HomeMy WebLinkAbout032-2052-30-005
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
(ATTACH TO PERMIT) 597323
GENERAL INFORMATION 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 Township Parcel Tax No:
RANDALL YOUNG TOWN OF SOMERSET 032-2052-30-005
CST BM Elev: Insp. BM Elev: BM Description Section/Town/Range/Map No:
- GS~ 15.30.19.694A
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURE Y, CAPACITY STATION BS HI FS ELEV.
~ S
Septic hi r6 L Benchmark
Alt. BM lQY• 3
Aeration Bldg. Sewer 7. ~6 ~p q
Holding St/Ht Inlet 7, 46 r 74,
TANK SETBACK INFORMATION St/Ht Outlet 1 v
14 W.s3
TANK TO ~P/L WELL BLDG. ent t it I take ROAD Dt Inlet
Septic /001 1/fj Dt Bottom 1
Dosing Header/Man.
Aeration Dist. Pipe
9.q 9(
.0
Holding Bot. System
PUMP/SIPHON INFORMATION Final Grade e) S ~a
Manufacturer Den aand St Cover
P Z ~a 3'
Model Number -
TDH Lift Friction Loss System H TFt
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Lengthl No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS h0ZI/I 3 - ACK INSETB AT ON SYSTEM TO f Z P/L BLDG I t+~WGE~LLY LAKE/STRE, ~M CHAMBER OR Manufac% A ,t~~~
Type Of S ste
y o ~ 13 Zq~j UNIT Model Numb
C. 4
1w oo ' cam. A
O 1b
vwe-
DISTRIBUTION SYSTEM Z-6
~-f- 7
I
Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air nta e
Pipe(s) % ~ ` a
Length Dia Length Dia ~ N___ Spacing ~ ~ S
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only 5
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center 4~ ~t'15 Bed/Trench Edges Topsoil
Yes No Yes ~ No
COMMENTS: (Include co{•$9rep ncies, persons present, etc.) Inspection #1 Inspection #2:
Location: 1554 CTY RD I
1.) Alt BM Description
2.) Bldg sewer length
- amount of cover =
7
Plan revision Required? IF] Yes No 411-7 Use other side for additional information.
SBD-6710 (R.3/97) Date Insepctor's Si ature Cert. No.
County 1
A10 Safety and Buildings Division hey
12 -
201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.)
T' $ ~S-; r-~JAY 017017
"J 1 Madison, 53707-7162
s ~
C
11 ~01 ~ 10 0 ~UN T 1~,,,
Sanitary Permit A pi State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate AA-
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used for second
purposes in accordance with the Pl Law, s. 15.04 1 m , Stats.
1. Application Information - -Ple ease Pri nformati ation
/53Y eT/~ ~i~er.Re
Property Owner's Name Parcel #
~?Vl n,14 Ile, 0 11) J; OD - 30) -3, 5
Property Owner's Mailing Address Property Location + 5 , 3 C. iCj y
'32.7 11tar~l41l 107W
City, State Zip Code Phone Number Govt. Lot
~j SW ~/L Section 1.7
5~d 1 7 715 - ?,zo -&/.g 7 ! (circle one
T 3d N; R_ o&
IL Type of Building (check all that apply) Lot #
01, or 2 Family Dwelling - Number of Bedrooms 5 Subdivision Name
ON r- Block #
El Public/Commercial -Describe Use El city of
❑ State Owned - Describe Use CSM Number ❑ Village of
1 ` 5 G~nc..el5 C°4 Town of
III. Type of Permit: (Check my one box on line A. Complete line B if applicable)
A. gNew System
El Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
IV. Type of POWTS System/Component/Device: Check all that apply)
s ~J
XNon-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ 911er Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis ersavrrea ent Area Information:
Design Flow (gpd) Design Soil Application Rate(gpds Dispersal Area Required (sf) Dispersal Area Proposed (s System eva n
7sd s ,s~y 7
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons U fl o
nits
New Tanks Existing Tanks
W d a U in w U w
Septic or Holding Tank
G(/ / e
Dosing Chamber
VII. Responsibility Statement- I, the undersig d, assume res
pan
sibility for installation of the POWTS shown on the attached plans.
Plu er's Name (Print) bar's Si tore MP/MPRS Number Business Phone Number
1 (G~ 7.10 71 5 71s- zZ S- y//S
Plumber's Address (Street, City, State, Zip Code)
2.1 3 x.36 6~f- Gv ~ ~a13
VII. Coun /De artment Use Only
Approved El Disannroved Permit Fee Date Is-spue Issuing Ag I Signature
Q Owner Criven Reor Denial ` V " r I
IX. Condit easo for Disapproval \ / n I
1.' Sept; ar, e. t~sn;lt~e <m:.1 Jl (,ate DC a-~ 1- J
u seem .,i cell must dll be tht lrltE - ec
81s per qiiilragement plan ;J!o tided by plu,nbe;.
f t n e-~ t'`~
2. Hp ~k' recjmPlems mw** raft b;Q 2_61 ~ . W-7
as per vKknblal c4di / . *-rdAsmu. e,,(' M y
Attach to complete plans for the system and submit tot County only on paper not less than g 1/2 x 11 inches in size
SBD-6398 (R. 11/11)
r
PAGE 1 OF 4
In-Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
Version 2.0, SBD-10705-P (N.01/01, R. 10/12)
Pg 1 of 4 Index & Cover Sheet
Pg 2 of 4 Plot Plan
Pg 3 of 4 Dispersal Area Cross-Section & Plan View
Pg 4 of 4 Management Plan
Attachments: Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map
Project Name / Description
Owner Name(s): Randall Young Phone: 715 -220 -6137
Owner Address: 827 Marshall Rd., New Richmond, WI Zip: 54017
Project Address: 1 &54 CTH I, Somerset, WI
Govt. Lot: SW 1 /4 of NE 1/4, Section 15 T30 N-R 19 E ❑ or W
Township: Somerset (SE) County: St. Croix
Project Parcel ID
Designer Information
Designer Name: Michael Myers Phone: 715 -265 -4115
Designer Address: 29431 30th Ave., Glenwood City, WI Zip: 54013
E-mail: mcmyers@centurytel.net
License Number: MP 267985
Remarks:
Signature: Date:
Original signature required on each submitted copy.
CHECK BOX AS APPLICABLE. CHECK BOX AS APPLICABLE.
❑ SOIL EVALUATION o Scale: 120 20' so ao 0 SYSTEM PAGE 2 OF
SITE MAP PLOT PLAN
PROJECT NAME: 5z DESIGN FLOW: 750 GPD
Randall Young Attach design flow calculations for commercial plans.
PROJECT ADDRESS. 1554 CTH Somerset, W! Pipe Material / ASTM Standard (Tables 334.30-3 & 384.30-5)
N Sanitary Sewer: PVC / ASTM D3034
BM Symbol: ~ BM Elevation: 100.0 FT
BM Description: grade at oak tree 30' east of Bkton P/L Force Main: /
Indicate north by IMPORTANT:
Slope Gradient 1 1 % Well Symbol (if applicable): 0 drawing an arrow Show ground elevation contours at suitable intervals.
of Tested Area: on the approprite line.
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PAGE 3 OF 4
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PAGE 4OF4
In-ground Gravity Management Plan
IMPORTANT:
The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384, Wisc. Admin. Code. 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.
Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area. Operating Limits:
Design Flow = 750 gpd; BODS 220 mgL"'; TSS 150 mgL"; FOG 5 30 mgU1
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors (i.e. odors, user complaints, etc.)
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.)
o material fatigue (i.e., leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes)
o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
o extent of ponding in distribution cell prior to dosing
o dosing irregularities - if applicable (i.e., pump re-cycling, float switch settings, etc.)
o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code.
o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Northland Plumbing Inc Phone: 715-265-4115
Local government unit: St. Croix County Phone: 715-386-4650
Local government unit address: 1101 Carmichael Rd, Hudson, WI ZIP: 54016
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be
abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
i
ST. CROIX COL~TTY
SEPTIC TANK MAINTENANCE AGREEMENT
,kN7D
O'WINERSHIP CERTIFICATION FORM
Owner/Buyer 7 an Oda ff Yyy~9
Mailing Address wr e h ` F~ Gu /
Property Address
(Verification required from Panning & Zoning Department for new c ns on.)
City/State 5V Parcel Identification ?Number
LEG 4L DESCRIPTION
Property Location 1/4 , ~JC_- Sec. T 3 U N R / W, To Am of -56tn <YS-e4
Subdivision Plat: , Lot
Certified Survey Map n , Volume , Page
Warranty Deed tt (before 2007)Volume , Page 4
Spec house C yes`= Lot lines identinable'V-Ves ❑ no
SYSTEM 11L4F''~TENA_NCE AND ONATNER CERTIFICATION
TTmnrnn-r ri zp a,nri maintenance of your septic system could result in its premature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site
wastewater disposal system is in proper operatuig condiiton and/or (2) after Inspection~and pumping (u necessa~y), the septic took IS
less than 1/3 full of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources,
State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix
County Planning & Zoning Department within 30 days of the three year expiration date.
Uwe terrify that all statements on ' form are true to the best of my/our knowledge. Uwe am/are the o,,Amer(s) of the
property described above, by virtue of a w anty deed recorded in Register of Deeds Office.
Numb of bedrooms
55 1 /7
IGNATLTRE PLICA~ TT(S) DATE
* * *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed-
(REV. 04/12)
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MAY Q) SOIL EVALUATION REPORT #105
j , s p Departmw, gevt6b Rional'Services Page 1 _ of 3
Division UNT' Northland Plumbing, Inc.
® rdance with
t,uw!iy
Attach complete site plan on paper not less than 'Iz 11 inches in size. Plan must St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and - -
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.
Please print all information,. -
Reviewed By Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Randall Young Govt. Lot SW1/4, NE1/4, 515, T 30N, R19W -
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
827 Marshall Rd
City State Zip Code Phone Number City Village Town Nearest Road
New Richmond WI tls D/? 715-220-6137 Somerset CTH I
New Construction Use: Residential / Number of bedrooms 5 Code derived design flow rate 750 GPD
Replacement Public or commercial - Describe:
Parent material Glacial Till Flood plain elevation, if applicable ft.
General comments
and recommendations:
1 Boring #
F--1 Boring
Pit Ground surface elev. 99.47 ft. Depth to limiting factor >88 in. Soil Application Rate
Horizon Depth Dominant Color ! Redox Description Texture ( Structure Consistency Boundary I Roots GPD/ft2
in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. i *Eff#1 *Eff#2
1 0-11 10YR3/2 sil 3sbk mvfr cs 1m .6 .8
2 11-27 10YR5/6 sil 2sbk mvfr cs if .6 .8
3 27-60 10YR6/8 ~ cos Osg ml cs .7 i 1.6
4 60_70 10YR6/8 fs Osg ml gs .5 1.0
5 i 70-88 10YR6/6 s Osg ml gs .7 1.6
i
i
Boring
IT Boring # Pit Ground surface elev. _99_.00 ft. Depth to limiting factor >88 in. Soil Application Rate
Horizon Depth Dominant Color R e d o x Description I Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 ~ 0-8 10YR3/2 sil ~ 3sbk mvfr ~ im 6 .8
2 8-24 10YR5/6 sil 2sbk mvfr cs if .6 .8
3 24-35 10YR6/8 Cos S9 ml cs .7 1.6
4 35-42 10YR6/8 fs Osg j ml gs .5 1.0
Osg I ml gs .7 1.6
5 42-68 10YR6/6 s
t n~
_668-88 10YR6/8 cos Osg mfr gs .7 1.6
* Effluent #1 = BOD 5> 30 < 220 mg/L an TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) CST Number
Michael J. Myers 267985
Address Northland Plumbing, Inc. ignatur Date Evaluation Conducted Telephone Number
2943 130th Ave Glenwood City, WI 54013 4/8/2017 715-265-4115
SBD-8330 (R.11/11)
ti -
Property Owner Randall Young Parcel ID # Page 2_ of 3
Boring
73 Boring # pit Ground surface elev. __-_9755__ _ ft. Depth to limiting factor in.
,Soil,Soil Application Rate
Horizon Depth ' Dominant Color Redox Description Texture Structure ConsistenceBoundary Roots GPD/ft2
in. Munseii Qu. Sz. Cont. Color Gr. Sz. Sh. ttr#1 1 'Eff#2
1 0-10 10YR3/2 sil 3sbk mvfr cs 2m 6 .8
2 10-20 . 10YR5/6 sil 2sbk mvfr cs if 6 8
3 20-42 10YR6/8 cos % Osg ml cs .7 1.6
4 42-46 10YR6/8 fs Osg ml gs 5 1.0
5 46-88 : 10YR6/6 s Osg ml-= 95--- 7 1.6
It fib, z
Boring 3
74
Boring # Pit Ground surface elev.. 97.40-- ft. Depth to limiting factor >90 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2
1 0-9 10YR3/2 sil 3sbk mvfr cs 2m .6 .8
- - - - -
2 9-15 10YR5/6 sil 2sbk mvfr cs if .6 .8
3 15-34 1OYR6,/8 cobbled cos Osg mefi cs .7 1.6
4 34-60 10YR6/8 cos Osg ml cs .7 1.6
5 60-72 10YR6/8 fs Osg m! 9s .5 1.0
6 72-90 10YR6/6 70- s Osg ml gs .7 1.6
Boring ~D
5 Boring #
Pit Ground ~u ...und surface elev. __96.17-_- ft. Depth to limiting factor >86 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence ! Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2
1 0-12 10YR3/2 sil 3sbk mvfr cs 2m .6 .8
2 12-21 10YR5/6 sil 2sbk mvfr cs if .6 .8
3 21-29 lOYR5/8 sl 2sbk mvfr cs if .6 .8
4 29-38 10YR6/8 cos Osg ml cs .7 1.6
5 38-42 10YR6/ 8 fs Osg ml gs 5 1.
6 ' 42-86 10YR6/6 s Osg - - -MI - ; 95 - .7--_ 1.6
t~
* Effluent #1 = BODG> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L
The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to
access services or need material in an alternate format. contact the department at 608-266-3 15 1 or TTY throueh Relav.
SGD-n:;rrc,l iR i i'i , ,
Ncrtnand P umGing, :nc.
Property Owner Randall Young Parcel ID # Page 2 of 3
Boring
E~] Boring # Pit Ground surface elev. 97.55 ft. Depth to limiting factor >88 in.
- Soil Application Rate
Horizon Depth Dominant Color Redox Description i Texture l~ Structure IConsistencel Boundary I Roots GPD/ff
in. Niunseii Qu. Sz. Cont. Color i j Gr. Sz. Sh. G 'Eff#1 'Eff2
1 i 0-10 ! 10YR3/2 sil 3sbk I mvfr cs 2m .6 .8
l
i
2 10-20 10YR3/5 j SO 2sbk mvfr j cs if 6 8
3 j 20-42 10YR6/8 cos I 0sg mi cs J 1.6
i
4 1 42-46 % 10YR6/8 fs Osg ml gs 5 1.0
'dr-pp i nYpr,
lr, nag
M!
1.
~ I h gs 6
i i
Z7
F 47 Boring, 3
Boring # _ Pit Ground surface elev. 97.40 ft. Depth to limiting factor >90 in. Soli Application Rate.
Horizon ! Depth Dominant Color Redox Description T axt;ira Structure !Consistence, _Boundary Rvntc ! GDD/frz 1
in. j Munsell j Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff2
1 0-9 10YR3/2 1 si! 3sbk mvfr cs 2m 6 8
I
2 9-15 10YR5/6 sil 2sbk mvfr cs I if .6 .8
3 ! 15-34 1QYR6/$ cobbled C705 Osg me?1 cs 7 1.6
I
I
4 34-60 10YR6J8 cos Osg ml cs 7 1.6
5 60-, 1OY, 6j8 f fs Osg m! gs 5 1.0
6 72-90
10YR6/6 s Osg ml
gs 7 1.
6
rinng W
Be. ]
Boring # - P" J Ground Julrlo 96.17 ft. Depth to limiting factor
>8
fac- w= elev. 6 in. Soi! Application Ratel
Horizon j Depth Dominant Color Redox Description Texture Structure (Consistence; Boundary I Roots GPD/ft2
I in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `EfF#1 `Et2
1 0-12 10YR3/2 sil j 3sbk mvfr cs 2m 6 8
2 12-21 10YR5/6 sil 2sbk mvfr cs if .6 .8
I
3 21-29 10YR5/8 sl 2abk mvfr cs if .6 .8
4 29-38 ! 10YR6J8 q~ cos Osg ml cs .7 1.6
5 38-42 10YR6, 8 I fs 0sg m! gs 5 1.
6 42-86 10YR6/6 s Osg ml gs .7 1.6
Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD- < 30 mg/L and TSS < 30 mg/L
The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to
access services or need material in an alternate format. contact the department at 608-266-3151 or TTY through Relay.
SnD-633 DTesi ln-i Ii11) N^v,w~an n„,,.bin 5. 1 n Z.
CHECK BOX AS APPLICABLE. CHECK BOX AS APPLICABLE.
10,
j/\j SOIL EVALUATION o Scale: 1'o 60 AD F-ISYSTEM PAGE 2 OF
SITE MAP PLOT PLAN
PROJECT NAME: 52 DESIGN FLOW: 750 GPD
Randall Young Attach design flow calculations for commercial plans.
PROJECT ADDRESS. 1554 CTH I, Somerset, Wl Pipe Material / ASTMS Standard (Tables 384.30-3 & 384.30-5)
N Sanitary Sewer: PVC / ASTM D3034
BM Elevation: 100.0 FT
BM BM Symbol: ! Description: "9
grade at oak tree 30' east of pion P/L Force Main: /
Slope Gradient Indicate north by IMPORTANT:
11 % Well Symbol (if applicable): Q drawing an arrow Show ground elevation contours at suitable intervals.
of Tested Area: on the approprite line.
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Land Use
ST. C R O IA C. U, N T Y Planning & land Information
A, Resource Management
®r
Community Development Department
5/17/2017
Randall Young
827 Marshall Road
New Richmond, WI 54017
RE: Conditional Approval: Land Use Permit, File# LUP-2017-017
Project Location: 15.30.19.694A Town of Somerset, PID 032-2052-30-005
Project Address: 1554 County Road I
Dear Randall Young,
Community Development staff have reviewed the Land Use Permit application for the construction
of a new Single Family Dwelling and to fill and grade greater than 10,000 square feet for the
construction of a driveway and Private Onsite Wastewater Treatment System (POWTS) within the
Shoreland Overlay District, Chapter 17.30. The request has been conditionally approved based
on the application submission and the following findings.
• The proposed project meets all applicable setbacks and the proposed house will not
exceed the 35-foot height maximum.
• The project is greater than 300-feet away from a navigable water body; therefore, the
Impervious Surface calculation is not required.
• Vegetation will not be disturbed within 35-feet inland from the navigable water body.
• Erosion and Sediment Control plans have been submitted that meet Wisconsin
Department of Natural Resources Technical standards.
• The property received the Sanitary Permit #597323 and coverage is valid for two years.
• The applicant understands land disturbance over one acre may require additional permit
coverage. Sediment and erosion control will act as a barrier to prevent unaccounted for
disturbance.
Based on these findings, approval of the Land Use Permit is subject to the following conditions:
1. Sediment and erosion control (silt fence, sediment logs, vegetated buffer or equivalent)
shall be installed prior to any land disturbance or construction activities. A pre-
construction inspection is required to verify erosion and sediment control has been
installed per plan.
2. St. Croix County reserves the right to require additional sediment and erosion control
measures to be installed if found necessary due to site-specific concerns.
3. Phosphorus fertilizer shall not be used to establish and/or maintain vegetation unless a
soil test confirms phosphorus is needed.
Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, W154016 Fax 715.386.4686
www.sccwi.us cdd www.focebook.com/stcroixcountywi cdd(ako.soint-croix.wi.us
- Land Use
ST. C R 0 Ex- C = UQNTY Planning & Land Information
Resource Management
Community Development Department
4. Permanent vegetation shall be established once final grade is reached. A temporary cover
crop such as oats, winter wheat or rye shall be applied on all disturbed areas if seeding
cannot occur prior to September 15th. Dormant seed and mulch may be required after
freeze up.
5. Sediment and erosion control shall not be removed before the project site reaches a point
of at least 70% perennial vegetative cover.
6. It is the applicant's responsibility to secure any other required local, state or federal
permit(s) and approval(s) prior to land disturbance activity.
7. Failure to comply with the terms or conditions above may result in the revocation of this
permit by the Zoning Administrator according to Chapter 17.30(13).
This approval is subject to the conditions listed above; it does not allow for any additional
construction, structures, grading, paving, filling or clearing of vegetation beyond the limits of this
request. Your information will remain on file at the St. Croix County Community Development
Department suite. It is your responsibility to ensure compliance with any other local, state, or
federal permitting or regulations, including contacting the Town of Somerset and the Wisconsin
Department of Natural Resources to inquire if additional permissions are required.
This permit is valid for one year, with the possibility of up to two (2) six-month extensions if the
applicant submits the appropriate permit extension fee and documentation to the Zoning
Administrator. A copy of the Land Use Permit placard should be submitted to the local Building
Inspector for the town upon application for the building permit. The orange placard must be
posted on the job-site and visible from public view.
Please feel free to contact me with any questions or concerns. I am typically available Monday-
Friday from 8:00 a.m. - 5:00 p.m. If you would like to schedule an inspection, please call the
main office so your call can be directed to the next available staff member to accommodate your
request as soon as possible at 715-386-4680.
Respectfully,
l w J '
Sarah Droher
Land Use Technician II
cc: File
ec: towns®m@somtel.net
officE a)allcroix.com
builditcustom(w nsn.com
enclosure: Site plan
Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, Wl 54016 Fax 715.386.4686
www.sccwi.us/cdd www.facebook.com/stcroixcountVwi cdd@co.saint-croix.wi.us
~VI v~ 1 CAI I I I I y vYV V~~~~ I<.A \/V~ ~VLI 1A VII LJI 1 -,IIVV
According to Chapters SPS 320 & 321 of the Wisconsin Uniform Dwelling Code, soil erosion
control information needs to be included on the plot plan which is submitted and approved prior
to the issuance of building permits for 1- & 2-family dwelling units in those jurisdictions where
the soil erosion control provisions of the Uniform Dwelling Code are enforced. This Standard
Erosion Control Plan is provided to assist in meeting this requirement.
Instructions:
1. Complete this plan by filing in requested information, completing the site diagram and marking
appropriate boxes on the inside of this form.
2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and
after grading. Water runoff patterns can change signifcantly as a site is reshaped.
3. Submit this plan at the time of building permit application.
PROJECT LOCATION_ 5~
Please indicate north
BUILDER lz-q z 4zl' o OWNER by completing the arrow.
WORKSHEET COMPLETED BY E DATE Sam/ 7 /Zoo -7
SITEDIAGRAM Scale. 1 inch = 2ya feet f
- - - EROSION
- CONTROL PLAN
- LEGEND
a ~ - _ - _ _ PROPERTY
LINE
EXISTING
- - - DRAINAGE
- - - - TD TEMPORARY
- - - - DIVERSION
FINISHED
- - - _ _ I~ - ~ - - DRAINAGE
i - - - - Q LIMITS OF
GRADING
SILT
- - -
h - - - - - _ ■ FENCE
/ - - - C---~-- a STRAW
l
I~ x)~~> - - - - - + BALES
- - - 4
q
- - i - - - - - ~ GRAVEL
~j 1~1 VEGETATION
0 SPECIFICATION
J' l S J TREE
- - ( ® PRESERVATION
` I STOCKPILED
Lj I SOIL