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HomeMy WebLinkAbout026-1149-00-012 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No (ATTACH TO PERMIT) 597435 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 Croix View Remodeling TOWN OF RICHMOND 026-1149-00-012 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 7 '7• 3 -3 15.30.18.1117 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. • O Benchmark Septic G~4-1- ; 7. 0 1.43.9 3 "nirl ` Alt. BM Z •9 X01 Aeration Bldg. Sewer • ` , Holding St/Ht inlet o,7• c3 G• I TANK SETBACK INFORMATION St/Ht Outlet L.7 9~• ~ TANK TO P/L~ WELL BLDG. Vent to Ail Intake ROAD Dt Inlet Septic r I I 5-7 ~ / Dt Bottom Dosing Header/Man. Q ~L• ` • 7 I Aeration Dist. Pipe IS. 145 d-o tl ~Q.~ o l . 9 Holding Bot. System 9y' 15 /-6 e~p PUMP/SIPHON INFORMATION Final Grade '~•~p .3 Manufacturer Demand St Cover Z /a _ GPM Model Number TDH Li Friction Loss Syste d T DH Ft Forcemain Leng Dia. Dist. to Well r SOIL ABSORPTION SYSTEM V 4~ rJr fc c~e~/e- L JA BED/TRENCH Width / Length No. Of Trenches PIT DIMENS S No. Of Pits inside Dia. Liquid Depth DIMENSIONS 9d Z SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Qf System: VOQ r~ 56 ( UNIT Model umber: 0 AJ4 .o ~7 7 DISTRIBUTION SYSTEM 2z- ZZ - 44 Header/Manifolyi / Distribution Ix Hole Size Ix Hole Spacing Vent to A Int ke Pipe(s) le Pi Length Dia Length Dia Spacing 4-S SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded jxx Mulched Bed/Trench Center 54 Bed/Trench Edges Topsoil `cam No es ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1517 127TH STC 1.) Alt BM Description i+ `t7 I~ ~o-d( ~~1 2.) Bldg sewer length = 5-7 - amount of cover = Z ( O /t J Plan revision Required? ❑ Yes );<<o R Use other side for additional information. SBD-6710 (R.3197) Date Insepctor' ignature Cert. No. IVED SAN- Do. , -7 - z~r 4~ County q r~ Safety and Buildings Division him n A P. Box 7162 Sanitary Permit Number (to be ed in by Co.) _ I u 201 W. iso 5 07 bIX COUNTY TY [DEVELOPMENT 40RXRCY3ZZWZ8 ~ 35 Sanitary Permit Application 1 State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit Note: Application forms for state-owned POVRTTS are submitted to Project Address (if different dm mailing address) the Department of Safety and Professional Servies" Personal information you provide may be used for secondary ..purposes in accordance with the Privacy Law, s. 15. I m , Stats. _ L Application Information - Please Print All Information S( 2 4 1 f Proper Owner's Name l ParceI # l ) a ) 7 L Property Owner's Maillmg Ad"r Property Location > , if Lot CZip Co de Phone Number y~ on I-S , o II. Type of Building (check all that apply) Lot # T N; R E W T 2 Family Dwelling-Number of Bedrooms Subd71- "on Name pladl Block # ~l t ❑ Public/Commercial - Describe Use ❑ City of ❑ State Owmed - Describe Use CSM Number ❑ yri~ of woof III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. S stem ❑ Replacemen; System ❑ Treatment/Holding Tank Replacement Only ❑ Other modification to Existing System (explain) B- ❑ Permit Renewal El Permit Revision ❑ Change of Plumber List Previous Permit Number and Date Issued Before Expiration El Permit Transfer to New Owner C4~ VK IVLQ2e ofPOWTS S stem/Com onent/Device: Check all that a 1 -Pressurized In-Ground ❑ Pressurized In-Ground ❑ At Grade ❑ Mound > 24 in of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis rsal/Treatment Area Information: Design Flow (gpd) Design Soil Ap licat,i~o,,a,~ ~ Dispersal Area Requir sf) Dispersals Pro (sf) System Ele VL Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units T U New Tanks Existing Tama v U 1i ` ° y m ~n t h c`L 1 AU Septic or Holding Tank tl Dosing Chamber VII. Responsibility Statement- th undersigned, assum risibility for installation of the POWTS shown on the attached plans. Pluxgber' Name Trint) Plumber's ' e MP/MPRE Number Business Phone Numbe; Plumber's Address Weet, City, State, ✓ J C7 t ~rj ~ a p Cade- VIII. t ountyfDe artment Use Onl .~Iokppmved ❑ t Permit Fee Date Issued Issuing Ag t Signature Si er Given Rcaso enial t i El DL Conditions of Appro ons for Disapproval w4,~- be ca, SYSTEM OWNER: OW A-t!, 69.- Sbt0 hKxbA (X jw~n.De? rye( ( 1. Septic tank, effluent filter and dispersal cell must be_s~yervicpcpe~dp / mp~aai~nta¢iCned ~ 5o'IS ~ppltae., CexFe• 2. All setback require 15 uJC % ft `q* -d snbmi, to the County oolp on paper ant less than 8 rrz z ] 1 inches in su as per applicable code/ordinances. SBD-6398 (R 11/11) Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 7/13/17 Owner:Croix View Remodeling Location: SE1/4 SE1/4 S15 T30 N,R18W 1517 127th St. Richmond Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Leaching Chamber Cross Section 4-6. Maintanance d Contingency Plan 7. Filter Cross S n Signature License ber #226900 System PLOT PLAN PROJECT Croix View Remodelina ADDRESS 499 Countv View Rd Hudson Wi 54016 SE 1/4 SE 1/4S 15 /T 30 N/R 18 W TOWN Richmond COUNTY ST. CROIX i SYSTEM ELEVATION 94.3f-below grade 7/13/17 4 DATE BEDROOM CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 lik BENCHMARK V.R.P. Top of 1.5" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Scale = 1/4" = 10' Property Line lope Ver,-C., - R with > in Xf 40' p Vents 90' 90' B-2 B-1 S 220' , Pro 4 Bedroom House All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 r Vent A4ng Quick4 Standard 127th St. Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps 2" Grade at S ystem Elevation Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation 99.3' Vent G rade Vent 3' 4" 3' A ~30/34 Septic T:an V, 5' Long 5' L ong 1 Grade at System Elevation 3 6 " Grade at System Elevation Spacing- 5' 2-3' X 90' Cells Same on other end Observation tubeNent At end of cell A B 22 chambers per cell System elevations: A-94.3' B-94.3' ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHO? CERTIFICATION FORM Owner/Buyer i"_> Property Address - (Veri cation required from Planning & Zonutg Depamnent far new eonshuctlon City/Stag Parcel Identification Number LEGAL DESCRIPTION Property Location ; V4 , E- j4 ,Sec- , T jLN R W, Town of i c^r t' Subdivision d k-) Lot # Certified Snrvey Map # Volume , P e # f Warranty Deed # Volume - Page # Spec house e no Lot line` identifiable yes SYSTEM MAINT'ENAN'CE AND OWNER CERTTFICATION Doper use and uamtoenanos Of Your Sept item could result in its premature failure to handle wastes. Proper maiatanance consists of PWmPmg out the septic tank every three the system can affect the function of the ~ yes or sooner, if needed, by a licensed pumper. What you put into septic tank as a treatment stage in the waste disposal specified in §Comm 83.52(1) and in Chapter 12 - St Croix County Sanitary Ordinance. mintenance The property owner agrees to owner and b a master lumber submit to St Croix County Planning & Zoning Department a certification form, signed by the by P ..lomneymm 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 dm 1/3 Rill of sludge. Uwe, the undersigned bave, read the above r standards set forth, herein, as sat and agree to maintain the private sewage disposal system with the by the Department of Commerce 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 & Zornng Depar4nicnt within 30 days of the three year expiration date. Uwe certify that all statements on this from are true to the best of my/our knowledge. Uwe am/am the owner(s) of the Property dmcubed above, by virtue of a deed recorded in Register of Deeds Office. H Z a~a nofedrooms SIGNATURE OF APPLICANT(S) l ~ DATE ATE ***Amy infomsation that is inisrepre seated may result in the saintary permit being revoked by the Planning & Zoning Depart am Inclade with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is wade in the warranty deed, (REV. 08/05) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION Owner /I SYSTEM SPECIFICATIONS r; y i'5~-. 1 J t Septic Tank Capacity al 11 NA Permit# Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Number of Bedrooms 1^~-~ ❑ NA ❑ NA Effluent Filter Model t ❑ NA i Number of Public Facility Units NA Pump Tank Capacity j Estimated flow (average) ===!fNA -gal/day Pump Tank Manufacturer Design flow (peak), (Estimated x 1.5) al/da Pump Manufacturer I Soil Application Rate -1 NAI allda /fly Pump Model NA Standard Influent/Effluent Quali ty Monthly average Pretreatment Unit Fats, Oil & Grease (FOG) 530 m g/L ❑ Sand/Gravel Fitter ❑ Peat Filter Biochemical Oxygen Demand (BODs) 5220 mg !L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :5150 m g/L ❑ Disinfection ❑ Other Pretreated Effluent Quality Monthly average Dispersal Cell(s) Biochemical Oxygen Demand (BODs) 530 mg/L ❑ NA n-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ At-Grade Fecal Colifonn (geometric mean) 5104 cful100m1 ❑ Mound ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size 36 in dia. ❑ NA Other IOther. ❑ NA NA Other: ❑ NA "Values typical for domestic wastewater and septic tank effluent Other. ❑ NA IAINTENANCE SCHEDULE Service Event Service Frequency linspect condition of tank(s) At least once every: ❑ onth(s) ar s (Maximum 3 years) ❑ NA (Pump out contents of tank(s) When combined sludge and scum equals one-third (36) of tank volume ❑ NA Ilnspect dispersal cell{s} At least once every: E3 month(s) ears (Maximum 3 year,) ❑ NA Clean effluent filter At least once every: Z j ~ e th s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) El year(s) NA f=lush laterals and pressure test At least once every: ❑ month(s) ether. 11 year(s) NA At least once every: ❑ month(s) ether: ❑ year(s) NA NA MAINTENANCE INSTRUCTIONS !Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must linciude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of ioombined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shaft be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local I~egulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (X) or more of the tank volume, the entire contents of {:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. INI other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, And any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page of START UP AND OPERATION For new constriction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals th0t may impede the treatment process and/or damage the .dispersal cell(s). If high Concent<'ations are detected have the contents of thb tank(s) removed by a septsge servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normai highwater Levels. When power is restored the excess wastewater will ble discharged to the dispersal eel(s) in one large dose, overloading the oll(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park Vehicles over tanks and dispersal cis. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWf$: antibiotics; baby wipes; cite butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medians; air; Painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall to taken to insure that the system is propef and safety abandoned in compliance with chapter Comm 133.33, Wisconsin Administrative Code:. • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliOnt replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the neled for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rule$ in effect at that time. 17 A suitable replacement area is not available due to setback and/or soil limitations. /earring advances in POWTS technologlt a holding tank may be installed as a last resort to replace the tailed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be perforrned to locate a suitable replacement area. if no replacement area is available a holding tank may be installed/ as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltratve surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name Phone phone SEPTAGE SERVICING OPERATOR U PER LOCAL REGULATORY AUTHORITY Name r t : ,`r`r•~ E Name _ l tr x` / Phone G < Phone This docunwAt was drafted in compliance with chapter sps 383.22(2)(b)(1)(d)&(t) and 383..54(1), (2) & (3). Wisconsin AdminWzatim Code. i N i ~ ~ ~;~1qy i~ L I \ ~ t Iq tillit~1~~.g.~ . _,ti~J. ~i r Q ~ v P ( ~j _~_-~-j ' o , J , 1 1 ! I f l~~ 's J ,`r"te"! i v ~ c ~ c s ~ f, I ~ J: i°~- a t' S n ~ ~ z S 'P w o t/i i I 1..._ ~J i i t 4~ i :I I. ~I 4m ,r rl i I f ~ ~ I > I.~ t 'III I,~ ~I 'a g I ! iii~l I~Ilk~a ~I ~ ~ I w,, I. try IfCi,~~(\lll, s ~ at4~4~f1 i..tS~tl i s 6 t t hs ti i' t 1iAf 6'"-'•' e 4 4 D I'.. II I. I I I! 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Adm. Code County ~ rn i Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ©Z16~ l ,D 7/ Please print all information. Reviewed by / Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z Property Owner Property Location S- Nf ~ Govt. Lot S F- 1/43 1/4 S /S T 7;So N R E (or)q Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# l y-3 c ~ 0~(-,-:Xl IL i,_10 S City State Zip Code Phone Number ❑jC' Village Town Nearest Road /V-cw('.c.hrn-vuc' w\ S'/O/7 (7is )Zwo - 3/Za ef h ort New Construction Use: f4 Residential / Number of bedrooms 3 _ y Code derived design flow rate 0 d GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material r ( Flood Plain elevation if ap I_ nc-r~ ft. General comments sy5/-C W\ e~-er, 71Y, y10 REIII+ and recommendations: 4~ / el-2v , QG + 410 MAR 1 3 2002 l1 SGT F 1-1 a Boring # F] Boring ZONING CFICE Pit Ground surface elev. 30 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 0 ty- t0 { SL Z K c5 1v~ C_~ 9 z. tr 0-42. Ovy-Sco G3P `1.6`i1 LS I MV-Pr c. _S 42-5to 16 r4l to mS 0s m 1 - - 2 FTI Boring # ❑ Boring q O~ pit Ground surface elev. 7f, 3 6 ft. Depth to limiting factor t~ 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 I6-L 1 S L 7 ,5b it) r * Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Address Date Evaluation Conducted Telephone Number Zi/ 6rQ1=~ SP 1~,//. s~az /2 ~S- o/ S13D-8330 (K07/00) Property Owner ~Y'1~,c k_) Parcel ID # Page of ❑ Boring Boring # 13-1 J& Pit Ground surface elev. ft. Depth to limiting factor 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 Z 2--9 16 3 S c 2 k -Pr c. . y 3 29-36 t L5 ms mvfr cs - f. Z (-I !D r,~ to 0 -1 4 L.s Z m s rn C's - • -7 ~ )Ell Ito ryls ni ❑ Boring Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor 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 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F-1 ❑ Pit 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 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) f i PAGE OF__.I- NAME LOT# 5 LEGAL DESCRIPTION S r Y5f-- X,S 1S T 50 ,N,R, (fS E(or)I( 1 SCALE: I"= BM 1 ELEVATION /00• G 1 BM 1 DESCRIPTION +o p a -4 z P u p; ~e BM 2 ELEVATION (9 O BM 2 DESCRIPTION -fop o v~ Q n SYSTEM ELEVATION ALTERNATE ELEVATION l tl~ q c, t- CONTOUR ELEVATION (lc, 5(c, ~R - Q-3 F.U g-Z IGNATlJRE DATE f z - 3 G - o/ L$-) r ~oa~ T. R IX COUNTY ;antion Resource Aitinugemerit August 14th, 2017 File#: LUP-2017-031 Croix View Remodeling 499 County View Rd Hudson, WI 54016 RE: Land Use Pen-nit - Rural Residential, Shoreland Site Address: 1517 127th Ave Legal: Section 15, Township 30N, Range 18W. Parcel 026-1149-00-012 Town: Richmond Brent, This letter is to advise that the Community Development Department (CDD) staff have reviewed your Land Use Pen-nit application for the construction of a new driveway, home and attached garage within the Rural Residential and Shoreland Zoning Districts. The request for a Land Use Permit has been approved based upon 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. • All structures meet the 75' setback from the OHWM (ordinary high water mark) elevation of 968.7. • Erosion and sediment control plans have been provided that meet or exceed WDNR Technical Standards. • Per site plan, the home is located outside of the drainage easement Based on these findings approval of Temporary Occupancy i subject to the following conditions: 1. A pre-construction inspection is required to verify erosion control installation and proper setback requirements. It is the landowner's responsibility to have drainage easements, property lines, and OHWM setbacks staked prior to inspection. It is the applicant's responsibility to schedule this inspection with Community Development Department staff. 2. Erosion control and seeding shall be installed according to the General Erosion Control 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. 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. 4. Sediment and erosion control shall not be removed before the project site reaches a point of at 0 least 70 /o perennial vegetative cover. Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, WI 54016 Fax 715.386.4686 IrvWt1v 5 VIl trig t T CROIX s-)U1V 1 1 ,gemn >ource Management 5. 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. 6. Failure to comply with the terms or conditions above may result in the revocation of this pen-nit by the Zoning Administrator according to Chapter 17.30(13). This pen-nit 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 Richmond 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, Nicole Hays Land Use Technician EC: Town of Richmond CC: File Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, WI 54016 Fax 715.386.4686 tNWW S(C,V,,! 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