-31 10YR 3/6 - sil 2mabk dsh gs 2c-vf 0.6 0.8 4 31-42 7.5YR 4/4 f1f 10YR 5/8 8i 10YR 6/2 sil 1 cabk dh-dvh 1 C-vf 0.4c 0.6 Boring # F]Boring El pit Ground surface elev. ft. Depth to limiting factor in. IRnil Annfir;;finn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft 2 *Eff#1 *Eff#2 Boring # [:] Boring F1 pit Ground surface elev. ft. Depth to limiting factor in. I:nil Annlirnfinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 #Eff#2 * Effluent #1 = BOD, > 30:5 220 mg/L and TSS > 305 150 mg/L * Effluent #2 = BOD, > 30 5.220 mg/L and TSS > 30:5 150 mg/L Designer. Ryan Bechel Certified Soil Tester: SP-111500001 Designer of Engineering Systems: D 2263-7 P/L S('ALE i 5' p' 309 FZ __ DVANCED A v o.., 416 V 1., 4 R r7) t' V. f� t4 T A L *Ali property lines not Be nchmark SYSTE\l 1t)TES drawn are >100ft from Septic 'Fank: system Soil Boring P/L CD © r tJ� f C� Anticipated finished grade � 91.00 ,� , 9� (buildingad to be f e5 graded/filled) Shop with sink & toilet00 "Well to be located > 50ft '� 1 from soil treatment area & > 25ft from tanks** `, - Current grade c N93.00 BM1 100,00 Top nail In 16rr softwood rr (16 above grade)R-O_ Edge t BM2 = 100-00 Top nail In 32" Oak tree _ 1 (25 111 above grade) f� Certified Statement: This system has been designed and evaluated in accordance with State and Local codes. The soil treatment area must remain protected from disturbance and/or corr►poction before and after construction. NO WARRANTY IS MADE THAT THIS SYSTEM WILL CONTINUE M FUNCTION MUMMY. System must be properly maintained. Review quur aystem's management plan for information on proper care and maintenance_ P/L no�1�) P/L P/L Former � driveway cut � boundary &7 Punip Tank: ST:': -Recommend minimum 8' sand -lift POWTS mound on 100 00 contour with 0 f gpR2 loading rate -Depth to restriction = 28" (Redoximorphic features) -Contour=100.00 -Slope = 90A Distribution: -System will require pressure distribution LOCATION MAP (not to scale) 10 0TH AVE n 979- f'RF;PARED FOR: Joshua Melstrom Site Address: TBD 100TH AVE Glenwood City, WI 54013 PID: 034-1032-30-100 7 Legal: NW 114- NE 1/4 S15 T29N R15W Town of Springfield Scale: 1" = 30' Date: 8/24 , e . , a ee , s .. , ww +. /y Wlle x. kr �Af V S wG: op Vo- , ; e , rry^1.w�lY k V . e� 'E,,a Ar . t r , 4 w r. ^ • � ` Y , . , ILI i t r � I •� ' .° V,..y a n► J r, �'� y +�, •'p Jv k` .., w " � .,��, > "� � ' �L�.�i��` +pry '"". 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A i w7 o�• M w l \ ,w " nk '' '..., _. r 4 _tom' � , °� ae,ti; � .N. � �-•'- ' � i t n f " T ` t J , RR-+�_a+� 1j � 'r y • �l { " 1� ~" ter"' �,'��°� ,N � � ,�� � '� � �{'ti.ti •,,yyt '��.. ,wow,,. r ;�t� � • � »e. >w / rr }} 5 • t . �» ° ♦ . ," / � . A.ti \ X 4 d x of Y. r am„!}'' J •, , "4 '�. + 1 l lk JiI 4w �, .. �r , " v Y • ny�� �j JF��'Ty �' m f 1 µ i e .-. ♦ J r upa �. ,nq + 1 i 4 „ l 1 f ,- - ,;. -s+ �-�= %fi - � ..- -. Y rr -?'. _ �. + �".;�°+� ^�"-..'^°', ., :tia . � lam.., , ti . ,,,�, .«' �_ ti � , � ,,. iT• ... '",.{.. �.J:'��,:+1�:i f, '""�"^�; }t . n T } ^ s {' r Y " Y � t •, ter. t, ,� 1 ' � { � �Y 1;,� ♦ " ���'�•« � � ,~ w ., I 1' 7 + JL r *Rm l • � - Y YID •� t • � � � >r + „ Aw y w � _ ..- x i 7 lid ST n , PLUMBE TOWN No. 6454901 !E SANIT,�AR PERMIT 3obt fop ��E ,„ "",.,•T''s r P V1 US NO. M R LOT EXPIRES 000 AOL if ""BLOCK SUBDIVISION 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 may be 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. ED ISSUING OFFICER - DATE „N 7/ZQZZ �L( UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11/20) N State Bar of"Wisconsin Form I -")(X 1.3 WARW-%NTYDEED 1), ,, m1will \U111tX-r I 1),�cujuew Name IMIS DEED. made hiciNk-0en Robert E. Ked and Pamela A. Ked, husband and swife (*TJranI()r. whether mve or nwre and Vaiwssa Nl. Melstrom and Jt)shtia G. Melstrom. %%ife and husband as survi%twshiv marital pro►ptrt�r Urantor. tort vaivabIc �:(mslderatit )it. iI:mweys to e. rimice the (011(ming describcd real estate, tm geth1 4 ether with the rents. pr�)fit.... fimurcs and i'ilhcr appurtemint mlcre.,ts, in sc Croix County, State of Wiscomsin i Alrofvrty") i It morespace is tweded, please attach addelIdU1111): Parcel 1: That part of die N()rthN%es1 Qtjarter iNW of the Ntwillwast Quarter (NE ',,.4) 4 Section Fifteen ( 15), Tom 11ship ( 4209) Nortli. Range Fifteen ( 15) West,, *rosvil 41f Springfield, St. Croix CChet N. INI%cmisim lying Northerly of 104)"h A-s enue, Parcel 2: The Smalhwesll Qii-arter CSW I",.#) t)f the Smitheast Quarler i-SU.' ' 4) Of Section Ten (10). Tow mAjil) Twen I y -nine 129) North. Range Fifteen (151 West,'ro-wn of Springfield, St. Croix Count%, Wisconsin. 1084365 B FT H PA RS, T RLGILSt LK OT OLLUS- I- .:-T CROIXICO W1 Nms,,� jot) kmmn Addres, WESTIconsinTitle Sur% ices P.O. Be)% 607 Hudson, WI 54016 034-11132-30-104) and 034-1022-954MM) i Il't-1 NumK-i TI.Ni ThiN i,,� 11;01 111 Ij1h*A,.'6fd pr()Perly. (iranloi \\mraws that ihe title w the ImperiN Is L:ot)d, mdelL%vibic lit fee omple and free -mil cic;ii of LA) CUmbrank.:esexcept: ?,truing (mlinances, rights -of -%%ay. all easements. covenants, conditions. reservations and restrictions. and general real estate taxes and asse%snient.% levied in (lit year 4)f conveyance. Dated: Juts 2. 2019 HOF -Is (S EA L *Robert E. Keil ihwla A. Kea co PU.... BV 0, see N 'KNOWLEDC N1 FNI M"HiENTUATION OF W \Cl SI1c nat 111'el S I _ITFLI� \l1,MlWk ''FATF BAR OFWUSCONSIN (11, mil. aul1wri/cid bN Wls.Stat 70(o)()i TI I I � IN S'Fk1 1.\ I I - NT I)RAI--I I - I ) k Y ,k),111 R. Schrader. Ammic% jk o.ST-11)-M1w, S1'A1'F OF NVISCON�IN ('( )( i jN'j y ( )F ST C'ROIX I)ersi mall\, .:ame hel't)rc me tin July 2. 2019 the ahove-named Robert E. Keil and Pamela . k. Ked to lite kno\%n is, tv 1he perstim \i Mw exe,'ulcd lice lotecimno Instrument md a,:knmvle&ved the wine. • Tarn Hoff Notar\ Public. Siate ot Wi o ns i i i 3/2'21 iSignalurcs niia% Iw uuthenticated or i&tkmm1vdgvd. Huth arc not w,ccvdry.) No 11'.AMIS IS \ STAM)ARD FORNI \NY MOMFIC \'I*I()NS TO TIIIS FORM S11101 11,11) HF (Tv \141,Y MUM ,'I WARRANT)* DEED 2003 ST \Tv. It \k OF WISCONS4IN F0k\I N(. 1.211HO 4'T\j)v namc belo%s ivnmuic, Kp.vin Grabau From: Reed Junco Sent: Tuesday, December 6, 2022 11:00 AM To: Kevin Grabau Subject: FW: Sanitary Permit and Land Use Permit Follow Up Flag: Follow up Flag Status: Flagged Here is what I sent as a follow up. Reed Junco I Community Development - Land Use and Conservation Planning Technician I T. CR PINTY From: Reed Junco <Reed.Junco@sccwi.gov> Sent: Monday, November 14, 2022 4:19 PM To: Joshua Melstrom <melstromiosh@gmail.com> Subject: RE: Sanitary Permit and Land Use Permit Hello Josh, Thank you for meeting with us onsite today, we discussed that a Land Use Permit is not required for the work that was conducted. Please keep in mind that slopes 2S% or greater shall not be developed or disturbed, this includes any cantilevering of the structure over the sloped areas. If you have any questions feel free to contact me. Thank you, Reed Junco I Community Development - Land Use and Conservation Planning Technician I T. Cho TY From: Joshua Melstrom <.meIstromiosh_@grn_aiI.com> Sent: Thursday, November 10, 2022 1:35 PM To: Reed Junco <Reed.Junco@sccwi.gov> Cc: Vanessa Melstrom <melstromv@gmail.com>; Kelly Becker <Kelly. Becker@sccwi,.gov>; Kevin Grabau <Kevin.Grabau@sccwi.gov> Subject: Re: Sanitary Permit and Land Use Permit This email originated from an external source. Verify the legitimacy before clicking links or opening attachments. I Hi Reed, Yes, I am available. I have it on my calendar for Monday, November 14, 2:00 pm. Thank you, Josh On Thu., Nov 10, 2022, 1:27 PM Reed Junco <.Reed.Junco@sccwi.gov,> wrote: Hello Josh, The Community Development Department staff are requesting an onsite inspection to verify the placement of the proposed structures. The current documents that have been submitted does not require a Land Use Permit, however there are some discrepancies between the site plans. Staff would like to look at the site to insure no Land Use Permit is required for the work you are proposing. Are you available on Monday November 14 th at 2pm to meet us onsite for an inspection? Thank you, Reed Junto I Community Development - Land Use and Conservation Planning Technician I 1101 Carmichael Rd Hudson WI 54016 T: 715-386-4683 1 C: 715-245-7318 1 F: 715-381-4400 Reed.Junco@sccwi,.gov T. C Ro ,UNTO' From: Joshua Melstrom <melstromiosh@ mail.com> Sent: Thursday, November 10, 2022 9:39 AM To: Kevin Grabau <Kevin.Grabau@sccwi.gov> Cc: Reed Junco <.Reed Junco2sccwi.go-v>; Vanessa Melstrom <melstromv@gmail.com>; Kelly Becker <Kelly. Becker@sccwi.gov> Subject: Re: Sanitary Permit and Land Use Permit Hello Kevin. For Item #2, See the attached email. A land use permit is not required. We had issues with our first building site because of the slope, and shoreland. We are trying to avoid the need for land use and the associated cost with it. So we decided to relocate our building site on our property. Prior to Vanessa and I doing a second soil test, a second sanitary system designed, obtaining a second driveway permit, purchasing a second culvert, and having a second driveway installed, having our site logged, excavated and now completed, ready for a home, including removing trees for the sanitary mound, we inquired to verify that a land use permit is not required. The answer was no, we did not need one. This was in early August. We spent the next couple of months preparing the site. The site plan I provided Kelly in the email matches the site plan on the soil test and on the State approved site plan. The site disturbing the area that was ok'd has not changed. Thank you, Josh and Vanessa o- 3 FXI Hello Josh, One of our contracted staffhas been reviewing your Sanitary Permit for anew house inthe Town of Springfield. We need some additional information: l.ODeOfthe items still needed iS8DAccessory Structure Affidavit. This document isrequired any time anaccessory building isalso connected tothe POWTS (septic system) that serves the house. This document will need to be filled out, signed & notarized, and then recorded at the St. Croix County Register ofDeeds Office (ROO). The ROD lslocated within the Government Center, inHudson, Wisconsin. | have filled out the Affidavit with asmuch information as|can for you. Since the property is owned by both you and Vanessa, both of you can be named on the Affidavit, orjust one ofyou, itisyour choice. But, whomever isnamed onthe top ofthe Affidavit document, must also sign it. Once )tissigned and notarized, then itcan berecorded. You will need to attach ecopy ofthe Warranty Deed to the Affidavit. Also, please fill out the Name and Return Address section on the right side ofthe document. After the ROD records the Affidavit, they will send the original copy of the document atthe address that you provided onit. 2-Also, a Land Use Permit (LUP) for slope disturbance will most likely be required. Adetailed site plan is required as to the placement of the driveway, all structures, and will need details such as slope percentages, etc. | have copied one ofour staff, Reed Junco, who works with LUPsaswill be able to further assist you regarding the LUP. I have copied your plumber, John Pelke, who is pulling the Sanitary Permit and will install the septic system, so that he knows where all of this is in the permit process. Thank you. Kevin Grabau|Community Deve:mpment-Land Use Planner 1101 Carmichael Rd Hudson WI 54016 T:715-381-43821Cz715-716-0698 Joshua G. Melstrom 480-261-9014