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HomeMy WebLinkAbout261-7000-05-007 5-7 70 co a O ~i N ~ c h a O N Vl 0)- c O 0) 0 a) C LO N III ~ C L 61 h N N ~ C O ~ O C O o O m c 0 0 aE CL. N O c m C t_ N N Oi V7 N.~++L4= o C "O E , U7 O C O N N O Z N E ) N ~L7 L L O m o w ~ O z 3 ~ I ~ a~'i m c ~ c U. c z N oo 0 0 _ o aQs Q Uwaiom 3 ~ v o z N c2 w C OL Z N d Ln w a co N H Z O E CD 76 O Z m 'z c o z c E -o v o a~ E U-~lVl N N N ~ N © O a> Q w- O Z co Z o Q ^ c c d N ~i o U') E N E 4+ _ m Y C L a m ~ c co ~ N d i O c O 3 D D IL o N to y N E o o N Z L6 E H F- F- U O O O r,r~ ~ 3 a a a d Z U') LO N <n -j U m rn rn o 0 \ ~ } O O O N o. c°o o v Q co d in • O y Q Q O 7 O 0 3 H c oo U o o c E a rn R U N O fl O 3 N Y O. 'O N O o C6 z U c c E a c It (D o G Or O O) co L O U) Lo ' c a) N m 3 M L6 0 C) N E (/J yr,~' N U N O N C~ CD t0 I, a # a L: IL • a y c A U a 0 in U STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 1 ADDRESS „js S y _ ~I SUBDIVISION / CSM#_-'L ,fir 1` LOT # / r SECTION 6;;:2_ ~ T" ?L N-R W, Town of-12,L ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i s J~ •GK S i INDICATE NORTH ARRO~q Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. y BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer:- Liquid Capacity: -,Av~ Setback from: Well House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: J Length Number of trenches Distance & Direction to nearest prop. line: ¢ ~~~~r~'a✓s° Setback from: well: 7 T; House Other ELEVATIONS Building Sewer 1`9S9 ST Inlet. ST outlet 9 7~~ PC inlet PC bottom Pump Off Header/Manifold Bottom of system_ Existing Grade Final grade ~Js DATE OF INSTALLATION: f^~ PLUMBER ON JOB: 'ZI ~,/,~,zz LICENSE NUMBER: INSPECTOR: 3/93: jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village Town of: State PI NEW RICHMOND AIRPORT X CST BM Elev.: Insp. BM Elev.: 7=-, tion: Parcel Tax No.: a /0 J Gd a,5 TANK INFORMATION ELEVATION DATA/D` TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Vii; n ~R j a 1 Benchmark 0' dd. ,--6' Dosi n (16, CEl Aeration Bldg. Sewer ( V Hold' St/ Inl t 7,01 TANK SETBACK INFORMATION St/ Outlet 7' --I~ Vent irito ntake ROAD Dt Inlet TANKTO P/L WELL BLDG. A Septic NA Dt Bottom Dosing NA Header Aeration A Dist. Pipe Ho Bot. System 9 /1 S• i/~ PUMP/ SIPHON INFORMATION Final Grade "nulAc_turer Demand << S, Model Number PM I Loss Friction System TDH Ft TDH orcemain Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length , No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Dep DIMENSION 5 DIME I SYSTEM TO P/ L BLDG WELL LAKE / STREAM L G fadurer. SETBACK CHAMB INFORMATION Typeo /lam,. Model Num er. 171 L10 O IT System: DISTRIBUTION SYSTEM Header / Manif d Distribution Pipe(s) k Hole Size x Hole Spacing Vent To Air Intake Length Dii. ~ Length -~o / Dia. Spacing 1 I SOIL COVER x Pressure Systems Only xx Mound Or At-Grad ems n y Depth Over „ Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Edges 3 - Topsoil ❑ Yes ❑ No ❑ Yes ❑ No Bed/ Trench Center COMMENTS: (Include code discrepancies, persons present, etc.) ~V- of /y LOCATION: Star Prairie.25,.31.18W, NE,,SE, Lot 7,,Row 5, Highway 65 4ZE Plan revision required? ❑ Yes Q-Alan""" Use other side for additional information. f 5 50- SBD-6710 (R 05/91) Date Inspector's Signat re Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 1/2 x 11 inches in size. ✓ • See reverse side for instructions for completing this application State Sanitary P 4mit Number 3s The information you provide may be used by other government agency programs ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION - Prop rty Ow r Name Property Location ZL-:,,wz 1/4_S_ 1/4,5 T , N, R ge (or Property Owner's Mailing Address Lot Number Block Number St L5' City tate Zip Code Phone Number Subdivision Name or CSM Number !tyy Nearest ad II. TYPE OF BUILDING: (check one) ❑ State Owned 4 0l lage p Vi Public 1 or 2 Family Dwelling - No. of bedrooms fff Town OF III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)1 ~y~ 1❑ Apartment/ Condo 1 3 x l` 1Q-- W B 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church / School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash S ❑ Hotel / Motel 9 .0 Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. 0 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ® Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation pa , Feet 42 s Feet VII. TANK Capacity gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank ❑ ❑ ❑ ❑ D Lift Pump Tank /Siphon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for stallation of the onsite sewage system shown on the attached plans. Plu b "s Na e: nrtt Plumb is Ig f N t mpsj MP/MPRSW No.: Business Phone Number: r Plumber's Address (Street City, tat ,Zip ode): i/ IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps Approved ❑ Owner Given Initial Surcharge fee) 4747q!; Adverse Determination t X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: S8D-6398 (R. 015/94) DISTRIBUTION: Original to Counly, One copy To: Safety & Buildings Divi ion, Owner, Plumber INSTRUCTIONS A 1 . A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, rec,nnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7 VII. Tank information. LiH in the capacity of every new/or existing tank, list the tota gallons, rwml _ i; of tanks and manufa(turer's name, indicate prefah or site constructed and tank rnateri )i. Cc~ piete for Jr ;ripe ic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks receives experi-rienta'' pF oduct approval from DILHR. Vlli. Responsibility statement. Installing plumber is to fill in name, license number with appro-rule prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County / Department Use Only. X. County/ Department Use Only. S p _IiiCjti. Ali)`, smail2rth8n 8 10 X 11 !i r ^;Uij- he sO- Itll ti i!-ty. The plans must Jt art drawn to scale or with col 'p4 I fi ,e ;si(- iiinq tank(s), septic c, f ,,n b ~din7 seders, well, n~ tr pUmp or siphon :on S'ast~ms; replaCer'lei i,P hriildI ncl served, points, C; CC u.,: s, ;pose v ofurn ; r,r z ro , F; r_ r, ~nc_ curv: , r,_ Cross section _ ',ter ot:»OrptIG=1 _ "it ,.C1:J ed by'_hle county, c. irrforrrla%IOn_ GROUNDWATER SURCHARGE 19L~3 h ~sax,s n A__ ir:r!,_Aed the creation of surcharges (fees) for a number r2;P,lated pi as s h;rc'lr can effec ! iou; w~ a'r _ _eae tht dncse surcharges are used for monitoring ive,;tiyations ar,Ci es. ?i>+is;:rYrent of standards. Industry, abor and d Human Department Relations L ,,b _ JbD SITE EVALUATION REPORT Page ~ of Labor INvision of~afety & Buildings in accord with ILHR 83.05, Wis. Adm. Code Me ' Ti COUNTY Attach complete site plan on PaP ess t an 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal e~~t f)' direction and % of slope, scale or PARCEL I. . # dimensioned, north arrow, an de (nearest r dC1. 415 2 APPLICANT INFORMATION-PLEASE PRINT ALL INFOATI04L~1P REVIEWED BY DATE PR ER OWNER: n PROPERTY LOCATION 1 - GOVT. LOT 1/4 1/4 S -T N,R E (or&G PROPERTY OWNER':S ILIN ADD ESS LOT # BLOCK # SUB M OR CSM # sf CI ,ST ZIP CODE PHONE NUMBER ❑CITY VILLA OWN NEARS ROA New Construction Use[ J Residential/ Number of bedrooms [ j Addition to existing building j J Replacement D4 Public or commercial describe ; Code derived daily flow T_ gpd Recommended design loading rate 7 bed, gpd/ft2_,_2_trench, gpd/ft2 Absorption area required /is bed, ft2 /,Qj_ trench, ft2 Maximum design loading rate _bed, gpd/ft2__,Z_trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material j 1'.0 Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ®S ❑ U S ❑ U fM] S ❑ U [Z S ❑ U ❑ S U ❑ S IOU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ile se Ground elev. Depth to limiting factor I J Remarks: Boring # 14 Ground elev. Depth to limiting factor Remarks: CST Name: Please Print Phone: Address: J~ Signature: Date: CST Number: PROPERTY OWNER SOIL DESCRIPTION REPORT +.yy page.2of PARCEL I.D. # 0:, Boring # Horizon Depth Dominant Color Mottles Texture Structure Roots GPD/ft , Consist . once Boundary in. Munsell Qu. Sz. 222t Color Gr.. . Shv . Bed Trends O Z lee 04Z2 Ground /1 71 9 elev. _ ft. 1,4 Depth to limiting factor Z~ Remarks: Boring # I0(/Z I/ da, 1:2 51 ~2 I s - Ground elev. Depth to limiting factor Remarks: Boring # ttS, iw~ Ground / elev. _ ,T44 ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) sFs~ T3/N'/d~t,~ S94-41528 7, p~ Ay' Sy' 01/06/95 11111 $ 77`15 247 5127 MARTELL WELL P.02 ; ,fir.. `•t ~31( r ~ rte... r : ? , del . _ ICN. NA, .1 J 00, c rj lL /~~y 1 /I J 10 00 < 00 II S94-o4-1528 /Yci~ r 1C.ln a ~~d !j~' Sr: I 7 . r ~.¢v ~ /~Xr~sJ.t~r... 4?RtF... ICGC E•Ai,. TAAK allY. ltd s Y c 1012'rov-5:410 IA)A!ll 0 a003 PAID ce- pN O , i PAGE C;2-OF ~roSS J~C~IUr1 pS A Ur17 's S~Un- S94-41 52g i/ fr'a►A AI( In1.l► And OD►srvallon Pip. AppfovN Veal Cap wlAln,_ 12' Above flnol G,oo. Iry,y~~~~. Ec~rROE SYSTEM ~ ' _ ~~tt 20. 42• Above Pip 4• co►1 Iron 6y Y to flnei Or4oo V.nl 1'tp. 'y -11, Plot Or Srn1A.Ik C°s1,J6q Y - _ # 1116 2• AVGr.uol. pip; uV, 016 110. 0.61 & Hu,,,,3,,,A,% Drmhll ~11 . ° ° a - T.. 6®R De'65 A,,, opo1 • 1'~4E1SfRY. F Y AND BUiLSg eon..l~ Plp. P.rlorol.a Plp• b.lor D DI ' ON DF o -coq,l6y Twminuing Al Bosom 01 Sr►I.m E RRESPONDFN(;E PrDnv)ep FIB cri%(It ron/~j%N\ / SOIL FILL DISTRIBUT101.1 PIPE APPROVED Syur{CTIC COVC 2uoF nGGR~GAIE i o -MATER14 OR 9" OF s7l~~v OK MAKSH WA`y 1 h ELEV. OFF E YPL~ Zt-. F lL - 21/z A G C. 1t C G AT E. v //ice DISTRIB'JT11-DW PIPE TO BE AT LEAST IIJCHES BCLOW ORIGIAJAL GRADE AQU AT LCASTLO IIJCHE-' BUT MO MOKC THAQ 42. IQr_I{ES 13ELOW FINAL GRADE mmmum Daprti OF FXC/IVAT100 FKOM ORIGINAL 6~ ,D~ WILL BE IQC.HCS nNIMUM pi:PrH OF EYCAVATIOW rAOM 00601AL (,RAPE WILL BC ;~1,2_ INCHE S SIGUCD: LICCIJ5C IJUMBCit: ~y D A T E : WitconsinDepartment ofIndustry, PRIVATE SEWAGE SYSTEM Safety and Buildings Division Labor and Human Relations REVIEW APPLICATION Bureau of Building Water Systems • Hayward Office La Crosse Office Madison Office Shawano Office Waukesha Office 209 W 1st Street 2226 Rose Street 201 E. Washington Ave. 1053A E. Green Bay Street 401 Pilot Court, Suite C Rt 8, Box 8072 La Crosse, WI 54603 P.O. Box 7969 P.O. Box 434 Waukesha, WI 53188 Hayward, WI 54843 Phone (608) 785-9334 Madison, WI 53707 Shawano, WI 54166 Phone (414) 548-8606 Phone (715) 634-4804 Fax (608) 785-9330 Phone (608) 267-5119 Phone (715) 524-3626 Fax (414) 548-8614 Fax(715)634-5150 Fax(608)267-0592 Fax(715)524-3633 INSTRUCTIONS: To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data and submit this form together with fees and plans/information. Your submittal must be received at least one working day prior to the appointment at the office where your review was scheduled. Please call any of the listed offices if you need help filling out the form or hav ~h nt~rn! submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side for your reference. jj o 1. APPOINTMENT INFORMATION - If you have scheduled an appointment, fill in the information requested below to save time: Appointment Date/ / Reviewer Nam Plan Identif cation Number 2. PROJECT INFORMATION If this review is a revision or extension to your existing plan identification number, provide that number here: Project Name ❑ City ❑ Village ❑ Town Of: County Project Location GOVT. LOT _ 1/4 1/4 T N ,R or i 3. APPLICATION FOR 4. FEE COMPUTATIONS FEE SUBMITTED System Type (check one): System Type t (include new and existing tanks) Up To 1,500 gallon septic tank $110.00 111-,2 - A ❑ At-Grade 1,501 - 2,500 gallon septic tank $120.00 H Holding Tank 2,501- 5,000 gallon septic tank $160.00 M ❑ Mound 5,001 - 9,000 gallon septic tank $ 200.00 . N ® Non-Pressurized In-Ground (conventional) 9,001 -15,000 gallon septic tank $ 300.00 P ❑ Pressurized In-Ground Over 15,000 gallon septic tank $ 500.00 0 ❑ Other: Up To 1,000 gallon dose chamber $ 70.00 1,001 - 2,000 gallon dose chamber $ 80.00 Building Type (check one): 2,001 - 4,000 gallon dose chamber $100.00 . 4,001 - 8,000 gallon dose chamber $120.00 D ❑ Dwelling, 1 or 2 Family 8,001 -12,000 gallon dose chamber $140.00 P Public Building Over 12,000 gallon dose chamber $160.00 S ❑ State-Owned Building Up To 5,000 gallon holding tank . $ 60.00 5,001 -10,000 gallon holding tank $100.00 Code Derived Daily Flow__ RK) gpd Over 10,000 gallon holding tank $150.00 ❑ Check If Replacing Existing System Experimental System (additional one time fee) $ 300.00 Revisions To Approved Plan 2 $ 60.00 Petition For Variance: Setback $100.00 Site Evaluation $225.00 ❑ Petition For Variance Plumbing $225.00 Revision $ 75.00 Groundwater Monitoring - Per Site $ 60.00 ❑ Groundwater Monitoring (other than a proposed subdivision) ❑ Site Evaluation in Lieu of Groundwater Monitoring Site Evaluation in Lieu of Groundwater Monitoring $ 60.00 . Subtotal: ~/'o ^ Priority Review: Enter same amount as Subtotal: / iA MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILDINGS DIVISION Total Fee: 5. SUBMITTING PARTY INFORMATION Telephone No. (include area code & extension) Coma am Conta Pers ( ) G1 No. & Street Address r P.O ox City, Town o Village, ate, Zip Code t Aerobic or prepackaged treatment system fees are calculated based on equivalent size septic tanks and dose chambers. 7 Revision fees are not applicable to temporary holding tanks or extensions to existing approvals. NOTE: Fees are pursuant to Wis. Adm. Code, Chapter ILHR 2, and are subject to change annually. SBD-6748 (R. 07/93) OVER 894-41528 HANGAR AREA LE=ASE 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 Carl & Sue Youn$_-_----- hereinafter called the Lessee. WITNESSETH: WHEREAS, the Lessor owns and operates an airport known as the New Richmond Municipal Airport and said Lessee is desirous of leasing from the Lessor a certain parcel of land on the said airport, hereinafter more fully described, for the purpose of aircraft storage; and WHEREAS, the Lessee will use the below described property for the purpose of storing aircraft and shall conduct only such aircraft maintenance on its own aircraft as performed by the Lessee or by regular employees of the Lessee. NOW, THEREFORE, for and in consideration of the rental charges, covenants, and agreements herein contained, the Lessee does hereby hire, take and lease from the Lessor and the Lessor does hereby grant, demise and lease unto the Lessee the following premised, rights, and easements on and to the airport upon the following terms and conditions: 1. Property_Descrigtion_ (Include lot number - from Land Use Map, square footage of land and map if applicable.) Lot 7, Row 5 Airport Layout Plan dated September 1, 1989 being 4 480 square feet. y. Hangar_Construction_ The Lessee shall have the right to erect, maintain and alter buildings or structures upon said premises providing such buildings or structures conform to the applicable requirements of the Wisconsin Department of Industry, Labor a< Human Relations and pertinent provisions of any local ordinance in effect. All plans for such buildings or structures shall be reviewed and approved in writing by the Lessor prior to construction. S94 X1528 i Terms. The term of this lease shall be for a maximum of ten (10) years commencing on July 1, _1_993 and ending on June 0, 2000. 4. Rent.- The Lessee agrees to pay to the Lessor for the use of the premises, rights, and easements herein described, a yearly rental of five (5) cents per square foot for the land leased, for a total annual charge of :$_224-00 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 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. 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 that he will deposit with the Lessor a policy of comprehensive liability insurance upon 90 days written notice from the Lessor. S94-41528 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 are 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_inseect_ 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. Signs_ The Lessee agrees that no signs or advertising matter may be erected without the consent of the Lessor. 13. Default. The Lessee shall be deemed in default upon; a. Failure to pay rent within 30 days after due date; b. The filing of a petition under the Federal Bankrupcy Act or any amendment thereto including a petition for reorganization or an arrangement; C. The commenpement 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. 94„41528 i` Default by the Les-see 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 Lessor 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 snow removal services to the Lessee's leased premises in the hangar area. Such snow removal shall be accomplished only after all runways, apron, and primary taxiways have been first cleared. ib. 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. Aireort_Dev_elaement_ The Lessor reserves the right to further develop or improve the landing area of the airport as it sees fit, regardless of the desires or view of the Lessee, and without interference or hinderance. 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 state funds for the development of the airport. Furthermore, this lease may be emended to include provisions required by these agreements with the United States or the State of Wisconsin. 19. Abritration_ 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 judgement upon the dispute rendered by the arbitrator(s) shall be final and binding on the parties. r -5- V 894-o41529 .IN WITNESS HEREOF, the parties have hereunto set their hands and seals this ~ day of - e 19 ,~.~1-.. , i n the City of New Richmond, St. Croix: County, Wisconsin. IN THE PRESENCE OF: LESSON,: - - - - - By: Airport Manager By: LESSEE - TITLE: Subscribed and sworn to before me this _1 `J ""_day of.... w yyyL ,19_ g 3 -0 O_- .d Notary My Commission Expires : a S _Q (o---------------------- Wseonsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page / of 2 Labor and Human Relations Divipion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 112 x e t r si e'°Rlan must include, but ~ not limited to vertical and horizontal reference point (tr)anet °~Gsose, scale or PARCEL I.D. # dimensioned, north arrow, and location and d;stanco ttto''~iste2rest road. APPLICANT INFORMATION-PLEASE RI T4tL11 Ai' fON REVIEWED BY DATE _a Ar ~ P ~2VER OWNER: PR fi LOCATION GOVT:16T 1/4 1/4 S S T N,R E (or)~G Y6~va/.Q ~24At-4,t,4"Ify I PROPERTY OWNERS ILIN ADDRESS LOT # BLOCK # SUB . N M OR CSM # Cl ST ZIP CODE PHONE NUMBER ❑CjTY VILLA [MTOWN NEARS ROA ~js New Construction Use [ ] Residential / Number of bedrooms [ ] Addition to existing building j ] Replacement D4 Public or commercial describe Code derived daily flowT6 gpd Recommended design loading rate r 7 bed, gpd/ft2_,_f _trench, gpd/ft2 Absorption area required Ms- bed, ft2 /fly trench, ft2 Maximum design loading rate bed, gpd/ft2--,,f -trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material UL4 4/ Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem ®S ❑U 10S ❑U MS ❑U []S ❑U ❑S toU ❑S 91U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed Tre & C42 Z~Ala- Ground og _ 'in of L/ S elev. yft. _ _ ;7 1's Depth to limiting factor Remarks: Boring # Ground 67- elev. 9-ft. Depth to limiting factor Remarks: CST Name:-Please Print Phone: Address: J~ Signature: Date: _ CST Number: PROPERTY OWNER SOIL DESCRIPTION REPORT Pageob PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. 222t. Color Gr. Sz. Sh. Bed Trend's ...........v....., / ; h 1/, Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. 5. Depth to limiting factor 7 ,909 Remarks: Boring # / - 6 .Ground elev. Depth to limiting factor > OF Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) e ~ - ,cr~i,~a ~C~e~ us✓ N~ ~ s~ ~ s.~?s T,3~il~~j~iJ 7 r~ l~.t.~✓NC'7 /~~l ~S'K 1 ~FT Tl0/a-, 4~S •:0~:;✓~ ~~GY~O sc,.t x1c G'sT/h¢~.35~T T /RL✓f ~a r J~ ~f a~Aol ~x,~s~ ~.9iPKmv~ Sy > sv STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix Coun OWNER/BUYER ~ MAILING ADDRESS PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION- 1/4, 1/4, Section, T-,;LZ_N-R_Z4~__W 'SOWN OF jel ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER S CERTIFIED SURVEY MAP _,VOLUME- PAGE , LOT NUMBER 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 every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: j DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. owner of property - tam ' - Location of property 1/4 Sk 1/4, Section W Township S ' Mailing address Address of site _ Subdivision name Lot no. Other homes on property? Yes No _ Previous owner of property _ Total size of property Total size of parcel Date parcel was created Are all corners and lot lines identif=iable? Yes No Is this property being developed for (spec house) ? __Yes No Volume and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE' SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. Signature of Applicant Co---Applicant- Date of Signature, Date of Signature