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HomeMy WebLinkAbout261-1211-00-000 20-3 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No GENERAL INFORMATION (ATTACH TO PERMIT) 600259 State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Parcel Tax No: City of New Richmond CITY OF NEW RICHMOND. 1 261-1211-00-000 CST BM Elev: Insp. BM Elev: BM Description: ~ p Section/Town/Range/Map No: TANK INFORMATION 666///, ELEVATION DATA TYPE MANUFACTURER f~ CAPACITY STATION BS HI fFS ELEV. Septic n Benchmark 0L ^ 1 00 U 5- Alt. BM Aeration r f d 7/7* Bldg. Sewer 5•' I l~~ti~ L► -Ii ~K- t Inlet ' TANK SETBACK INFORMATION In f C , i )-It Outlet TANK TO ~~(L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing A, - Header/Man. Aeratio Dist. Pipe Holding a Bot. System / Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover w,-.. GPM 1• 98.8 M.r Number TDH Lift Friction Loss _ystem He TDH Ft ' S - +rH v Forcemain Len Dia. Dist. to Well z SOIL ABSORPTION SYSTEM BED/TRENCH Width 3 ) Lengt No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia./ Liquid Dep~ DIMENSIONS ► SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM. LEACHING Manufacturer: y~ INFORMATION CHAMBER OR / ! u Type Of System ( 63 " , t UNIT Model Number: DISTRIBUTION SYSTEM Q~-~- N Ui Header/Manifold Distribution x Hole Size IVe t to Air Intake ®ns Pipe(s) s Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over 1 Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges ~ ) Z 6 1 Topsoil Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: No Address Available 1 jnj~1 t t~ I n ~A~ > i X+ Alt BM Description= r Il ► (DVk 1. C I 2.) Bldg sewer length = a ► ib q~l S t rt S ~7~ - amount of cover = C T 1 _ ) f~ 116"Of (o bn CO Plan revision Required? ❑ Yes No n -i Use other side for additional information Date SBD-6710 (R.3/97) Insep s Signature Cert. No. Countycr V Ci Safety and Buildings Division ::5)fT 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) G Madison, Wl 53707-7162 Ot- Stale Transaction Number s~ ermit Application d 58~~ In accordance with 1(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior td'ebtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different than maili ddrgss) the Department of Safety and Professional Servies. Personal information you provide may be used for seco 0 Y I l~J.• ) Stats. _ r, purposes in accordance with the Privacy Law, s. 15.04(1 m L Application Informa " - Please Print nform do Property Owner's Name ` p t ILN^ Parcel # ty Property Owner's Mailing Address Property Location V L !3_0 l I Govt Lot City, state Zip Co e Phone Number Section ~y circle o z S'~~~' li T N; R E W H. Type of Building (check all t apply) Lot # Subdivision Name ❑ 1 or 2 Family Dwelling -Number of Bedrooms Block # 0(F _ t { ✓L b6' F r b1ic/Commercial -Desch seSity of~lJ~ 1 ~-may CSM Number [I Village of ❑ State Owned - Describe Use ❑ Town of Z, ~l G III. Type of Permit: (Check only ne box on line A. Complete line B if applicable) A. ew System ❑ Replacement System Q Treatment/Holding Tank Replacement Only El Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. El Permit Renewal El Permit Revision El Change of Plumbe Q Permit Transfer to New Before Expiration Owner IV. Type ofPOWTS System/Component/Device: Check all that apply) of suitable soil -Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound/2Y.. Q Holding Tank Other Dispersal Component (expl Pretreatment Device (explain) V. Dis ersal/Treat ent Area Information: Design Flow (gpd) Design Soil Application Race dsf) Dispersal Area Required (sf) Dispersal Area Pr posed (sf) Syste/m Ele 2ti0 VL Tank Info Capacity in Total # of Manufacturer „ s Gallons Gallons Units s o v New Tanks Existing Tanks 0% U cn , v~ C7 Septic or Holding Tank Dosing Chamber T^+ VII. Responsibility Statement- t, the undersigned ssume responsibility for installation of the PORTS shown on the attached plans. Plumber's Name (Print) 's Signature WNTRS Number Business Phone Number Lr~-12Z6 1 Plumber's Address (Street rty: fate, t) fi County/De artment Use Only Permit Fee Dat Issu Issuin- ent Sip ature rM~ ed tsapprove -I de co I q, 17 iven Reason for Denial 'y /Y7 ndi ns f or Disapproval 1, : Wptlr rk, a r4 liltVtPA utSpew:ti call rust a0 be tam :icy s ~r tf M%'nec' 4 >f l^ as per maragemeW. plan pro sided ter pUnbey. sa per ilp krlt9 c da / ::rd;lulnc (W`~~ _J Attacb to complete places for the s1, stem and submit to 0 only on paper not less than S rrz z 11 i es rn size e( im,: a- 5 d n'r~ SBD 6398 (R 11/11) f System PLOT PLAN PROJECT Dennis Dickinson ADDRESS 7000 .Beach Plaza #801 St. Petersbura Beach FI 33706 SW 1/4 SW 1/4S 24 /T 31 N/R 18 W City New Richmond COUNTY ST. CROIX SYSTEM ELEVATION 91.3/1.2 5' below grade 9/25/17 GPD 153 DATE CONVENTIONAL XXX AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 800 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 451 # of chambers 22 BENCHMARK V.R.P. Top of telephone box ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOR:EHOLE O WELL H.R.P. same as benchmark Scale = 1/4" = 10' 2-3' X 46' Cells with >3' spacing Leased !nf linen B - 1 Vents ❑ ST B-2 Airport Hangar t Leased lot lines 4 Employees 2 floor drains, 153 gpd y Lease lot lines Absolutely no catch basins! Well is to meet all WDNR setbacks / B.M.* Airport Road Tank size 2.088 X 153 gpd = 320 gallons, going to use a huffcutt 800 gallon tank Drainfield=153 gpd / .7 = 219ft ^2 going to have 451 ft^2. 11 chambers per trench, 22 chambers total L. dom. f • ~R7ag DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PL STE 150 PV GREEN BAY WI 54304-5211 3i Di~Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov ~ossroN ti5~~ Scott Walker, Governor Laura Gutierrez, Secretary October 19, 2017 CUST ID No. 226900 ATTN: POWTS Inspector 4 9 C ZONING OFFICE SHAUN R BIRD ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017-6409 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/19/2019 Identification Numbers Transaction ID No. 3005844 SITE: Site ID No. 843924 Dennis Dickinson Please refer to both identification numbers, City of New Richmond above, in all correspondence with the agency. St Croix County SW1/4, SWI/4, S24, T3 IN, R18W FOR: Description: Gravity In-Ground (Employees & Floor Drains) Object Type: POWTS Component Manual Regulated Object ID No.: 1731967 Maintenance required; 153 GPD Flow rate; 110 in Soil minimum depth to limiting factor from original grade; System(s): In-ground POWTS Component - Ver. 2.0, SBD-10705-P (N.01/01, R. 10/12); Commercial System, 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. The owner, as defined in chapter 10 1.01(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: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Prior to construction of the dispersal area check the moisture content of the soil to a depth of 8 inches below the system elevation Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil Proper soil moisture content can be determined bang 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. • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. SHAUN R BIRD Page 2 10/19/2017 • Verify property line(s) prior to installation. • The system was designed to meet the influent quality defined in SPS 383.44(2)(x). 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 Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval 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. 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 &ea l This Amount Will Be Invoiced. When You Receive That Invoice, Tim Vander Leest Please Include a Copy With Your Private Sewage Plan Reviewer, Division of Industry Services Payment ment Submittal. 1. 7633 (920)492-2214 , Monday - Friday 6 am To 3:30 pm tim.vanderleest@wisconsin.gov SHAUN R BIRD Page 2 10/19/2017 • Verify property line(s) prior to installation. • 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 Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval 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. 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, Tim Please Include a Copy With Your Vander Leest Payment Submittal. Private Sewage Plan Reviewer, Division of Industry Services Wyment S code: 1. 7633 (920)492-2214 , Monday - Friday 6 am To 3:30 pm tim.vanderleest@wisconsin.gov V Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 9/27/17 Owner:Dennis Dickinson Location: SW1/4 SW1/4 S24 T31 N,R18W Hangar 20-3 New Richmond Airport Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Leaching Chamber Cross Section 4-6. Maintanance and Conti g ' cy Plan 7. Filter Cross Section Attachments: Soil Test Signature License number #2269 27 Z PROJECT Dennis Dickinson System PLOT PLAN ADDRESS 7000 Beach Plaza #801 St. Petersbura Beach FI 33706 SW 1/4 SW 1/4S 24 /T 31 N/R 18 W C it y New Richmond COUNTY ST. CROIX SYSTEM ELEVATION 91.3/1.2 5' below grade 9/25/17 DATE GPD 153 CONVENTIONAL XXX AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 800 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 451 # of chambers 22 ,BENCHMARK V.R.P. Top of telephone box ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Scale = 1/41, = 10, 2-3' X 46' Cells with >3' spacing B-3 Leased lot lines ❑ B-1 - Vents F ❑ ST B-2 Airport Hangar Leased lot lines 4 Employees 2 floor drains, 153 gpd Leased lot lines Absolutely no catch basins! Well is to meet all WDNR setbacks B.M.* Airport Road Tank size 2.088 X 153 gpd = 320 gallons, going to use a huffcutt 800 gallon tank Drainfield=153 gpd / .7 = 219ft ^2 going to have 451 ft^2. 11 chambers per trench, 22 chambers total ~ T Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Vent Typical Installation 96.4' Grade Vent 3' K-A-~'0~3300/3344 Septic Tank 3' 5' Long 5' 5' Long 1 „ 3 6Grade at System Elevation Grade at System Elevation Spacing 5' 2-3' X 46' Cells Same on other end Observation tube/Vent At end of cell A 11 chambers per cell B System elevations: A_91.3' B_91.2' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION Owner SYSTEM SPECIFICATIONS Permit # Septic. Tank Capacity 1 ❑ NA Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Number of Bedrooms 11 NA 0 NA Effluent Filter Model Number of Public Facility -Units ~ 13 NA I Estimated flow ❑ ~ Pump Tank Capacity NA (aver-age) d 2- gal/day Pump Tank Manufacturer I I Design flow (peak), (wed x 1.5) S aI d Pump Manufacturer Soil Application Rate ~ aUda /ft2 Pump Model Standard Influent/Effluent Quality Month[ avera ay 9 Pretreatment Unit ~ Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter O Peat Filter Biochemical Oxygen Demand (BODs) -2-20 mg/L ❑ D Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 m L !Pretreated Effluent Quality ~ ❑ Disinfection O Other Monthly average Dispersal Cell(s) Biochemical Oxygen Demand (BODs) s3o mg1L ❑ NA Total Sus ~TMGL._und (gravity) E3 In-Ground (pressuriz pended Solids (TSS) 530 mg/L ) Fecal Coriform (geometric mean) 5104 cfu/i oom1 13 Grade ❑ Mound !Maximum Effluent Particle Sue ❑ Drip-Line ❑ Other. !other. J8 in dia. p NA other. 13 NA Other: "Values typical for domestic wastewater and septic tank effluent DNA Other: ❑ NA fAINTENANCE SCHEDULE Service Event Service Frequency [inspect condition of tank(s) At least once every: 7- P tenth(s) years) ❑ NA (Maximum S !Pump out contents of tank(s) When combined sludge and scum equals one-third ('X) of tank volume Ilnspect dispersal cell(s) ❑ NA At least once every: month(s) year(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every. ~1 1 in O NA r(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) f=lush laterals and pressure test ❑ Year(s) ❑ NA At least once every: ❑ month(s) ether. 13 year(s) NA At least once every: p y oe~n(S(s) I NA ether: MAINTENANCE INSTRUCTIONS !Inspections of tanks and dispersal cells shall be made `by an individual carrying one of the following licenses or certification : ster [Plumber; Master Plumber Restricted Sewer; POWTS Inspector, POWTS Maintainer, Septage Servicing Operator. Tank insp ons must iinclude a visual inspection of he tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the plume of iDombined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s shall be i,visually inspected to check he effluent levels in the observation pipes and to check for an g of on the u surface. The ponding of effluent on the ground surface may indicate a failing condition and requires heImmediatetnotification of the local I~egulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (36) or more of the tank volume, the entire ntents of I:he tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, isconsin Administrative Code. All other services, including but not limited to he servicing of effluent filters, mechanical or pressurized components, pre ent units, land any servicing at Intervals of 512 months, shall be performed by a certified POWTS Maintainer. Ik service report shall be provided to the focal regulatory authority within 10 days of completion of any service event. 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 or other ch icais th0t may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the cwtt is of thin tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess ter will ble discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and tray result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring r to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore at 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 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 a POWT13: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; fours 'on dralin (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; paint producils; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following; steps shall be taken to insure that the syst is properly and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filed 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 7e compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil abso bon systeim. The replacement area should be protected from disturbance and compaction and should not be infringed up by requirled setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will resu in the neled for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply ' the rule$ in effect at that time. A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS echnologN a ding tank may be installed as a last resort to replace the tailed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and s e evaluat&on must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may instailedl 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 a infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYG N. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS _ I I _ POWTS INSTALLER POWTS MAINTAINER Name Name Phone - Phone J i SEPTAGE SERVICING OPERATOR P MPER LOCAL REGULATORY AUTHORITY Name Name L9 Phone l Pt~ane 6 This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wsconsin Administrative Code. ~0 C 1 "C t ' g s N A 1 n o. 3 I- 1{ s i _ Y i Il~r ri i 9 4 1- v h M O p P C O ~ : Y C1 m _ i Lf i I s D o U. S1 Q co m. Q a U C 0 I ~ 1 j I I ST. CROIX COUZ+ YY SE MC TANK MAMENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerrtBuyert~: lvMailing Address r. Property Address (P7 -S-- SLo~~ + ~ z c3- 3 , t lew c) kemo"d , ~S S a 17 (V~ required from Planning & Zoning Department for new constuctim) CitytStste P=el Identification Ninzlber LLG" ES ~ G+y Property Ltzt:atozt 5~ 14 1/4, Sec. Zy T' 31 ITT R I W, Tin of dew Qtckmenj Subdivision 1JuLw Z o, ; b~ pin t Flo t L, +l ano~~ r ~4 t e , Lot # Z© - 3 Certlied Survey Map Vulruue Page # Warranty Deed # Volume , Page # Spec house yes na Lot Sine; identifiable CY08) no MU M Mt!!IlV"TENANGL AND OWNER C__MCATION ImPmPer use and mzkftnam of ycw septic system could result w its premature flail= to handle waabes. Proper com oats ofpumpwX otrt the septic tank, every tbree years or sooner, ifneeded, by a licensed pu Mm. What you pat mto the sYd em can affect the function of the septic tank as a treaboent stage in the waste disposal system Owner mabotimance respomst'biiities are Specified in §Comm, 83.52(1) and in Chapter 12 - St. Croix County sanitary Ctndinaace. 1U paeperty o'wna pgrow to submit to St. Croix County Planning & Zoning Department a c ttificet m farm, signal by the owner and by a mastex Vhwmbw, joaweyamn Pte, restricted: plumber or a lamed pump verifying that (1) the on..eita Wastewater disPOW System IS M proper operating condition en& or (2) after u pion and pu mpmg (ifnecessary), the septic tank is less rhea 113 fall of du*. Ih-, tin unde~d have read the above requirements and agree to maintain the private sewage disposal system with the standards set firth, herein„ as set by the Department of Comm = and the Departinm t of Natural Resou=46 SCate of Wisconsin, Cordfication stating that year septic sysb m has been msi=ir be coiWleW and returned. to the St. Croix County Phu wing & Zoning Dep~ment within 30 days of the gave year expiraft . I/VM oe~3'tbo 411 its on this sm= are to the best of my/our k•.aowledge. Uwe amlare tbo owuca(s) of the property desctrbed abovei by virtue of a ~varrrraty deed ded in Register of Deeds {3ffice. Number of bedrooms A~ j SI F I ANTS} DATI-_ ***Any h6rmatioa that is uriarepresaated may result is the sanitary permit being revoked by the Planning & Zoning Dgmrtm= Include with this appiiOWM a Mcordad warranty deed from the Register of Deeds Cffm and a copy of the certifM survey reap if referrence is matte in dine wanuty deed (REV. 0&" 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 Dennis Dickinson, 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 3, Row 20 of the Airport Layout Plan - New Richmond Regional Airport. Leased Property equals 14,400 square feet (120' x 120') 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 $1,440.00, 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. 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. 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 Inspect: 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. S~gn : 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. 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 rport, the execution of which the airport, Wisconsin relative to the operation or maintenance of th 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 31 _ day of (.f o ~ 2016 , in the City of New Richmond, St. Croix County, Wisconsin. LESSOR: Michael Demulling Airport Manager LESSEE: s 4Dicson 5 Ryan Yarrington From: Mike Demulling <mike@nrairport.com> Sent: Wednesday, November 1, 2017 2:52 PM To: Ryan Yarrington Subject: Re: Hanger 20-3 Septic location We're good to go on the location. Thanks for calling! On 10/30/2017 12:28 PM, Ryan Yarrington wrote: > Hi Mike, > I just wanted to verify that the attached map with Hanger 20-3's septic location is ok for Dennis Dickinson. > Thanks! > Ryan Yarrington I Land Use Specialist > 1101 Carmichael Rd I Hudson, WI 54016 > 715.386.4680 1 ECEIV D C Ji I -9 - / ~ -;VY Wisconsin Department oQ2 6 2C 9QMZC6MBP9ZC ►RT Division of Safety an Page of M`."t4M1X COUN. r rice with Comm 85, Wis. Adm. Code ,'OMMUNITY DEVELO CountK- Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must J :=dude, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Paroel I.D. Z r - 66- Please print all information. Revie by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location ~ t P Govt. Lot, 1/4l4 T N R E (o yy roperty Owners Mailing AddreLot # Block # Sa Name or C-SNW City State Zip Code Phone Number City -1 Ir" e Town gReplacement l. 9 Ne/a'+rest Road PA t /`ff Co=sttic~on Use: ❑ Residential Number of bedrooms Cade derived design flow rate 7GPD ublic or commercial -Describe: Parent material t Flod od Plal elevation if applicable able General comments and recommendations: 6 5 l [r L c✓ 7 / t: System Type / p ' f'e/P . + sl, v System Elevation F1-1 Boring # El Borings/ 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 3 s / r r~ 01 rt a Boring # Boring Pit Ground surface elev. ->ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Z ' r q, to I Rn Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 • Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print)' ature CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address y~ Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, WI 5401 / 715-246-4516 Parcel ID # Page of Property Owner ❑ Boring a Boring# Pit Ground surface elev. I > ft. Depth to limiting factor s--F--i-_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •E GPD/ffEff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. z- Z 6.. , ❑ Boring # Boring F-1 ❑ Pit Ground surface elev. ft. Depth to limiting factor )n Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff Gr. Sz. Sh. 'Eff#1 'Eff#2 in. Munsell Qu. Sz. Cont. Color F] Boring El Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil lication Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Bourxiary Roots GPDM Gr. Sz. Sh. 'Eff#1 'Eff#2 in. Munsell Qu. Sz. Cont. Color Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30:< 150 mg/L ' Effluent #2 = BOD5 < 30 mglL and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (8.6/00) Property Owner Parcel ID # 13 &,Yft Page of Pit Ground surface elev. Depth to knifing factor 1 f y in Horizon Depth Dominant Redox Description Teft Structure Consistence Boundary Roots SoH GPD/ff? Rate in. MunseA Qu. SZ. Cont Color Gr. SZ Sh •Eff#1 'Ef(#y 71 -Y7 16 _9 o Boring# ❑ Borirv ❑ Pit Ground surface eiev. ft. Depth to fimbV factor in. ! onzon Depth Dominant Cokx Redox Description Texture S0a Rate in. Munsefl Structure ~ Boundary Roots GPD/iP " Qu. Sz. Cor-& Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Boring # ❑ Bong ❑ Pit Ground surface elev. ft. Depth to lkniting factor in. ~n Dw*wIt Colo, Redox Description. Texture Structure Cor>sasterioe Boundary Roots Sod Application GPD/fe Rate in. Munsell QU. Sz Corti. Color Gr. SZ Sh. 'Eff#1 VIM Effluent #1 = BODS > 30 < 220 niWL, and TSS >30 < 150 mglL ' Effluent #2 = BODS < 30 nv& and TSS < 30 mglL 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. SBn4330(R.6,W) Soil Test Plot Plan Project Name Dennis 1 me Dickinson Shaun ird Address 7000 Beach Plaza #801 St. Petersburg FI 33706 '?f Lot 20-3 Subdivision New Richmond Airport S #226900 Date ~P//25/17 S W 1/4 S W 1MS 24 T 31 N/R18 W City New Richmond Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of telephone box System Elevation 91.3/91.2 *HRpSame as Benchmark Scale is 1" = 40' unless otherwise noted 0% Slope Scale 10' B-3 Leased lot lines ❑ B-1 B-2 Airport Hangar Leased lot lines 4 Employees 2 floor drains, 153 gpd Leased lot lines Absolutely no catch basinsl B.M.* Airport Road