Loading...
HomeMy WebLinkAbout261-1211-10-000 (3) 11-3 AP -�; F, -') Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 399489 0 GENERAL INFORMATION (ATTACH TO PERMIT) to an ID o: Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 7 -73/ 44 Permit Holder's Name: X City Village Township F rcel TV N&- 1 Wilmes, David I City of New Richmond Irk wee -s.O CST BM Elev: I Insp. BM Elev: BM Description: �N - Dv, , D w TANK INFORMATION ELEVATIO ATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ^� Benchmark i Dosing Alt. BM A 0 4 Aeration Bldg. Sewer Holding St/Ht Inlet 3.9a 9 $.(Vr TANK SETBACK INFORMATION St/Ht Outlet 4.zo 9a. �r TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic w / / i t ` Dt Bottom Dosing (o Header /Man. Aeration Dist. Pipe �� O Q � • } f Holding Bot. System t3 ( r s: s Final Grade PUMP /SIPHON INFORMATION Manufact er Demand St Cover GPM Model Number TDH Lift n ' n Loss System Head TD Ft Force In Length I D ia. Dist. t SOIL ABSORPTION SYSTEM BEDITRENCH Width Length ' o. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 t •.S ' SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING M if �t INFORMATION CHAMBER OR Type O System: / UNIT M I Number. DISTRIBUTION SYSTEM �cr f `ev' er Header /Manifold i Distribution x H e Hol acing Vent to Air Intake _• Pipe(s) I +- Length Dia Length Dia Spacing (7 — t� SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of eded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil xx Se Yes [7] No � Yes � No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:j o /z3/ a Inspection #2: Location: Unknown (Unknown 24 T31 R1 8W) NA Lot Parcel No: 1.) Alt BM Description = W/4 2.) Bldg sewer length= Z 0O 0 - amount of cover = 1tay f,#il Cove - e. 3 � �aR 4- - 10p (5c. " 4 Plan revision Required? X Yes No Use other side for additional information. O O eJt� L I SBD -6710 (R.3/97) Date Insepctors Signature Cart. No. r I I I qp Q �2♦ 1p o a Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 14sconsin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)] _ I state owned.) Attach complete plans (to the county copy only) for the ysfiM,,o page less than 8 -1/2 x 11 inches in size. Coun State Sanitary a it Number ❑ Ch fl o pro#' s 'cation State Plan I. D. Number 3 99 31 I. Application Information - Please Print all Information Location: ED Property Owner Name // c�`a ; Property Location �} OCT 0 .9 f ,2 /4, S" 34, 4 Property Owner's Mailing Address ST OR= 4-� Lot Number Bloc Numb y�o City, State ,y Zip Code um er [ Subdivision Name or CSM Number II. Type of Building: (check one) ty ❑ 1 or 2 Family Dwelling - No. of Bedrooms: ❑ Villag 2��(,✓� ublic /Commercial (describe use):_ - 7 cJ r o /U�'�J ❑ State -Owned Nearest Road 3 Parcel Tax Number(s) III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) A) 1. ❑ New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) Z :� p — 17 E ❑ Non - pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal &ea 3. Dispersal Area 4. Soil Application 5. Percolation Rate . System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic {e; Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks VIII. Responsibility Statement I, the undersign assu responsibility for installat• n of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's S' n e stamp MP/MPRS No. Business Phone Number Plumber's Address (Street, City, State, Zip CW IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) �( Approved ❑ Owner Given Initial Adverse Surcharge Fee) a Determination 22 Z3 ?CD X. Conditions of Approval /Reasons for Disapproval: S S //�� � '!C �5(r�vt� to✓� SBD -6398 (R. 07/00) Safety and Buildings . 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264 -8777 *isconsin www.commerce.s i www.wiscon isconsin.gov n.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Acting Secretary October 08, 2001 CUST ID No.858710 A7 POWTS Inspector ZONING OFFICE DAVID WILMES ST CROIX COUNTY SPIA 410 HWY 35/64 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: Transaction ID No. 677316 SITE: Site ID No. 636601 DAVID WILMES AIRPLANE HANGAR Please refer to both identification numbers, 200TH AVE above, in all correspondence with the agency. CITY OF NEW RICHMOND, 54017 ST CROIX COUNTY SW 1/4, SW 1/4, S24, T3 1N, R18W FOR: PETITION FOR VARIANCE TO COMM 83.43(8)(i) The code section petitioned requires POWTS treatment, holding and dispersal components shall be located as to provide the minimum horizontal setback distances as outlined in Table 83.43 -1 as safety factors for public health, waters of the state and structures in the event of component failure. Table 83.43 -1 requires an exterior subsurface treatment tank to be a minimum of 5' from any building and any soil absorption cell to be a minimum of 10' from any building. The variance requested is to allow the construction of a distribution cell consisting in part of in situ soils 6' from an existing airplane hangar and locate the septic tank 1' form the building. The intent of the code section petitioned is to protect the structure in the event of component failure. Reviewer's Comments: 1. In reviewing the petition, it was noted that the request is similar to other petitions accepted by this department. 2. Based on the precedent established by the previous petitions, this petition for variance is being processed as permitted by Wisconsin Statute s. 101.02(6)(g), and Comm 3. Departmental Action: CONDITIONAL APPROVAL Conditions of Approval: • The concrete slab of the hangar is to be reinforced with added rebar to help prevent the shifting of the slab in the event if settling around the septic tank. • The slab shall be made waterproof from underneath. • The building sewer shall be installed between the footings. Y DAVID WILMES Page 2 10/8/01 A copy of 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 /installationfoperation. In granting this approval the Division of Safety & Buildings 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 corre.�sRondence may be made to me at the telephone number listed below, or at the address on this letterhead. l ' Sincerely FEE REQUIRED $ 225.00 FEE RECEIVED $ 225.00 BALANCE DUE $ 0.00 PATRICIA L S_ ORF POWTS PLAN REVIEWER, INTEGRATED SERVICES WSMART code: 7633 (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM PSHANDORF @COMMERCE. STATE. WI.US cc: SHAUN R BIRD, BIRD PLUMBING, INC Safety and Buildings 10541 N RANCH ROAD '\ HAYWARD WI 54843 TDD #: (608) 264 -8777 *sconsin www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Acting Secretary October 09, 2001 CUST ID No.226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/09/2003 Identification Numbers Transaction ID No. 677311 SITE: Site ID No. 636601 P. DAVID WILMES AIRPLANE HANGAR Please refer to both identification numbers, CI 200TH AVE I above, in all correspondence with the agency. CITY OF NEW RICHMOND, 54017 ST CROIX COUNTY .;� MEI SW 1/4, SW 1/4, S24, T31N, R18W FOR: NEW NON - PRESSURIZED IN- GROUND SYSTEM, 77 GPD OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 813654 ➢ This approval is for a non - pressurized in- ground system to serve an airplane hangar with 2 employees and one floor drain, the floor drain to serve the toilet room only. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the " In- Ground Soil Absorption Manual, SBD- 10705 -P (N.01 /01). • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in the "" In- Ground Soil Absorption Manual System are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The maintenance plan for this system must be given to the owner of the POWTS. Site Specific Conditions: • This plan has been approved in accordance with Petition for Variance, Transaction number 677316. The conditions of that approval must be adhered to. SHAUN R BMD Page 2 10/9/01 • The plumbing for this project discharges to a private sewage system. The approval covers only _ domestic /sanitary wastes directed into this system. The Department of Natural Resources (WDNR) must be contacted regarding the treatment and disposal of all industrial wastes; including those combined with domestic /sanitary wastes. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section COMM 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. • Materials shall conform to the requirements of COMM 84. • Surface water drainage shall be diverted away from the system area. • Maintain well and waterline set backs per COMM 83.43(8)(i). • The gravelless system components must be installed in accordance with the manufacturer's printed instructions, the plan approval, and COMM 83 system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • The distribution cell shall be long enough and wide enough to accommodate 6 High Capacity Sidewinder Infiltrators. • The designer proposes to install an outlet filter to achieve the requirement of wastewater particle size. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. 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 obtaiped prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings 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. Sincerely, FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 —' BALANCE DUE $ 0.00 CIA ORF POWTS PLAN REVIEWER, INTEGRATED SERVICES WiSMART code: 7633 (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM PSHANDORF @COMMERCE.STATE. WI.US cc: DAVID WILMES JERRY RODENBERG r P T PLAN ADDRESS PR0 Dave Wilmus 410 Hiahwav 64 - 35 Somerset Wi 54025 ,1>�i' SW 1 s 4 SW 1/4s 24 /T 31 / 1 W CITY New Richmond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 9 /11/01 GPD 77 CONVENTIONAL XXX IN -GROUN PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 261 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 102 # of chambers 6 BENCHMARK V.R.P. Base of Siding ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H,R,P, Same as Benchmark Vent SYSTEM ELEVATION 95.0 > 12" Sidewinder High of Cover Capacity Leaching , �I,T.S. Chamber ��Onall� 16" Plans Designed Using 6' Long Conventional Powts E Grade at System Elevation Manual Version 2.0 34" 1 OF COMMER GS Alt. BM Top of Concrete Slab @ 100.0 i:EY AN G ;ESPONDENC Well L , � `5 ( ) 94' Lot Line 3' 20' 54 ' 10' ^ oval does n ; m l de plans fo' the general 'd ap n to the sepbu pl bing systems ors wer P P g Airplane Hanger to that is required for pro ved n pro a Those puns - n st be submitted a d approco°'dance With 2 employees 1 floor Drain 82 WAC 77 gpd Tank is to be properly Alt. B.M. Floor drain to serve Weeks 261 bedded and provided bathroom only * Gallon tank with lockdown cover 20' 25' 25' B.M. with approved warning label 10 , g' 8' 3 , Vent Vent 0 Site has 0% B -3 B -2 B -1 a Slope and thus no contour 1 -3' X 38' Cell 94' Lot Line lines were drawn No motor oils, fuels, degreasers, or toxic chemicals are to be put into floor drain A catch basin is not allowed to enter this system i Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter Is to be cleaned once a year. Please note: a larger filter is being installed In order to extend the maintenance interval of the flfter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use altemate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 71 " ; 3 fe - /���0 Shaun Bird #226900 POWTS OWNER'S MANUAL a MANAGEMENT PLAN Page _ of _ F ILE INMA NATION SYSTEM SPECIFICATIONS Owner Septic Tank Capadty C3 NA Permit # Septic Tank Manufacturer ❑ NA DESIGN FARAMETERS Effluent Filter Manufacturer Q ❑ NA Number of Bedroom 044A Effluent Filter Model G ❑ NA Number of Commercial Units ❑ NA Pump Tank Capacity gal R NA Estimated now (average) NA ga1/day Pump Tank Manufacturer ;C Design Row (peak), (Estimated x 1.5) r7 gal/day Pump Manufacturer SNA Soli Application Rate - 2 gal/day/fe Pump Model NA Influent/Mlent Quality Monthly average" Pretreatment Unit ANA Fats, Oil at Grease (FOG) s30 mg/L 0 Sand/Gravel Filter O Peat Filter Biochemical Oxygen Demand (BODs) s220 mg/L ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) s 150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality ❑ NA Monthly average * * Manufacturer Dispersal Cell(s) Biochemical Oxygen Demand (BODs) s30 mg/L in- ground (gravity) ❑ In- ground (pressurized) Toth Suspended Sows (TSS) s30 mg/L O At -grade O Mound Fecal Collfbrm (peometrk mean) x10 cfri /l00m1 0 Dkft ❑ Odten Maximum Effluent Pardue Sire S6 Inch diameter * Value V*d for d=esdc (non- commudal) wastewater and septic tank efttuent. * * Valdes typical for pretreated wastewater. tNAINTENANCE SCHEDULE Service Event Service Is"efty Inspect condition of tank(s) At least once every 3 O months ES year(s) (Maxhn 3 yrs.) Pump out contents of tanks) When combined sludge and scum equals one -third (A) of tank volume Inspect dispersal cefl(s) At least once every 3 ❑ months J2 1 year(s) (Maximem 3 yrs. ) Clean effluent litter At least once every ❑ months $ year(s) /., S Inspect pump, pump controls a alarm At least once every •a ❑ months ❑ year(s) VV WA Fitch laterals and pressure test At least once every ❑ months ❑ year(s) ,d NA ften At least once every 17 months O year(s) SE NA odor, At least once every ❑ months ❑ year(s) 4344A MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an Individual carrying one of the following Ikenses or certifications: Master Plumber, Master Plumber Restricted Sewer; POWTS Inspector) POWTS Maintainer; Septage Servicing Operator. Tank Inspections must Include a visual inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of con ibined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal call(s) 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 falling condition and requhw the Immediate notification of the local regulatory authoft. When the combined accumuiadon of sludge and scum In any tank equals one -third (%) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of In accordance with ch. NR 113, Wisconsin Adman m*lve Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatement components, and any other maintenance or monitoring at Intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 drays of completion of any service event. START UP AND'OPERATION For new constivcdon, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may Imnode the treatment process and/or damage the dispersal cell(s). If high concentrations arse detected have the contents a r r ._ _. System start up shalt not occur when soik'conditions are frozen at the Infiltrative surface. Pape Of During power outages pump tanks may f8 above normal highweter teveis. When power Is restored the excess wastov Mesrwlq be dteohsrged to the disperse eelt(s) In one large dose, overlooWng the coa(s) and may result in the backup or stiff ice discharge of efllhent To avoid this skusoon have the contents of the pump tank removed by a Serge Servloing Operator Prior td'restoring power to the effluent pu mi; or contact a Pkrnmbw• or POWTS Maintainer to ! arsslst In nwm* opsa tfrp the pump conbda to restore normal levels w>tW the pump tank Do rat drive or park vehkdes over bruilos and daPersal aeRs. Do not drive or Park am, or ottiorvdse dittrb or comp u t, *a area w11W IS fleet down slope of any around or at -grade golf absorption area. Reduction or.aWruation of the following trorn the waebrApeter stroem may improve the perlbynerwe and prulvrrg the w of the POWr&. sattlbiodos; baby wipes: dparstte butts; oxxiams; cotton swabs; degreasers: den lN flow diaperr. dis6ttsob and I tat; fburk atbn dea In (sumP LAP) water, first and vegetable p9d ps; geso*W grease; hsrbtcldes; meat scraper noadlostimm ok PdkvkKI Product;; peotickk r sardtary napkins; tampons; and water softener brine. ABMDON60W When the POWTS falls andlor is parnanarily taken out of swvloa the follawieig slope shall 40 taken to kwW a that the system Is propearly liitld its" abandoned In compliance With ch. Comm 63.33, Wiseorisin Administrative Code: • AN pipfrtq to tanks and pits disk be deoorleded and the aberidwW pipe opw*lp sealed. • The colOw is of all tanks and pits shag be removed and properly disposed of by a Sepbpe SerAcing Operator. • After pumping, an tanks and pits shall be excavated end removed or their covers removed and the void space filled with MR, gravel or another inert sold material. CONTINGENCY PLAN if Me POWTS fob and cannot be repaired the following f mmwms have been, or must be taken, to provide a code compiia)t replaosrwd system: 0 A suitbble replacement area has beat evaluated and may be utilized for the location of a replacement 90 abearption systern. The replacement area should be protected from disturbance and compaction and should not be iritrbiged upon by naquired setbacks from existing and proposed structure. lot Ines and wells. Failure to Protect the replacement area will result in the need for a now soli and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effed at that time. '>(A suitable replacement area Is not available due to setback and/or soil limitations. Barring advances In POWTS teciittolopy a holding tank may be installed as a last resort to replace the faded POWTS. * The dis has not been evaluated to Identify a suitable replacement area. Upon failure of the POWTS a soli and sits evaluation must be performed to locate a auk" replacement attic. If no replacernerrt area Is nvallable a holding tank may be k belied as a last resort to replace the fallod POWTS. O MourM and at-grade wA absorpeim) systems may be reconabucted In place following removal of the bkrrnst at the fnfRtratfve surface. R000nsbuctions of such systems must c x, ply with the More In efferx at that time. <<WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIiN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. 00 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 POWTS INSTALLER POWTS MAINTAINER Name Ar Phone = ,i Phone 7/ .r el a..r O SEPTAGE SLtVICING OPERATOR PUMP LOCAL REGULATORY AUTHORITY Name ,7 401.�PL icy Phone 7r --Z- 5/ SI- 5o Prone , r•.r 3 16 — Y b FIQ This doamrofR wsa drafted by the am& of tto Oman take. M &Muette and Waushara County Zo,*V and SarAftn sgw4es. 111 d" anent mews the minksUM rnqutrw"wAs of oh. Comer a3.22r4W)(1Xd)&M and 83. 64(1). (M 6 (3). Wtsoonske Admkdgrative Code. Use of Oft 00aufflOCk doss not Quarantae the "domance of the POWTS. GMW (7101) Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings Page of In accordance with Comm 85. Wis. Adm. Code Attach complete site plan on paper not less than 81/2 x 11 Inches in size. Plan must County S e , Z) 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. Pfease print all information. Re leveed by Date / Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15,04 (1? (m 1). p �Z3 /t) � Property Owner Property Location J Govt. Lot Sl im 1/4 <1J/4 Sc2 T 3� N R J y E( W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# Clfy StAfte Zip C Phone Number &City ❑ Village ❑ Town Nearest Road S e�Zs' t��s"iaJ/7 - V37 d2od . ew Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate 7 7 GPD Cj Replacement Public or commercial • Describe: C�P e 145, Parent material © �� �� Flood Aiain elevation if applicable. ft. General comments and recommendations: Boring ❑ Boring a g r� Pit Ground surfaoe elev. 17 1 ft. Depth to limiting factor In ($61 1 , 41411callon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary GPD/ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 S C , '3 - � s � I /U � wi•� - �? / 2 ® Boring # ❑Boring .� Pit Ground surface elev. � � ft. Depth to limiting factor — �/ in. Solt Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 �! o ` Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mg /L ` Effluent #2 = SOD, < 30 mg/L and TSS < 30 mg /L CST Na (Please Print i u ST Nu �ber Address Date Evaluation Conducted Telephone Number S1313-8330 (R07 /00) Property Owner Parcel ID # Page of . Boring # [] Boring () ft. Depth to limiting factor � Pit Ground surface el zk In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 z _.5- ❑ 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 GPD1W In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ❑ 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 GPDMF In. Munsell 4u. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 "Eff#2 • Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 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. San -8330 (R.07ro0) Soil Test Plot Plan Rroject Name Dave Wilmus Shaun i Address 410 Highway 64 -35 Somerset Wi 54025 CST #226900 Lot 3 Subdivision - - - - - -- Date 9/ 11 /0 1 S W 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. Base of Siding System Elevation 95.0 *HRpSame as Benchmark Alt. BM Top of Concrete Slab @ 100.0' Well 94' Lot Line 3 It 20' 10' 54' Airplane Hanger t~ 0 2 employees 1 floor Drain 0' Q 77 gpd Alt. B.M. Floor drain to serve bathroom only 20' 25' 25' B.M. b 10' 8' 8' A ° • Site has 0% B _3 B -2 a Slope and thus no contour 94' Lot Line lines were drawn No motor oils, fuels, degreasers, or toxic chemicals are to be put into floor drain A catch basin is not ^ allowed to enter this system `S r - ST CROIX COUNTY ' SEPTIC TANK MAINTENANCE AGREEMENT AND s 9f 7 - '1 3 7y OWNERSHIP CERTIFICATION FORM Owner/Buyer a 1 , l ,� e-4 642 041 03 Mailing Address -1 7 1 10 •1 �, 6'�' 3 � Sr �l f �o�.� Property Address (Verification required from Planning Department for new construction) City /State Parcel Identification Number LEGAL DESCRIPTION tio r/s V, Sec. . TILN -R�W,a of � 1 � Property Loca , Subdivision . Lot # Certified Survey Map # , Volume ---, . Page # Warranty Deed # , Volume , Page # Spec house ❑ yes>l. no Lot lines identifiable ❑ yes 42 no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastor plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if nec::ssary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 i . year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION owne s) of I I we am are r{ we cer that all statements on this form are true to the best of my (our) knowledge. ( ) ( are) the ( ) fy 'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE « « « « s A information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. " Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed HANGAR AREA LEASE THIS AGREEMENT, made and entered into on the date indicated below by and between the City of New Richmond, State of Wisco ' . al corporation, hereinafter called the Lessor, and Michael Schi David Wilmes and Dennis Benson, hereinafter called the Lessee. WITNESSETH: WHEREAS, the Lessor owns and operates an airport known as the New Richmond Municipal Airport and said Lessee is desirous of leasing from the Lessor a certain parcel of land on the said airport, hereinafter more fully described, for the purpose of: aircraft storage 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 11 of the Airport Layout Plan - New Richmond Municipal Airport. Leased Property equals 5920 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 Industry, Labor & Human Relations 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 ten (10) years commencing on July 1, 2000 and ending on June 30, 2010. 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 $592.00, payable on July 1 annually. It is understood and agreed that the rental rate herein specified shall be subject to re- examination and readjustment at the end of each three year period of this lease, provided that any readjustment of said present rates, or as same may be amended hereafter, shall be reasonable. 5. Non - Exclusive Use The Lessee shall have the right to the non - exclusive use, in common with others, of the airport parking areas, appurtenances and improvements thereon; the right to install, operate, maintain and store, subject to the approval of the Lessor in the interests of safety and convenience of all concerned, all equipment necessary for the safe hangaring of the Lessee's aircraft, the right of ingress to and egress from the demised premises, which right shall extend to the Lessee's employees, guests, and patrons; the right, in common with others authorized to do so, to use common areas of the airport, including runways, taxiways, aprons, roadways, and other conveniences for the take -off, flying and landing of aircraft. 6. Laws and Regulations The Lessee agrees to observe and obey during the term of this lease all laws, ordinances, rules and regulations promulgated and enforced by the Lessor, and by other proper authority having jurisdiction over the conduct of operations at the airport. 7. Hold Harmless The Lessee agrees to hold the Lessor free and harmless from loss from each and every claim and demand of whatever nature made upon the behalf of or by any person or persons for any wrongful act or omission on the part of the Lessee, his agents or employees, and from all loss or damages by reason of such acts or omissions. 8. Insurance The Lessee agrees that he will deposit with the Lessor a policy of comprehensive liability insurance upon 90 days written notice from the Lessor. 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. 2 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. Sims The Lessee agrees that no signs or advertising matter be erected without the consent of the Lessor. 13. Default The Lessee shall be deemed in default upon: a. Failure to pay rent within 30 days after due date; b. The filing of a petition under Federal Bankruptcy Act or any mendment 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 services to the Lessee's leased premises in the hangar area. 16. Lease Transfer The Lessee may not, at any time durin g the time of this lease assign, hypothecate or transfer this agreement interest therein without the consent �' or any of the Lessor. 3 17. Airport Development The Lessor reserves the right to further develop or improve the landing area of the airport as it sees fit, regardless of the desires or view of the Lessee, and without interference or hindrance. If the development of the airport requires the relocation of the Lessee, the Lessor agrees to provide a compatible location and agrees to relocate all buildings or provide similar facilities for the Lessee at no cost to the Lessee. 18. Subordination Clause This lease shall be subordinate to the provisions of any existing or future agreement between the Lessor and the United States or the State of Wisconsin relative to the operation or maintenance of the airport, the execution of which has been or may be required as a condition precedent to the expenditure of federal or stated funds for the development of the airport. Furthermore, this lease may be amended to include provisions required by these agreements with the United States or the Stated 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 Heijzht The Lessee agrees to erect 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 runways or main taxiways. 22. Parking Automobile parking must be on the leased premises or on designated areas of the airport. 4 1 IN WITNESS WHEREOF, the parties have hereunto set their hands and seals this i r ��"` day of , C ; ? C , in the City of New Richmond, St. Croix County, isconsin. LESSOR: Airport Manager, Mike Demullin LESSEE: ichael Schic David Wilmes Dennis Benson 5 - f 1 . y - V o x