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Home My WebLink About034-1003-20-000 (2) ST CROIX CO 0 A A. I UNTY PLANNING & ZONING T May 4, 2009 s. Jaime Kirkpatrick Code Administraa 1107 Rustic Road 3 715-386-4680 Glenwood City, WI 54013 Land Information & Planning Extension of Temporary Occupancy Land Use Permit #LU0101 715-386-4674 Town of Springfield Parcel # 02.29.15.27B Real p, cry Dear Ms. Kirkpatrick: 715 -4677 This letter confirms zoning approval according to the plans you previously submitted to R cling - temporarily live in a mobile home on your property in the Town of Springfield while you 386-4675 remodel an existing house on the above parcel. A request was made on April 29, 2009 to further extend the deadline of Land Use permit #LU0101 pursuant to Section 17.70(3)(c)2 of the St. Croix County Zoning Ordinance. 4 Staff finds that the requested extension of the temporary occupancy Permit meets the spirit and intent of the St. Croix County Zoning Ordinance with the following findings: 1. The mobile home is now connected to a code-compliant POWTS that was installed and a inspected on May 30, 2008. The POWTS services the remodeled home and the temporary mobile home, the latter to be disconnected at time of removal. 2. Todd Dolan, building inspector for the Town of Springfield, has concurred that the remodeling has been progressing without violations of UDC code and is in support of the permit extension. Kx.:. 3. The mobile home will be removed upon completion of the remodeling of the existing house, or by December 1, 2009, whichever comes first. F: 4. The approval of this project meets the intent and purpose of the Ordinance and will not V ' affect the public health, safety and welfare of County residents. pproval of the land use permit is subject to the following conditions: 1. The applicant shall contact the Planning and Zoning Department when all remodeling construction has been completed. Immediately upon completion of the remodeling x and/or construction activities, the mobile home shall be disconnected from the POWTS and removed from the site. ",'><<,.:.. 2. The applicant shall submit to the Planning and Zoning Department an as-built drawing and photos of the completed project to document removal of the mobile home. 3. The applicant shall have a permit extension until December 1, 2009 to complete this project. If the extended land use permit expires, the applicant will be required to secure a new land use permit. ST. CRO/X COUNTY Go vERNMENT CENTER 1101 CARM/CHAEL ROAD, HUDSON, W/ 54016 7153864686 FAX PZ000.SA/NT-CRO/X. W. US W WVV. CO. SAI NT-CROIX. WI. US This approval does not allow for any construction beyond the limits of this request. Your information will remain on file in the St. Croix County Planning and Zoning Department. Please contact the St. Croix County Planning and Zoning Department if you have any questions regarding the conditions of this permit extension. It is your responsibility to ensure compliance with any other local, State, or federal rules or regulations. If you have any questions, please do not hesitate to call. Sinc Pamela Quinn, POWTS Inspector Zoning Specialist/Zoning Administrator Cc: Vicky Benson, Clerk, Town of Springfield Todd Dolan All-Croix Inspections i ST CROIX CO A AA a UNR PLANNING & ZONING October 30, 2008 An, =;v k' ~k F.: j.. Ms. Jaime Kirkpatrick Code Administratr 1107 Rustic Road 3 715-386-4680 Glenwood City, WI 54013 Land Information Planning RE: Extension of Temporary Occupancy Land Use Permit #LU0101 715-386-4674.:'t Town of Springfield Parcel # 02.29.15.27B Real P tty Dear Ms. Kirkpatrick: 715 -4677 This letter confirms zoning approval according to the plans you previously submitted to R cling -386- temporarily live in a mobile home on your property in the Town of Springfield while you 4675 remodel an existing house on the above parcel. A request has been made to extend the deadline of Land Use permit #LU0101 pursuant to Section 17.70(3)(c)2 of the St. Croix County Zoning Ordinance. Staff finds that the extension of the temporary occupancy permit request meets the spirit and intent of the St. Croix County Zoning Ordinance with the following findings: 1. The mobile home that has been temporarily occupied is now connected to a code- compliant POWTS that was installed and inspected on May 30, 2008. The POWTS services the remodeled home and the temporary mobile home, the latter to be disconnected at time of removal. 2. The mobile home will be removed upon completion of the remodeling of the existing house, or by April 30, 2009, whichever comes first. 3. The approval of this project meets the intent and purpose of the Ordinance and will not affect the public health, safety and welfare of County residents. Approval of the land use permit is subject to the following conditions: 1. The applicant shall contact the Planning and Zoning Department when all remodeling y construction has been completed. Immediately upon completion of the remodeling . and/or construction activities, the mobile home shall be disconnected from the POWTS and removed from the site. 2. The applicant shall submit to the Planning and Zoning Department an as-built drawing . and photos of the completed project to document removal of the mobile home. 3. The applicant shall have a permit extension until April 30, 2009 to complete this project. The applicant may request an extension of up to six months from the Zoning Administrator prior to this deadline. If the land use permit expires, the applicant will be required to secure a new land use permit. ..h +<:bANYf.<+A':CP).OXVY#tKSF:::i4•'ESX<':. +:!ckt xmx. awxasa.CVattw. twm4:.u::.!aacz:.`.nhh+f)J.iCa\.!'/.:.E)pyRa\'l'+-.a.~+~.;.U+ ftto.hr\ ^'~.:vua. xmrsx•nCA~:. q'cs.: <Kf+.?:a."`x.. ST. CRO/X COUNTY GOVERNMENT CENTER 1 101 CARM/CHAEL ROAD, HUDSON, W1 54016 7153864686 FAX PZCYCO.SAINT-CRO/X. W. US WVWY. CO.SAI NT-CROIX. WI. US This approval does not allow for any construction beyond the limits of this request. Your information will remain on file in the St. Croix County Planning and Zoning Department. Please contact the St. Croix County Planning and Zoning Department if you have any questions regarding the conditions of this permit extension. It is your responsibility to ensure compliance with any other local, State, or federal rules or regulations. If you have any questions, please do not hesitate to call. Sincere c Pamela Quinn, POWTS Inspector Zoning Specialist/Zoning Administrator Cc: Vicky Benson, Clerk, Town of Springfield Todd Dolan, All-Croix Inspections Plot Plan. Page S of 8 Property Owner .'3AemEJA. KIuY-TIoa oar x"=4of~ . Legal Descrip~ron sw~lti -,c", -SW'/140 sz, (eace-ept-where noted) r TZ4!l~, 'R~$ YJ~ TOUA) eF VF4~ *E!EI.QSC CROW Cok wj .p J~7 ~ ac khoe pit.. North ' 3 j • is\ "O? 009 ~ v t ^fOP ,-9► Mtii 000 frt ~'e~.tJ~d►d~+Li~eMdO-7466 to ~OO~gp, • - '~xrsr~+uG c~ws~•t~ • 'preac oRar~wyy ~RDO't PRO ~RCrsD E E RESPONDENCE 01. Site Locatio : E A . h L: 4 ' gd GZ8b9Z~STL _ • °rRjew eL0.80 80 Ti ~~b Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 5 9 0 GENJERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: ~ ( ~ Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Kirkpatrick, Jaime M. Springfield, Town of 034-1003-20-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: / OZ) f~) 5 T- I 02.29.15.27B TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 7, o'd /07, $ 410 Septic `T& Z Benchmark 3 W-0 Dosing Alt. BM CO 3 P, G o Lw Bldg. Se er ' g Z,; 6et Holding St/Ht Inlet TANK SETBACK INFORMATION SUHt Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet \ f\)61 1 Septic Go 33 42- / Dt Bottom 13.3 • 201 Dosing , j Header/Man. (o -33 4Z- `tZd (0,31 Aeration Dist. Pipe 6, y5 10J ~ 35 Holding Bot. System -7. 12- /0 ' (.q PUMP/SIPHON INFORMATION Final Grade 5.3 7,16 z.y/ z.vz Manufacturer Demand St C ver Zac [ GPM ~-oJca 9 35 98. 41 ! ok Model Number 9<7 Z3. TDH Lift,l Friction Loss i System Head TD H Ft _a /l 1 y (0156 Forcemain Length / Dia. )1 Dist. to Well 70 2- W 33 SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Tre ches PIT DIMENSIONS No__.QEPiiS Inside Dia. Liquid Depth v DIMENSIONS O ~7 lee \ SETBACK SYSTEM TO J ! P/L BLDG WELL LA /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type 0 stem: to / ! UNIT umber: aI) a bb DISTRIBUTION SYSTEM oll~,~ Header/Manifold Distribution C / Ix Hole Size Ix Hole Spacing Veryt~to Air Intake z Pipe(s) J 5 ~iJU Length 41 Dia Length Dia Spacing b Z SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of r, 1yx Seeded/Sodded xx Mulched Bed/Trench Center `?t> 2 Bed/Trench Edges Topsoil \ s 0 No [Yes ~ rm] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: / / Location: 1107 Rustic Rd. R3 Glenwood City, WI 54013 (SW 1/4 SW 1/4 2 T29N R15W) metes & bounds Lot Parcel No: 2.29.15.2713 ( ~ u.ti.df 1.) Alt BM Description = Pu Co., w ~ea~- 102 Occ~ = yL , ^o`~VVU 1 S 3/j - 2.) Bldg sewer length - amount of cover = I<) Plan revision Required? 0 Yes [<No G 30 C•~ J fi ILU L_711 '~•f Use other side for additional information. Date Insepcto Signatur Cert. No. n0-6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave.. P.O. Box 7162 C~ lie Madi sort, WI 53707 - 7162 Sanitary Permit Num (to be filled in by Co.) Department of Commerce (608)2(,6-3151 er 67, 0 Sanitary Permit Application State Plan ID. N°m 1d I f.2 S~ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Ale- 7,1 may be used for secondary purposes Privacy Law, s15.04(l xm) Project Address (if ifferent than mailing address) 1. Application Information - Please Print AB Information llo-7 1?A4YJe ew 3 Property Owner's Name Parcel9 Lot # Block a- 160 Jv~l e- a 5y-/ 0d 3 -2- --CCO Property Owner's Mailing Address MAY 2 2 2008 Property Location .27 11C17 i s G 97 d 5t4l r,,, Sw, 2 - Section City, State "Lip Cod t 'y rG ~1 {'/!~i T0 ING O FI ~v ~Oircle one) ~riG✓`v d/ / / (1,G T ~ N; R G% r II. Type of Building (check all that apply) or 2 Family Dwelling -Number of Bedrooms Subdivisiop Name CSM Number n Public/Commercial Describe Use ❑ State Owned - Describe Use City QViliage ' wnship of l III. Type of Permit: (Check o x on Complete line B if applicable) A. w System Replacement System Treatment,,Eolding Tank Replacement Only ❑ Other Modification to Existing System I, List Previous Permit :`lumber and Date Issued ❑ Permit Renewal e rmit Revision Change of I(~Penntt fer to New Before Expiration Plumber ~ O G/ h J / IV. Type ofPOV'TS System: Check all that apply) J / DQ ~ ❑ Non -Pressurized In-Ground Mound = 24 in. of suitable soil 001iound < 24 in. of suitable soil ❑ At-Grade ❑ Single Pass 4 and Filter ❑ Constructed Wetland ❑ Pressurized In-Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ DriLine Q Gravel-less Pie ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design So.1 Application Rate(gpdsf) Dispersal Area Requi A (st) Dispersal A7;1-3,r posed Of) evation 1 &0' D,'f 1 - o r~ 1(~ ~i2~ y5v 1 0` c V1. Tank Info C pacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank C / e-11 174 Aerobic Treatment Unit ,4` a Dosing Chamber ~t[I r-j.; L- t VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Frame (Print) Plumber' Signature ~~EPRS Number Business Phone Number rcJ Plumber's 'Address (Street, City, State, Zip Code) VIII. tm !De artment Use Only Sanitary Permit F (includes Groundwater Dat Issued Is mg Agent ignat ( t mps) Approved ❑ Disapproved Surcharge Fee) ❑ Owner Given Reason for Denial ~~~fff"' Q .i D Lk. Conditions of Approval/Reasons for Disappro-,,-d sI „ ^ S _ /fit S STEM OWNER: 1 Septic tank, effluent fitter and dispersal cell must all be serviced I maintained (l K J C 141n as per management plan provided by plulxlber. 2. All setbaapplicable rndp/nrrJ*n2nCp5 ck requirements must be maintained cr ' `fC&A i as per ~ a Attach complete plans (to the ounty only) for a system on paper not less n 81/2 x 11 inches in size /Ja e( LfB BD-6398 fk. 7pntI43 A4 ~~Ae ACS Safety and Buildings commerce.Wl.gov 3824 N CREEKSIDE LA HOLMEN WI 54636 (608) 264-8777 rce- wi.gov/ .gov/sb/ isco C d A AJTJ Co nY www TDD .comme T Department Commerce www.wisconsin.gov 2 2Q08 M AI 0 Jim Doyle, Governor Jack L. Fischer, A.I.A., Secretary S• ZONING OFFICE April 11, 2008 CUST ID No. 224832 ATTIC- POWTSlnspector MARY JO HOLLISTER ZONING OFFICE HOLLISTERS SOIL TESTING ST CROIX COUNTY SPIA W9875 690TH A VE 1101 CARMICHAEL RD RIVER FALLS WI 54022_4011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/11/2010 Identification Numbers. Transaction ID No. 1525660 SITE: Site ID No. 732042 Jaime M Kirkpatrick Please refer to both identification numbers, 1107 Rustic Road 3 above, in all correspondence with the agency. Town of Springfield St Croix County SW1/4, SW1/4, S2, T29N, R15W FOR: Description: Mound / Three Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1177830 Maintenance required; Replacement system; 450 GPD Flow rate; 12 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual- Version 2.0, SBD-10691-P (N.01101), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.01/01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrathe Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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,, C011( al slats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders aEa► • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRI component manuals listed above. • Comm 83.42(8)(c). Frost Protection. All POWTS components shall be protected from freezing temperatures that could detrimentally affect component' operation to provide wastewater conveyance, treatment or dispersal. Wisc. Adm. Code. See Comm. 82.30(11)(c). for construction limits, methods and procedures • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component aret. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c MARY JO HOLLISTER Page 2, 4/11/2008 • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall bemade with the designated county official in accordance with the provisions ofSec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) 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: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and . maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1): • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 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 P OWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes oradditions 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 6", Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WSMART code: 7633 (608)789-7893 , 7:45 am - 4:30 pm Monday - Friday charies.bratz@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. 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