HomeMy WebLinkAbout002-1039-40-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: SAN-2016-010
Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]
Permit Holder's Name: City Village Township Parcel Tax No:
Joni Gingerich TOWN OF BALDWIN 002-1039-40-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
17.29.16.262
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing Alt. BM
Aeration Bldg. Sewer
Holding St/Ht Inlet
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing Header/Man.
Aeration Dist. Pipe
Holding Bot. System
Final Grade
PUMP/SIPHON INFORMATION
Manufacturer Demand St Cover
GPM
Model Number
TDH Lift Friction Loss System Head TDH Ft
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width [Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System: UNIT
Model Number:
DISTRIBUTION SYSTEM
Header/Manifold Distribution Ix Hole Size ix Hole Spacing Vent to Air Intake
Pipe(s)
Length Dia Length Dia Spacing
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 N.
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 2268 90TH AVE
1.) Alt BM Description =
2.) Bldg sewer length =
- amount of cover =
Plan
other revision Required?
for additional Yes
information. No
U
I.
Date Insepctor's Signature Cert. No.
SBD-6710 (R.3/97)
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STATE of WISCONSIN Application for Waiver of Specific Code
n Sections of the Uniform Dwelling Code (UDC)
Sp =I Department of Safety and
s 4 Professional Services for One and Two Family Dwellings Based on -Complete all pages-
Industry Services Division Religious Beliefs
III
NOTE: This form is authorized by Wis. Stat. § 101.648. Completion of this form is voluntary and any personal information
you provide may be used for purposes unrelated to this form. [Wis. Stat. § 15.04(1)(m).]
Property Information Owner Information
Number and Street Name )1
~t e r C
J 0 vt,i 1 1 6:i
PC,
Zip Address
County of City, State, Zip
❑ City ❑ village Tccvvn i c: UW; A W" 5 y 0 0
Contact Person:
Of: ti~dw!
Telephone Number:
Check applicable boxes for requested Uniform Dwelling Code waivers.
❑ Carbon Monoxide Detection (Attach additional materials as necessary.)
❑ Smoke Detection (Attach additional materials as necessary.)
[ Plumbing (Attach additional materials as necessary.)
❑ Electrical (Attach additional materials as necessary.)
Verification by Owner:
I affirm that all of the following statements are true:
[ My religious beliefs and the established tenets or teachings of the religious sect of which I am a member conflict with
one or more dwelling construction standards.
Oil The dwelling for which this waiver is requested will be used solely as a primary residence for myself or the members of
my household.
This waiver is requested based upon the long-established tenets and teachings of the religious sect of which I am a
member and this sect did not establish these tenets and teachings solely to avoid compliance with dwelling
construction standards.
I] I agree to modify this dwelling for which this waiver is requested to comply with the dwelling construction standards if I
cease to adhere to the tenets and teachings of the religious sect of which I am a member and upon which this waiver is
requested.
Owner's Signature Date
7- /4~
JUN 1: 2rmc,
1 0001S (8/2015)
Wmil ,Jpal otfi(.ial Appirowd:
❑ City ❑ Village Town
❑ County
Of:
The political subdivision determines that all of the following are true:
J The political subdivision has no reason to believe that the statements provided by the owner on the waiver application
form are untrue.
The pcjGricJ ,;ubdiVi..u3n is I11~1t hr; v,fAv(,r s~ill noi w~;tilt err ;iii sic ri~,l< <,f h.u,rn to puolic 17r:alin <arr
safc _y.
l-hip u, '~r t .
The requested waiver is hereby:
I-
Approved
Recommended for Denial (If denial action is recommended by the local municipality, return this application to:
DS}dS - State of Wisconsin, Madison Industry Services, Po Box 7162, Madison, WI 53707-7962.)
Printed Name & Title
Municipal! office Signature - Date
C;Omments/Fit ings:
State Review: (Only required if application denial is recommended by municipality.)
L Approved
Denied (If denial action is taken by the Department of Safety & Professional Services, please indicate reasoning
below.)
Printed Name & Title
f t
E_ 1." 13 P 4 U~ ~ y V p`Y A E~ Jt.. eta f 1-P{ L pt
tat officials Signature Date
t
Comments/Findings:
1 00015 (812+015) ° ~ '
RECEIVED TCICJZFAZEHNE
~Gnty Sanitary Permit Application COUNTY WISCONSIN
GQ R~, In accord with Chapen 12 St Croix County Sanitary Ordinance PLANNING & ZONING DEPARTMENT
`007 N Il T ation you provide may be used for secondary purposes ST. CROIXCOUNTY GDVERNIAEI` CENTER
"N ~LUpMENT [Privacy Law. S. 15-D4(1)(m)] 11~Di Carmichael Road
cl Hudson, W1 54016-7710
(715)386-4680 Fax. (7151386-4686
Attach complete plans for the system on paper no., less than 8-112 x 11 inches in size.
County Sanitary Permit ❑ Check it revision tc previous application
L Application information - Please P ' t all information Location: `
Property Owner Name J
' .7 W 1!4 S ~ i!4, Sec •
l/I l e d'1 G I'~~ c N, R W E (or) W
rty Owner's Mai Adore s - - Lot Number --Block Number
Pro
yt -,.I- -
I VI ^4, Srtaie Zip Code Phone Numer Subdivision Name or CSIJ Number
eat 7to
I! Type of Building: (check one) miry ❑`Jilkage own of
X 1 or 2 Family Dweliinc - Nc. of Bedrooms: 1
l `
❑ Public/Commercial (Describe use):
El State-owned Nearest Road
J
Type of Permit: (Check only one box on line A. Check box on line E if applicable) ZED -
11 Parcel Tax Number(s)
A) [E] Repair 12. ❑ Reconnection 3.UNon-plumbing 4. ❑ Rejuvenation ZIA~
r 7 -7V
Sanitation
S permit Number Date issued
State Sanitary Permit was previously issued
W. Type of POWT System: (Check all that apply) za~¢~
❑ Nor.-pressurzed In-cmund ❑ Idround ? 24 in. suitable soil ❑ Mound 24 in. suitable soil ❑ Mound A+0
❑ Sand Filter ❑ Constructed Wetland ❑ Peat Fitter ❑ DriP Line/// I
El Pressurized in-around ❑ Hoidina Tank El Sinoie Pass L1 Other
E:1 At-arade ❑ Aerobic Treatment Unit ED Recirculating
V. Dispersal7reatment Area information:
1. Desion Row (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application Rate 5. Percolation Rate 6. System Elevation 7. Final Grade
- epesed- _ av/sc•ftL- (IJiin.lnch) Elevation
Vt. Tank Information Capaicty, in Gallons Total # of Manufacturer Prefab Site Con- Steel Ftber- Plastic
New Existing Gallons Tanks Concrete structed aiass
Tanks Tanks
_L I
❑ ❑ ❑ ❑
VI[. Responsibility Statement
1, the undersigned, assume responsibility f r repair re, encti enation/instalkation of non-plumbing for the POWTS shown on the attached plans. A
license is not required for terralit[ repair or th stalkation of on !umbin sa tation system.
PI ber's Name nnt) Plume no stam MP/IAPRS No. Business Phone Number
f,-311 ,rS .X3i- - 3 75
Plumber's Address eet City, Mate, Zip Code)
VIII. County Use Only
Disap roved Sanitary Permit Fee D to !ssu c !ssukn cent Signatur o st ps)
Approved Owner }t~q~Adverse 7 00
r _ J _
nation
,X. Conditions of Approval/Reasons for Disapproval:
1) 4-o metk c&L 46,4"
Ctcl1 ~i 716'3$1O'y(o$p
?2.3 Permits and Appiicatiars Jufy 1, 2DC5
3) If a POWTS serves more than one structure under different ownership, a
document must be recorded identifying all parties that have ownership rights and
are responsible for the operation and maintenance.
4) If a POWTS is owned by a party other than the owner of the parcel on which it is
installed, a document must be recorded identifying the owner of the system, the
structures to be served by the system, and the party responsible for operation and
maintenance.
5) If the design wastewater flow of a POWTS for a dwelling is not based upon the
number ofbedrooms within the dwelling, a deed restriction limiting occupancy to
that used in the design must be recorded.
3. CoE~ SA-NTT-ARY PERAm
a. Applications for County Sanitary Permits shall be submitted to the Planning and Zoning
Department for review and approval of the following:
1) The installation, construction or modification of a P'
a) Setbacks for privies shall be located according to the following minimum
~f
horizontal distances:
i. 25 feet from dwellings.
ii. 25 feet from lot lines.
iii. 25 feet from any 20% or greater slope.
iv. 75 feet from the OH-W71\4 of a lake, stream, or river.
b) Privies shall be constructed in conformance with Comm 91, and the following
requirements:
i. All priory structure openings shall be screened and all doors shall be self-
closing,
ii. A vent shall be provided for the vault and extend not less than one foot
above the roof.
c) Prior to the issuance of a sanitary permit, the property owner must sign a
maintenance agreement on forms furnished by the Planning and Zoning
Department ensuring proper maintenance of said privy.
d) Pit privies require a Soil and Site Evaluation Report in accordance with
Comm 85 to establish compliance with Comm 83.44 (4)(b) and Comm
91.12(1)(b)1.
2) The installation of a non-plumbing sanitation system.
a) Non-plumbing sanitation systems shall be constructed and maintained in
conformance with Comm 91.
b) A service contract shallbe submitted with the County Sanitary application.
3) Chemical or Physical Restoration for POVi'TS.
4) RMairs to an existing POWTS.
5) The reconnection to an existing POWTS, including:
a) The disconnection of a structure from an existing POWTS and connection of
another structure (new or different) to the same system.
b) Construction of a structure to be connected to an existing POWTS; and
c) Reconstruction of a structure to be connected to an existing POWTS.
b. The followmi g is required when applying for an application for a County Sanitary
Permit for reconnection:`
1) A completed County Sanitary Permit application signed by a licensed plumber.
-
12-8 St. Croix County Sanitary Ordinance
1Z3 Permits and Appficat&7s Jufy 1, 2005
3) If a POWTS serves more than one stracture under different ownership, a
document must be recorded identifying all parties that have ownership rights and
are responsible for the operation and maintenance.
4) If a POWTS is owned by a party other than the owner of the parcel on which it is
installed, a document must be recorded identifying the owner of the system, the
structures to be served by the system, and the party responsible for operation and
maintenance.
5) If the design wastewater flow of a POWTS for a dwelling is not based upon the
number ofbedrooms within the dwelling a deed restriction limiting occupancy to
that used in the design must be recorded.
3. Cou-.N"rY SAh'TTARY PERMIrr
a_ Applications for County Sanitary Permits shall be submitted to the Planning and Zonncr
ZZ,
Department for review and approval of the following:
1) The installation, construction or modification of a prw.
a) Setbacks for privies shall be located according to the following minimum
horizontal distances:
i. 25 feet from dwellings.
u. 25 feet from lot lines.
iii. 25 feet from any 20% or greater slope.
iv. 75 feet from the OHW-IN4 of a lake, stream, or ruler.
b) Privies shall be constructed in conformance with Comm 91, and the following
requirements:
i. All privy structure openings shall be screened and all doors shall be self=
closing.
ii. A vent shall be provided for the vault and extend not less than one foot
above the roof.
c) Prior to the issuance of a sanitary permit. the property owner must sign a
maintenance agreement on fD= furnished by the Planning and Zoning
Department ensuring proper maintenance of said privy.
d) Pit privies require a Soil and Site Evaluation Report in accordance with
Comm 85 to establish compliance with Comm 83.44 (4)(b) and Comm
91.12(l)(b)l.
2) The installation of a non-plumbing sanitation system.
a) Non-plumbing sanitation systems shall be constructed and maintained in
conformance with Comm 91.
b) A service contract shall be submitted with the County Sanitary application.
3) Chemical or Physical Restoration for POWTS.
4) Repairs to an existing POWTS.
5) The reconnection to an existing POWTS, including:
a) The disconnection of a structure from an existing POWTS and connection of
another structure (new or different) to the same system.
b) Construction of a structure to be connected tb an existing POWTS; and
c) Reconstruction of a structure to be connected to an existing POWTS.
b. The following is required when applying for an application for a County Sanitary
Permit for reconnection.`
1) A completed County Sanitary Permit application signed by a licensed plumber.
12-8 St. CroiX County Sanitary Ordinance
Raconsin Legislature: SPS 391.03(1) Page 4 of 6
the Ofnce of Water Resource, US EPA, 401 M Street SW, Washington
D.C.20460.
(b) The disposal of any liquid from an incinerating toilet shall be
either to a public sanitary sewer system or a POWTS
conforming to ch. SPS S 83.
History: Cr. Register; April, 2000, No. 532, eff. 7-1-00; correction in (4) (b)
matte under s. 13.92 (4) (b) 7., Stats., Register December 2011 No. 672.
SPS 391.12 Privies.
(1)
(a) The storage chamber of a vault privy shall conform with the
requirements of s. SPS 384.25 relating to holding tanks, and
shall have a minimum storage capacity of 200 gallons or one
cubic yard.
(b)
1. The storage chamber of a pit privy shall be sited and located in
soil recognized to provide treatment and dispersal in
accordance NTith s. SPS 3 83.44 (4) (b).
Note: Chapter SRS 385 establishes procedures for conducting soil
evaluations and preparing soil evaluation reports. Section SPS 305.33
delineates the qualifications and certification procedures for individuals
who conduct soil evaluations.
2. Governmental units may set standards for the structure above
the vault or pit for one- and two-family dwellings.
3. Privies for public use shall meet the requirements of this section
and chs. SPS 361 to 366.
Note: Chapters NR 811 and 812 establish minimum separation distances
between a pit or vault privy and a potable well. Chapters NR 811 and 812
are administered by the department of natural resources.
(c) The storage chamber of a vault privy shall be anchored to prevent
flotation caused by saturated soil conditions.
(2)
(a) The storage chamber of a pit or vault privy shall be provided with
a vent for the purpose of relieving explosive gases.
(b) The vent serving the storage chamber of a privy shaE be:
1. At least 3 inches in diameter;
2. Installed in accordance with s. SPS 382.31 (16) (a) to and
3. Fabricated or provided with screening to prevent insects from
entering the storage chamber.
(3) The servicing of a vault priory relative to the pumping, transporting
and disposal of the contents shall be in accordance with ch. NTR
113.
(4) The abandonment of a vault privy shall be accomplished by:
(a) Having the contents of the storage chamber pumped and disposed
of in accordance with ch. NR 113;
(b) Removing the entire top of the chamber, and
(c) Filling the remaining portion of the emptied storage chamber with
soil or other inert material to an elevation equal to or above the
surrounding grade.
httpa/docs.legis.uisconsin.gov/code/admin code/sps/safety_and_buildings_and_environme... 4/6/2012
State of Wisconsin, Department of Natural Resources Farmer Non-Commercial Septage
Farmer Certification
PO Box 7921 Operator Certification Application
Madison WI 53707-7921 Form 3400-194 (2/08)
Notice: Use of this form is required if you wish to receive a Farmer Septage Operator Certification. The certification in required under s. 281.17(3),
Ws. Stats. Personal information collected is used for program administration and enforcement. Wisconsin's open records law requires the department
to provide most information to requesters [s. 19.31 to 19.39, Wis. Stats.].
Department Use Only - Operator Number
Applicant Information
Name County
Address Work Telephone Number Home Telephone Number
City State IP Code E-mail Address (optional)
Septage Land Application Information
Septage Holding Tank Size Estimated Pumping Frequency otal Agricultural Production Acres
Existing Cover Crop on Proposed Application Site (Note: Land must remain in active agricultural production.)
Do you have sufficient acreage that meets the requirements of ch. NR 113, Wis. Admin. Code? ❑ Yes ❑ No
Do you plan to land apply septage in the winter? ❑ Yes ❑ No
Is the proposed site acceptable for winter application based on the following requirements? ❑ Yes ❑ No
1. Slope must be less than or equal to 2%.
2. Waste application cannot exceed 10,000 gallons per acre per winter.
3. Waste cannot be applied within 750 feet of surface water or wetlands.
4. Waste cannot be applied in a fioodplain.
How will pathogen and vector control requirements be met? (select one)
❑ Direct injection ❑ Incorporate within 6 hours ❑ Elevate pH to 12 for 30 minutes before application
Do you have a vehicle or farm implement capable of uniform waste application? ❑ Yes ❑ No
Do you need to drive on a public roadway to access the proposed application site? ❑ Yes ❑ No
Required Attachments - Provide 2 copies of each (Contact your County Conservationist if necessary)
1. Aerial photo showing the septage tank and proposed application site.
2. A map showing the farm and proposed application site and property boundary.
3. Soil survey map for the proposed application site.
Operator Certification
By signing this form, I certify that the information provided is correct and I have received and understand the requirements of NR 113,
Ws. Admin. Code.
Operator Signature Date Signed
Mail this completed application to: State of Wisconsin
Department of Natural Resources
Farmer Certification
PO Box 7921
Madison WI 53707-7921
X
Pursuant to ss. 299.07 and 299.08, Wis. Stats., a social security number is REQUIRED when applying for a WDNR license or
certification. The number may not be disclosed to anyone except the Wisconsin Department of Workforce Development or the
Department of Revenue for child support and tax purposes. THE SOCIAL SECURITY NUMBER WILL NOT BE RETAINED IN THE
PAPER RECORDS.
Social Security Number of Operator
11-Cro i Building Permits
Site Plan Form
(See reverse for check list and sample)
1810 Crest View Drive, Suite #1 C
Hudson, Wl 54816
715-3777-2152
N t
-3
n
ac
5, r
~tas~i ko~:~
f
o~ n~Sfli
ja' W . y
_ ~df Y
3
Marne and Property Address: j Erl r 1 -%A4 r; c l~ due l ct /caw'%a 1,~; S yc
P certify that the above Site Plan is a true representation of this lot and accurately shows all dimensions, easements, and
proposed and existing structures on said lot Any deviation from this approved Site Plant may void the Permit
Signature of Owner/Builder or Contractor r 1 Date: C .23-4
Page 6
Parcel I.D. Numbers
Peterson to Gingerich
002-1035-70-000
002-1038-30-000
002-1038-70-000
002-1038-90-000
002-1039-10-000
002-1039-30-000
002-1039-40-000
00x0-39-50-000
2 of 2
State of Wisconsin
DEPARTMENT OF NATURAL RESOURCES Scott Walker, Governor
101 S. Webster Street Cathy Stepp, Secretary
Box 7921 Telephone 608-266-2621
Madison WI 53707-7921 FAX 608-267-3579 wtGscnasw
TTY Access via relay - 711 DEPT. o-NATURLRESOVflces
Farmer Non-Commercial Septage Operator Certification
Dear Applicant:
Wisconsin Act 347 was signed into law on April 29, 2006 to allow farmers the ability to land apply their own
holding tank waste unto owned or leased parcels. The intent of the Act was to eliminate misuse of the exemption
under previous law which was done primarily by non-farmers who were not actually eligible for the exemption. It
was not the intent to penalize true farmers operating in compliance with the terms of the exemption. The
Department is not opposed to allowing true farmers the ability to land apply their waste in an environmentally
sound manner. This Act created an application process and now defines who is eligible for the exemption: true
farmers generating their own waste who have a minimum of 40 acres of land in active agricultural production.
Fees, certification exams, and other requirements are waived. However, at a minimum you must meet the
following requirements of chapter NR 113 Wis. Adm. Code:
1. The holding tank must be located on the same parcel of land where the septage will be land applied.
Parcel of land means that it is contiguous, although it can be divided by a road or railroad track, and under
the same ownership interest.
2. You must own or lease at least a 40 acre contiguous parcel of land which is in use for agricultural
purposes.
3. Sufficient land must be included in the 40 acre parcel which meets the department requirements (see
below) for land application and which can adequately receive the projected volume of wastewater.
4. You must comply with all applicable statutes and rules in removing and land applying the wastewater.
5. Keep records of when you pump, how much is pumped, where it is applied, and how it is applied.
6. You must report all pumping activity to your County when requested. Failure to report may result in a
suspended or revoked certification.
Minimum land application and other requirements which you will need to satisfy include the following site
restrictions (please see Chapter NR 113, Wis. Adm. Code for more detail as this is not an exhaustive list):
• At least 3 feet of depth to groundwater or bedrock
• Soil permeability of no greater than 6 inches per hour in the top three feet of soil
• At least 250 feet of separation to a private well and 1000 feet to a public well
• At least 250 feet of separation to a home or business with approval (500 feet without approval) Note this
distance may be reduced further if the septage is injected or incorporated
• At least 1000 feet from a rural school or health care facility
• Slope must be less than 6% if surface applied or 12% if injected or incorporated (less than 2% if frozen or
snow covered)
• At least 200 feet from any surface water, including wetlands or sinkholes (may be reduced if injected or
incorporated) - 750 feet if frozen or snow covered
• No more than 3,000 gallons per week may be applied to the same parcel of land (no more than 10,000
total gallons per acre on frozen or snow covered ground).
• You must report each pumping event to your County according to their requirements
• The holding tank waste must either be injected, incorporated (disced or plowed under within 6 hours), or
hydrated lime must be added to it to raise the pH to 12 and held there for 30 minutes.
• There is a 30 day restriction for animal grazing or public access to the field.
d nrmi.gov 7
wisconsin.gov ?Naturally V Y 1SCONSIN Pr1e0~
R ec vclec
Paper
.
• You must have a watertight implement which can pump your tank and land apply it in a uniform pattern.
You should not need to drive on a public roadway other than to cross one, in order to access your field.
The above requirements are to protect the public health and environment and include federal as well as state
regulations.
Complete and submit form 3400-194 Farmer Non-Commercial Septage Operator Certificate along with a plat
map, soil survey map with soil type shown, and an aerial photo. These maps are available from your County
Conservationist. On each map, outline the field to which you will apply the waste clearly marking the area which
meets the above requirements. Note on the aerial photo the location of any homes or drinking wells and the
location of the holding tank.
If you meet the above requirements you will be approved for this certification and you will be able to pump and
land apply your own holding tank waste on your approved agricultural land.
To get your questions answered about this certification by emailing the Farmer Certification Program at
DNROpCertSeptage@wisconsin.gov
To apply, submit the application and required maps to your local DNR office.
w,
I
South Central Region Dodge,
n., -
Horicon Service Center Stephen Warmer Gant, Columbia, Green, , Iowa Iwa, Crawford, JDane,effersoon,
N772S Highway 26 P20-357-7570
Lafayette, Richland, Rock, Sauk
Horicon W1, 53032
i
Southeast Region
e,
Kenosha, 2300 N Dr Martin Luther Icing ]r Kimberly Thomas-Britt Racine, acine, Sheebboyygan, gan, Clzauke 1Nalworth,,
Dr 414-263-5635
Washington, Waukesha
Milwaukee WI S3212
Brown, Calumet, Door, Fond du Lac,,
Northeast Region Heidi Schmitt Green Lake, Kewaunee, Manitowoc,
2964 Shawano Ave Marquez Marinette, Marquette, Menominee,
Green Bay VE 54313 920-662-5145 Oconto, Outagamie, Shawano,
Waupaca, waushara, Winnebago,
VVest Central Region Adams, Buffalo, Chippewa, Clark,
Dunn, Eau Claire, Jackson, Juneau,
Black Ritter Falls Office veanne Calhoun
a10 Highway 54 E 715-2.84-1482 LaCrosse, Marathon, Monroe, Pepin,
Black River Falls WI 54"is Pierce, Portage, St. Croix,
Trempealeau, Vemon, S, ood
Ashland, Barron, hayfield, Bumett,
Northern Region Alison Canniff Douglas, Florence, Forest, Iron,
67S S 4th Ave 715-762-1361 Langlade, Lincoln, Oneida, Polk, Price,
Park Falls Wi 54552 Rusk, Sawyer, Taylor, Vi:las,
W2shbum
Land Use
1,145T. ~ I ,,U V 1 Y Planning sour n Int6rreat nt
Community Development Department
June 8, 2016
DSPS - Industry Services
PO Box 7162
Madison, Wl 53707-7162
RJE: Waiver request by Joni Gingerich-for exemption from Wis. Stat. § 145, POWTS standards
Site: 2268 90`x' Ave, Parcel Ih 002-1039-40-000, See. 17T 29N RI 6W, Town of Baldwin
To Whom It May Concern,
St. Croix County Community Development Department has received a request for a waiver to
plumbing standards, and is recommending denial of the request,
Per Wis. Stat. §101.648(6), St. Croix County does not believe that the applicant(s) are entitled to
receive a waiver to Wis. Stat. §145.20 & Wis. Stat. §145.245, relating to the required POWTS for the
1-2 family dwelling at the above mentioned property,
Furthermore, the St. Croix County Community Development Department feels the applicant(s)
request does not meet Wis. Stat. §101.648(5)(b), as it will create an undue risk of harm to public
health and safety by discharging untreated domestic wastewater to the ground surface, seasonally
saturated soils, and/or surface or ground water. St. Croix County believes that waiving Wis. Stat. §145
plumbing standards will create a direct conduit for pathogens or diseases to be transmitted to the
general public, which could lead to illnesses or fatalities and the degradation of natural resources.
Please feel free to contact me with any questions or concerns. I am available Monday-Friday from
8:00-5:00 at my office number (715) 386-4680,
Respectfully,
Ryan Yarrii toll
Land Use pecialist
Cc: Town of Baldwin
File
lice: All Croix Inspections, UDC
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Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, Wl 54016 Fax 715.386.4686
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