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261-1211-00-000 (5) 17-7
r Wisconsin Department of Commerce Safety and Budding Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law. s 15 04 (1)(m)] Permit Holder's Name City Rick Gajewski CST BM Elev Insp. BM Elev: BM Description. CO.0 Im.Of TANK INFORMATION CITY OF NEW RICHMOND TYPE W=4XI ,' / CAPACITY Septic •ri+ C� Dosi Aeratio oldi TANK SETBACK INFORMATION "�Mm® e • a mr"»=o= PUMP/SIPHON INFORMATION Manufacturer emand M Model Number , TDH Lift Fhct L s System Head TDH Ft Forcemain Length Die_ ist to Well SOILAWORPTION SYSTEM ELEVATION DATA County St. Croix Sanitary Permit No 644762 State Plan ID No Parcel Tax No 261-1211-00-000 Section?own/RangeiMap No STATION BS HI FS ELEV. Benchmark All BM w Bldg Seer S-Z� i�TT SVHlInlet f r .O St/HI Outlet Z qsr 7 O' DI Inlet / DI Bottom HeaderlMan. Dist Pipe to 9s: zzf Bot. System Final Grade y V bs' St Cover ENC DIMERSICINS Width f Length f J�/ G4s No OI Trenches I PIT DIMENSIONS No Of Pits Inside Dia Liquid Depth SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manu r INFORMATION CHAMBER OR UNIT Type Of System Model um ti.,/._ DISTRIBUTIQN SYSTEM Header/Ma 1% Lengt Dia Distribution Pipe Length Ore Specmg x Hole Size x Hol Vent to Au Intake f SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of zx Seeded,Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes No COMMENTS: (include code discrepencies rsons present. etc) Ins echoon of "%/!Yj/�_ L'Z_-. a Inspection #2 Location: No Address Available �)e) ° W k9ek (W ` s'^e$ `;4" n 1� _ - n 1.) Alt BM Description = �`1'�j�,t 4,x � p,-�-' 4, IDf �� 6 f �Se. "!I t %'k C$PS " �, �trr ''II 2.) Bldg sewer length = I Z �.tf�C i� JAM, $ / n K T. amount of cover, I Q>, V(SP,L 3 �1 �/ S tt►µ¢�7�, •L�D.� \J 2 N It]-'O- PlanrevisionR`quired Yes >(No Use other side for additional information.l� /�Tr SBD-6710(R.3/97) OJ3e r � s O`�S %T-��: _ nre� 4-AA%�4Q � jW_V4ft . Can No H) d �svtrat7l r► J o t w �F+o.�, S ras++R•Sek�2 •� I a �„aQ -�-� K I4� `i*t"`'�` ' IV',/`( K+.�Qigt e+Q l.Qftv, la't"l ZNa U :01 a■EWJ /�dr""t"avr r C r �+ 1 a P JULMadison, rountx!!� strySery Division 14M E Washlf on Ave P.O. Box 7162 Sanity Permit Number (to be filled in by Co.) � �itpu,- St. Cr! WI �3707-71 +J Co m i r On it Applicatio State Transaction Number n _ o(vzioNt � — �s In accordance with SPS 393.21(2), Wis. Adm. Code, submission of this form to the appropriate go ra�it p 71-6 G is required prior to obtaining a sanitary permit Note: Application forms for state dtnts TS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be us ary purposes in accordance with the Privacy Law, s. 15.04 I m Stats. L Application Information - Please Print All Information Propertyis Name Parcel N IZIe '6i J S T 626/' / 2//- OD- 6da Property Owner's Mailing A Tess Property Locates' � Z1 Llee l) c. i �Govt- Lot �/ � 14, �, Section p94 Ci State Zip Code Phone Number , r f (f-s F104(1 • 0- 3�tt'tF I, -At-.24�t � TS I N R ��ciEoe� H. Type of Building (check all that apply) Lot tl ❑Ior2Family Dwelling - Number ofBedrooms Subdivision Name �` �y/'irk`-' ,Q N� IGIL(! l/l01 f� {� � � (Z 90,G blic/Commercial - Describe Use Block p ❑ State Owned - Describe Use � ity of ❑ Village of A16("J lgLA%`Z e4v ,y/ (aN& /` CSM Number ❑ Town of IIL Tpe of P_ormit: Check only one box on line A. Complete line B if applicable) A. ew System ❑ Replacement System ❑ TreannentMolding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T f POWTS S stem/Com nent/Device: Check all thatapply) �unPmis�mized and ❑ Pressurized In -Ground ❑ A[ -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil El Holding Tank Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. DispersaVIrestment Area Information: X a+fUAAM Design blow (gpd) Design Soil Application Dispersal Area Required (sf) Dispersal Area Proposed (sf) Elevation aces Rate(pdsf) 3z1 �{3 aSb tSystem 9 46 t' VI. Tank Info Capacity in �( W4� 'Ile G811or1sExistia Total Gallons 0 UnitsManufacturer c V V QNew Tanks Tanks a cL V n n n is C7 G Septic or u,.id --0 in Dosing Chamber VII. Responsibility Statement- 1, the uadtirsigned, assiva responsibill6viestallation of the POINTS shown on the attached plans. Plumber's Nana! '' t) — "N Plum 's i MPIMPR.S Number Business Phone Number ZG 4i4 / d lv L LMP 139,el4z— Plumber's Address (Street, City, State, Z_(,ode) - VIII. Countymepartment Use Only Approved ❑ roved Permit Fee Issu I ng AgEnt Si ❑ n for Denial S JL ,�Q��, 22 IX. Conditions Approv 1 7j, _-"_`- a.uLo� ���� SYSTEM OWNE 1. Septic tank, eMuont filter An1f dispersal cell must be atowiised I maintained Prenn ,t9t►�nnl�(�W ����,Se�- , `�� provided pl rib tls per management plea provided by plumber. vT OS mc� to coSef� pth'iMr the system adh s my o pa root a t is sifts` 8S per applicable code/or ance' Soo So ' 4 ✓�"N- SBD-6398 (1103/14) ` ' 1 0U �A2Lo7 U 6s, +►Y�W�.L� S'i srEh . T a S� �l 0 Tr F r �CF Y 144 it �1 ��►� �—� � fZ�iw C�tL = ZSO S� 6� ell 0 Ot 14 -5ASr,M 1-So, F ,4(6&) f.CEL. SYsr••-1 C,"Vj, -74j, S 46` :�w-prig Tim/L IFEn;"c �7y� 4A(�_ orvr" OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI S15138182 C~ TMagh RNry www.wemnon.gw } "Ios s` Tony Ew1n - 6evwnor Down Cr1m - Seardrp July 7, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-07-07 Plan Review: PWTS-062201454-C TODD SINZ E5609 7081h Avenue Menomonie WI 54751 SITE: Rick Gajewski 17-7 Lot 625 W Hanger Road St. Croix County City of New Richmond SW Y.-SW Y.-S24—T31N—R15W FOR: Description: In -Ground POWTS serving a storage building/private hanger with 2 floor drains and bathroom — 225 GPD — New Construction - 109" to limiting factor — Effluent Filter - Maintenance required CiO)VDMOMALLP APPROVED DM OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES I ic6, 1 j2tAd,^:Ck SEE COFMESPONDENCE In -Ground Soil Absorption Component Manual, SBD-10705-P (N.01/01, R 10/12) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed 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 per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders This system is designed to serve only the uses indicated on the plan and only domestic wastewater. If the use of the building changes, new approvals will need to be done and additional components may need to be Installed. The Department of Natural Resources must be contacted regarding the treatment and disposal of all non -domestic wastes, including those combined with domestic wastes. 0 Variance issued for lot line setback — PWTS-072200019-PV • Maintain proper well setbacks from all wells within the area • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • 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. The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, CeC& CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 elizabeth.rudnicki@wisconsin.gov PRIVATE ONSITE WASTEWATER TREATMENT SYSTEM Project Namei kk Owner's Name: 12, Owner's Address. Legal Descrip Municipality: County Subdivi, Towar411age, City Index and Title Page Lot Number: / 7" 7 Block Number: Parcel I.D. Number: 061— /Z// � 40—tt�lado Page 1 ,y/v0 /tni7 T/ lot/4E �/ff4e- Page Page Page Page Page Page 7 Page 8 Page 9 'u'f T L�/!ri/ CONDITIONALLY APPROVED Page 10 DEPT OF SAFETY AND PROFESSIONAL SERVICES / / y DIVISION OF INDUSTRY SERVICES Page 11 Page 12 173 /I�6 - 4 Page 13 SEE CO ESPONDENCE Page 14 Page 15 Name of Desi er r7/% J/�✓� License Num07t"z Signature: Date: ; DESIGNED PU SUAN O THE CONVENTIONAL SOIL ABSORPTION,COMPONENT MANUAL FOR POWTS (SBD-10705-P (N.01/01) I fv A-0 6 p /r a /i PLOT PLAN aeorscz rwnss• � {► ' (J.14,AMQAg 94, LOM-7) aacssaer xasc-wrror��'-_..ate.-t---- i T .[ WBW RK7N10ND 6T. CROBC. CA "1 cr �c . oomm,a NI a x o • YARLWCE WILL OE REQU'A TO IN TALL SYSTEM. /.Ji VOWI /- fix TA7 VAT �eSr� I -So, L. 111.5 TaP OF k x Tr r rn �N j�F6fir+� Cr7y`L r r IN -GROUND DOSED -GRAVITY DISPERSAL AREA Stepped Elevation Trenches with EZ1203HP Bundles 3-ft Trench (down -sizing credit) cw=. TYPICAL TRENCH )inii CROSSWE �.�.•.•. �1•.-.••: •••�•�.� mkn. bend .:. Highest Trench Lowest TrenCh (as System Elevations; ft; ft I � TYPICAL TRENCH (Shoiv lo�bn of Wet r outlet pipe cannedion on Plan view.) PLAN VIEW (No Scale) 4w 0 a y.mn beftMW NO wl. Perforated Lateral Ob"rvdlon Ph* (tyPicaq tNd�n B = 5o It {typi�it INSTALL PER TRENCH: 1 aft bundles C 501f EISAJurit = �S� tt= + 5-ft bundles 0 26 If EISAlurit = O ft: = Proposed EISA per trend) u L ft Provide minlmum 3 ft separation between trenches. OBSERVATION PIPE DETAIL (Ho Sae) sb GP (mm) ` (,:Wk 0d i •••0•e) — Towosce (rwn. 1 lot) ,u,e+aw Dev h W.en IDft,:.. s� {yplcd) A = 3.0 ft ftydmi? =1203H Bundle (hrpicel) (Aoki by Idwskr sysbms. kr-1 Imtall pursuant b rn0Wft ckxs"s k"UCh"- Required Infiltration Area - =Proposed Total EISA = ?� ft, � trenche>� Distribution Method: r 4' CAST-A-S_A'_--, n u 1`I I;T r n q I n is I L �• I 1 I TANKS ARE fJ d � F;.TER OF BAFFLE 70P VIEW r4" CAST-A---EAL I D4 P'.IMP AC uEET OR EXCEED ASTM C-1227 WLP750— bi R TANK SPECIFICATIONS a DIMENSIONS �' 3 WALL• 2 1/2- BOTTOM: Y COVER: S' MANHOLE: 24' 1.0. PRECAS- CONCRETE LASER HEIGHT: 54' c' - OUTSIDE DIAMETER: 7'-0' BELOW INLET: 4r j[ LIQUID LEVEL 37' WEIGHT: 6.150 LOS. 'c, INLET AND OUTLET: 4' CAST -A -SEAL BOOT OR EQUAL GASKET $ INLET AND OUTLET BAFFLE AND FILTER: ' ' i WISCONSIN, SEE DETAIL #10 41. (OTHER STATES SEE CHART) N LIQUID CAPACITY: 20.25 GALAN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 790 JAI.-CNS e i LOADING DESIGN: 8'-0" UNSATJRATEO SGI� V ) TANK CAN GE USED AS: 4 ) SEFTIC / HOLDING / PUMP OR SIPHON W" COVER. WIX DESIGN /B (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) Ia CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE i I K c o � ra REmEWED BY REVIEW DATE _ DRAWINGS SUBMITTED FOR APPROVAL AFPRDVEC B"' �.-- -___- - _ iHEET VC AFPROVAL DATF: P;MI C1'S NEEDEL By: i GEOSYNTHETIC AGGREGATE EZ//() I i ` TECHNOLOGY INFILTRATOR EZtlow by Infiltrator is an environmentally friendly replacement to traditional stone and pipe drainfields using an engineered geosynthetic aggregate modular design The EZflow system is designed to improve infiltration performance by eliminating the fines associated with crushed stone. and reducing compaction and embedment associated with stone. Preassembled units include a 3" or 4" perforated pipe surrounded by aggregate and held in place with a durable high -strength netting. This product comes in easy -to -contour 5' and 10' lengths and in diameters of 7, 8, 9. 10, 12. 13, or 14 inches. Diameters of 18 Inches available in select markets. Lightweight expanded polystyrene cvnstr.c:hun uffpfN sto"^hd;d .0--Lrl'✓ •esisis COrnrlartin' F'goic `rM f6.rw cn>gfjn,4s increase vnio spar - creatng improved wat.I '11 w :z i• anfl ilr>rrrrW stOfa(�' r i•..Y a INFILTRATOR Compared with stone and pipe, benefits include: Always clean and frze of fines Bundles are quick to install. saving costs on heav), machinery and labor • Modular construction allows configurations to match trench dimensions for most system shapes af>d sizes Engineered lot opurnal sftxage and absorption effMiencles Ability to contour along sloped sites and around trees or landscaping Lightweight system is perfect for repairs and tight job sites Easily hand -carved into posmon reducing time and labor 5' or 10' lengths with simple snap. Internal couplers Easier cleanup at the job site with the elimination of stone Manufactureo from recycled materials rather than a mined natural resource A wide variety of diameters and configurations to meet ar!r installation professional's needs Approved in many lunsdictlons with an increased eff lCiCIcy rating. reducing dramfield size Backed by the leader in the onsite wastewater rndus ry S �Y Bundle System Configurations: Available in 7", 8". 9", 100, 12". 13" and 14" dwrleter bundles Nil/F iCr• a'.I�liDl .:•r -,, Ida :IT if .." " •R'J •.:.r tN vCi• t?r8H nit) 1L'J+1 r.:, . it I %.I-.1 ..rL'H _.'r t., .H.::Fr 'Net"rr •r IN. a &nneas Pan rioad aru W. 7rM1 r M Saybw*, CT 064 M tr0 $77.70/f • Fmt IIIO $77 7001 INFILTRATOR '•aaD zn"w-""° A .9 MMYalorwaYscom Notes: 1. Othctr systc+rns IncLiCIP I0 and 1? Ix:d systHrnS. Bod sue wdl dlCtato Inc number of bundlP6 2. System dimensions are dependent upon bundle diarnPTef ann configuration. 3. LLP Is for "Low Pressure Pipe' in wr.ich a pressun:ed dmtnbutlor pipe Ib flttid Installed within the rorrllgated pipe. A. Ifllefllal p,pe and eUUUTe1gs vuet the requlrnnw rats of ASTM F405 5 Bundle, aru ahu avadaL4e without geot(,.tdr txiweer thr nrthng and synthPtlr agoregrate INRLTRATOR WATER TECHNOLOGIES STANDARD LIMITED WARRANTY rat the stroct.aN rlogntyt of each EZ40t* bf• Irf.nrafw eM0111rwsen rw*`uVrerm orasrmid ay"ttm and of" woessenes manufacturerl tv EZaow by InNtralo ('INtts') when installed rid operated r. a IsachhOd Of an crISIM Septc systarn r, rx ordartce with InrWratM % tratnlrt or", Is warrantert to the ortgral plrrllasrr rHoldr-) agarrsl tTetectye nalsrlwa rid wo,*,,Wa Mp for otm year horIn the dale that Itw fWtC Patt^n a -seed lot the Septic SYSIenI rtntarlrtg the Units. Wovtdad. howtinor that A a septic Derrrn rs IMMr, required by apol"ade how the warranty period WIN peer 'JDdn tree oile mat Instaaattor, of the saWlc system connlwM . To aaerese as wermRy rg m Isolder must notify Intiltrata to wtiftng at rcn rorporste ffeaapl GA0011 In Did 6sybra]e f.nty-frlA wfrMn fdtrn 11h4 days of the arleoeci derert kAitrmor will supQ4 optaCarnisit Urws fir UrMts LWwff nee by EZllow by Inlltnrrn tc TIME levered by th.s 1 Ended Wrrrdy. FZhow or MAAlnlor a Iraberly spect11ca1Fy eac4IMdes the cew M rerlloval Ayer r.etaaat.rr Cl the Units. (bITHE UMIT[O WArnANTy AND REMEDIES IN SUBPARAGRAPH Isl ARE EXCLU91VI` THERE ARF Nn OTHER WARRANTIES WITH te-,PECT TO THE OhIT5, INCLUDING NO IMpULD WARRANTIES OF MERCIIANIAF1111TV OR FITNESS f Off A PAMICUL-AR PLIFIKO k (c' iFn I tt Att1 Wrrraty SI•aa Ill .rntd A any part of thr Ungw ayalam .c man.Aalirrlwf by any" Mhr than EZ11ow by Info rain The Lmtod Warranty does not artawl Io m Kier l COra1.'OJettf.N. specui Is MMartrcl damages IrAAfratof shall not be A0610 for peraam,,, a AQIAdeled drlagesrtduVITT lots of Production arb orAdb Lttmf and rmtarals overhead costs of omen Iossas Of aapet•ses rnclared Dy Ins htutrlfr la any pwd party. spec dcaey eMcsycfM Inxrr LtrMed Warrart•.y' cnwrage are damage ro tlw INWs dire to ordinary wear and ter, aherstMSl, w Ki rrl, rmis7aE abox or rwglrtrn of the units. the Units t7eslg sublocted to vehicle traffic or atwwr rettdlttors which are f I gemmed by 7te t,etlaaaltn..ttalructions. fd,art to masttar tine mrwnlwm gnxMtd costs sal Imnh E1 I'tw -nataaatm ewdrucTom the Plarlyrrrlr ra wnp( opr rra!anate MUD the WVS4011 LWIIWIF14 It w• Units. Woe of 1NIM urns or IN, wAA, ays'rn due to tnfit, r SNng Or M Vmfwtr'y>.r.r) eaceerw water usage wrlproper grease disposalor erlpopm utwal<In or any diet anti not caused by Ir-Ontfor Ih.s Lelaea Wrrardy shall De void d ftw Iiotflr trh to comply with ere d it" taints set forth M. thn LIM^Ned Warranty Furthr. In no event "Irf.hraW be rtabp[nwb4• toy any IOH a damage to" Holder. the or aft. w any mMd party roauMing from rsteealro' Ot }Sf praint of from any product fabaty claret of Holder a arty lurid party Far mars I rmAed Wananly to opdy, file Unts mint be rstdled in accorErca w•tn aM vb cnMrlMMts rrfa.nad by Sint. rind WW codes rI orw apdtcalAa law.b. and kIWxtni c agtaaef", MnV.IMCbws IrS No mprefefmarrve DI Inhhfatgr was fine ault O7ny 10 cnartge a it tertl lo" 1 MlMwetl warranty. No atwany, arrplEn to rly party o*W than. Ire OnWnaf Hoffer Tin ab w rgxasm,15 tiro Standard LIM^eted 1Yrrerny offered toy trthafalo. A Irt:tEJ r Jrnbat of states Ants rnuritif S have dMarerll warrrlty rsqusanw nb. Any pwcraser d Jnrts Hrtoula contact Insttleitm'ti f xporate Henoivanfra in Old Sayorooa Connect.rol. pnor to xrh pLrCnase. to oblarn n fx" of ay appl.Cat" wernwiy rid ahould carr•4 91y read mat wnRanty prior to the porch" of Units u, oawlla 1132294e. 93371 M 097f O 7914] . MAIM 01nn lwt PrlotV yAF1.a, 0.4a+m F74"e ere naatene trwwrrwrsa ,(it fvjwa wash sr71.al wall IaCrrMenewa w a wtuay+IMtw`arI waeraary w. AdrrMao MW%Wa Sytbnra he lard • .. r•Na�t:Y wales rn+rarx7ers LI C `4t4 J :. a err. t ill ifeti me filer The Best Just Got Better The most efficient, the lowest maintenance, the most economical effluent filter! • Nearly Twice the Filtering Capacity • • Estimated to go 3 Times • Longer Between Cleanings. • Cleaning Made Easy • • Does Not Retain Solids Between Plates • • Lowest Price • O - Eliminates the collection of solids inside the cartridge. - Nearly twice the filtering capacity of any other filter. - By eliminating solids between plates drastically reduces the need to clean. - Cleaning made simple and efficient. o� �- LT 1/8: 3500 GPD/Residential Strength // Filtration 1 /8" - LT — 1 /16: 3350 GPD/ Residential Strength Filtration 1/16" - LT —1 /32: 3000 GPD/Recommended for Commercial use with Residential Strength - Filtratit n 1/32" - LT - 1/64: 2500 GOO/Recommended for Commercial usage with Residential Strength - Filtration 1 f64" - 2700 Inches of Linear Filtration (Nearly Twice the CmmnPtitinnl POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _ of FILE INFORMATIO Owner Permit I DESIGN PARAMETERS Number of Bedrooms ri AA Number of Public Facility Unite ❑ NA ,SO gallday ZS� al/da Estimated flow (average) Design flow (peak), (Estimated x 1.51 Soil Application Rate / / gatidaylft2 Standard Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand IBOD,I S220 mg/L O NA Total Suspended Solids (TSSI s150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand IBOD,I 530 mg/L Total Suspended Solids (TSSI 530 mg/L ❑ NA Fecal Coliform (geometric means 5104 cfu/lOOml Maximum Effluent Particle Size Y. in dia. ❑ NA Other: O NA *Values typical for domestic wastewater and septic tank effluent. evaYeaa anz:mcu_ATIOMS Septic Tank Capacity gal ❑ NA Septic Tank Manufacturer eS%6arm ❑ NA Effluent Filter Manufacturer 4F� ❑ NA Effluent Fitter Model L.%Y� ❑ NA Pump Tank Capacity A Pump Tank Manufacturer 11 NA Pump Manufacturer NA Pump Model NA Pretreatment Unit 13 NA ❑ Sand/Gravel Filter ❑ Peat Filter ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection ❑ Other: D1 rsal Cells) ❑ NA n-Ground (gravity) O In -Ground Ipressurizedi ❑ At -Grade ❑ Mound ❑ Drip -Line ❑ Other: Other: ❑ NA Other: ❑ NA Other: O NA MAne l CIYAIt k.0 iV RCVV LL Service Event (Service Frequency s1 (Maximum 3 years) El NA Inspect condition of tank(s) At least once every: pZ arlal Pump out contents of tank(sI When combined sludge and scum At least once every: 5 equals one-third IY31 of tank volume arts; s) (Maximum 3 yews) ❑ NA ❑ NA Inspect dispersal collie) months) ❑ NA Clean effluent filter At least once every: ears) ❑ month(sl ❑ A Inspect p pump, pump oontrols & alarm At least once every: ❑ "It"o) ❑ month(si NA Flush laterals and pressure test At least once every: O year(s) Other: 0 months) NA At least once every: ❑ year(s) Other. 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 include a visual inspection of the tank(sl to identity any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cells) shall 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 regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113. Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent titters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of S12 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. �Z Pape ^ Df START UP AND OPERATION For row construction, plot to use of the POWTS check treatment tank(s) for the presence of painting produce, solvents or other chemicals or sediment that may impede the treatment process artdlor damage the sal dispersal ceY(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not ocau when soil conditions we frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal hlghwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump lank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWfS Maintainer to assist in manually operating the pump controls to restore nonmsl levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within IS 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 Irfe of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat: foundation drain (sump pump) dische►ge; troll and vegetable peelings; gasoline; grease; herbicides; meal scraps; medications; os; painting products; Pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT Men the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is propedy and safely abandoned in compliance with chapter SPS 383.33. Wisconsin Administrative Code • All piping to tanks, pits and other sal absorption systera shall be disconnected and the abandoned pipe openings Beaked. • The contents of all tanks and pits shah be removed and property disposed of by a Septege Servicing Operator. • After pumping, all tanks and pas shall be excavated and removed or their covers removed and the void apace fled with soil, gravel or another inert solid material. CONTINGENCY PLAN ff the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide the opportunity to obtain a sanitary permit for a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement Sol 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 Brea will result In the need for a new soil and she evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at the time of their permit issuance. p A suitable replacement area Is not available due to setback andlor soil limitations. if the soil absorption system cannot be �ltaliililtatecl and barring advances In POWTS technology. a holding tank may be installed as a Iasi resort. The she has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be perforated to locate a suitable replacement area. If no replacement area is available a holdkhg tank may be installed as a lest resort to replace the law POWTS. 13 Mound and at -grade soll absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING: TREATMENT TANKS AND HOLDING TANKS MAY CONTAIN POISONOUS OAS ES AND LACK SUFFICIENT OXYGEN TO SUPPORT LIFE. NEVER ENTER A TREATMENT TANK OR HOLDING TANK UNDER ANY • CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK IS VERY DIFFICULT. s . ADDITIONAL INFORMATION: POWTS INSTALLER POINTS MAINTAINER Nartte Name: (� L g� �— Phone: Phone: y Z _ SEPTAGE SERVICING OPERATOR P ER LOCAL REGULATORY AUTHORITY LNaum:- Name:: l5i ri- 74W Phone lF 76l ! p This document is intended to meet minimum reophirsmenis of Ch. SPS 393.22(2)(b)(1)(d)&M and 383.51(t), (2) R (3), vMaconsn TriP trade Code. Use of this document does not guarantee the performance of the POWTS. (Rev. 3113) rlbcort6h napertrrwi Of Satety and pmossommosm"s DMmm of M,duibY Serves SOIL E%ALUMN REPORT Prya t d 4 in etnordirroe ANh CaMm 85, VAm. Arn. t;ooa Oarrbr lam. 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G�fwtol PLOT PLAN W. 14A" PA SETR-1 T.or NEW Ru."10OR Adk Wnick 1618 Glenn PL Eau CWm, Wt. 54"3 (T15) 225-19M CST - 092000015 TAV%Fhf k- TwGF ra T CF WNi. A 10-0 cs� 0 21 N pis, o=ao�en� • VARIANCE WILL BE REQUMW TO INSTALL SYSTEM. pox r SANITARY SYSTEM O ce $T. C R �JNTY Office Use Only r� OWNERSHIP/ADDRESS FORM Created_1_021 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. OWNER/BUYER INFORMATION Owner/Buyer Mailing Addr( City/State/Zip, Phone Numbe Email Address Parcel Identification Number (found on the property tax bilq NEW SYSTEM: LEGAL DESCRIPTION , / /� Property Location '/. ,�7W p'/, ,Sec. y T �( N R I� W, � mYof /"� /�6NJ`r�d Subdivision Plat: 666V �u/ v yiYirr2 /¢7��D�1 Lot # �.7 Certified Survey Map # Volume . Page # Warranty Deed # (before 2006)Volume . Page # Number of bedrooms Spec house O yes Kno Lot lines identifiable O yes O no New Property Address (staff initials) (verification of (Date) OFFICE USE ONLY required from Community Development Department for new constriction.) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New system: Include with this form 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. 715-386-4680 "w2srcwi.aov Community Development Department - Land Use Division St Croix County Government Center 1101 Carmichael Road, Hudson, WI 54016 715-245-4250 Fax www_SCOAaaV HANGAR LOT LEASE — NEW RICHMOND REGIONAL AIRPORT THIS AGREEMENT, made and entered into on the date indicated below by and between the City of New Richmond, State of Wisconsin, a municipal corporation, hereinafter called the Lessor, and Richard Gajewski hereinafter called the Lessee. WITNESSETH: WHEREAS, the Lessor owns and operates an airport known as the New Richmond Regional Airport and said Lessee is desirous of leasing from the Lessor a certain parcel of land on the said airport, hereinafter more fully described, for the primary purpose of Aircraft storage, aviation related equipment storage, and conducting aviation related activities. WHEREAS, the Lessee will use the below described property for the purpose of storing aircraft and shall conduct only such aircraft maintenance on its own aircraft as performed by the Lessee or by regular employees of the Lessee. NOW, THEREFORE, for and in consideration of the rental charges, covenants, and agreements herein contained, the Lessee does hereby hire, take and lease from the Lessor and the Lessor does hereby grant, demise, and lease unto the Lessee the following premised, rights, and easements on and to the airport upon the following terms and conditions: 1. Property Description: Lot 7, Row 17 of the Airport Layout Plan - New Richmond Regional Airport. Leased Property equals 6400 square feet 2. Hangar Construction: The Lessee shall have the right to erect, maintain and alter buildings or structures upon said premises providing such buildings or structures conform to the applicable requirements of the Wisconsin Department of Commerce and pertinent provisions of any local ordinances in effect. All plans for such buildings or structures shall be reviewed and approved in writing by the Lessor prior to construction. 3. Terms: The term of this lease shall be for a maximum of twenty (20) years commencing on July 1, 2010 and ending on June 30, 2030. 4. Rent: The Lessee agrees to pay to the Lessor for the use of the premises, rights, and easements herein described, a yearly rental of ten (10) cents per square foot for the land leased, for a total annual charge of $640.00, payable on July 1 annually. It is understood and agreed that the rental rate herein specified shall be subject to re- examination and readjustment at the end of each three year period of this lease, provided that any readjustment of said present rates, or as same may be amended hereafter, shall be reasonable. 5. Non -Exclusive Use: The Lessee shall have the right to the non-exclusive use, in common with others, of the airport parking areas, appurtenances and improvements thereon; the right to install, operate, maintain and store, subject to the approval of the Lessor in the interests of safety and convenience of all concerned, all equipment necessary for the safe hangaring of the Lessee's aircraft, the right of ingress to and egress from the demised premises, which right shall extend to the Lessee's employees, guests, and patrons; the right, in common with others authorized to do so, to use common areas of the airport, including runways, taxiways, aprons, roadways, and other conveniences for the take -off, flying and landing of aircraft. 6. Laws and Regulations: The Lessee agrees to observe and obey during the term of this lease all laws, ordinances, rules and regulations promulgated and enforced by the Lessor, and by other proper authority having jurisdiction over the conduct of operations at the airport. The Lessee acknowledges receipt of a copy of section 14-101 through 14- 126 of the Code of Ordinances for the City of New Richmond 7. Hold Harmless: The Lessee agrees to hold the Lessor free and harmless from loss from each and every claim and demand of whatever nature made upon the behalf of or by any person or persons for any wrongful act or omission on the part of the Lessee, his agents or employees, and from all loss or damages by reason of such acts or omissions. 8. Insurance: The Lessee agrees to maintain comprehensive liability insurance for the leased premises and he will deposit with the Lessor a policy of comprehensive liability insurance upon 30 days written notice from the Lessor. 9. Maintenance of Premises: The Lessee shall maintain the structures occupied by him and the surrounding land premises in good order and make repairs as necessary. No outside storage shall be permitted except with the written approval of the Airport Commission. In the event of fire or any other casualty to structures owned by the Lessee, the Lessee shall either repair or replace the leased area to its original condition; such action must be accomplished within 120 days of the date the damage occurred. Upon petition by the Lessee, the Lessor may grant an extension of time if it appears such extension is warranted. 10. Right to Insect: The Lessor reserves the right to enter upon the premises at any reasonable time for the purpose of making any inspection it may deem expedient to the proper enforcement of any of the covenants or conditions of this agreement. 11. Taxes: The Lessee shall pay all taxes or assessments that may be levied against the personal property of the Lessee or the buildings which he may erect on lands leased exclusively to him. 12. Sians: The Lessee agrees that no signs or advertising matter be erected without the consent of the Lessor. 2 13. Default: The Lessee shall be deemed in default upon: a. Failure to pay rent or taxes within 30 days after due date; b. The filing of a petition under Federal Bankruptcy Act or any amendment thereto, including a petition for reorganization or an arrangement; c. The commencement of a proceeding for dissolution or for the appointment of a receiver; d. The making of an assignment for the benefit of creditors without the prior written consent of the Lessor; e. Violation of any restrictions in this lease, or failure to keep any of its covenants after written notice to cease such violation and failure to correct such violation within thirty days. Default by the Lessee shall authorize the Lessor, at its option and without legal proceedings, to declare this lease void, cancel the same, and re-enter and take possession of the premises. 14. Title: Title to the buildings erected by the Lessee shall remain with the Lessee and shall be transferable. Upon termination of this lease, the Lessee may, at the option of the Lessor, remove the buildings, all equipment and property therein and restore the leased property to its original condition. 15. Snow Removal: The Lessor agrees to provide no snow removal to the leased premises. 16. Lease Transfer: The Lessee may not, at any time during the time of this lease, assign, hypothecate or transfer this agreement or any interest therein, without the consent of the Lessor. 17. Airport Development: The Lessor reserves the right to further develop or improve the aircraft operations area of the airport as it sees fit, regardless of the desires or view of the Lessee, and without interference or hindrance. If the development of the airport requires the relocation of the Lessee, the Lessor agrees to provide a compatible location and agrees to relocate all buildings or provide similar facilities for the Lessee at no cost to the Lessee. 18. Subordination Clause: This lease shall be subordinate to the provisions of any existing or future agreement between the Lessor and the United States or the State of Wisconsin relative to the operation or maintenance of the airport, the execution of which has been or may be required as a condition precedent to the expenditure of federal or stated funds for the development of the airport. Furthermore, this lease may be amended to include provisions required by these agreements with the United States or the State of Wisconsin. 19. Arbitration: Any controversy or claim arising out of or relating to this lease or any alleged breach thereof, which cannot be settled between the parties, shall be settled by arbitration in accordance with the rules of the American Arbitration Association, and judgment upon the dispute rendered by the arbitrator(s) shall be final and binding on the parties. 20. Floor Height: The Lessee agrees to erect and/or maintain a building on the leased premises with a minimum finished floor height at least six (6) inches above the finished grade of the taxilane nearest the front of the building. 21. Taxiway Access: The Lessee is prohibited from operating automobiles on principal runways or taxiways. 22. Parking: Automobile parking must be on designated areas of the airport or on the leased premises in such a manner as to not interfere with aircraft operations on taxiways or taxilanes. 4 IN WITNESS WHEREOF, the parties have hereunto set their hands and seals this _LS,,L-- day of 7-O7,N, in the City of Ncti% Richmond. St. Croix County, Wisconsin. LESSOR: T �—Q Michael Demulling Airport Manager LESSEE: anr.o.r walrrwn r. rn ^4 1 r y�y► fi Y tin scar =rr-aarrotlr "1 1 l rr . rr urr�.ioF.Q Tr Arra _ Mj rrrr [i�s ru r rr GEM ROGT 9VACE arrro.. r�Lrr+�i� I�1 um 1 I I i 1 � I AEI I I I I I b I C • j b I 1 1 I I I .I I I a-dvur/our v wu[•s 1 —J__________________________________ Irum or wm w AFr4 n arum rr r w In r w WTw I STwoSI (1•A7 —_ i I 1 DOOR R UNDOW SCHEDULE T.[ Tr[ _ • X OIIw CD r'.K la[Q 1'•pl Itlrw[[ •IIRM W[I Y-0'.Kd t Fw FrJW 00 • LeoN n anal Jr•-r WORK w•,r GYaaN wtmo•1 .al'rml' : y IE1PiT • pu••oaT r.[ Mw r•2•tus sm-OF rm• r.m air• lo•-0 u.o1 ltE.o1/. W. w �� ' s I� too ro Y[MG I , 2 Y tttr A6 rroi a[ uI rt ' r�21 WI KLN L' sr sown[ Kal.l•rw. Tloul _ auauat_ �olA•T raw [a..ma.nl I � � 1 1 — — r KQWfw [oO1 rM sus a was � marr 1 •OIfA— C�. H � SRp rl1 ./ SMS [ ii oC r1i , 1 �______________________________ , 1 •o'-o'wuUor v wras --- / _--__________ 1_ I r I 1 =�uu»sur.o'�li :..: a F it [tl�ra ►Y aas �'•41r IIYa•r ao.[rY � Yri1•[ rr. err r r•.illrrr_✓_Irlrr w rlrra.rrrr'slyr r.h�rrr.�.rrr�rr, rrrr,rrrwy r .rrr'.rsAra�r�s.r. rY.rr_rr*rrr.arr.► rrrrlrrr�orr. I I ' I Ar•1 r_rslrre�rl.r DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI 51543-6462 Confad Through R"y MtPIRO pe.w.gvWWcWwn&&xI%oWyaenoce+ www.wtsoonsjn 9w ••�„> •' Tory Ewn - Gowrea Down Orin - 6eor"" July 7, 2022 CONDITIONAL APPROVAL APPROVAL NUMBER: PWTS-072200019-PV RICK GAJEWSKI 8926 Verducci Court Naples FL 34114 SITE: Rick Gajewski 17-7 Lot 625 W Hanger Road St. Croix County City of New Richmond SW Y.-SW Y.-524—T31N—R15W FOR: PETITION FOR VARIANCE COND177ONALLY APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES t& SEE CORRESPONDENCE The submittal described above has been reviewed for equivalency to applicable Wisconsin Administrative Codes and compliance with Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in section 101.01(10), Wisconsin Statutes, is responsible for compliance with all conditions of this petition approval and other applicable code requirements. Plan submittal to and approval by the department or its agent may be necessary prior to construction undertaken per this petition. This petition approval may be affected if applicable codes are revised prior to plan submittal for any necessary construction work. This petition for variance is being processed as permitted by Wisconsin Statute s. 101.02(6)(g), and SPS 303, Wis. Adm. Code. The code section being petitioned is SPS 383(8)4.(i), Wis. Adm. Code and Table 383.43-1 which require POWTS holding components to be at least 2 horizontal feet from a property line and dispersal components to be 5 horizontal feet from a property line. The variance requested is to allow a holding and dispersal component to be 1 foot from a property line. The intent of the code section petitioned is to provide the minimum horizontal setback distances as outlined in Table 383.43-1 as extra safety factors for public health, waters of the state and structure protection during construction and in the event of component failure. The petitioner submitted the SB-9890 application form including 2 additional pages of supporting documents and/or plans. Reviewer's Comments: 0 St. Croix County has no objection to this variance request. • The use of the buildings in this area are storage only. No dwellings exist in this development. Reviewer's Conditions of Approval/Recommendations: • Verify the location of the property line prior to POWTS installation. • The use of the structure served by this POWTS shall not become full time permanent. • All proper well setbacks must be met, along with setbacks to neighboring structures. • All of the petitioners statements of fact or intent included on the variance application form, any other documents submitted to the Department, as well as any other conditions of approval listed below, shall be carried out. This variance is specific to the subject code section(s) petitioned; and the building or object as it will exist following completion of the current construction project and shall not be used for any additional or future modifications, additions, or alterations to the subject building or object. • This decision will become final unless the department, within 30 days from the date of this letter, receives a written request for a hearing. A request for hearing should be sent to the address shown on this letterhead. A copy of this letter must be included with the request for a hearing. The request for hearing should state the reasons for objecting to the department's decision, because a request for hearing may be denied if it does not present a significant question in fact, law or policy. • Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, CeC& R CeCe (Elizabeth) Rudnicki Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services (608)400-3186 elizabeth.rudnicki@wisconsin.Rov Wfaconsln Department of Solely and Profsssiond Services Application for ReAew - Petition for Variance - SOD4189OX Peteond i for on you pry may be used for secondary pwpos" Privacy Lows. 1*V4(1Xm). 3405-1 1. Fac" brlormatl0rl Facility (Building) Name: e L Numbs and Sweet: � �/4&W-4rty " �/ F SPS Site Numbs (if ): SIT- F Legal Description: M !;�;yy 524rs�,v County of: 0, I yr OP-1: 4 ❑ Village ❑ Town De .AAFitii 4iWWdWA> -complex a' pages - CONDITIONALLY APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES OMSION OF INDUSTRY SERVICES CI4 SEE COMtESPONDENCE 2 Owner Information Customer ft _ 13. Oeslener information Customer 0 Narrw: % vr�Fv - Company Name: _ `` �� Number and sweet: tleidom i T City. State,ZiPCoda: 67 of Fto+e+or� 3�faJ� Contact Person: —, Telisox a Number. �' EmeiAddress: 10.fK9 t �v*ON �IHS{Lr lo•"l s Plan Review status ❑ Plan submitted wlan petition ❑ Plan review not required ❑ Plan will be subrNtied ~ petition d9termination ❑ Requesting revision Cher A&f' SPS APWication Number Designer: L_ZA"LW 7/r rn .' Design Firm: � `Owz- �W,0rl t;V Number and Street: � `09 7�yA4*gd,- City. State, Zip Code: �iYA0W0W/C A4C SV7-r7 Contact Person: Telephone Number. !ram' Z4V14C Email Address nSa d 7 .fWZ #fJPVkP, c i Plan previously review by (pissss encloses copy of review how) ❑ State ❑ Municipality ❑ Approved ❑ Held ❑ Denied Code Being P.ikien.e: ❑ Corrmercial sidg ❑ HVAC ❑ Plumbing ❑ Private Sewage System ❑ Swimming Pod ❑ Elaotrlcal ❑ Ewlera ❑ Amusement Rides ❑ Uniform Dweiing Code ❑ Cemoing Unit ❑ Elevators ❑ Gee Systems ❑ Reffigereson ❑ Other S Rtmtm th► rode 9a'rl on b" p~nmd ANO the Specific rnnrWh or 199rm yrur mnt feynrestinrg he rxwered i inder this petition fnr vmrimrxe 3?7-47 Pitin Fi-el./ Awdao 761111+K fa L'/otr AD Li r l,�, ACS 6 RMann why —IfIlAne with the rode Cmnnr* h. mitminod vAt"rt the vA iar /Anaeh mrldihn l .hrM d n,. "Oy) T/ lice /�T 7�4rj lhell` tiler aft �' - / mg-r- 7 SMM yn,!a rrnpnep.l nnemn5 end rMl la r. rmviAing erlvivslenf degree of hea4h 99faw nr vwmPro ms eddresSed by }hn rnrlP 9oryinn pond — S/bdi.J 46* /v Weeli P�*Ien f �i/s c-0" 59 r fiPal te/%ic. rL List attachments to be considered as pat of We pelitioners statemaKs (i.e.. model code sections, test reports, research articles. expert opinion, previoi mN anlrrwmd vMtenrpS p rh rm9 plAn9, 94mtrhma, mfr n 0(os� fj9 Go T "N 4Cs OK- 1,r •-0/f. 18D-"90X rP 10011 PWjR I of a. VaFylearbn fir Oww Now- falbww mut toy* over of aw bAdi glor Fgraum or cedar" appeury fora SPS M Pabron. Torlar4s. asares. daergners, oorwaaore roar wya, eta, of+eR not mW polkmm udess Pawn all Altar may Is avDm god with Ow PqM on for Vwwm Appieauan. I apla. n paCYawf. Ihat 1 have rtbad dw ftnffiarr9 aaa0on sFd l balwvs R w flop and a1M g lure rprtFficarrt ovN1aFM1p FtgfRa to de auOMq buWulq bx prgaa L/ TOW Arreae Dun R IW Cltaeba IayabN b: >1M ab wF' Dws Owrlsao MOMtdw al frsst for vwinwe from a n ass-f>Zi. all 327. BM 361 was. BM 381 BMW and ap$ 390. Aftch coon owwla Narro I Proles Locabon I Plan Nw, bw P&G Desa4aaat Pasoan Awwme.K. 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Y , t''n�f" )J,..' tom', t �`:i" t r' , -: - 1 ' � � ��""C�k" *�..G • >•. . •. � �r� r � sa ka L rvl + l . , }..��p ,21 :r , A ... +�, _ .. 4� Ta - ':•4 .. ! �i. +Fj' � /.,M fit` x i`�'+ . c�a31r r ..+ 4a YL ar �•. 14�e i'.t-.� r - -,�il + �� � � ' t'f) '%� ! ' A,rw rn���� 1 � ter _. ,•)�� �., / + F • �_. Y C y� ;J ��`,v. ah m•1' � ,. !j.• 1 F� S is 1• '. , NZ tee, t+�, tp� Y, 'N4 J1 lz t IK 1 NYR. 4 �y •a- �' -' , t'YM1 ff �• . , ). 1, i .( ..` ''�. ..��'s %:^i f 'r, �t �,-is"+a.,', �'�Ytti Tr Fµ"%. r• i; J r�l^.�i l��.. /��,'�'� �Kl�. { '. ,• e�f-�71 �'e�iK`:f'`Yri�`'i , _Y.,: '. s r . of r From: Sent: To: Subject: Attachments: Hello CeCe, Kevin Grabau <Kevin.Grabau@sccwi.gov> Thursday, July 7, 2022 2:52 PM Rudnicki, Elizabeth J - DSPS (Cece) FW: County Recommendation Variance 17-7 hanger.pdf Our department is ok with this variance. There have been several variances for setbacks granted in the past, for some of the hangars at this airport. Also, just to make sure that the drainfield is at least 50' from any well., of course. Thanks! Kevin Grabau I Community Development - Land Use & Conservation Specialist 1101 Carmichael Rd Hudson WI S4016 T: 715-381-4382 Kevin.Grabau@sccwi,gov ST. CRO PNTY From: Rudnicki, Elizabeth J - DSPS (Cece)<elizabeth.rudnicki@wisconsin.gov> Sent: Thursday, July 7, 2022 2:44 PM To: Kevin Grabau <Kevin.Grabau@sccwi.eov> Subject: County Recommendation Hi Kevin, Todd Sinz submitted this variance application on behalf of the owner Rick Gajewski. Could you take a look at page 2 — Local Government Inspection Recommendation — and let me know where the county stands on this? You can print, sign and email back or just shoot me an email. Either way is fine. Thanks! CeCe Rudnicki District 1 Wastewater Specialist MPRS - CST - POWTS Inspector 265824 C57-docqa — 0 lAAarorran Department of Safety and Profes Melon dMldustryServices D ��� .. — ALUATIO REP RT Paae? of �+ ©R I G I N nTrtat4o&pm. Wfs. Adm. CodeAttach complete site plan on pa not losx 11 Inches in e. Plan mustCatslty' CROIX ndtxfe, bkt not limited to: vent cal hoOY�birlt iredion and P4rael I.D. percent slope, scale or dimensio rxt� to nearest road 261-121I-OD-000 Please nt e on. Rymwed by Date Personal information you provide may ba wsd for secondary pwpgas (PrWocy Low. s. 15.04 (1) (m )). "roperty Owner Property Location ❑ RICK GAJEWSKI Gout. Lot SW 1/4 SW 114 S 24 T 31 N R 18 E or W Property Owners Mailing Address Lot f Block i Stbd. Name or CSIWt 62W CLAUDE WAY EAST 17-7 1 NEW RRCHMOND REGIONAL AIRPORT City State Zip Code Phom Number ❑ Village LjTown Nearest Rood NVER GROVE HEIGhM MN 1 55076 NEW RICHMOND W HANGAR RD Q New COrWJudion UMCJ Residential / Number of bedrooms Code derived dssipn flow rate 100 GPD Replacement ❑ Public or commercial - Desaibs: HANGER WISATHROOM + (2) FLOOR DRAINS Parent material OUTWASH Flood Plain elevation N applicable n/a R General comments and recommendations: POSSIBLE IN GROUND POW `S, .7 LR, LEVEL SITE, (1) 50' TRENCH AVAILABLE WITH VARIANCE. SITE WILL REQUIRE VARIANCE DUE TO SETBACKS. Bork e ❑ Boring �✓ Pit surface elev. 97.8 ft Depth to lantng factor 109 in. Sot Application Rate Horizon I Depth in. Dominant Color Mtnsell Redox Description Ou. Sz. Cont. Cola Texture Structure Gr. Sz. Sh. Caustence Boundary Rode GPDAF 'EI/1 '011i2 1 0-18 10YR 312 SL 2 M ABK mtr ew 3uf .6 1.0 2 18-30 10YR 4/3 SL 2 C S13K ff* 9w tut .6 1.0 3 30.71 7.5YR 4/15/4 S+GRVL SG mvfr ge 4 71-87 10YR 6/4 S SG muff gs 7 1.6 5 87-109 10YR 194 CS+S SG ml 7 1.6 F21 Borxg 0 U Bork ❑ Pit Ground surface elev. 97.8 ft. Depth to limiting tailor 110 in. Sna AMi"&i'n bra �� o��■ o�vaeee ©�� ®rsaveaa ©mom �rsi��aais - LIMUME. e1 a a„k, > aU -- [su MWL an➢ 1 a>'.W !� 1ar m9n- orrruarast— I au nVL enu r o;� au nVu CST Name (Please PrInt) Arik Muck Signature CST Number Address Eau Claire, WI, 54703 EvaluationCordurted Telephone Number (715) 225-1906 zez2: CST - 092000015 SBD-8330(xs)7n3) to�-41 I A 0 Ftels a cl E) ORIGINAL Property Owner RI I R&BOQN Parcel ID 1261-1211-00-000 aBorhg# Boriv ❑ pit Ground stafaceelev. 98.1 ft. Depth ioinoft%cW 110 in. Page 2 of 4 Sad Andicallon Role Horizon Depth in. Dormant Color mxml Redox Description Qu Sz. Cont. Color Texhae Structure Gr. Sz. Sh. Consistence Bardery Roots GPM 'Eft1H 1 '002 1 0-18 10YR 3f2 - SL - - 2 18-28 10YR 413 - St. - 3 28-72 7.5YR4J4-M - S+GRVL - 4 72-87 1OYR8l4 - S - - 5 87-110 10YR 614 CS+S - Boring 0 BMW pd Ground surface ewv. ft. Depth to limiting factor in. Sol Aodieation Rate __- _-_____ Efluert 81 = BODO > 30 < 220 mg& and TSS >30 S 150 mg/L Eftk*M 82 = BOD$ < 30 mgA- and TSS 130 mglL %BD43301R071111 V r. 0 I a 1 p PLOT PLAN PLtOTSCT NAMBfi. C i �EWSKI (ir25 1J• 1T/4 ~ .1 &AR Ko) %OTI7-7) DAOTaCT LOCATION. SW , SW, 24 _ 31 N_ 16W T.of NEW MCHMOND ST. CROIX, CO. CsT LICSTVss •. SIGl%T""$' ORIGINAL Arik Wruck 1518 Glenn PI. Eau Claire, WI, 54703 (715) 225-1906 CST - 092000015 N1 J oC [3-PrrS, A=BORINGS + VARIANCE WELL BE REQUIRED TO INSTALL SYSTEM. T,Xmver PYOPOS SCOW SAS P& 97.9 I i t 60X60KWCE¢ 134 1 96.1 BM 2 99.r TOP OF 24 97. P't emIWof TOP OFMML :,W own& 17- 7 Own" row& four logo,, 7.1 r1r's low- 0 IV 100 200 �% 0001,111.1\ 24 I rl PL SE ( 4*XA-9 I I 'r 4 !%rctoix couNnr No. 644762 STATE SANITARY PERMIT CirraF fD/OR LOT we=� BLOCK Use PREVIOUS SUBDIVISION Noe CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force an the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewaL (f) The sanitary permit is transferable. History: 1977 c. 169;1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. AM7-14011keJ Z D ISSUING OFFICER - DATE v I PERMIT EXPIRES7NLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI1/20)