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HomeMy WebLinkAbout030-1082-50-020 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 597364 State Plan ID No Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] 292522/866606 Permit Holder's Name: City Village Township Parcel Tax No JOHN GLEASON TOWN OF SAINT JOSEPH 030-1082-50-020 CST BM Elev: Insp. BM Elev: BM Descriptio Section/Town/Range/Map No: W.66 1 ~ 29.30.19.2970-20 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. t ~t.K 9 - - 146 Septic Benchmark "•~r //~,9~r C~ /~~J 11- 7W ok AkVNV_ ct Alt. BM J • O 1 ~r ~w~ Aer~, _ ({•D Bldg. Sewer Holding St/Ht Inlet ..ter"•__'.- TANK SETBACK INFORMATION St/Ht Outlet _ TANK TO VL WELL BLDG. ent o Air Intake ROAD Dt Inlet._ _ Septic / i Dt Bottom Dosing - f Header/Man. r Aeration f `io Dist. Pipe Holding f Bot. System Y- 70 11:4 PUMP/SIPHON INFORMATION Final Grade Qr Manufacturer ` y Demand St Cover GPM `l+ Model Number 37.3 X k'1_6 uy, TDH Li f((1 Friction Loss System HeZad ,r TD Ft Forcemain Length Dia. e? t, Dist, to We SOIL ABSORPTION SYSTEM BEDfTRENCH Width Length No. Of Trench PIT DIM SIONS No. Of Pits Inside Dia - Li d De th DIMENSIONS ?j Qw p SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of Syst CHAMBER OR ~;i` it7t (7r~( 7_ r UNIT Model Number tt tt?? f _ T: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake a ' Pipe(s) / Y~ a Length ~9.~ Dia 5 Length Dia c1 Spacing' SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over 1 Depth Over xx Depth of x Seeded/Sodded r Mulched Bed/Trench Center Bed/Trench Edges Topsoil i es! No es ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) ~Inspection #1: Inspection #2: Location: No Address Available P-1 Lpp~-/, . 1.) Alt BM Description = G~ (,~~~,'ttt 2.) Bldg sewer length = t ~~p - amount of cover i Plan revision Required? E] Yes _ No /'/{IhV Use other side for additional information. Date SBD-6710 (R.3/97) Insepctors Signature ) Cert. No. f County ~nx 7162 3 ~S _ JU ky~ 201 W. Wasn~,,_ Sanitary Permit Number (to be tilled in by Co.) S a 11 Madison. ft CROD(courrnr 5 % 73(a _ ST. DEVELOPNIEW Sanitary Permit Application State Transaction Number ry -7 In accordance with SPS 383.21(2). Wis. Adm. Code, submission of this form to the appropriate govermnertal unit t Gnt ti is required prior to obtaining a sanitary permit- Note: Application forms for state-owned POW I'S are submitted to Proi-,t Address (if different t Fan mailing address) GAO the Department of Safety and Professional Servies Personal information you provide may be used for secondan u ses in accordance with the Prrsac,LLaw s. 13.04(1 xin), Sta:s- t 1. Application Information - Please Print All Informatio !3 v t~ Property 0%%neer's Name Parcel # Property Owner's S}ailingAddress Property I o 157c' > 7- (ioNt Lot City, Slate Zip Coda Phone Number r. _ .rl.I~ Section t % f rcle on,) 3 N; R-1 i s II. Type of Building (check all that apply) Lot a Subdiv ision Name ~l or2 Famii}' Dwcl':ing--Number ofBctiirooms ~ Qk ~ Block ❑ PublicrComrnercial - llescrlbeOSe ❑ City Of_ ❑ State Owned - Describe Use C S"I Nun;ber ❑ Village of 71 III. Type of Permit: ((:heck only one box online A. Complete line B if applicable) A New S stem y ❑ Replacement System ❑ Treatment Holding rank Replacement Only ❑ Other Modification to Existing System (explain) r r; B. El Permit Renewal L., Permit Revision Change of f lumber ~ Permit Transfer .o New List Previous Permit Number and Date Issued Betore Expiration ( Owner IV. Type of POVITS System/Com onentlDevice: Check all that app! v O✓ ❑ Non-Pressurized In-Ground ❑ Press sized Fn-Ground ❑ At-Grade Mound > 24 in. of suitable soil ❑ Mound < 24 in of suitable soil ❑ 1loldine Tank ❑ Other Dispersal Component (explain)_ ❑ Pretreatment Device (explain)-V. Dis ersaLrl'reat nt Area Information: Design Flow (gpd) Design Soil Application Rata(gpdst) Dispersal Area Required Dispersal Area Propose sf Sy: r c o I VI. Tank Info Capacity in Iota] # of Manufacturer Gallons Gallons units \cw l,k~ Existing I antis I / / / L f C Septic or Holding Lank sz - f I 1~Z Dosina Chamber cJ r- VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) t r' ienatur -MP/MPRS Number Business Phone Number Plat ,r's Address (Street, City, State, Zip Code) VIII 'ounty/De artment Cse Onl% ssuing c,nt Signaiur I ypproved kzpprovec i Permit I cc SatAl Ls La yen Keasmt for Denial b 40 . 661 (.0 -7 L7 IX. Condi&WkW 140115 easons for isapproval / I C t 5 A- dal-e- J 1 $ ^tank,citwnt.like'! _ 3) Lo+1~ V and I disper:t ti cell must ail "n"_! M~jn t>ts per Management plan pro Tided by pUmber. G~w c7~. Gr6 Go t~ ti 'v 2. A1U'sie'rlcRtaarettiettes mu:tte t:tairiti;a~d as psf applabb cods I crt161 orm. 4 2017 - 6 l o f i A G Attach to complete plans for the s%stem and submit tot the County only on paper not less than S V2 x l I inches in size SBD-6398 (R. I t/I1) DIVISION OF INDUSTRY SERVICES r 10541 N RANCH RD Syr `A~ HAYWARD WI 54843-6462 Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov • ~ L wi n ~FP -1 Scott Walker, Governor Laura Gutierrez, Secretary March 31, 2017 CUST ID No. 220357 ATTN: POWTS Inspector BRADY J UTGARD ZONING OFFICE UTGARD PLUMBING & HEATING ST CROIX COUNTY SPIA PO BOX 413 1101 CARMICHAEL RD AMERY WI 54001 HUDSON WI 54016-7708 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 03/31/2019 Transaction ID No. 2925221 SITE: Site ID No. 836606 John Gleason Please refer to both identification numbers, Valley View Tr above in all correspondence with the agency. Town of Saint Joseph St Croix County NW1/4, NE1/4, S29, T30N, RI 9W FOR: Description: Mound, 4 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1698482 Maintenance required; 600 GPD Flow rate; 35 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component anual Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administr and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to b onstructe and located in accordance with the enclosed approved plans and with any component manual(s) referenced above '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 p s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • Per scale, the slope appears to vary as indicated in the plan submittal. The bottom of the distribution cell shall be level per the Mound Component Manual. The "D" dimension shall be a minimum of 6". The maximum finished slope of the mound surface shall be equal to or less than 3:1 per the Mound Component Manual. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. BRADY J UTGARD Page 2 3/31/2017 • Materials shall conform to the requirements of SPS 384. • Maintain well and waterline set backs per SPS 383.43(8)(1). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/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 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 and the POWTS managernent plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Patricia L Shandorf WiSMART code: 7633 POWTS Plan Reviewer, Division of Industry Services (715) 634-7810, Fax: (715) 634-5150, M - F 8:00 a.m. - 4:45 p.m. pat.shandorf@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm BRADY J UTGARD Page 2 3/31/2017 • Materials shall conform to the requirements of SPS 384. • Maintain well and waterline set backs per SPS 383.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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. 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 Industry Services reserves the right to require changes or additions 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. t 1, 7 4 .7a 1, ll .da ^f fk;: letter and the POWTS mananament plan to the owner and any llle aVV Val. le1L aLLLLl eJJee J11ala prv Y1 U Vopy v u++ Y others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Patricia L Shandorf WiSMART code: 7633 POWTS Plan Reviewer, Division of Industry Services (715) 634-7810, Fax: (715) 634-5150 , M - F 8:00 a.m. - 4:45 p.m. pat.shandorf@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: GLEASON Owner's Name: JOHN GLEASON Owner's Address: 411 VALLEY VIEW TRL.SAINT JOSEPH WI. 54082 VALLEY VIEW TRAIL Legal Description: NW/NE/S29/T30/R19W Township: ST. JOSEPH County: ST. CROIX Subdivision Name: Lot Number: 2 Block Number: Parcel I.D. Number: PART OF 030-1082-50-000 :Plan Transaction No.: Pagel Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank _464 Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 PLOT PLAN ( Page 9 SOIL EVALUATION Designer: BRADY UTGARD License Number: 220357 Date: 03/2W1 7 Phone Number: 7-4-6-z? M Signature: '77 70,0 -0 9Y~. Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01101), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.11 (R. 06/01) Page 1 of 9 Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150%) coliform of - 36 inches. 600.00 Design Flow (gpd) 17.00 Site Slope 105.00 Contour Line Elevation (ft) 35.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 60.00 Dispersal Cell Length Along Contour (ft) = 10.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network.' E Center or End Manifold 3.33 Lateral Spacing (ft) If N abov 3 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Orifice Spacing (ft) = 10.00 ft2/orifice 2.00 Forcemain Diameter (in) 70.00 Forcemain Length (ft) Does the forcemain drain back? Y - 95.00 Pump Tank Elevation (ft) 3.25 System Head (ft) x 1.3 11.42 Forcemain Drainback (gal) 10.50 Vertical Lift (ft) 80.54 5x Void Volume (gal) 2.24 Friction Loss (ft) 91.96 Minimum Dose Volume (gal) 15.99 Total Dynamic Head (ft) 39.32 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 1.25 2.00 x x 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator Treatment Tank Information 750.00 Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) 46.50 Total Working Liquid Depth (in) weiser Manufacturer 16.13 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.00 Dose Tank Capacity (gal) POLYLOK Filter Manufacturer 16.12 Dose Tank Volume (gal/in) PL-525 Filter Model Number weiser Manufacturer Project: GLEASON Page 2 of 9 Mound Plan View T 1 / 10 B : : : : : : : : : : : rr~~rr J Observation Pipe :I3 - FK . A O ❑5 oj~ B I 3 O- L Mound Component Dimensions A 10.00 ft E !Mt in H 1.00 ft K 9.43 ft B 60.00 ft F in z 21.38 ft L 78.85 ft D 6.00 in G J 3.56 ft W 34.94 ft 600.00 (ft) Dispersal Cell Area 1882.65 (ft2) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 107.29 (ft) ► ffff,.. + H F Dispersal Cell 106.00 (ft) Lateral 105.50 (ft)~ Invert Dispersal Cell 3 Elevation E p 4 4 105.00 (ft) Contour Elevation 17.0 % Site Slope Geotextile Fabric Cover Shading Key d a T- Dispersal Cell See lateral details on 1❑ Topsoil Cap o ° 1.5 ft Page 4 for number, size, Subsoil Cap y o O and spacing of laterals. ©0 ASTM C33 Sand M / F Laterals are equally Tilled Layer y 0.5 ft Typical Lateral spaced from the cell's 05 Aggregate 4r o 05 t distribution A * centerline in the in the distribution cell (AxB). Project: GLEASON Page 3 of 9 End Connection Lateral Layout Diagram Center the laterals over the A & B dimension Turn-up m'ball valve or cleanoutplug dentical Holes drilled on the bottom of the lateral equally spaced S Laterals & force main of PVC Sch 40 (per COMM Table 84.30-5) S NJ, Fonnection P via tee or cross to manifold at any point. Number of Laterals 3 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.08 ft Lateral Length (P) 58.52 ft Orifices per Lateral 20 Lateral Spacing (S) 3.33 ft Orifice Density 10.00 ft2/orifice Lateral Flow Rate 13.11 gpm Manifold Length 6.67 ft System Flow Rate 39.32 gpm Manifold Diameter 2.00 i-. Total Dynamic Head 15.99 ft Forcemain Velocity 4.02 `x11 Dose Tank Information Locking cover with warning label and locking device and or- sealed watertight Electrical as per NEC 300 and Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented E- Alternate outlet location Forcemain diameter weiser Manufacturer 2 in. Capaci 750.00 Gallons Volume 16.12 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 32.82 529.08 C B 2.00 32.24 .4 Pump off elevation (ft) C 5.70 91.96 95.50 D 6.00 96.72 D Total 46.53 750.00 Dom se tank elevation (ft) 3" Bedding un er tank. 95.00 Alarm Manuafacturer LEVEL Alarm Model Number DLV Pump Manufacturer GOULDS Pump Model Number EP05 Pump Must Deliver 39.32 gpm at 15.99 ft TDH Project: GLEASON Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name UTGARD Phone 715-760-0946 POWTS Regulator's Name ST. CROIX Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 years Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years INSPECT FILTER ONCE A YEAR Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box - Plug or Ball Valve Distribution . Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: GLEASON Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01181)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fiter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. 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. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 ml- for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: GLEASON Page 6 of 9 i X PUMPS Submersible Effluent Pump AA r EP04 & Ft PO[; Series. • Fully submergou - - in high ■ EV"J's Im {tfet Ij Fade turbine );I - r 11ihrir-at off Ono eff cjpe ,,E iev.at f.. !t I v~?~S UEy*{r5r r,-~.-.+, i Casing and Base Ava4abieforautornik aind the n(id5tlLde\ ,s AGENCY t{s7iNEt a nu mall opera3t; n. Auto ~ =r1c rr(yr ctrPnMh - - - matic rrKXWS iindu , ~ Lamwiaa,t itinn .r + Mechanic* Pj S ~ N t H !A .A . Wil#CFt a mOt4r i•#t9U5rr?q dSSernWed and preset A the t r ;rifIM faoP 5t ,t, q Kdu~,i`r :ATIONS ■ Motor Covet: Tnf 3pabrirty FEATURES ~ t} ■ E impel er Thernvp6l s I, ro b:) GSM±_ tir_ semt_open *vqr+ with ~ ?ever CaEsla ° E t. k .U i fi f i. PUMP CK3t r ~ u re 1' a, NPT seal prnep~± trti turf b.:` 7!ariT3iii; - t 1 SntlE' i % f v -+1P(j Viii; z ~3.3D 3 3 11 t 1~17F~ \ 74 v N ~y 7-cf- SJ~ 4. 1 X 3 - 3 ST. CROIX COUNTY SFp IC T_ L_NK N 1I\TE'_NANCE AGREE_M E NT AN D 0«~ERSHIP CER I IFICA TIO\ FORM Owner,'Buyer ?Mailing Address Property Address i/ig LJ T.2.Ur t_ , (Verification required from Planning & Zoning Department for new cons:-14tion.) City/State 1-10uLt y ly Lj :L- Parcel Identincation Number ~ 3 d l ~ ~~5 Q~ LEGAL DESCRIPTION t Property Location ,t/4 ,Sec., T N RW, Town of T f/L Subdivision Plat: , Lot m Certified Survey -Flap # 12 Volume Page Warranty Deed (Ioefore 2007)Volume Page Spec house = yes o Lot lines identifiable yes r. SYSTENI 1VLUN TEN ANCE :kND O«" NER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank ever-; 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 L - St. Croix Counn Sanitar% 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 operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, 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. I/we certify that all statements on t Ys form are true to the best of my/our knowledge. 1,,,w e am;are the ova ner(s j of the property described above, by virtue of a w rranty deed recorded in Register of Deeds Office. Number of bedrooms SIG,_\_ATL OF APPLICANT(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) a._ 13 - - i I s - z F .L. a` U e F =i J - ` i { . Eil 1 51,3- x ~ w p ?s Wisconsin arrf~~1 SOIL EVALUATION REPORT 2397 kr 3 Page 1 of 3 Commerc in accordance with Gem` Wis. Adm. Cod( A.C.E. Soil & Site Evaluations T Ci~*Y. CM11, C1'Y gps385' County St. Croix Me t Q~"Wer not less than 8/ x 11 inches in size. Pla h, bUt not firm ed d to: vertical and horizontal reference point (BM), directio percent slope, scale or dimemsions, north arrow, and location and distance t( Parcel I. from 030 082 0-866- ~ Please print all information. A.1 Rev ed By Date Personal information you provide may be used for secondary purposes (Privacy Law, S, Property Owner Property Location Z John Gleason Govt. Lot NW 114 NE S 29 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Na or CSM# 411 Valley View Trl prop. 2 Proposed CSM City State Zip Code Phone Number City Village ✓ Town Nearest Road Saint Joseph WI 54082 (715) 220-6043 St.Joseph 41 St Street ✓ New Constructior Use: ✓ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments 2d"- x, and recommendations: Soil conditions require mound POWTS. Site is heavily wooded - additional elevaton work will be needed to determine system area slopes and contours after site is cleared. ❑ Boring # Boring ✓ Pit Ground Surface elev 100.75 ft. Depth to limiting factor 40" in. Soil Application Rat Horizon Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD/ft! in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 *Eff#2 1 0-21 10yr3/2 none I 2fgr mvfr cw 3fmc 0.6 0.8 2 21-40 10yr4/3 none sl 2msbl mfr aw 2f,1 me 0.6 1.0 3 40-67 5yr3/4 f2f 7.5yr4/6 sl 1 csbk mf - 1 fm 0.4 0.7 Saturated flow observed at 44". ❑ Boring # Boring ✓ Pit Ground Surface elev 106.83 ft. Depth to limiting factor 35" in. Soil Application Rat Horizon I Depth Dominant Redox Description Texture Structure Consistence Boundar Roots GPD/ftz in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 *Eff#2 1 0.16 10yr3/2 none I 2fgr mvfr cw 2fmc #0.61.0 0.8 2 16-35 10yr4/4 none sl 2msbl mfr aw 1 vf,fm 3 35-67 5yr3/4 f2f 7.5yr4/6 sl Om mfi - 1fm .6 H#3 contains inclusions of 2mpl 5yr3/4 scl. * Effluent #1 = BOD 5 30 < 220 mg/L an TSS >30 < 50 mg * Effluent #2 = BOD5< 30 mg/L and TSS < 30 mg, CST Name (Please Print) Signat e: CST Number James K. Thompson e, 36923Up2/ Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 5/28/2015 715-248-7767 Property Owner John Gleason Parcel ID # from 030-1082-50-000 Page 2 of 3 ❑ Boring # Boring f ✓ Pit Ground Surface elev 102.85 ft. Depth to limiting factor 38" in. Soil Application Rat Horizon Depth Dominant Redox Description Texture StructurE Consistence Boundar Roots GPD/ft' in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 *Eff#2 1 0-19 10yr3/2 none I 2fgr mvfr cw 3fmc 0.6 0.8 2 19-38 10yr4/3 none sl 2msbl mfr aw 2f,1 me 0.6 1.0 3 38-68 5yr3/4 f2f 7.5yr4/6 sl 1 csbk mf - 1 fm 0.4 0.7 H#3 contains inclusions of 2mpl 5yr3/4 scl. ❑ Boring # Boring Pit Ground Surface elev ft. Depth to limiting factor in. Soil Application Ratq Horizon Depth Dominant Redox Description Texture StructurE Consistence Boundar Roots GPD/ft° in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 *Eff#2 ❑ Boring # Boring Pit Ground Surface elev ft. Depth to limiting factor in. Soil Application Rat Horizon Depth Dominant Redox Description Texture StructurE Consistence Boundar Roots GPD/ft; in. Color Qu. Sz. Cont. Colo Gr. Sz. Sh *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg Effluent #2:= BOD 5< 30 mgiL and TSS < 30 mg. The Department of Commerce is an equal opportunity serN ice pro ti ider and employer. If y°ou need assistance to access ser%ices or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (8.07/00) A.C.E. Soil & Site Evaluations / So,%¢✓u/ua{,on~j~ 4~f ~lt~ ~le -,2-3 So/tn 6lec~so~,roroPu'~y AAarex./ocli, -c", of{ow+ol /~~d~scd/o~~ oF~aUroG~ cs.tit {rte C,~%X co / ~ 030 -/c -So-a>o S~.~fO e..4ssk,nc.d .l P P rt c: ~5 ✓~r k~ y e /e = idD. w,' a Y 'Ir Leo LJa C~our~are b l \U . `~O ~ \4G{~rMivLtL~ ~i 0('~P ~s~r+ dt) V , (a _ a2 , 1 1 \ Ya7.o , B3 Land Use ST. C R O I X C® U N T Y Planning & /.and In%ormution Resource Management Community Development Department March 8, 2017 Houlton WI, 54082 RE: Physical Property Address: 411 Valley View Trail Parcel Number: 030-1082-50-005 Alternate ID: 29.30.19.297C-05 Town of Saint Joseph John Gleason, This letter is intended to establish contact with you regarding multiple complaints recently received regarding the amount of junk and solid waste debris on the property described above near Valley View Trail. Please contact me as soon as possible as I would like to discuss this complaint with you. I am typically available Monday-Friday from 8:00 AM to 5:00 PM. I can be reached at my office number (715) 386-4742, or by email NNIcolc.l lad s q co.saint-croi\.~v Respectfully, Nicole Hays Land Use Technician II EC: Town of Saint Joseph CC: File Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, W154016 Fax 715.386.4686 www.sccwi.us1cdd Www.Locebook.com/stcroixcountywi cd co.saint-croix.wi.us II T D I v ^ i ► T !,and Use S T. C R O !1 . C J V N 1 1 rtrnct c t.urcd frt/or`mation Resaurcz. Management ommunity Development Department June 1", 2017 File#: LUP-2017-015 John Gleason PO Box #8 New Richmond, WI 54017 RE: Land Use Permit - Rural Residential, Shoreland Site Address: 413 Valley View Trail Hudson, WI 54016 Legal: Section 29, Township 30N, Range 19W. Parcel 030-1082-50-020 John Gleason, This letter is to advise that the Community Development Department (CDD) staff have reviewed your Land Use Permit application for the construction of a new driveway, garage, and home within the Rural Residential and Shoreland Zoning Districts. The request for a Land Use Permit is approved based on the application conditions and the following findings: • All setbacks based on the site plan have been met and the structure meets the 35-foot maximum height requirement for a principal structure. • The driveway design along with road setbacks have been met. • There will be more than 2,000 sq. ft. of land disturbance on slopes less than 12% within the Shoreland Overlay District. • The Total Impervious Surface calculated is 4.2% which is less than the 15% minimum, therefore no mitigation plans are required. • This property is owned by John Gleason. • Erosion and sediment control plans have been provided that meet or exceed WDNR Technical Standards. Based on these findings, approval of the Land Use Permit is subject to the following conditions: 1. A pre-construction inspection is required to verify erosion control installation and proper setback requirements. It is the applicant's responsibility to schedule this with Community Development Department staff. 2. Erosion control and seeding shall be installed according to the General Erosion Control Notes on the site plan prior to any land disturbance activities. St. Croix County reserves the right to require additional erosion control measures to be installed during construction if found necessary due to site-specific conditions- 3. Sediment and erosion control shall not be removed before the project site reaches a point of at least 70% perennial vegetative cover. 4. A post-construction inspection will be required prior to removing erosion control measures to determine the entire project site has reached a point of 70% permanent vegetative cover. It is the applicant/agent's responsibility to schedule this with the CDD staff. Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, WI 54016 Fax 715.386.4686 'and Use ST. C ROIX ,COUNTY C, 444 ;iq f-mation Resource Management ttininuirifi, T)E'vEa1(?p1?1F' lr ?1 1' t xl'in 5. Erosion control and seeding shall be installed according to the General Erosion Control Notes on the site plan prior to any land disturbance activities. St. Croix County reserves the right to require additional erosion control measures to be installed during construction if found necessary due to site-specific conditions. 6. 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. 7. 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. 8. 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 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 CDD staff. The permit card is recommended to be posted on the job-site. IT IS THE APPLICANTS/AGENTS RESPONSIBILITY TO ARRANGE INSPECTIONS. FAILURE TO DO SO MAY RESULT IN A CITATION. Prior to an inspection, the CDD staff shall be given at minimum 2 full business days' notice to ensure an inspection time can be arranged. 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. This permit does not approve neighboring sites nor future projects within the site. For any other projects/plans please contact the CDD staff. 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 St. Joseph and the Wisconsin Department of Natural Resources to inquire if additional permissions are required. Please feel free to contact me with any questions or concerns. I am typically available Monday-Friday from 8:00-5:00 PM. If you would like to schedule an inspection, please call the main office so they can direct the next available staff member to accommodate your request as best as possible; (715) 386-4780. Respectfully, 0 Nicole Hays Land Use Technician EC: Town of St. Joseph CC: File I Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, W154016 Fax 715.386.4686