HomeMy WebLinkAbout261-7000-11-016 11-16 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
463157 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you providA may be used f r ' notary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: X City Village Township Parg6l Tax No
CR Hackworthy O City of New Richmond
CST BM Elev: Insp. BM Elev: I BM Description: Section/Town /Range/Map No:
24.30.18.
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
�vo e-1 3, vim
Dosing Alt. BM
Aeration Bldg. Sewer ` q7 G
Holding St/Ht Inlet
St/Ht Outlet
TANK SETBACK INFORMATION X 7 1 I
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic /,� r Dt Bottom
..-a.
Dosing ., Header /Man. `
Aeration Dist. Pipe
Holding Bot. System , 4 �
P11.114/SIPHON INFORMATION Final Grade
3
Mant.1facturer Demand St Cover y
GPM 3
Model Number
TDH Lift riction Loss System Head TDH Ft
Forcemain Length Dia. Dist. to Well
SOIL AB ORPTION SYSTEM
BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS —15-6 r l
SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer.
INFORMATION CHAMBER OR '- v el • 6N,4 --Q t/
Type Of System: Model Number.
DISTRIBUTION SYSTEM ° i C_ 11 .
He eNManifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
/ W.....
C N e_ J7(e ,- pe(s) + :� C c., r N
Length Dia Length Dia Spacing ., )
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over , Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Ed es To soil
.Z_ 9 P
Yes [�] No F Yes �� No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 11 / j_ / L. 4- Inspection #2:
AA.✓1
Location: 11 -16 Airport Road New Richmond, WI 54017 (SW 1/4 SW 1/4 24 T30N R18W) New Richmond Airport Lot 11 Parcel No: 24.30.18.
1.) Alt BM Description =
2.) Bldg sewer length = t
- amount of cover = ICt"
Plan revision Required? Yes No �� r
Use other side for additional informa `
SBD -6710 (R.3l97) Date Cert. No.
Insepctors Signature
Safety and Buildings Division County
201 W. Washington Ave., P.O. Box 7162
N *i�;con s ,f Madison, W " - 162 Sanitary Permit Number (to be filled in by Co.)
(608)
Da;partment of Commerce ECEIV 46 I5-
. Sta Plan T.D. Number
cats
Sanitary Perml (� T �y
to accord with Comm 83.21, Wis. Ad" G�de. j� u pi�dJ# 2 2 2004 b 9 =T�S' 10.4 ( �
may be used for secondary purposes Privacy Law, i S ) Proj Address (if different titan trailing address)
L Application Information - Please Print All Information ZONING OFFICE (V—
property Oa nets Gi�r�q \ Parcel # Lot # B #
C C�KT)
Property Owners Mailing Addnm Property TAc atiou
yC / / J y
City, State Zip Cade Phone Number Section
✓�j�O�o� a are
rW
II. Type of Building (check all that apply) , 0
1 or 2 Family Dwelling - Number of Bedrooms Subdivisioa Name CSM N
,4
PnblidComtneraal - Describe Use lei► -� ^ o _, j
State Owned - Describe Use 0- n ty_ Village owns ' of l
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A. scan Replacement System Treatruent(Holding Tank Replacement Only Other Modification to Existing System
B. I Permit Renewal Permit Revision Change of Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
IV. T e of POWTS System: (Check all that appl
Pressurized In- Ground Mound Z 24 in of suitable soil Mound < 24 is of suitable soil At -Grade Single Pass Sand Filter
Constructed Wedand Pressurized In-G and Holding Tank Peat Filter Aerobic Treatment Unit R San F4W
R S nthetic Media Fd S Drip Line Gravel -less Pipe (ex lain) 3
V. DispersaVrreatment Area I r ! on: } — P /
Design Plow (gpd) Design So Application RaWgpdsf) Dispersal Z (afj rspersal Area Proposed (sf) v'
VI. Tank Info CaptY in Total Number Prefab ice Steel Fiber Plastic
Gallons Gallons of Units Z -+aSoa P �-tvo Concrete Constructed Glass
New F.:isting
Tanks Tanks I I .
! g t-
Septic or Holding Tank
Aerobic Treatment Unit
Dosing tharnber
VII, Responsibility Staten t - L the n e responsibility for lnstalladon of the POWTS shown on the attached plam
Plums Name (Print) Plumber's MP/MPRS Number Business Phone Nu r
,
T'inmber's(Stttxt, City, Stat / �
VIII. Con /De artment Use O
ved Sanitary Permit Fee (includes Groundwater Date Issued Agent signature (No Stamps)
Surcharge Fee)
ven R for Denial
EK. Conditions of Approv"easons fo al ( n
SYSTEM OWNER: 3� S I�S l3 5 , ! / -Q (P
1 Septic tank, effluent filter and
dispersal cell must all be serviced I maintained _ J
as per management plan provided by plumber. ct�1Zu� p W t ct
2. All setback requirements must be maintained
as per applicable code /ordinances.
Attach to the County o for the m on oonrphete t� ( h y) � talk+ not less than Un x H inches in size
PLOT PLAN
/ENTIONAL ADDRESS 1809 Northwestern Ave Stillwater Mn 55082
24 /T 31 N/R 18 W City New Richmond COUNTY ST. CROIX
9/28/04 GPD 154
00 DATE
N- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 800 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 279 # of chambers 9
BENCHMARK V.R.P. Top of 1/2 pipe ASSUME ELEVATION loo' Filter ZabelA -100
❑ BOREH E WELL *H.R.P. SameasBenchmark
`6+. Standard Biodiffuser SYSTEM ELEVATION 96.7'3' below qrade
of / Cover Leaching Chamber Plans Designed Using
with 3 1. 1 ft2 of Area Conventional Powts
6' Long
11" Manual Version 2.0
3419 Grade at System Elevation
The city of New Richmond owns
entire parcel, thus lot line
setbacks do not apply
Pro Hangor 2
employees 1 floor
drain I
Absolutely no catch
Airport Rd. basin is to discharge '
into system Taxi way
B-3 B - 2 B-1 B. M. * �— Lease Line
Verity AIt.B.M. is top
Huffcutt ST of 1/2" pipe
99.9'
Well is to meet all
setbacks found in
Pro Hangor 2 Comm. 83
employees 1 floor
drain
Absolutely no catch
basin is to discharge
into system
Scale = 1 /4" = 10 Py
Safety and Buildings
10541 N RANCH ROAD
commerce .Wi.gov HAYWARD WI 54843
TDD #: (608) 264 -8777
i s c o n s i n www.commerce.wi.gov /sb/
www.wisconsin.gov
Department of Commerce
Jim Doyle, Governor
Cory L. Nettles, Secretary
October 15, 2004
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: 10/15/2006 Identification Numbers
Transaction ID No. 1068288
SITE: Site ID No. 690744
CR Hackworthy Airplane Hangars 1 & 2 Please refer to both identification numbers,
Airport Rd above, in all correspondence with the agency.
City of New Richmond, 54017
St Croix County
SW1 /4, SW1 /4, S24, T3 IN, RI 8W
Lot: 11 -16,
FOR: Description: Commercial non - pressurized in ground system, 2 airplane hangars totaling 154 GPD
Object Type: POWTS Component Manual Regulated Object ID No.: 985724
Maintenance required; 154 GPD Flow rate; 90 in Soil minimum depth to limiting factor from original grade; .
System(s): In- ground POWTS Component Manual, SBD- 10705 -P (N.01 /O1)
P.o ..T.
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 con d 1 tI 11
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. 1
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06 V
DEPARTMENT of C
C) , Vt ;stats. � SAFETY A
The following conditions shall be met during construction or installation and prior to occupancy or use: .r--
General Approval Conditions: F_
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
design manuals noted above.
• 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.
Key item(s)
• This approval is for a non pressurized in- ground system that serves 2 airplane hangars each with 2 employees and 1
floor drain that serves the water heater.
• Comm 83.02. This approval covers only the domestic wastewater directed into the POWTS. The Department
of Natural Resources must be contacted regarding the treatment and disposal of non - domestic wastewater,
including those mixed with domestic wastewater. Please refer to the following website for more information:
http• / /www dnr state wi us /org/caer /cea/compliance /auto /wastewater.htm #septic
• 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.
1
l
SHAUN R BIRD Page 2 10/15/2004
• 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 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.
Reminder
• 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)(1).
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 Safety & Buildings reserves the right to require changes or additions
should conditions arise making them necessary for code compliance. As per state stats 10 1. 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 to the owner and any others who are responsible for the
installation, operation or maintenance of the PO TS.
Since , / ? Fee Required $ 175.00
Fee Received $ 175.00
Balance Due $ 0.00
Patricia andorf
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: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544
Cover Page
Shaun Bird
Bird Plumbing Inc.
1008 192nd Ave
New Richmond Wi 54017
715 246 - 4516
Date: 9/28/04
Owner: CR Hackworthy
Location: SW1 /4 SW1 /4 S24 T31 N,R18W Hangor 11 -16 New Richmond Airport
System type: In- ground absorbtion system(conventional)
Manuals Used: In- ground absorbtion system (version 2.0)
ally
Page#
I
E
1. Cover Page
2. Conventional System Plot Plan
3. Chamber Cross Section
RGS
oNOE
4. -5. Maintance and Contigen Ian
6 -8. Soil Test
Signature
License number 22690
PLOT PLAN
PROTECT CR Hackworthv ADDRESS 1809 Northwestern Ave Stillwater Mn 55082
SW 1/4. SW 1 /4S 24 /T 31 N/R 18 W City New Richmond COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 9/28/04 GPD 154
CONVENTIONAL XXX IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 800 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 279 # of chambers 9
BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter 7-abelA -100
❑ ALong e WELL *H.R.P. Same as Benchmark
Standard BlodiffuSer SYSTEM ELEVATION 96.7' 3' below grade
Leaching Chamber Plans Designed Using
with 31.1 ft2 of Area Conventional Powts
Manual Version 2.0
Grade at System Elevation
34"
The city of New Richmond owns
entire parcel, thus lot line
setbacks do not apply
Pro Hangor 2
employees 1 floor
drain
Absolutely no catch
Airport Rd. basin is to discharge
into system Taxi way
B-3 B - 2 B -1 B. M. * �— Lease Line
ent Alt.B.M. is top
Huffcutt ST of 112" pipe Ca
99.9'
Well is to meet all
setbacks found in
Pro Hangor 2 Comm. 83
employees 1 floor
drain
Absolutely no catch
basin is to discharge
into system
Scale = 1/4" = 10'
Cross Section of Standard Biodiffuser Leaching Chamber
Typical cross section for 1 of 1 cells
Standard Biodiffuser
Leaching Chamber
with 31.1 ft2 of Area To be >1' above grade
Finish grade elevation
Typical Installation 100.0'
Vent Grade
4 ' 4
.A/30/34 Septic Tank
6' Long
1"
34"
Spacing N/A
1 -3' X 57' Cell
Same on other end Observation tubeNent
9.5'
A
9 chambers per cell
System elevations:
A__96.7
I
PLAN Page of
S OWNER'S MANUAL N[ANAGPE I F c .IONS
POWT SYSTEM S al ❑ NA
J Septic Tank Capacity
ON
Ma nufacturer ❑ NA
7l
FiLE [NFORMA Septic Tank
owner �% (3
Permit #. 3 � S Effluent Filter iNanufactusar Model tro O NA
NA Efflue nt Filter
OESIC�N PARRS Tank Capacity al 11
Number of BedMomS ❑ NA Pump
Number of Corr merdal Units aVda Pump Tank Manufacturer
170 Estimated flow (average) Pump Manufacturer
x 1 .5) � aVd
'-
Design WOW (tom }• (�amated pump Model
"7 aVda Iftz pre nt Unit
Soil "p °n
Rate average• p Sand/Gravel Filter [3 Peat Filter
�i0 mgn• ❑ Mechanical Aeration [3 Wetland
lntfuentlEthuent (FOG) L7 Other.
Fats.. 00 4 Grease ( 4Z0 mg (3 Disinfection
mlCal O Demand (6005)
Blod a Demand
Solids (TSS) 51 s0 m /L Manufacturer
Total Suspe Monthly average" D persal Celt(Savrty) ❑ In -ground (pressurized)
(pre
pretreated Effluent Quality In-ground (9 ❑ Mound
SODS) 530 mg/L [3 At-grade ❑Other.
B emi'a, Oxygen Demand ( SS) 530 mgn- 13 Dri ine
Total Suspended Solids CT st 0 cfu /I pOmt ill for d«nest�c tnon -cornn wrclan wastswatar and
Fecal Col;f (geometric mean) Vslues tyP
Y inch diameter septic tan effluenL
Maximum Effluent Particle S¢e .. values t for pretseatad,,�Stewater.
Serrice Frequency
MAI NTENANCE SCHEDULE ar(s) (Maximum 3 yrs.)
Service Event ❑months
At least once every a uals o ne - third (Y,) of tank volume
When cambi.ned sludge and scum 4 ( M ay 3 yrs -)
Inspect oonditi °n of tank(s) p month! earls)
Pump out contents of tank(s) At least once every month
ears)
inspect dispersal cells) At Least once every r(s) [3 NA 114 —, p month
Clean effluent filter At least once every ❑ months year(s) C3 NA
Pump. pump Controls S alarm e s [3 NA
Inspect p!i and pressu once every At least once every --� C3 mo ❑ y K )
Flush laterals re test s ) C3 NA
At least o [3 months
13 YeaK
oa+e- At least once every
orr,er licenses or
Ma an individual carrying one of the 11Aaintainer, Se
laNCE INSTRUCTIONS broke
tanKS and dispersal netts shaft er made by Sewer pOWTS Inspe�� an missing or broken
Inspeetbne r Restricted on of the tank(s)
to identify y for any rack up
dons:. Master Plumber, Master mu inc sludge and scum and to check t levels
ns must inGude volume of Inspection
Ope to check the e ffl ue nt
Servi Ing raror• Tank ;nspecib , safe . 1e of effluent on the
nardrrane, Iden" any cracks or leaks, me The dispersal cells) shall be visually insi� ponding
round surface- round surface• The ua authority.
I the ground any ponding of effluent on the 9 lion of the local reg ltory
or ponding of effluent o
r and check n and requires the immediate notifica lume, the
in the observation p'P� d t cond uals one third (� or more of the n� w ith ch. NR
ground surface may indicate a failing sect of in accorda
mutation of sludge and scum in any tank O erator and dispo
When the combined accumulation b a Septage Servicing p
t ment components, and any
entire convents of the nk shaft be rerrro`r y WTS com ponents, pmt
11.3, Wiswnsin Adm pre ssurized t fled pon 6laintainer-
inistrative ta e'anit;ai or pre PO a cerb
��� by any servi event.
O f effluent ft
The Servicing o iters, meth of completion of ce
anoe or monitoring at intervals of 12 months or . with n 10 days
other mainten tied to the local regulatory authority
ot shall - be P roducts or over
A seMgs rep
s for the presence of painting �aons are
sTART UP ANO OPERATION S d M& treatment tank() Ceti s i use.
f high non
f the POWT o rotor prior to
For is is that ma y i p pri to use o a the treatment process and/or eQaage s ervicing e pe {
c h e mica ls that may impel removed by
deteCted have the contents of the tank(s)
Page of
-1 conditions are frozen at the infiltrative surfac tS CeSore¢ ft @XOeSS
• shalt not occur vMen SO hwater levels. When � to �g( and may result in the
System stmt up pump tanks may fill above normal hfg overloading
cetl(s) in one large dose, � tank removed by a
During P outages p e to the dispel this situation have the contents ofd plumber
or POD m
S Matntaer to
s tew or siir a of ettlu.res n po er to the effluent yels or canted
�. fa d har+goe dLRChoB .
backups Sung Op�ratio+c PA to resto normal levels within the P ump P tank r otherwise disbtirb or compact, as sist in manually OP�h the pump Cells- Do not drive or park over,
o
over tanks and dispels lion area-
h not drive or park v e h i c les
sl of any mound or at�rade srnl absarF tin rove the performance and prolong the fife
the area within t5 fee t d ow n from the wastewater stream maY P S dec_lreasers; dental floss; diapers;
Reduction or el- urination of the folicwMg tte butts: condoms: cotton swab ; asotina g�e� herbicides; meat
dbiotics; baby Aws; ciga-P water, fruit and vegetable peelings; g r softener brine.
of the POWTS: an
fair foundation disk ( SUMP PUMF •d es sanitary napkins t and ovate
disinfectlatrnta: ntiing prnduds: Pesos
sc aW, medications; oit;
S lye taken to insure that the
ASANOOAMENT taken out of service the f 83.3 Wisc o halt sin Adminish'ative Code'
When the POWTS falls andlor is pemtane�Y in comp liance with ch Comm 83.33,
safey abandoned t Wings sealed•
disconnected and the abandoned seed o ° by a Septage Servici Operator.
system is propeftY aid ll be disco disco
. Ali piping to tanks and P its shall
shall be removed and property
The oontents of all tanks and Q
all tanks and pits chaff be excavated a
After pumping nd removed or their covers removed and the void space
,
Sled with soil gravel or another inert solid maters
CONTINGENCY PLAN the following measures have been, or must be taaken,
to provide a code
If the POWTS fails and cannot be repaired rit rep location of a replacement soil
comp b,�nen t system_ be utilized for the co m paction and should not
A suitable rlePlaoeMonCarea has been evaluated and may
merit area should be protected from disturbance rnneds wells_ Failure to
n rem. The rep sect strvctu re
absorpt~° aired res ult in the need setbacks existingoaa ^ and site evaluation
be infringed upon by Teo to establish a suitable
w ill
protect the replaCement area terns must comply with the r'i'les in effect at that time. advances in POWTS
nt systems
replacement aura_ Repla°e s a
a failed POWTS.
inert area is not a vailable due to ettaart and � �lthl�mrtabons. Bamng a sod and
suitable replace tank may be installed as a last Upon faIlure of the POINTS
technology a holding a suitable replacement area- re placement area is available a
to identify
p The site has not been ev�a'lu�a,,ted,�i to locate a suitable replacement area_ If no rep
site evaluation must be peed lace the failed PODS removal of the biomat at
installed as a
holding tank may be last resort to rep I w �e rules in effect at
tems may be reconstructed in place fe rules that time -
s
p Mound and at -grade soil a bs ltuos of such systems must comp Y
the infiltrative surface, Reoon _
<<WARNING>> T,4NKS MAY CONTAIN LETHAL C[R UC MSOTANCESF DEATH OXYGEN; AN
SEPTIC, PUMP AND OTHER TRFATM TMENT TANK UNDER
A TANK MAY BE DIFFICULT OR
DO NOT ENTER A SEP71C. PUMP OR O� IER TRFJ�
RESULT.. RESCUE OF A pERSOAi FROM THE INTERIOR OF IMPOSSlB
ADDMONAL COMMENTS �f1
POTS MAINTAINER
POWTS INSTALLER Name
Name �c�e c �/ �, Phone
Phone
LOCAL. REGULATORY AUTHORI7Y
SEPTAGE SERVICING OPERATOR Pi1MPER Agency 571
Name ? -- / --- Phone i�J`•''
ender. This document meets
Phone ; and SanbliO t a9
of tw Green take, Marquette and Waushara County Zoning Cade_ Use of this document does not
This oowmentwas slatted by. sm}fs , � and 83.54(l).(2) & (3). infisconsin Ad mintstnt;+m G WW (Vol) the minin+um rmuire of cut_ Comm t33.22(Z)(d)( X� {f)
guarantee the perfomanos of the POYYTS.
i
Wisconsin Department of Commerce 1 lSb� ATION REPORT Page of
Division of Safety and Buildings U L N ti
i accordance Ws m. Code
i�G (
F count 5+1 p
S G F t l`
Attach complete site plan on paper not les than b ��1� m size. Plan must Coun
include, but not limited to: vertical and horiz tal point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north a , and location and distance to nearest road.
Please print all information, vi by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
Govt. Lot S 1/4 Spa T �l N R E (o W
Property Owner's Ma ing Address Lot # Block # Subd. Name or CSM#
/Q •
city State Zip Code Phone Number ity ❑ Vilage ❑ To Nearest Road
, SS o (i.n 3 6 -7y i
New Construction Use: ❑ esidential /Number of bedrooms Code derived desig - flow_ rate f GPD
❑Replacement Public or mmerclal - Describe:�� ^" _L �t p a[ _ _1 �-� �_. a z�
Parent material OK c/ Fkxxf Plain elevation if applicable /U/ it.
General comments
and recommendations:
FT Boring # Boring
Pit Ground surface elev. �7 ft. Depth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2
7 ,
96 .70
2
Boring #
Boring
pit Ground surface elev.. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •042
v
• Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 ' Effluent #2 = BOD 1 30 mg/L and TSS < 30 mg/L
� G
CST ( Please Print) 0 Number
4r (Please i�
Address Date Evaluation Conducted Telephone Number
I
Property Owner Parcel ID # Page of
Bodng # ❑Boring
it Ground surface elev. �ft. Depth to limiting factor in. soy Application Rat
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff# #2 2
31. (o
F Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. 1 lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F-1 Boring # E] ❑ Pit Boring
Ground surface slay. ft. Depth to limiting factor in.
Sail Application Rate
Horizon Depth Dominant Color Redox Description. Texture Stricture Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD > 30 1220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD 130 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 fonpat, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777.
_
SBD4330 (-6100)
r T
Soil Test Plot Plan
Project Name CR Hackworthy Shaun Bird
Address 1809 Northwestern Ave
Stillwater Mn 55082 CSTM 016900
Lot 11 -16 Subdivision N.R. Airport Date 9/28/04
S W 1/4 S W 1/4S 24 T 31 N/R 18 W City of New Richmond
Fj Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 1 /2" Pipe
System Elevation 96.7' *HRPSameasBenchmark
The city of New Richmond owns
entire parcel, thus lot line
setbacks do not apply
Pro Hangor 2
employees 1 floor
drain
Absolutely no catch
Airport Rd. basin is to discharge
into system Taxi way
0 % Slope
B-3 B - 2 B-1 B. M. * Lease Line
Alt.B.M. is top
of 112" pipe Ca
99.9'
Pro Hangor 2
employees 1 floor
drain
Absolutely no catch
basin is to discharge
into system
Scale = 1/4" = 10'
I _
ST CROLK COU E AACsREEMEN
SEP'�'IC'TANK �ENANC
. AND
O�RSWP CERTIFICATION FORM
Z 4
r
OwnerBuYe
Address
Mailing _ _
Address Planning Department for new construction)
Property (�Ie from r ification required
parcel Identification N"'nber
City /State
t
AL D S R_l �o f F C �
L E G . � W,
- � i /,��'' /., Sec. Lot #Z
'r N -R
p L- ocation'2 � r � �.
2 -�- 6
'vision page e # i g
Volume ----
Certified Survey Map # �-- Page #
Volume _—
Warranty
Deed ## es p no
Lot lines identifi
S pec house Q YeS�
P handlewastes. Proper�maintenaaee
t in its premature failure to Wbat you put into the system
--+,. a 1 N ON AN _ ti system could resin "
Y doper use and ° years or sooner, b licens o al Per•
consists of p�mg out the septic tank as a treatment stage m the the owner and by a
can affect the functioa . of the septic a certification form. Signed b y osal system
t to St. Cro
o R , nt 1 gees to submiix zoning Dep artment et that (1) the on -site wastewal of sludge.
a or a licensed PtmmPe a the septic tank is less thaw
The property lumber, restrictedplumbem nand P�� (if necess
masterplumber' Joum ary),
c or 2 after inspection - disposal system with t
nd agree to maintain he standards
is in proper opoperating condition and/ () the private sewage dispo Lion
cats agesou es, State of Wisconsin. Ce
d bavc read the above re4��'cme and the D of Na t u ral to the St. Croix County Zoning Offiu within 30
I/we, the undersi8ne the Depar of Comm leted and. return
set fords. harein, as set by
stating that your sep system bas been maintained must be co
d the year expiration date.
DATE
Si�}NA OF
APP
year
UN form are true to the best of my (our)
knowledge. I (we) am (arc) the owner(s) of
I (we) certify that all state on deed recorded in Register of Deeds Office.
the perry des ' cd a ove, by virtue of a warranty �d �4O
DATE
GNATURE
OF APPLICANT
SI t being revoked by the Zoning Department. * : * *•`
** * mss Aa information that is mis- ttPm���Y mull in the sanitary Pew
y
a stud
warranty deed from the Regist r g nce l is made in the warranty
** Include with this application: deed
a copy of the certified survey rnaP
HANGAR AREA LEASE
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 BKTM, hereinafter called the Lessee.
WITNESSETH:
WHEREAS, die 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 16, Row 11 of the Airport Layout Plan - New
Richmond Regional Airport. Leased Property equals 14,400 square feet
(120' x 120')
2. Hangar Construgion 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. Tenn The terns of this lease shall be for a maximum of twenty (20) years
commencing on July 1, 2000 and ending on June 30, 2020.
I
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IN WITNESS W REOF the parties have hereunto set their hands and seals this
L_ day of o to in the City of New Richmond,
St. Croix County, Wisconsin.
LESS R:
A A
— L�-
Airport ager, Mike Demulling
LESSEE:
ZZ-__�
17. Airport Develovmeut 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 arbitrators) shall be final and binding on the
parties.
20. Floor Hem 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. Parkinrt Automobile parking must be on the leased premises or on
designated areas of the airport.
4
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