HomeMy WebLinkAbout261-7000-18-002 18-2 Wisconsin Department of Commerce
PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division Sanitary Permit No:
INSPECTION REPORT 578956 0
GENERAL INFORMATION (ATTACH TO PERMIT) 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: X City Village Township Parcel Tax No:
261-7000-18-002
City of New Richmond, airport properties I City of New Richmond
CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No:
/66 nA, ( GST 25.31.18.
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER k1t,,411 CAPACITY STATION BS HI FS ELEV.
Se p tic Z�Q Benchmark 210t /6 x 1 /cb
�J � �� 1 1
Alt.BM Z D
r.-4, ✓�
Aeration Bldg.Sewer �/ 6
Holding St/Ht Inlet 5.b 17`
St/Ht Outlet !J. ZS `t 7• 1e5
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent Air Intake ROAD Dt Inlet \
Septic � ,� Dt Bottom �
Dosing
Header/Man.
Aeration Dist.Pipe �."i c�(, Z
Holding Bot.System '7,7 9$, Z-
Qi�
Final Grade
PUMP/SIPHON INFORMATION t
Manufacturer Demand St Covert`
GPM tt'�
Model Nu
TDH Friction Loss TDH Ft
Forcemain Length Dia. Dist.to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No.Of Trenches PIT MQ! ENSIGNS No. Pits Inside Dia. Liquid Depth
DIMENSIONS 3 Z i � (Q
SETBACK SYSTEM TO P/L jt3LDG IWELL f LAKE/STREAM CHAMBER OR Manufacturer:
INFORMATION Type f System: UNIT Model Number: �7
[ � d� �A L"�
�,tiJ�n�'
DISTRIBUTION SYSTEM
x Hole Size x Hole S acing g Vent to Ai Intake
Header/Manifold Distribution
Pipes) \ \ �
Length ` Dia\_ Length � Dia \ Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center 4. Bed/Trench Edges Topsoil Yes No es Q No
COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2:
Location: Row 18 Hanger ew Richmond,WI 54017(NW 1/4 SE 1/4 25 T31 N RI 8W) New R, ichmo d Airport Lot 18-2 Parcel No: 25.31.18.
1.)Alt BM Description=
F i -� !�J�•- G Iln.a. 11 HILL d
2.)Bldg sewer length
-amount of cover=
Plan revision Required? ❑ Yes No
Use other side for additional information. Insepctors Signat re Cert.No.
Date
SBD-6710(R.3/97)
a� 4 a and Buildings Division County
201)"t �Otachinntnn AvP P_O.BOX 7162 Sanitary Permit Number(to be filled in by Co.)
a R N1 n,W1 53707-7152
VET.®'WENT
State Transaction Number
Sanitary Permit Application 95V .S
In accordance with SPS 38321(2),Wis.Ad-Code,submission of this form to the appropriate governmental unit if different than wing was) —
is requimA prior to obtaining a sanitary petmiL Note:Application forms for state-owned POWTS are submitt:d to cheer A (
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary ptaJ 0. 1
in accordance with the Pri Law,s.15. 1 m,Stars. U—Z
L A lication Information-Please Print All Information U
Property Owner's Name
Property Location
Property Owner's Mailing Address t t
2 07 0 (� 2 Zip Code Phone Number Govt.Lot'/,, '/�, Section
City,State lc o-�q O J
j
T �( N; R E W
IL Type of Building(check all that apply) Lot#
Subdivision Name
❑1 or 2 Family Dwelling-Number of Bedrooms G a
Block# - / S
blic/Commemial-Describe U of ea cJ L C°
Ze A, a CSM Number ❑Village of
❑State Owned-Describe Use ❑Town of
I " 6� e-(-5
11I.Type of Permit: (Cbeck only one box on line A. Complete line B if applicable)
A. New S tam ❑Replacement System ❑Treatment/Holding Tank Replacement poly Other Modification to Existing System(explain)
ys
List Previous Permit Numb-and Date Issued
B. ❑Permit Renewal Permit Revision ❑Change Y;Plumber ❑Permit Transfer to New 1
Before Expiration Owner ( Q v �-
IV.T of POWTS S stem/Com onent/Device: Check all that apply)
_pressurized In-Ground 11 Pressurized In-Ground 11 At-Grade El Mound>24 in.of suitable soil ❑Mound<24 in.of suitable soil
❑Holding Tank ❑Other Dispersal Component(exp ) Pretreatment Device(explain)
V.Dis rsal/Tre ent Area Information: Area Pro d s S Elevation /
Design Flow(gpd) Design Soil Application dsf) Dispersal Area Required(sf) Dispersal pose (f) �/
L
VL Tank Info Capacity in TOW #of Manufacturer B
Gallons Gallons Units m 2
New Tanks Existing Tanks
W � ♦��� V v� � v� ..Ci G.
,
Septic or Holding Tank
Dosing Chamber
VII Responsibility Stateme -I the undersigned,assum nsibility for installation of the POWTS sbown on the attached plans.
Pl s Name(Print) Plumber' MP/MPRS Number Business Phone Number
e ;� Z
Plumber's Address(Street,City, Zip Code) ,
/y.� -z__ /� r �/�-c-c./ 2 i Lc/>
VIII.Countv/De artment Use Onl
Permit Fec Date sued Issuing ent Sip
proved tsaplr s �/'757. 66 5 V /5
ven Reason for Denial ^'►'
DL Conditi s p�e�r Dis pproval . Q
ep tank,etfluen�finer and 3) Gp,��;A^-
dispersal cell must all be gervices I maintained r
as per management plan provided by plumber. Cue— ;X lrfGt� �J"
2. ;1j t#voct re me must be rriaintairied 1 $1 Z!
as per appiic lbli coda/ordinarim. lj 1Nt
AttacL to compku plater for the system and submit to the Co ly ooiy oa paper not less than 8 112:11 iocnes in size
SBD-6398(R- 11/11)
PLOT PLAN
PROJECT Dominion Investments ADDRESS 200 Oak Ridoe Dr. N Hudson Wi 54016
SW 1/4 SW 1/4S 24 /T 31 N/R 18 W City New Richmond COUNTY ST.CROIX
SYSTEM ELEVATION 95.4' 4.5' below grade DATE 4/24/15 GPD 77
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 280 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE •7 ABSORPTION AREA 205.6 # of chambers 10
IL BENCHMARK V.R.P. Bottom of hanger siding ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
All piping shall be SDR 30/34, within 10'
of tank,piping shall be Schedule 40.
Leased Lot I i nes
B- 1 B-2 B-3
❑ ❑ ❑
Ve nt
1 -3' X 42' ce I I
Leased Lot lines Huffcutt ST
B.M.
Hangor 18-2
Wei I is to
meet al I
Pro Airport Hangor WDHR
2 employees 1 floor drain setbacks
77 GPD
Absolutely no catch basin!
Domestic Waste Water Only!
Calcs: 77 gpd X 2.088 (number to convert gpd to tank size minimum)
= 160 gallons using a huffcutt 280 septic tank
77 gpd/ .7 = 110 ft^2 gonna use 10 chambers and 1 set of end plates Leased Lot I i nes
total ft^2= 205.6ftA2
1 = 0' Scales ,
Airport Tani Road
SHAUN R BIRD I Page 2 5/15/2015
• The system was designed to meet the influent quality defined in SPS 383.44(2)(a) The quality of influent
discharged into a POWTS treatment or dispersal component consisting in part of in situ soil shall be equal to or
less than all of the following:
1.A monthly average of 30 mg/L fats,oil and grease.
2.A monthly average of 220 mg/L BOD5.
3.A monthly average of 150 mg/L TSS.
• SPS 383.54(3)(b) (b)The servicing frequency of an anaerobic treatment tank for a POWTS shall occur at least
when the combined sludge and scum volume equals 1/3 of the tank volume.
• The inspection,maintenance and servicing reports shall be submitted to the governmental unit within 30
calendar days from the date of inspection,maintenance and servicing.
• The owner is responsible for the operation and maintenance of the private onsite wastewater treatment system
(POWTS)in accordance with SPS 383 and the approved management plan
• The owner of a POWTS shall be responsible for ensuring that access opening covers remain locked or
secured except for inspection,evaluation,maintenance or servicing purposes.
• Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for
the POWTS described in this approval.
• Provide a copy of the approved POWTS plans and this letter to the owner.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department,which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review
shall relieve the designer of the responsibility for designing a safe building,structure,or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address
on this letterhead.
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, Fee Required$ 250.00
This Amount Will Be Invoiced.
f 1 When You Receive That Invoice,
Edwin A Taylor JJ Please Include a Copy With Your
Wastewater Specialist,Division of Industry Services Payment Submittal.
(715)634-3484,Monday-Friday 8:00 am To 4:30 pm WiSMART,code:7633'
edwin.taylor@wisconsin.gov
-vXR , DIVISION OF INDUSTRY SERVICES
�y Toy 10541 N RANCH ROAD
00 9? HAYWARD WI 54843
3 � Contact Through Relay
hftp://dsps.wi.gov/programs/industry-services
r c www.wisconsin.gov
�A �Jti
w Scott Walker,Governor
OF�'SSfON��'S
Dave Ross,Secretary
May 15,2015
CUST ID No. 226900 ATTN:POWTS Inspector
SHAUN R BIRD ZONING OFFICE
BIRD PLUMBING INC ST CROIX COUNTY SPIA
1432 120TH ST 1101 CARMICHAEL RD
NEW RICHMOND WI 54017 HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 05/15/2017 Identification Numbers
Transaction ID No.2541657
SITE: Site ID No. 159966
New Richmond Municipal Airport Please refer to both identification numbers,
W Hanger Rd above,in all correspondence with the agency.
City of New Richmond, 54017
St Croix County;Fire Dept ID: 5502
NW1/4, SETA, S25,T3 IN,R18W
FOR:
Facility: 750306 NEW RICHMOND AIRPORT HANGER 18-2 DOMINION INVESTMENTS
W HANGER RD
NEW RICHMOND 54017
Object Type: POWTS Component Manual Regulated Object ID No.: 1534593
Maintenance required; 77 GPD Flow rate; System(s): In-ground POWTS Component-Ver.2.0,SBD-10705-P
(N.01/01,R. 10/12); Effluent Filter
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. P.�'
The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code Conti
requirements. v
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. DEPARTMENT
SIDN OF Z
The following conditions shall be met during construction or installation and prior to occupancy or use:
• A copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file EE CORR1
with the Department. Changes to the approved plan must be submitted for review and approval. Failure to
properly attach the approval and index page to plans that match the copy on file with the Department may result
in enforcement action under s. 145.10, Stats.
• This system is to be constructed and located in accordance with the approved plans,and the"In-Ground Soil
Absorption Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10705-P(N.01/01;
R. 10/12).
• Prior to construction of the dispersal area,check the moisture content of the soil to a depth of 8 inches.
Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil.Proper soil
moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4-inch wire,
the site is too wet to prepare. If it crumbles,site preparation can proceed.If the site is too wet to prepare,do not
proceed until it dries.
SHAUN R BIRD Page 2 5/15/2015
• The system was designed to meet the influent quality defined in SPS 383.44(2)(a) The quality of influent
discharged into a POWTS treatment or dispersal component consisting in part of in situ soil shall be equal to or
less than all of the following:
1.A monthly average of 30 mg/L fats,oil and grease.
2.A monthly average of 220 mg/L BOD5.
3.A monthly average of 150 mg/L TSS.
• SPS 383.54(3)(b) (b)The servicing frequency of an anaerobic treatment tank for a POWTS shall occur at least
when the combined sludge and scum volume equals 1/3 of the tank volume.
• The inspection,maintenance and servicing reports shall be submitted to the governmental unit within 30
calendar days from the date of inspection,maintenance and servicing.
• The owner is responsible for the operation and maintenance of the private onsite wastewater treatment system
(POWTS)in accordance with SPS 383 and the approved management plan
• The owner of a POWTS shall be responsible for ensuring that access opening covers remain locked or
secured except for inspection,evaluation,maintenance or servicing purposes.
• Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for
the POWTS described in this approval.
• Provide a copy of the approved POWTS plans and this letter to the owner.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department,which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review
shall relieve the designer of the responsibility for designing a safe building,structure,or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
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, ' Fee Required$ 250.00
This Amount Will Be Invoiced.
When You Receive That Invoice,
Edwin A Taylor Please Include a Copy With Your
Wastewater Specialist,Division of Industry Services Payment Submittal.
(715)634-3484,Monday-Friday 8:00 am To 4:30 pm WiSMART code: 7633
edwin.taylor@wisconsin.gov
PLOT PLAN ,
PROJECT Dominion Investments ADDRESS 200 Oak Ridae Dr. N Hudson Wi 54016
SW 1/4 SW 1/4S 24 /T 31 N/R 18 W City New Richmond COUNTY ST.CROIX
SYSTEM ELEVATION 95.4' 4.5'below grade 4/24/15 GPD 77
DATE
CONVENTIONAL )OCX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 280 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 205.6 # of chambers 10
IL BENCHMARK V.R.P. Bottom of hangor siding ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
All piping shall be SDR 30/34,within 10'
of tank,piping shall be Schedule 40.
Leased Lot I i nes
Ad
B- 1 B-2 B-3
ye nt
1 -YX 42' eel I
Leased Lot I i nes H uffc utt ST
B.M.
Hangor 18-2
We I is to
Pro Airport Hangor meet a l l WDNR
2 employees 1 floor drain
77 GPD setbacks
Absolutely no catch basin!
Domestic Waste Water Only!
Calcs: 77 gpd X 2.088 (number to convert gpd to tank size minimum)
= 160 gallons using a huffcutt 280 septic tank
77 gpd / .7 = 110 ft^2 gonna use 10 chambers and 1 set of end plates Leased Lot I i nes
total ft^2= 205.6ft^2
1 = 0' Scale
Airport Taxi Road
a
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 4/24/15
Owner: Dominion Investments (Jeff Hallbeck)
Location: SW1/4 SW1/4 S24 T31 N,R18 Hangor 18-2 New Richmond Airport
Manuals Used: In-ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4-6. Maintanance and Contingency Plan
7. Filter Specifications Sheet
8. Septic Tank cross section
9.-11. Soil Test 'I'T.'.
Signature fA, ___
OF COMh ERCE ,
License number# 00 Iy AN ILDIl�
S GND N
Cross Section of Quick 4 Standard-W Leaching Chamber
Typical cross section for 1 of 1 cells Intial Grade Elevation
Quick 4 Standard
Leaching Chamber 99.8'
To be >1' above grade g
with 20.0 ft2 of Area per
Chamber 5.6ft^2 pair of Finish grade elevation
end plates
Typical Installation
t Al Grade
4"
x'30/34
From Septic Tank
,jVen
"
34"
Grade at System Elevation
1-3' X 42' Cell
Same on other end Observation tubeNent
Located at end of cell
A
10 chambers per cell
System elevations:
A-95.4'
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner i ' A0 Tank Manufacturer. ❑ NA
Permit# Septic ❑ Dose ❑ Holding Volume:Z YC7 (gall^)
Tank Manufacturer: '"'`
DESIGN PARAMETERS
Number of Bedrooms: ❑ NA ❑ Septic 11 Dose ❑ Holding Volume: (gal)
Number of Public Facility Units: r ❑ NA Vertical Distance Tank Bottom(s)to Service Pad: ,�� (ft)
Horizontal Distance Tank(s)to Service Pad: //�"/
Estimated(average)Flow: (gal/day)
Specific servicing mechanics must be provided if vertical is>15 feet or
Design (peak)Flow=(estimated x 1.5): --7 (gauday) If horizontal is>15o feet. Specific instructions to be provided on back.
In Situ Soil Application Rate: (gal/daytW) Effluent Filter Manufacturer: t= 2 ❑ NA
Standard(Domestic)Influent/Effluent Monthly average Effluent Filter Model:
Fats,Oil&Grease (FOG) s30 mg/L Pump Manufacturer: p
Biochemical Oxygen Demand (BODs) 5220 mg/L [I NA Pump Model: //``
Total Suspended Solids(TSS) !150 mg/L
High Strength Influent/Effluent Monthly average Pretreatment Unit
(FOG) >30 mg/L Manufacturer. NA
(BODs) >220 mg/L NA ❑Mechanical Aeration ❑Peat Filter
(TSS) >150 mall- ❑Disinfection ❑Wetland
Pretreated Effluent Monthly average ❑Sand/Gravel Filter ❑Other.
(BOD5) 530 mg/L Soil Absorption System
Fecal Coliform(geometric mean) s10'mg/L NA -Ground(gravity) ❑In-Ground(pressure) ❑ NA
❑At- ade ❑Mound
Maximum Effluent Particle Size 1/8 in dia. [I NA ❑Drip-Line ❑Other:
Other; NA Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Pump out contents of tank(s) IT-When combined sludge and scum equals one-third('h)of tank volume
❑When the high water alarm is activated
El month(s) (Maximum 3 years) ❑ NA
Inspect condition of tank(s) At least once every: �j i years)
❑month(s) (Maximum 3 years) ❑ NA
Inspect dispersal cell(s) At least once every: J[,year(s)
eve
At least once month(s) [I NA
Clean effluent filter every: ear(s)
❑month(s) NA
Inspect pump,pump controls&alarm At least once every: ❑year(s)
❑month(s) NA
Flush laterals and pressure test At least once every:. ❑year(s)
Other: At least once every: ❑month(s) NA
❑year(s)
Other: ❑ A
MAINTENANCE INSTRUCTIONS
Inspections of tanks and soil absorption systems shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper).
Tank inspections must include a visual inspection of the tank(s)to identify any missing or broken hardware, identify any cracks or leaks,
measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The soil
absorption system 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 treatment tank equals one-third (%)or more of the tank volume,the entire
contents of the tank shall be removed by a Septage Servicing Operator (pumper)and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code:
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units,
and any servicing at intervals of 5512 months,shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 30 days of completion of any service event.
GMW-005(02105)
Page of
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other
chemicals or sediment that may impede the treatment process and/or damage the soil absorption system. If high concentrations are
detected have the contents of the tank(s)removed by a Septage Servicing Operator(pumper)prior to use.
Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these
conditions is not recommended, as the excess wastewater will be--discharged to the soil absorption system in one large dose causing an
have the
overload that may result in the backup or surface discharge of effluent and damage to the system, To avoid this s �aoona Plumber
contents of the pump tank removed by a Septage Servicing Operator(pumper)prior to restoring power to the pump
or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
Do not drive or park vehicles over tanks or the soil absorption system. 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 treatment
tanks and soil absorption system: acids, antibiotics, baby wipes,-cigarette%butts, condoms, cotton swabs, degreasers, dental floss,
diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat
scraps,medications,oils,painting products, pesticides,sani4ry napkins,solvents,tampons, and water softener brine discharge.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly
and safely abandoned in compliance with s. Comm 83.33,Wisconsin Administrative Code:
• All piping to tanks,pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator(pumper).
• 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 compliant
replacement system:
If 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 th the rules in
for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply
effect at the time of their permit issuance.
❑ A suitable replacement area is not available due to setback and/or sal limitations. If the soil absorption system cannot be
rehabilitated and barring advances in POWTS technology,a holding tank may be installed as a last resort.
❑ The site has not been evaluated to identify a suitable replacement area. upon failure of the POWTS a soil and site evaluation
must be performed 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 infiltrative
surface. Reconstructions of such systems must comply with the rules in effect at that time.
WARNING TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK
SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY
RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE.
ADDITIONAL INSTRUCTIONS:
POWTS INSTALLER POWTS MAINTAINER.
Name �c,�,y
Name
Phone Phone �J J
SEPTAGE SERVICING OPERAT R PUMPER LOCAL REGULATORY AUTHORITY -
Name Cpl G ✓ Name
Phone � �-�a Phone JJ /_.
This document was drafted by the staffs of the Green Lake, Marquette and Waushara County POWTS regulatovry agencies in compliance with sections
Comm 83.22(2)(b)(1)(d)8(f)and 83.54(1),(2)&(3),Wisconsin Administrative Code.
l IIjTER CARTRIDGE INSTRUCTIONS
l
�00 8
Installation
STEP I Dry fit the filter case onto the end of the outlet pipe to ensure it is
centered under the access opening. If not,then either insert more pipe into the
tank through the outlet or solvent weld (glue) additional pipe onto the outlet
pipe.
STEP 2 While the case is still dry fitted on the outlet pipe, measure the length
of 3/4-inch pipe needed to brace the filter to the tank end wall if utilizing the
optional supplemental side support. If side support method is not utilized,
proceed to step four.
STEP 3 For installations utilizing the optional supplemental side support:
solvent weld the 3/4-inch pipe onto the filter case. If side support method is not
utilized, proceed to step four.
STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter
cartridge into the case, pressing down until the filter locks into the bottom of
the case.
STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning
clockwise 900.
Maintenance
1. The effluent filter should be cleaned every time the septic tank is
serviced.
2. Open the outlet access opening to inspect the tank and filter.
3. Pump the septic tank completely, making sure to remove the sludge �! ,
layer on the bottom of the tank and not just the scum and effluent. a �,
4. Once the effluent level has been lowered below the invert of the fit`
outlet pipe, firmly pull up on the filter handle to dislodge the
cartridge from the case.
5. Slide the cartridge up and out of the case for cleaning.
6. If a VRS switch connected to an alarm is present, the switch Al
should be removed by turning counterclockwise 901 and cleaned
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ST. CROUX CNUNT'�
8EPTI( TANK84Aly 'FEN yLNCE /\GRBt2NENT
AND
OWNERSHIP CEBT)PlCA.T)t-/lMFORM
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Pronc�i�� �I�aa__�/�� � elzoquueJ6om2lanuvg&ZminX0upxu�urut Jot /iewn`/uouzrim/)
(�i�'�tdi� _________________________ y0c� T�ooil(�catou ��uIzhcr__________________ _
LEGAL DESCRIPTION
Location sec. l' �� / i� |{ / � VY q�«�h� o/
Property - �=,=°- r�_�-_` �~ .- " ^`''^^
Subcivi8iOu A/b —4- 4a _ _ Ln(�
Certified Survey Mmp #______ _____~_~�_�__ _
Warranty Deed # / \/oiunoc____ _ yuAo#_______
Spvo6ou;e yes |"/iim- iJn'dbxhle 011 uo
SYSTEM MAINTENANCE AND OWNEIZ.CERTI.FICATtON
Improper use and maiuuzauxo ofynur xopd;xyoteirl could /mxd|in its pr�nnatmc faJou`to kaoJlc wastes. Propel
zualiut ,aocxuvnoiwm of pumping out the septic tank every ifirce years or somici, tj needed,by a licensed ptimpej- Wliat you put i)ito
the xyduon:uuxtfec1 the ftiortioonfde septic tank oxourvmeutvmgvIn the was/o disposal syme,i� Oxmor/oaimo/muco
rosynoxdhi}diouare opooi�edi'����oonn. V3 j%(/) au'l �'(%/u,t"x 12 St. c"vx(�n,utySunitu,yQuhum/ry
The property owner agrees to subinit to St. CIOIX COLIIA3, flianning &,Zonuis; I)epafuncia it cei(ification form, sigrim tw tit(, �
owner and hyu master ykvn6orjonzunyoiaorluod`*c.ze,tm/vdi`|no&.zoruUoel.Sodpnnipuvozifyiu&that(|) the ou-xi,r �
wastewater disposal system is in proper operating condition and/or (2)aftel Inspu; ion and Plialping(if'necessary), the septic mnkic �
less than 18 b0x[sludge.
I/wc, the undersigned lu*omadU*ab"v*'c,ui,*^emx and uu/ne m mai,.ta.o w'o/n=iv =v~aur disposal oyxm/o vvhb u^`
`/aoumuuvm fozu,bernu� uu set oy the Department vfCouno"ccrand dmDq,xrt/nco/v[Nauuoal ](oxvo/xCs,Su*of'vvm,ovsiu.
Certification stating that your septic system has been ualmuiriod must horooqp\ou,|uuJnxvnte6m,boSt. (lnix County|`lxmzl1w 8
ZvuiiigDopururtont within]0 days of-tile three Year nx iu`iondmo
u"rcecuzy that all statements oil uuxfu �u" mm,xomn/u/yx*' buov,|vdge. D,,cuo�u/odmovn/m(s) ufU/e
proper�described u6nv� kyv��^ ofunm�au1 d recorded o/ KovixuzofDoo.�U/�cc�
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7j ,AAC'1UJ14`, `/r �I�r/.on���\�) [)4T1�
*�*Any i,dhouudoo that iomisrqncouutudomyrouubiu lie sal u1azy pet ud1hoiuvn`vuk ell|`y\6uy|onuxiX &Zun/ug |}o|,uzuzmo'.
inoudu with this application u recorded nmcruo`y deed flour/b, 8r&ixcn o[/),odx6tGve and u copy ofth.'ccrti6uixo,r,y map if-
reference is made in the=anxu(ydced,
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 Dominion Investments,Inc,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 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.. Prouertv Description: Lot 2,Row 18 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.
IT
1
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.
S. 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. Ma
ixztenance 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 Inysoect: 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. Si M. 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 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. Leam Transfer: The Lessee may not,at any time during the time of this
leak assign,hypothecate or transfer this agreement or any interest therein,without the
consent of the Lessor.
17. Airpgrt 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.
3
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. Arbitrati on: 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. Pgd : 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
ECOVED
'Y
,APP 28 2CI1
Wisconsin Department of ComrperceST CRO'X COUOPIL EVALUATION REPORT Page of
Division of Safety and Buildings-OMMUNITY D �[
in acxor�Y4QA nnarpin 85,Wis. Adm. Code
County f fro
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.
Please print all information. Revi by Date
Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). S 5 1
Property Owner Property Location
r t r
DO A Q . Govt.Lot .5,.J 1/4 L114 d Y T N R E( )
Property Owner's Mailing Address Lot# Block# Subd.Name CSM#
tj State Zip Code Phone Number City ❑Village ❑To"� Nearest Road
Construction Use:❑ Residential!Number of bedrooms Code derived design flow rate C GPD
❑Replacement AIP UP)ic or commercial-Describe: Z 4' n[�111 1�r�,�_�� oil r _��
Parent material htt.L�Q — - - Fl
�ood aPl in elevation if applicable
General comments L/ �-se/a,L')
and recommendations: 7
System Type < �}�/(1� �f�[+ System Elevation J 1
F T] Boring# E] Boring
®, pit Ground surface elev7/• ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 •Eff#2
1
�✓ wi -7 ,
® Boring# ❑ Boring Q�y on 1r
® 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/fF
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 •Eff#2
0-1,6 A& 3/z, -- '' .e Ir ,
•�
,77 / --7
Effluent#1 =BOD,>30<220 mg/L and TSS>30<150 mglL 'Effluent#2=BOD,<30 mg/L and TSS<30 mg/L
CST Name(Please Print) Sig re CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1432 120th St, New Richmond, WI 54017 �--- , 715-246-4516
Property Owner_ Parcel ID# Page of
Boring# (] Boring r
[�017
RL Pit Ground surface elev. 1 I -� ft. Depth to limiting factor / 9-> in. Soil 6R2ication Rate
Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ff
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 `Eff#2
0, 3/7, C� J cCw
C ,
r
F-1 Boring# ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. `Eff#1 `Eff#2
Boring
Boring# Ground surface elev. ft. Depth to limiting factor in.
❑ Pit Soil Application Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff
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.
SOD-8330(R.6=)
Soil Test Plot Plan
Project Name Dominion Investments Shau rd
Address 200 Oak Ridge Dr. N
Hudson Wi 54016 00
Lot 18-2 Subdivision New Richmond Airport Do, 4/24/15
SW 1/4 SW 1/4S 24 T 31 N/R18 W City New Richmond
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Hangor Siding
System Elevation 95.4 *HRpSame as Benchmark
Leased Lot lines
B- 1 B-2 B-3
❑ 0
Leased Lot lines
B.M.*
Hangor 18-2
Airport Hangor
2 employees 1 floor drain
77 GPD
Leased Lot lines
1 If = 20' Scale
Airport Taxi Road
IN WITNESS W IEREOF,the parties have hereunto set their hands and seals this
t '--day of�use ►s2 ' ,in the City of New Richmond,
St.Croix County,Wisconsi .
LESSOR.
Michael Demutling
Airport Manager
LESSEE:
L �
Hall')eClC
s ent
S
Ryan Yarrington
From: Mike Demulling <mike@ nrairport.com>
Sent: Thursday, May 21, 2015 8:20 AM
To: Ryan Yarrington
Subject: Re: Hanger 18-2
Hi Ryan
That site looks good. No issues.
Thanks!
Mike Demulling
Airport Manager
New Richmond Regional Airport
715-246-7735
Airports Mean Business!
On 5/20/2015 8:49 AM, Ryan Yarrington wrote:
> Hi Mike,
> I have a sanitary permit in for Hanger 18-2. Attached is the plot plan. Please take a look and let me know if this
location is ok for an in ground system with 2 pipes sticking a foot out of the ground.
>Thanks
> Ryan Yarrington
>St. Croix County Land Use Specialist
>715-386-4680
1