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HomeMy WebLinkAbout261-700-11-017 11-17 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488000 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: X city Village Township Parcel Tax No: Scientific Moldings Corp. City of New Richmond 261 - 7000 -11 -017 Description: Section/Town/Range/Map No: ICU v D�, 0 CST BM Elev: Insp. BM Elev: BM Y�l TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchma Dosing 74 ^ U ✓ Alt. BM Aeration Bldg. Sewer 6 �� Holding SUHt Inlet St '�7. TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 7 i / f L i Dt Bottom � Dosing p , ITT Header/ n. en, / Aeration Dist. Pipe Holding Bot. System PUMP /SIPHON INFORMATION Final Grade (o Manufacturer Demand St Cover 7 ' GPM L t�(� Model Number TDH Lift Friction Loss System H TDH Ft Forcemain Le a. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH lWidth / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1 _3 L 7 SETBACK SYSTEM TO P/ BLDG WELL LAKE /STREA LEACHING Msknufacture r. INFORMATION CHAMBER OR Ty f System: L I (� �� UNIT Model Number: DISTRIBUTION SYSTEM Header/Manif Id Distribution x Hole Size x Hole Spacing Vent to Air Intake Q� Pipe(s) ? �,� Length D a Length Dia Spacing C1 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 Bedrrrench Center Bed/Trench Edges Topsoil g p 9 Yes 0 No Fg� Yes Q No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: (( / 2 ( / � � Inspection #2: Location: 625 W. Hangar Rd. Row 11 -Lo 17 New Richmond, WI 54017 (SW 1/4 SW 1/4 24 T31 N R1 7W) N� Parcel No: 1.) Alt BM Description 2.) Bldg sewer length = - amount of cover Plan revision Required? 0 Yes No ` Use other side for additional information. (_ Z 1� Date Inse ctor's Si lure Cart o. p 9 SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 '�� l Viseonsin Madison, WI 53707 —PI ED mber (to be filled in by Co.) Department of Commerce (608) 266 -3151 R ED Sanitary PP Permit Application 1 State Plan I.D. mber t i� 2005 In accord with Comm 83.21, Wis. Adm. Code, personal information you prov e may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address f different than mailing address) ST. CROi COUNTY 1. Application Information — Please Print All Information ZONING FFICE w. Property Owner's Name Parcel # Lot # U Block # Property Owner's Mailing Address Property at 3 C' /4, /., Section City, State Zip Code Phone Number (circle one) T N; E or W H. Type of Building (check all that apply) ❑ 1 or 2 Family Dwelling — Number of B ooms Subdivision Name CSM Number �Public/Commercial — Describe Use ❑ State Owned — Describe Use ity ❑Vi11 Towns ' of a III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. lkNew System p y g p Y g Y ❑ Re S ❑ Treatment/Holding Tank Replacement Only El Modification to Existing System B. El Permit Renewal ❑Permit Revision El Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl on — Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In -Grow El Holding Tank El Peat Filter ❑ Aerobic Treatment Unit El Recirculating Sand Filter El Recirculating Synthetic Media Filter thing Chamber ❑ Drip Line ❑ vel -les P' ❑ Other (expl V. Dispersal/Treatment Area Information: I' Design Flow (gpd) Design Soil Application Rate(gp sf) Dispersal Area Required (sf) Dispersal Area Pro sed (sf) System Elevation /3 a ! 7 1 9y so VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 7SD 7S'o ► / rte ,( ! ' Aerobic Treatment Unit ! {/ O 1 l� Dosing Chamber I o! VII. Responsibility Statement I , the unders ed, assume res onsibility for in fellation of the POWTS shown on the attached plans. PI ber's Name (Print) Plumb Sign re PRS Number Business Phone Number Plumber's Address (Street, City, State, i Code VIII. oun /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groun ate Atl 1 ing Ag t Si atur o tamps) ❑ Surcharge Fee) Owner Given Reason for Denial IX. Conditions of Approval /Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and W'i.L_ (iA dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) ioo ' 7 5 o� 7 x a/7, 7 sq a� 'Q a � 1 f� x= sy� Safety and Buildings 10541 N RANCH ROAD commerce HAYWARD WI 54843 TDD #: (608) 264 -8777 i sco n s i n vww.c ommerce.wi.gov /sb/ www.wisconsin.gov t epartment of Commerce Jim Doyle, Governor Mary P. Burke, Secr August 19, 2005 CUST ID No. 220357 ATTN.• POWTS Inspector BRADY J UTGARD ZONING OFFICE UTGARD PLUMBING & HEATING ST CROIX COUNTY SPIA 110 KELLER AVE N APT 112 1101 CARMICHAEL RD AMERY WI 54001 -1034 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/19/2007 Identification Numbers Transaction ID No. 1164154 SITE• Site ID No. 702899 SMC Ltd Please refer to both identification numbers, City of New Richmond above, in all correspondence with the agency. St Croix County Lot: 17, Row 11, FOR: Description: New non pressurized in ground system, 5 employees & 1 floor drain Object Type: POWTS Component Manual Regulated Object ID No.: 1033413 Maintenance required; 150 GPD Flow rate; 109 in Soil minimum depth to limiting factor from original grade; System(s): Conventional POWTS Component Manual, SBD- 10567 -P (R.6/99); Commercial System P.O. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes Condl and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in I chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. 1pgRTMEN No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, SAI stats. �-- 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 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) • The floor drain included in the sizing calculations for this project in the utility room an receives no non domestic waste water. --------- - • 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.btm #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. BRADY J UTGARD Page 2 8/19/2005 • The designer proposes to install an outlet filter to achieve the requirement of wastewater article size. � P P q P 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. • 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. Reminder • Materials shall conform to the requirements of COMM 84. • The revised soil test on which this approval is based shall be recorded with the original soil test. • Surface water drainage shall be diverted away from the system area. • Maintain well and waterline set backs per COMM 83.43(8)(i). 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 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee sh rovide a copy of this letter to the owner and any others who are responsible for the installation, operatio r n ten ce of the POWTS. Sincer Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Patricia L orf POWTS Plan Revi wer , Inte ted Services WiSMART code: 7633 (715) 634 -7810, F :(715) 4-5150, M -f 7:45 am - 4:30 pm pshandorf @commerc , wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 CONVENTIONAL IN GROUND GRAVITY Commercial Design INDEX AND TITLE PAGE Project Name: SMC LTD Owner's Name: SMC LTD Owner's Address: 330 SMC DRIVE SOMERSET WI 54025 Legal Description: CITY OF NEW RICHMOND Township: STANTON County: ST. CROIX Subdivision Name: N/A 4 011 C1 Lot #: 17 Block #: N/A RAE / Parcel I.D.# ROW 11 LOT 17 of coy rLDINGs L ry ANO Plan Transaction #: N/A CE Page 1 Index and title Page 2 Sizing Page 3 System cross - section Page 4 Plot plan Page 5 Tank cross - section Page 6 Contingency plan Page 7 Filter information Page 8 Soil Test Designer: BRADY UTGARD License #: 220357 Date: 07/13/04 Phone #: 715- 268 -6995 Signature: &.44 Design Pursuant to the In- ground component manual for POWTS version 2.0 SBD- 10705 -P RECEIVEL AUG 0 4 2005 Page 1 off WFTY & BLDG& r SYSTEM SIZING SIZING OF DISTRIBUTION AREA 5 EMPLOYEES 5 X 13 = 65GPD 1 -FD = 25GPD 90 GPD MINIMUM SYSTEM SIZE 90 X 1.5 = 135 GPD GPD PROPOSED 150GPD 150GPD -.7 LOADING RATE = 214.28 STANDARD INFILTRADER CHAMBERS 31.1.SQ. FTJ CHAMBER 7 STANDARD CHAMBERS X 31.1= 217.7 SQ. FT. TANK SIZING 150GPD X 2.088 = 313.2GAL. PROPSED TANK SIZE 750 GAL. Page 2 of 8 . � ! .§ 7 . L IJOA m \ § � . 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PL -525 EFFLUENT FILTER (CUIV MERCIA i36 :� .r,' ( FORMl.ETEXiENaoa 11,51 (I( (I } =ETAUSMINGEW + &i0 wi / II I �� f9GN 1/1R5CN 10 .,,��.•,. $ I t PL -O nLTER HOUSING PART NO, IM 42525 - L MATERIAL'. +�i ti4 HOUSING • POLYPROPYLENE �I GURETBUSHING -PVC 6.5 BALL •HDPE �i r ..� r y{ i' 71 . r- 9op�t EYlEV1$F10A79Na > i s ,aar g +n �:� � i--- FXGE/191 AC11 m _ Krl `,',;✓ j� FURHNOIEEXIENTIM -� -- -- Syr af,nasw,3 - �• s • .Lys ~ � °R �a - C' d. ��•° =QTEAC5 to offloo BALKWIM 7.09 z CVE W c r o e POLYLOK PL - 525 FIITE'R CARTRIDGE PART NO. • 30141.525 MATERIAL - POLYPROPYLENE ;?07 (D 3� ® ,�3 a /o o ' 7 o�C qo 750 a tu� - 7x /7 7 5 `S et �- 7 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner S 7"n Septic Tank Capacity a l ❑ NA Permit rwv� Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS d Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model 5 ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity _--- -, al 4NA Estimated flow (average) g al/day Pump Tank Manufacturer ,�1 NA Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer - NA Soil Application Rate • ? al /da /ft2 Pump Model NA Standard Influent /Effluent Quality Monthly average` Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L kin- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510` cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA 'Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ear( s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 ears) ❑ NA M year(s) y Clean effluent filter At least once every: ❑ m ) ea ) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ m ) O eaarrl(ss) ) ❑ NA Flush laterals and pressure test At least once eve ❑ month(s) ❑ NA Other: ❑ month(s) 0 year(s) At least once every: _ ❑ year(s) ❑ NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses 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 combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually Inspected to chv_c�fftae -reeve s In ipes and to check for any ponding of effluent on the ground surface. The pondin�of effluent on the ground surface may indicate a ai ' ondition and requires the immediate_notifi cal regulatory authority. T en the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank vo me, the entire c ntents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with cha ter NR 113, W onsin Administrative Code. All other ices, in but not limited to the servicing of effluent filters, mechanical or pressurized componen , pretreatment units, and any se at intervals of 512 months, shall be performed by a certified POWTS Maintainer. 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(s)Ilea Iesieds!p�eyi o1 peeieyos! eq 11!nn ielen�eisenn ssa0xa eyl peioisei sl iannod ueyM 'slanal ielenn4Bly Iewiou enoge II!; Aew 84uel dwnd saBeino ieMod Buun0 •soe ;ins anlleiIII ;ul ayi le uazoi; eie suoli!puoa 1109 ueynn in00o iou Heys do lieis walsAs •esn of ioiid io eied slualuo0 a 1 ane 4 o Bula!nies eBeides a Aq penowei (s)�luel 914, ;o 4 4 pai0alep eie suo!ieiiueauoa 4834 ;i (s)lle0 Iesiedsi sIea!we40 ieyio io si0npad Bw1u!e p eyi eBewep io/pue sseooid luauiieei4 9141 epedw! Aew ieyi d ;o e0uaseid 041 io; (s)Nuel luowleeil 40 e4 0 S1MOd 8 41 ;o asn of io!id 'uolioniisuo0 nneu iod /L jo 2 abed NOI1V»3d0 ONV do avis RECEIVED WisoantJn Department of Commerce SOIL 6VA A Rrp RTST' CROIX COUNTY Dtv4sion of Satety and Buildings ZONING OFFICE C' of in accordance with Comm S5, Wls. Ad e Attach complete site plan on County include, but not limited to vef6ccal an horiz eferenr a inches in size. P must percent slp , scale or dim I point (t dist direction and Peron I.D. Pe ens one, north snow, and location and distance to nearest road. Please Print ail Information. Reviewed by Date Pertenal Infwmauon you provide may be used for tOCOndIry PurPesei (PrivOCY Law. a. 15.14 (1) (m)). . PAY Property Location c. rr- J /-7 Govt. Lot S 1/4 1/4 S T N R E (or) W Property Owners Mang Address Lot # &00 # Subd. Name or CSMtr O n f LAY State Zip Code Phone Number ❑ t^,ity (O Village Q Town Nearest Road NO Construction Use: ❑ Residential / Number of bedrooms Z Code derived design flow rate 4 � GPD ❑ Replacement '® Public or Commercial - Describe. _ Parer► material oci 4 - c tJ 4 3 Flood Plain elevation If applicable ft an ��rr>nndations: S Y sWep'l 17-1- sYJ 7 Baring # ❑ Soong ❑ Pit Ground surface elev. 00 n. Depth W limiting factor in. WLApplica nn Depth Dominant Color Redox Oesai�n Rate ption Texture Structure Consisterxe Soundary Roots GPD/fl In. Munsen CQu. Sz Cont. Color Gr. S7- Sh. •EM 'EM lrn r � , f17 i ® aonrg # ❑ Soong ❑ Pit Ground surface elev. �l• G R. Depth to limiting factor In. _ t lorixon Depth Dominant Color Redox Description Texture StrucWte Consistence Butmdary ROOts ) G D/fF Rafe In. Munsell Qu. ft Corti. Cdor Gr. Sz. Sh. •Eff#1 •Elf#2 0- sb s` ' Effluent 01 a BOP > 30 220 rrtglL and TSS 50 ' 6AueM #2 CST Noma (Please Plirtt) - BOD < 30 mg/- and T5S < 30 mgl CST Number Zs O Address Date Evaluation Conducted Telephone Number ' e, a G z � s z q Ed WdZS:ZT S002 2Z 'lnf ON Xdd W063 t Property Owner Parcel ID a Page ❑ Ong ff 3 ❑ Pit Ground surface elev. ft. Depth to fimiting factor in. Soil Icadon Rate Horizon Depth Dominant Color Raft Description Texture Structure Consistence Boundary Roots GPDII! In. Munsell Qu. Sz Cont Cato► Or. Sz. Sh. 'ER#1 •Eff#2 p�/ Z 5 ZynSh WIC,.. GS ✓� 2 �3� lGyfy� S �/ SSG V V - Cf 0 34 r j Boring # ❑ Boring ❑ pit Ground surface elev. R. Depth to Amiting factor In. Sod Intion lute Horizon Depth Dominant Col Redox Desaiption , Texture Structure Consistence Boundary Roots GPDO In. Munsell Qu. Sz. Coro. Color Gr. Sz Sh. 'Etf#1 'Eff#2 l _ J Boring # ring ❑ Pit Ground surface elev. ♦G Depth to Ikrtiting factor in. Soil Application Rate Hod= Depth Dominant Color Redox Description. Tex wm Structure Consistence Boundary Rents GPD in. Munsell Qu. Sz. Coro. Color Gr. Sz. Sh. 'ETMf1 '002 EMuart fit = BOD a 30 : 5 220 mg& and TSS 1- c 150 m%& ' Effluent 02 = BOD, :! 30 mgA. and TSS 130 nwjL The Department of Commerce is an equal opportunity service provider aad 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. Zay.asateaao! Pd WdLS : Z T S00i? 21 ' I of ON Xdd W02id 7 PAGE�� NAME' S \ U � LOT# LE GAL. DESCRIPTION —, /nom /A.S --T ^',N.R" E(ORNf" SCAt.E. SM 1 ELEVATION /rtr'I C SM I DESCRIPTIO SM 2 ELEVATION () - SM 2 D9SGRIPTI0 N SYSTEM ELEVATION SYSTEM TYPE R��.. ✓en �ic�✓+u� DAT M, SIGNAtURIE Td Wd9S:ZT S00Z 2T - lnt ON Xtid W083 06/28/05 TUE 08:06 FAX 715 386 4686 Q002 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer )- 4 • Mailing Address 3.30 Property Address 2 A),jr W '� �� (Verification nupAred from P lanning ent for new construction.) City /State Parcel Identification Number " LEGAL DESCRIPTION 1 I �l � r �Zt/l (� '' j • C W ' '/1 Sec. Z % , T N R b W, Property Location / /, , J Subdivision Lot Certified Survey Map # Volume e # Warranty Deed # C� � olume �, Page # Spec house U yes ft no Lot lines identifiable ► i yes i i no SYS'T'EM MAINTENANCE failure to handle wastes. Proper Improper use and maintenance of your septic systnua could result in its premature What t it" m8iflunance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper Y ou Pu 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 County Zonmg DePart" a cxrtificat' n forum, signed by the owner and by a master plumber, journeyman plumber, restricted pirmtt>er or a licensed Pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) of inspection and pumping (if necessary). the septic tank is less than 1/3 Pull of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the t of Commerce and the Department of Nature{ Resources. State of Wisconsin. standards set forth, herein, as set by the Department Certification stating that your septic system has been maintained must be completed and retained to the St. Croix County Zotdng Depattme nt:�vithin 30 days of the three year expiration date. SI ^ URE OF APPLICANT -- D — A TE - OWNER )g CA ON t /we certify that all statements of this fora are true to the best of my /our knowledge. Uwe a nfare the owne(s) of the property bed above, by virtue of a warranty deed recorded in Register of Deeds Office. t. Sint c �4S PPLICANT DATE APPLICANT ii►4ii Any i - n that is misrepresented may result in the sanitary permit being revoked by the Zoning Vepartmen Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. f 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 Scientific Molding Corporation, Ltd. 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 17, Row 11 of the Airport Layout Plan - New Richmond Regional Airport. Leased Property equals 19,200 square feet (maximum building size 100' x 140 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 twenty (20) years commencing on July 1, 2000 and ending on June 30, 2020. 1 4. Rent The Lessee agrees to pay to the Lessor for the use of the premises, rights, and easements herein described, a yearly rental of ten (10) cents per square foot for the land leased, for a total annual charge of $1,920.00, 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. copy 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. Suns 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 during the time of this lease, assign, hypothecate or transfer this agreement or any interest therein, without the consent of the Lessor. Go rPl I nly/ 3 IN WITNESS WHEREOF, the parties have hereunto set their hands and seals this :9 day of , ti,� , in the City of New Richmond, St. Croix County, Wisconsin. LESSOR: Air Man a g er, Mike De mullin g mulls g LESSEE: /; 4 Chetan Patel 5 o I ° � I � 4 N m l! 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