HomeMy WebLinkAbout261-1211-10-000 (5) 7-1
Wmcpnsn 11epMmenl of Cormxn're PRIVATE SEWAGE SYSTEM t"OO`.ry St. !Croiiox
e!B. J",y INSPECTION REPORT Santay Penmt No
GENERAL INFORMATION (AI TACH TO PERMIT) Slate P,n IU Nu.
_ 5876P.rrz,.J 1,Io,mMnn y , >,woe "cry us used for seconna,l' PUMOWS IPrrvaay L.m. 5.15 dd C r(m ]
Pe„u t HtAl, Nmnn Cdy Vdlalri' Township Parcel Tax No.
City of New Richmond (Robert Lasky) CITY OF NEW RICHMOND 261-1211-10-000
C-1 HM EI"v. Insp. BM I I" DIA Dex.....
SaAionRO..nRarge+Map No.
TANK INFORMATION ELEVATION DATA
TYPE MANII CTL • J CAPACITY SIAIION BS HI FS ELEV.
O
Suplw Beln:hmark
Dosing Alt. BM
Aeration Blag. Se%v,
Holding `f/ V Q O/Y~ SU•ll title[
~J l•`J
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO PiL WI=Li BLDG. Vent tr; F" Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing Header/Man.
Aeration Dist Pipe
Holding 1 I r ( f But. System PUMP/SIPHON INFORMATION Final Grade
Manutstcturer I''PMnd St COVOr I I 102-(b Q
ul
Model Numher
TDH Lill I ncbun Loss System Hued I I)" Fl
Forcernan Length Dia Dist M Well
SOIL ABSORPTION SYSTEM
SED(TRENCH Wdlh Lc,gth No Of Trer es PIT DIMENSIONS No Of Pm: Ins,do Da. yuiJDuph
DIMENSIONS
SETBACK SYSTFM TO P/l BLDG WELL LAKE/ STRFAM LEACHING M:u"A:"J.am
INFORMATION Type O/ `iyslem CHAMBFR OR
UNIT Mo(kd N"mcor
DISTRIBUTION SYSTEM
Hensimamxdd Dlslnbuuon z H,r; Site z Yolu spaci.4 Vent to Ax intake.
LeNll, Die Lomth _ Dia Siumi•,p
SOIL COVER x Pressure systems Only xx Mound Or At-Grade Systems Only
Depth (Y o,, Ueplh Ow•r zx Deph, of zz SO"d,,dfSodded zz MUIChed
Bed.Trenm Center Bed' l rerch l dtlµs Topsoil Yes No Y"s No
COMMENTS: (Incr,cle code discrepencies, persons present, etc.) Inspection #1 1 Inspoebon 02.
y~ a ; n
Location: No Address Av a I III 111
1) Alt BM Description
2.) Bldg sewer length = 1~+
- amount of cover -
Plan revision Required? ~ Yes No 7 22
Use oute, side fur additoiral information.
SLID -6110IR V17j Dale IlL4epdoYS 1 tore Carl. No.
RECEivED - Sint -I? c ~7
1 i+ m yl
~a •l iU ~E Safety and Buildings pnaswr!\,>•
sI. DS• 201 W 'Nashingtor. r ' Bcx try[ SmnaF-•'enui. Nrmx. ,la lz it4ti m D! Co
O IX GGUNIY Ma'I's,ol VV <
M12SXKP ✓$9 7G~
alt TSa:1Km uvu~c
TY oe Sarlian Permit Application 3A1p i[-
m xardaa..r NM JI2 Rl h I Wis AJ3 c Ac obmu lot A at is (earl it, the appropnIDc mctmra;al wit Na / _ _
l rr I-.lire pnnl i -..arrlra• a >dll A_' Ct>:ul \ tc. 4:yv Jna t ems Ip .w[-owtxd FL..1 d.~-.nhmlaul LL r..l::a ..ddre. i.i di~rq~n ea: v.c Irwnm• a')nr~j ~
-h xpar•men \ Ielp d urol ' : rn la. Pms:md «dem._um you pmyiJe va! k for v-umA.ry I ~ I I rT• • ~a' . a/
tieax wicc Nt ,11. :1w,sl: nn ^'f
1 Apphcatmu Information Pkaae Fnnt All lvformanov
It Spt.^.! ran, sName
Nopmty ()wllr, s Mglum. Addmal '1 A - j Rnpe-.~ I.or ,x,
L l~ _ C o!t i of _
`m•. SarC ; 7.m "t PMm Numbs x (rrhm~ I
r i V' 3 For V.
IL type of Kwldmg Ichecx all thin aPDlyl
r ~ SuAlivproc Camc n
or 2 Tamil)' avclhag Nalotc of Ts u arv ~ /
_ C ff
lj:oa
blidCoamx.nd-lM-rbc l.'SC 0. r f~
~C"r.- ^ CSM Numb>r Vili:yc ni
L _
111 T~ t o Pert Il.heck only a ho: o ~ne 1. Coin Ile lin
Ype V e R if applicdDlcl -
~r -
A 4 '_d ~rw Sysrran ;iNacrrrn[ ~ysrcm ( T-omun[:H t np'tmk ft~pl "rnrne ~ mh ' tAxr Ahzlilicaum 4, Exsuog Svstrm tzp:atr ~ '
fl" F Trn KcncNal 'rwu Fo..vx Li th n, ! i rh i I f :-rr i, Iisu:u m F:w 1'0rvtuu F'vuo[.Vw iuc mid LaL• hsuui
lu. r_ _ry rnnor, ~ ~ 'ywnv
fV. Type of FOW1\ Syaterm'Comp...... D_evrce: (Chet k all thru ap~yl__ _ _
tis_Yrrs'arrcA :n.[r, aanL rocs l.vnl lr-lmnrJ !.u •rd ie i~Momui u: otsueutble wd ❑M,md<?a m. rl notable sod
Hoi:itn • -:e,k f . Un h-i"'<^I! .in.nrrt texplan). _ ae0:anirni Dca';u iexpi.ii _
A'. 6upersit7rea_tmeut Area Infonvation.--
iJr.~ v 11 v.';~d; [X ip SoJ AF.pL .ww fWclgpA:fi l>uprr~d Ar~dReauur4lst~ " C!is{ sal Arr~ ttnposcd i5f) $.rnn Ekralutn
\'L'f'avk Info i._ \apa.m•m i0tel ao! i "1-ManulAchim a -_r
lydtkac _ I :)al:wu ':wrs 'L _
CnanR C2avLr` i ~ I ,
VII. Re powibilm state t- 4 the andem_p eei, • Vd, e yo.ut.d. I., welin.nm of tin rOp TS shown tie the amachrd plans,
FI - 's has tTre~r' _ pI ave - _ MP.•NFF(~/\`//\r mbm U mweu ?h" N
-'lCs Adnns S'trl t, itxm, La ~ ~ , , II
! i
A711Flbuorvi I T.V-Mra!cEen f:e ,r1 Sn>r'.~O• e rd' _"L•vutnY. ¢I Ji N ,
'faa os [ , , pprwal
1
SeFI!; t., e'fv It 016, e,1
u~sper ! all he+i_, •S/S !
M pH TarageTen1 plar. den n E. "L 'I
tip t
2. Ad sAM& requiter. M must be rwnv lnsd
per spp6c" code l yChM iltiq. • - _ _
.awr! m complerc Plain la me »vtta. sad wamn r. ~M r naary wly ,m y.pn nm le.¢. edu E r: a 11 reetro n v»
SBO-6398 iR 11111
i
System PLOT PLAN
1'RoivcT Rooort Laskv ADDRFSS 1006 4th St. South Stillwater Mn 55082
SW 114 SW II4s 24 a 31 N7R 18 W city Now Richmond cottNTt' FOLK
SYSTEM ELEVATION TBD 7110/16 51
DATE GI-11
CONN FNTIONAL CONVENTIONAL LILT HOLDING TANK
MOLND SF.P'1'IC 'TANK SIZE LIFT TANK SIZE DOSE TANK SIZE:
HOLDING TANK SIZE 3000 LOAD RAIL ABSORPTION AREA # of clambers
BENCHMARK V.R.P. Botlon of Sidi ig ASSUVfE ELEVATION IOU' Filter life Filler
❑BOREHOLE 0 WELL 'H,R.P, sameasbnncnmark
Scale = 1/4" = 10'
r tt~ 11e ; ~
I cased lot .Ine r
50' Well Leased lot Imc
ml-e
B_I Lsistme Ilan gar, 2
employees 1 floor drain
40'
B.h4.*
l0' 70'
100' Airport Road
~c 2 BancllSnsta:led
I lllft'Cllll 3000 gallon
35' holding tank
Old system is
to tic pumped
] U' and huned O P Y
16
Aiipo Tasi Way
i
All piping shall be AST?s4 SIR 30!31, within 3 kZ- 2
10' of tank, piping shall he ASTM F891 } ZS
4ts
71-5
2-55
i
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi54017
715-246-4516
Date: 7,10/16
Owner: Robert Lasky
Location: SW1/4 SW1/4 S24 T31 N,R18W Lot 1 Row 7 New Richmond Airport South
System type: Holding Tank
Manuals Used: Holding Tank Component Manual Version 1.0
Page#
1. Cover Page
2. Holding Tank Plot Plan
3. Holding Ta)nK
4 Section
. Maintance agency Plan
Signature-
License numb
i I
' System PLOT PLAN
PROJECT Robert Laskv ADDRESS 1006 4th St. South Stillwater Mn 55082
SW 114 SW I/4S 24 /T 31 NIR 18 1,1' City New Richmond CODNTV POLK
SYSTEM ELEVATION TBU 7/10/16 51
DATE ATE G 1'U
CONVENTIONAL CONVENTION;U. 1,11.1 HOLDING TANK
MOUND SIA"1'W *TANK SIZE LIFT TANK SIZE DOSE. TANK SIZE
IIOLDING'IANK SIZE 3000 LOAD RA'Z'E: ABSORPTION AItBA # of chambers
BENCHMARK Bottom of Siding ASSUME Ii1,1,'%AT ION 100• Filter Lifc Filrcr
17 HOREHOLE O WELL , 11. R.P. Sam? as benchmark
Scale = 1/411 = 10'
Lensed lot line
50' Well Leased lot line
B I Existing I Ian<>ar. 2
cnlpluyecS I Hoof drain
10'
B.M."
10' 70' 100'
I Airport Road
Barrels installed
I fuf l Wv[ 3000 Gallon
35' holding tank
Old system i;
I it to he pumped
' 10 and buned
Airport Taxi Way
All piping shall be AS'I'M SDR 30134. within 3 2-(1
10' Of tank, piping Shall be ASTM F591
X$ 1155 ~
i
Single IIolding Tank Cross Section and Plan View
Plan View
Typical
24" I.D. Vent Pipe
Inlet r, Manhole
Opening
Cross-Section
_i 4 in. Dia.
. - - - - Finished Grade - - - - - - _ - - - Vent with
Min. 4" Cap 12"
Above , Above
Grade With = Ft Cover f- Grade
Manhole Covcr
Locking ~
l
Device Sealed Waicnight
i
T Tether Tank Manufacturer:
Weight
Tank ( apacity: Gallons
• Tank Maximum Depth of Bury: v Ft
Switch
: Depth of Soil Cover Over'T'ank FL
Tank Outside Dim.: Width FL, Length /J Ft,
Height Ft
Alarm Switch Tvpe: C McrcurNIX ei hanical
-
CYNERAL INSTALLATION: The tank is bedded and back filled in accordance with the
manufacturer's product approval specifications. Maximum dep(h of bury as specified by the
rnanutacttuer may not be exceeded without prior approval. Manhole covers exposed to grade have an
effective locking device (padlock) installed. Manhole covers below grade are sealed watertight. Piping at
the inlet is of approved material, connected to the tank with watertight fittings. and laid on stable soil to
prevent settling or sahging. Electrical is as per the National Electrical Code and applicable Wisconsin
standards.. Electrical is as per the Nationat Electrical Code and applicable Wisconsin standards.
03/05Igj Page _ of
FIOLulivr - TANK MANAGEMENT PLAN
This Private Onsite Wastewater Treatment System (POWTS) has been designed, and istd (SBD-10~? P
maintained according to Comm 83. Wis. Admin. Code, the Holding Tank Component
6111/1999), and the ~ > -11, Courtly Sanitary Ordinance.
This POWTS is designed to accommodate an estimated domestic wastewater flow of gpd.
2. The owner of this POWTS is responsible for system operation and maintenance, including all prov stirs in
the attached Holding Tank Servicing Contract and Maintenance Agreements.
3. Each time the wastewater in the second tank reaches a level of 12° below the inlet invert (at which time the
atam: will activat(l), the pumper fisted in the current Servicing Contract must be called to empty the tanks
contents and dispose of them in accordance with NA 113, Wis Adm. Code.
4. At each service event, the service provider should visually inspect the condition of the tank. risers eno
manhole cover(s) and verify that the alarm system h.nctions and manhole locking devices are present
Discrepancies are reported to the owner it a timely manner for corrective action. All corrective actors
shah compy with the county sanitary ordinance and Comm 83 and 84 Wis. Adm. Code.
5. Ali service events or inspections of this P01NTS shall be reported to the county within 10 business days,
6. The owner may not remove any of mite wastes from the holding tank(s), or cause such wastes to be
removed by any person not authorized to do so under Ch. 281, Wis. Statutes. The discharge of wastes
from this holding tank to the ground surface, including intentional discharges and discharges caused by
neglect, constitutes a failing POWTS and may result in issuance of correction orders or a citation by the
county or state.
7. No one should enter a holding tank for anv reason without being in Cult compfiance with OSHA standards for
entering a confined space. Tiro atmosphere within these tanks may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
8. In the event that this POWTS fails and cannot be repaired, a code compliant replacement holding tank may
be installed in the same location (a now sanitary permit is requirod Irx such a replacement). Connection to
municipal services would also be considered at this time if they are deemed available to the property.
9. If this POWTS is replaced, or its use discontinued, components no lodger in use it shall be abandoned in
accordance with Comm 83.33 Wis. Adm. Code.
10. If there is a problem with, or question about this instal , the following persons should be contacted:
/
a- Installer Phone: J/) L-
o. Service Provider c ~ Phone: y 7
c. Coumy /inning or Health Dept.,-,1'~ Phone: - i
11.
Project
Tramaction Number.
Chu:umerd Mumuer 11nciment Title
St. Croix County
Holding Tank Agreement
!Permit Number -
Name -(()is ner)'I N ped or printed
bciug duly Sob ono , sldtes, Ohdcr oath, than.
A 4C i6 :1 ✓ A, "ia✓ - j LI L.
She is the (loner+p 1 f uwnet Oi the 1i111(Icyu>ft-pant!id land
rated in tit ('runs E «ur 14'i ccilydcd ill
Volume
u' e _urrmtSiTC'umhe~-
~iiir('CT 0112111011 A'lllU(I 11'. Ih(~u✓ ( I. (stthe yC✓S . ofsec'tnlll hiarn mn and Raked Adorsss
. .
NL,t✓_ ill-1cryricxic tit. Croix Counly. Wiscunsie, heill, C
IIIIY dest:rihed at, G11IoX%S (include not nu, and subdivisitim(NM or -
Jctailai legal (lesaiption):
I,- C
Perta! IdenltLcaUOn Aa.nihc IPINI
rtgrosmull (late:
'ytin acknuwleoge 11.01 application is Won .made fur !Ile nlslallepon Of'aholding tariffs! on tilt above described property or [tie[ coWilnred nee of
the existing proposes requres that a holding lank be visioned ou the mopefty for the purpose of proper containment of sewage. Also, Ih.6 uropeay
;annot uuw be served by a munld:pel sewer, of any Omer type of private onsite wastewater !neabrlent sysle n as permitted under Ch SPS 383, i"na
Arm. Code or 1.1. 148 Wi.4 Stall,
AS an inducemem to the county :n issue a samtary permit (of the stove dasckbec property, we agree to du tire follovong
I Owner agrees Iu uunifuma to ali applicable lenunenot of Ch SPS 381 'Nis. Aid,., GoJe !elating ',o holding ranks If the owner tit: is to he
[tie folding lank properly servicud it response to o Jins boned by the governments; unit nr the Department of Ccrimarce to prevent Cr aba e
a hurlan health hazard as descfited in a 15499 Spats. the governmental unit jTiri may anler critic, the property and service It's lank ni
cause to nave Ine tank to lye se^:ICed aril change the most, by placing the charges on the la:•: o it as a special assessment for at ie !
servlces rendered The changes wrll le assessed as prescribed by s. 88.070]. Stars
r Tl> owner agrees, pursuant to s SPS '$.1 54 i2 l and SPS 381 4013j(e), Wo, Adrn Code, Ic. have a water "who Io618100 n the stnraur
llte water mater shall be installed by a plumber authnrrzed nv toe C1BPSFJTellt to make Su Ch Installations, with sold Installation COmplyh'.5
with State regulations and manufac.turefs speuucutlmrs The owner agrees to W financially responsible for the purchase mstallafi":-
maintenance , and repair of !illy Asian meter, and agrees to alln.v the gnvernnlenlal tint or the Department of Commerce to enter the above
described property oil a +egutat basis to lead and/or inspect the water nlelnr_
3. Owner agrees to pay ao cnsrges and ccs!s incurred by rim govanmlentat urn or county for nnspactron, pumping, naul,ng, or otherwise
se•v:cmg and maintaining the licking tank In such a mender as to prevent or abate any humac health hazard caused by lire holding lank
I he governmental unk shall booty, the owner of any costs 'Mitch shat! be paid by the cwher wlihio nlny (30) days from The date of notice It
the event he owner Joss nor pay the costs within lolly 13D) days, the owner specificatty agrees that all the coals end charges may be placca
on the tax roll as a special asaesorent fin me abattnlent of a human health hazard and the tax analt he collected as provided by asc.
4 The owner agrees to coma! with a person wo,i is licensed under Ch NR 113, Will Aonl (:ode to have the holding lank serviced and to ilia
a. copy of the contract with the govemrnental unit The owner, further egress to file a copy of any cfarlges to the service Wnlracl• or a copy it
it new service cnntra^f with this governmental unit within ran (rip m:smess days from the date of change to die service wolract.
Tile owner agrees In contract wilt) a pe•son licensed under Gil NR 1 - 3, Was. Adnl Code• who shall submit to the county on a semnannim',
hasis a report detailing the serv4cng of lire holding tank The govemmentai unit or courtly may enter upon the prelpery In inveshgats it,,
cuadln0n of the holding lank when pumping reports and meter feedings fully indicate that the holdnvg tank is not Win; Property Maintained!
5 1 his agreement wit remain in effect only troll the courtly of/ice responsible for the regulation of private ons,b wastewater nealmeul lysbm
certifies that the poi Is sa•CP1 by ti!-er a utum"pal sewn: nit a private ons!ta M454ewat0r treatment system that complies witr,. Ctn. C,r
C1. Was Adm Coda In addition, thus agreement may be cancelled by executing and recording said ceddtcation with reference to Ihm
ageemenl to such manna' which wt I permit the existence of !be cerdication to be detemansc by inference to the property
I •ua agwe•nent strait be binding upon 'tie owner the basis of the owner, and assignees of the owner I he owner sl all submit tors agrbenl6N.
to the register of deeds and the agleernent sheI be recorded by the negisler of deeds in a first lie, which AIR permit the existence of IhF
egfeemenl to be delaranned by relater co to the ;aopecy where the holding lank ~s insisted
T 'she lS the ownu•lu~ t~utier of file Iollr,•t UWIi TCCT of land
sled ill Si. Cn) k if urrirr, rcc(;rded in A'ulunfe
I~C__ ~2usnmc4SC ro11 ~ ~ C'uwuy KegMCI
1 s Owe:
\ pmce.l Ut lahul located fit ih6 v/ r;'~ l)l (Ilia Jp✓~•4 pl Sl,ellull Nanre and Relurn Address
N -k
) < W, Ibwn of
Nrly" d-Icrvnf.)N St. CrtliX ( `ounty, WiSd d lsin, 1),i
n v described s lbllnws (include lot nu. and subdivisioll'I'SM oi.
elailed I gal de5a'griid'1f1: G)I srl ,i 0 L'_~ _ -
ly r a Parce~ Idanlibcabon Numoar (PIN)
Agreomenl Date; ~~`•tu T 1'lA-vr ,L/ice. Lt/ /,IC~f.'"n,;,t,rt^
n n
adcnowWdge that apphca ion. Is hang Ilede for g m allaton of tat nr ling tank(s) on the eoove described properly or that continue) uuo of
Iho oxublig pfamiees requires that a folding enh tire installed cn the Inrpedy for the pittrose of proper costalnmenl of sewage Also. the property
-%aopul nusv be served by a municpal sewer, of any other type of private onsite wastewater treatment system as paundled ender Ch SPS 363 Wis
Aom Oode. or Lit 145, W S Stets.
As an 1Pdm:eoert to the county to issue a samlary pefm4 for Ibe above-Oese:lbed properly, we agree to do Ilia fcolOwing
I Owner agrees to umfonn to all applicable nequnemenls of cn SPS 363, Wts Adm. Coda totaling 'o holding tanks If the owner faits to have
too holding tank property servwad in mspul sa to oudars iforded by the gcFa fenentai unit or the Uepsdment of UQfnmerre to prevent of abate
a human health hazard as described in a 254 Stars the governmental unit [Town) may enter upon trio property and serves the tank ar
cause l0 have the lanx IC be serviced and rhsrge list' owner ty piecing the charges on tie tan. Uni as a special a9Sessment for .kjoeil
services tendered ]'to charges will be assessed as p!ascrlbed by a 66.0;U3. 51ats
Ine owns' agrees, pws.ranl to s SPS 20344 .21 and SPS 362 401 t)re), Wis. Awn cure, to have a water mete! Installed in the slrm:lura
T-'e v+als mare! shall ut, installed by 4 plumber lut henoed by Ibe Lisloartmeot to make such installations, with said instellalen complying
.,l. Stale regulations and mandlaclufars Sort Get ans. the owner agrees to to financially responsible first the pomhnse• installation
is Flu nonce. and repair of Ine water meter, and agrees to allow the govenuori nlal unit or trio UepaTruen• of Connnefce to enter Ilia above
cob.'' Mr' pfvpe Cy 09 a regular basis to fetal andfor ollpacttne Wae+ dialer.
Owner agrees Ic pay all charges ang Wsls hlutowd by ;he governmental unit us wooly for Inspeti- iq pumping hautng, or Otherwise
serncirrg are inalntaurng the holding look in such a manner as to nrevenl or abate any human health hazard caused by lire holding lank.
Tito guvenaneoral unit shall Tur the Owner Of any crisis vetch. It is be paid ny the owner wdhin Porgy (30) do)$ f•oul If e dale of notlca. In
The evorl the owner coos not pay the costs wilnif lhnr; f30i daub Ile oxnef SpeCdtcaiv agrees it.at a'.1 the CoStS and changes may be plural
1n1 I•e tax Full as a special assessment for U:e ahaterhant of a human health hazard, and I" tax shall be collected as provided by low
4 the cwner agrees to "'lott'o with a Penton who n Iroosed under Ch NR i l?. Wns Adm. Code. In have lee holding tall, servced and to for-
• ropy t'f ita Comfort with the governmentat firs Tie ow-lar lorl'mer agrees to fie a copy of art' chs•yes to lire service contract, or a goat' cf
a new sernca contract, with the governman^.al unit wyhin ton 110) ousiness days from the date of pangs, to tie service contract.
5 The. Owner ag ees In contact with a person hcensat under Ca. NR t 13, Will Adm C
,ode who shall submit to the rAwnly un a sennannual
boots a repull delelhno the servicing of ma folding tank TPe govei unenlal una on county may s,nren upon the property to Inveal;gale 1•R,
condition of the hotdptg tank when pumping reports and meta' readings may Indv~ale that the hoeing tank is nil being proper') maintained.
6- This, agreernenl will rertaln In effect only until The "runty ofl,ce responsible for lie regulawo of private Gordis waslewale: treatment syster s
c rdNes that the property is served by either a rruNppal sewer or a private onsee wastewater toatmort system "tat complies with Ch. Comm
63, Va. H1m. Coda I'l acrnt. rri !Flt ogreament may be r.intlited uy exet,ehng and reuurdinq sets) certrfcalloo with reference la [Iris
agreemenl in such manner which •.vdi pent-rl the existante of the c*TBcabon to be oolonnined by reference to the popedy
I fits agreement that be boding upon thu owner, Ilia heirs of lire owner one assignees or The ovrrer Use owner shall Submit this ag,eemsnt
to Ilse register of deeds and o:e agreement shall be recorded by he register of deeds in a rnanne' which wit, pemdl the existence of (be
agaemem to be delennoed py reference to the property where ilia holding lank is iislallerl
Oweerls) Name(s)- Please Print
Subscnhed and SWUM In before ma un this data
-
~Wr?xYGi 1!(~1/~ LAsF7
I
NdenzM O
~ Notary Public
It I. wner g Si sal et'; - - ` -
~
f N e,
My Commission Expires
Govemmental Unit Offiual Signatire Dialled by - - -
Performed inforrnaf yo.: provide oar be daed to, secondary purposes (Privacy Law a. 15 04(l)(o)J
-f ITS PAGE IS PART OF TNIS I. EGAI DOCUMENT -DO NOT REMOVE"
ns vii ihr;al rr yl Lrr mwoferd by Snbowbo, gkXQl117Rf fyYf )Iii of tt r iron ? I, IIecS hnY F N fl1 •eyu..,,11 Other rJu nnflc+, bu,L as Ina
„ . a,ro: n,.r r ~•s (i: bi Uege i,l f9u r.;;'rr ~i .fir^~. c... !'o
NIT 11C ur I IULDI G LA\h 5H RVW1.NG CO\TRACT
„ntmc! Cale
Tank 'Jwne r',S) •v3nil;(sj r cnC Pu nU~'>Na:
IW6-e~Y pc:.~i~
77cK 771c:h e inset A c•i:) c ria .P:ic tarsi c 'he' ;~5~;ropem;-j[i .IT 14, Zd r _ G~t.~~5/Q_-L✓1__ iU~ ~ ~1.i1_' 541 '~l
- Eat,-//~'
~t yiJsGC ' Lk, b r -1 l1+r~ ~1_ --1 L -•J L.t ..-:1 _ - _ _ _ _ - - _ _
I. The o,an_ -;aL2 ce't^ Clc a cups , ci; I. t6, , : ,cnrucn ul u;v r „ C„•.,n ,
Planning Zoning Depiulln t ai°wn: a r ;.,tcu:~ c t 5 [c:Titicd >cptaeo su-k l t, Ig uf~er a:
, _yutrcd iu Comm S2.5_'t I h,( Nis, :U:1.- i and ap, roved c'omponcnr Ntanuai
l lie owner ag:ees to acre ;hc scare Il iJm_ tnnk, sl scrvtaed h, C)c ;nJe•rsier. ea poutper and gu::rn.,:
.-rmi; rhr• n( liIii ro bare acre>s a ld Ili cn:rr apon the p-.:pen,y for the : ui of sea r: ing the
pncrl oid:ng tma'r.;sl. fhe own r a gees i<, :iamiam,, tare aa(css road or d: i,e so that 0e pumper c:.:
I :I. c the srpuc'hn:dmk :anki > a t'L the pumpm, eyurpmcnr. The o., ner fur,her aerces tl I:af Ili
un:pcr for all cLurs s incurrv,+d in scn lane tae ,cpGC11 ,.din, tac!;i:.; 2c mutuaih aer:.c:i ulroo b} i
.;•:ner and ptui
T 1-.e pumner agrees to Submit to the Iota: goveTmeota unit (St. Crnis, C'kii a %pon for the S; r.
.'i. 101)6.!'m ding r„ckl3! on a monfnh basis ;'hc puni [u:rna asccs to inda.ie Me : i:_•n _
-n. ...I} rcpor-'
I he can, nnC adds th_ pcrsou resp.uo-t;c io: xv-•ioin,• tnc scpnc iaatdu:c tesi
Tae name o the owner of tine sept;c'hoh:mn : tzuk:
The loasoo-. of the rronertp on wl.:ch ih; xpric:9ri tank, IS instaiicd:
TI I,- sa:ntan perm:; number issued for rt.e seers h.ddinc rank i4JOVT'I.
T7s datcs on s, hi e:, :he sgmc'hold mg ta::k was ser'•'iccd.
T'ne , (d am in gaiions of (lie Cori tent. pu npeC from the septir'ho;jirg tank for each sereic:r L-
g. 11le A, pn.,a s¢es io which me rents :rom !6c scp:rc'hotdmg rank ,were cahwcrcd.
-i a:; agreement tr,I! reman•. ❑r etlc"t wt:i! the ow ner or umpc: termmmea this curtract. In thc event _ t .
Thai u; this contract the oaa •te agrees tt r , - an ..anngcs to th.s sea -
ca Senaoe conuZi %k ah the Ioual E .:r,r.n r , t r.it :mince ani ";thaw ten 1111 k u;,nc:.s ij rl.n.. III,
of challcoe to ttr;S 2R'ie[: COaa'aa.
Nc.^mejs9 (print; ~C)s4n r C.'At ey5, SCDSCf!ht9p -t7 S,vOrn Ga. nag Ofm !his CatB'.
L.CA
:i Today S Datc
1
'ump~r's Namc Ipnrrti ''Petri - Siunatire notary PLbi,c Signature
Fcmpes pstrit her j rtrnitisot Lill
14
1s38
Transfer of Lease Agreement
Thic .AFrcenmttl is hr the transfer ol'a land lease from James E. Rusch (Original Lessee),
res)(111W at 95_ 155th Ave New Richmond, WI 54017, to Robert C. Lasky and Reeve M. Lasky
!New l.escac), a married couple residing at 1oo6 4th Street South, Stillwater, MN 55082. The
hind involved is Lot I of Row 7 of the south hangar section on the New Richmond Airporl, New
Richmond, WI, specifically that part of the S Y, of the NE IM of that part of the N b2 of the SE 1;4
of Section 25, Township 31 North, Range 18 West. It is the first lot immediately to the East of the
lield's rotating beacon. Parcel Identification Number is 261-1211-10-000. This Transfer of Lease
Agreement is the result of the New Lessees purchasing the hangar located on the above described
lot from the Original lessee in a separate purchase agreement.
the lease dated between the Original Lessor, the City of
New Richmond Airport, and James F. Rusch (cop) attached) is being transferred to Robert (
Lasky and Reeve Nt. Lasky as of the date Of execution of this Agreement. All original conditions,
terns and financial obligations set forth in the original lease will be obeyed and adhered to by the
new Lessees
Original Lessee agrees to transfer the lease with no exchange of funds from new Lessees.
1w lease is presently paid through the end of June 201 1.
If this lease cannot he transferred, the Seller agrees to allow the airport to apply any credit
:n the Purchasers' new lease.
->sf1!I1?G ,7 i
James F. Ruschh
e~ _
Roe C;, Lack
y
Re %l La, 'c -
ETA IF. uF N'IS('ONSIN)
iss
St. Croix County 1
Personally came before me this-~' ^ t day of n 0 12, the .
L,above named persons, to
me known of verified to be the individuals "ho executed the forgoing Agreement and
acknowledge the carne.
NNI tY ~ ~ Notan Puhlic
un1nnCti
~fl 1 q qj-
,T A~/Bt-N .2` Printed nanic
OF y`,!3 MN Cortmi,slon L.¢ r,m: -
lhi~ I rzt[Mcr O I ease ;11[rerment sccLe lted h\ A4ieh.al Demmcling in his capacity as ,ai po
%Ian~er, lit} of NoN Kichnicmd, WI.
%Wlacl C. Demmuling Date
HANGAR LOT LEASE - NEW RICILMOND REGIONAL AIRPORT
THIS AGREFMLNT, trade and entered into on the (late indicated helow by and
hcucccn the City of New Richmond, State o1 Wisconsin. a municipal corporation,
hereinafter called the Lessor. and Robert C. and Reeve M. Lasky, hereinafter called the
I essee.
WITNESSE Ill:
W'HF.RFAS, 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 laid 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 1. essee will use the below described property for the purpose of
staring aircraft and shall conduct only such aircraft maintenance on its owu aircraft as
prrrbrmed by the Lessee or by regular employees of the Lessee.
NOW, I HER6kORF, for and in consideration of the rental charges, covenant,,
and .;;,,-cements herein contained, the Lessce does hereby hire, take and lease from the
Lessor and the lessor does hereby grant, demise, end lease unto the l essee tire foflo%Nin,.:
premised, right. and eausnents ~Itt and !o the airTmort upon :he following tern:, and
conditions
Pr. ,crR De.rri Hio:r. I t. KOO 'It t
l:c AirE)Ort La~oui f .an - I~cw
Richmond Regional Airport. I-eased i'roperty equals ;696 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 ofthe 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. Terns: The term of this (ease shall be fur a ntaxinmm of twents ('01 se .rs
Comnrncing on July 1, 2010 and ending on June 30, 2030.
4 Kent: the Lessee agrees to pay to the Lessor for the use of the prcmucs.
rights. and casements herein described, a yearly rental of ten (10) cents per square blot
for the land leased, for a total annual charge of S769.60, payable on Jul) I annually. 11. 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 tease, provided
that arty readjustment of said present rates, or as same may be amended hereafter, shall he
reasonable.
t
Novi-LxC,U~INC II NC. Iac Lcsscc -Shull bare the right to the non-cxclusi~e usr.
„ ::anon with others. of the airport parking areas, appurtenances and improvements
~lIcreon: the right to install operate, maintain and store, subject to the approval ofthe
i.essor in the interests of safety and convenience of all concerned.. all equipment
necessary for the save 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 -or
the taue-oft, flying and landing ofaireraft.
6. Laws and Reetuations: The Lessee agrees to observe and obey during the term
1f thi. lease all laws. ordinances, rules and regulations promulgated and enforced by the
Lc<sor. and by other proper authority having jurisdiction over the conduct of operations
o the airport. The Lessee acknowledges receipt of a copy of section 14-101 through 14-
1'h of the Code of Ordinances for the City of New Richmond
7. Hold Harmless: 7 he Lessee agrees to hold the Lessor free and harmlcs, fmrn
lo's from each and every claim and demand of whatever rafure made utxm the hchal i of
nr by any person or persons for any wTongfal act or omission on the hart of the I_.essuc,
hi agents or employees, and from all loss or damages hN -eason of such aces or
emissions.
8. Insurance: The Lessee agrees to maintain cwrprehcns, \ c laability insurance
th; the leased premises and he will deposit with the Lessor a policy of comprehensive
hil'.tc insurance upon 30 day. written notice from the Lessor.
~i. Nf_aintenance of Premises: The lessee shall maintain the structures occupied
h hint and the surrounding land premises in good order and make repairs as necessary.
V) imiside storage shall be permitted except with the written approval of the Airport
( onimission. 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. I ; ,oi
petition by the Lessee. the Lessor may grant an extension of time if it appears such
sxten.sion is warranted.
M. Right to Insp Kt: The Lessor reserves the right to enter upon the premi,cs at
an. reasonable time for the purpose of making any inspection it may deem expedient to
1h,- 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
:i;tninst the personal property of the Lessee or the buildings which he may erect on lands
leased exclusively to him.
12. Sicns: The Lessee agrees that no signs or advertising matter he erected
u irhout the consent of the Lessor.
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; Lhe 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-o!T, dying 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 iiahility insurance
for the leased premises and he wit deposit with the Lessor a policy of comprehensive
liability insurance upon ±0 days written notice from the Lessor.
9. lvlaiptenance of Premises: The Lessce 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 wish the written approval of the Airport
Commission. In the event of fire or any other casualty to structures owmcd 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 pu-pose 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 hint.
12. Sigjs: The Lessee agrees that no signs or advertising matter be erected
without the consent of the Lessor.
~I
2
3. Default: The Lessee shall he dcentod in default upon.
a_ failure to pay rent or taxes within 30 days after due date;
I,. fhe tiling ofa petition under Federal Bankruptcy Act or any
aniendment thereto, including a petition for reorganization or an
arT:ingemem;
I lie commencement of a proceeding for dissolution or for the
appointment of a receiver,
d. The malting ofan assignment for the hertefit 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
co-mants after written notice to cease such violation and failure to
Lorrcct such violation within thirty dais-
filet-cult Tl,c L.csc~- shall authorize the Lessor, at its option and without legal
;M''Ceedtrtgs. 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 tl,c
Lessee and shall be transferable. Upon termination of this lease, the Lessee may, at tie
option ofthe Lessor, remove the building,. oll eyuipmcnt and pioprrty therein xnnl rrsinrr
the leased property to its original condition.
15. Snow Remo%a]: The Lessor agrees to provide no sno'.N remoN al to the teased
Trent UC S.
16. Lease'Transfer: The Lessee may not, at any time during the time of this
(case, assign, hypothecate or transfer this agreement or any interest therein, without the
consent of the Lessor.
17. _irp(2 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 Lesso:' agrees to provide it compatihlc
ocation and agrees to relocate all building or prux ide si[MLAr 1ac'Llities (or the Lessee at
no cost to the Lcssci.
18. Subordination Clause: This lease shall be suoordinate 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 fix the development of the airport. Furthermore, this lease may be amended
to include provisions required by these agreements with the Ignited States or the State of
Wisconsin.
ii
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 fhe Lessee agrees to erect andlor maintain a building un the
leased premises with a minimum finished floor height at least six (6) inches aboyc the
finished grade of the taxilane nearest the front of the building.
.1. Ta iye} Access: "Ilse Lessee is prohibited from operating automobiles on
I)r!ncipal runways or taxiways.
2i. Parkins: Automobile parking must he on designated areas of the airwt7 or on
fw leased premises in such a manner as to not interfere with aircraft operations on
raxmays or taxilanes.
I
illl
II
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 die United States or the State of
Wisconsin.
19. -Arbitration: Any controversy or claim arising; out of or relating to this lease
or arty 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 io erect andior 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. Taxiwav .Access: The Lessee is prohibited from operating automobiles on
principal runways or taxiways.
22. Parking: Automobile parking must he 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
L~ !'I NI-SS 1l'l llKEr_)l, tree DaRics hug e nerzunL> se' their hands rnt ,call this
I I SSc_)R_
lv ~ C " Z
Michael Dcmuliing
airpott h1ar,::r~.
1151 f
Mike,
Enclosed is the septir agreement l got from the Zoning office in Hudson.
I mentioned that I was installing a tank only. The zoning clerk then said that only complete
septic systems (with fields) are allowed at the airport I told him that the lot failed pert
last year throughout the property, and the conditions of the lot (near lake drainage, consists of
fill that includes concrete and other debris, etc...) basically eliminate any possibiity of a drain
field. He then mentioned that Scan would have to annotate this fact.
I don't know where he's supposed -o annotate this. 'f you are aware of the process, please let
me know.
Thanks,
Bob lasky
715-294-0563
156 East First Street
Rir•lunoncl. Wisconsin 5101
715-246-7735
Jure 15. 2016
to WhO,'rt t May Cnrcer i
Mr >ob .-wmrrr,t at(;ar / 1 -ft N' W R,cldriund ~irpc. 7 , ou' pk-rni s' c.r to thr
necessary nolamg tank septic system er non-leased, vacant space adjoining his nanga: lot. The non-
standard septic installation is necessary due to the considerable amount of fill material used on the site
in the 1980's.
Fe7x ._o atd c..nr i' ynu have ,-116- t o! 'oy ^ia a` F (c~-r„i- I• -
Sirrrrel';
'fly; I~.
Mike Demulling
Airport Managrr
{'rOpPny [ Mnei _ _ r`Jrr1'I , L; V. P.q. Of
G BOnn,
C Boning ill
U Pit Ground surlate Ole- It Doi" to am" facts 11 Sal Calgn Rate
Horizon Depth Dominant Color', Redox Oesmr inn Texture StucMe Censislence Boundary Roots I G~ PDMF
in Munsell Du Sz. C.ont. Gala Gr. Sz Sh 'EI1A1 'Eft7
I I I
i i
-r
Spring Cj" 7
F-I C Boring
❑ Pit Ground svlaw eta: _ !t. Deptn tc lmedg 'ada Soil igtim Rarr'
Haizon Depth Dominant Cot Redox UescnDW Texture Seucture Consslen Boundary Roots GPDIff
v1 fdunseli Cu Sz. Cant. Cula Gr. Sz. Sh 'Effk1 'Efttr7
i
Boring p u Boring
Pit Ground surface elw. ft. Depth to Intrang lags in.
SOiI Application Rate
HOnzon •aepol Dominant Cola' Redox Description TnxturO Swcture CorxtiAerice Brwrdary Roots GPDM
n MurseU Ou. Sz Cora Color Gr. $z. Sh, 'EfllY1 'Effi12
Ffllant g1 = BOCK > 30 < 22C rng'L and TSS >30 < 1,50 mg,'L ' FfflueM V = BOO, < 30 mg'L and TSS < 30 rngiL
T}c Ucl:a:unent Of Commerec is an equal opportunity service provider and employer. If you need assistance to access services or
iccd mztrrial in on .1 !emn u- &imial. plca<c contact thr depaiinient at 608 266 31 5I or TTY 608.2648'''.
Soil Test Plot Pla
Project Name Robert Lasky sh Bird
Address 1006 4th St. South
Stillwater Mn 55082
tSI-M #226900
Lot 1 Subdivision Row 7 NR hangars S Date 7/10/16
S W 1/4 S W 1/4S 24 T 31 N/R18 W City New Richmond
Boring Q Well Pl. Property Line County POLK
BN1 or N'RP Assume Elevation 10o ft. Bottom of siding
System Elevation none *HRpSame as Benchmark
Scale is I" = 40'
unless otherwise
noted
l.eascd lot :inc.
cl. 14-ased lot line
employees I floordrnin
B.M.^
Io' 70' 100'
Airport Road
Barrel. installed
\irpurt'I'axi ~~'ay
0
n
vL
C w F ~ u N r.'~~ f
n 8 w : n y ~ a $ i ; t w ~ ~11 a
K C ~ T ~ ~ ~ d o a. ~ 4 r C ~ V z c° ~ e g o f
•0 41 ~ Y E ~ L _ ',t, Y_ v l) M1 q J ~ - f e T p E 3
U .01i I :J Ww
y „rye
[w<:-.
Jt~R~w. ~ O
ill ~1
4
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w
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