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HomeMy WebLinkAbout261-7000-12-006 12 6 n 7 scons'n Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix safety and Building Division INSPECTION REPORT Sanitary Permit No: 479455 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: Wagner Stephen City of New Richmond 261- 7000 - 12-006 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: f b c) G T 24.31.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Z • � j ++j9 Alt. BM Z.4 ' Aeration Bldg. Sewer E . ti.�eo� I d a / b Holding St/Ht Inlet �7 S TANK SETBACK INFORMATION St/Ht Outlet 1 4. 75 '77.35 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic /� ' Z 1 _ -7 Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System q,35 '73 S Final Grade z �OS PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM 6 , 65 /�/ • �s Model tuber TD H ift Friction Loss Sys ad TDH Ft Forcemain Length Dia. Dist. to W ell SOIL ABSORPTION SYSTEM BED/TRENCH Width , Length / No. Of Trench s l ` �('v. PIT DIMENSIONS No. Of P+t&__� Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of : System r UNIT co ^ o q j 1 I � � � � r ` ) /� Model Number. DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole S[�acing Vent to Air Intake Pipe( ) 1 s� 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 r eded /Sodded xx Mulch d Bed/Trench Center C5 Bed/Trench Edges \ Topsoil s No Yes ]j No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: Location: 12 -6 Airport Road New Richmond, WI 54017 (SW 1/4 SW 1/4 24 T31 RI 8W) New Richmond Airport Lot 12- Parcel No: 24.31.18. 1.) Alt BM Description= �- ` A �— ✓�5 � � Q �- 2.) Bldg sewer length - amount of cover = / '7 Plan revision Required? j ] Yes o `� Use other side for additional information. L_ _ I I Date Insepctor's SJ nature Cart. No. SBD -6710 (R.3/97) Safety and Buildings Division County /) 1 N c 201 W. Washing : Madison, Washington Ave., P.O. Box 7162 SanitaryeJ t, b , ed in by co.) '� on, WI 53707 — 7162 q isco sin (608) 266 -3151 Department of Commerce State Plan I.D. Number Sanitary Permit Application p Q gg��g d � i �.40j s. iA In accord with Comm 8321, Wis. Adm. Code, personal information y oject Address (if different than mailing address may be used for secondary purposes Privacy Law, s15.040) 1. Application information - Please Print All Information E Lot Block # par 1 # Lot # Property Owner' Name S E P 0 6 2 009 �� b TO Locati n Property Owner's Ma ing Address ST_ CROIX COUNTY" ZONING OFFICE s y. /. Section r r Phone Number ip Code -� (crrc on City, State C ` l/ E r W ` tl JJ Tit- Subdivision Name CSM Number II ype of Building (check all that apply) or 2 Family Dwelling - Number of Bedrooms r �I'1 �ns b1ic/Cornmercial - Describe Use � ( i ❑Villag o hi of ❑ State Owned - Describe Use - D .. ^ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) ❑ Other Modification to Existing System ' A.. New System ❑Replacement System ❑ Treannent/Holding Tank Replacement Only New List Previous Permit Number and Date Issued ❑ ❑ Permit Revision El Change of ❑ Permit Transfer to B. Permit Renewal Plumber Owner Before Expiration f TV T e of pOWPS S stem: Check all that a I ❑ Si pass Sand Filter ❑ Non - Pressurized In- Ground El ? 24 in. of suitable soil ❑Mound < 24 m suitab S Toeatm U Recirculating S d' i ❑ Constructed Wetland ❑ Pressurized I and [I Holding Tank El Peat Filter 7 J ,aG Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) Recirculating Synthetic Media Filter g t Elevation V. D l ersaUTreatment Area I for lion: Dispersal Area Required (sf) Dispersal Area Proposed (sf) Y;, Design Flow d) Design Soil Application Rate(gpdsf) P ,` [ j Y i (� � prefab Site Steel Fiber Plastic VI. Tank Info Capacity in Total Number Manufacturer Concrete Constructed CAMS Gallons Gallons of Units New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber urne responsibility for insfallation of the POW I S shown on the B ; �� P hone Number VII. Responsibility Statement I, the undersign MP/MPRS Number Plumber's ature Plumber's Name (Print) l Plumber's Address (Street, City, Sta IP d J � J I (/ .fir, N vv GV' VIII. t ignature o S s) Coun /De artment Use Onl Sanitary permit Fee cludes Groundwater Date Issued Is uing Stamp �kA PProved ❑ Disa _ ed Surcharge Fee) ❑ ven Reason for Denial IX. Conditions Approv SYSTE NER: 1 Septic tank, effluent filter and dispersal cell must all be s rviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. to the County only) for the system on paper not less than 8112 x 11 Attach complete plans inches in fin SBD -6398 (R. 01103) I PLOT PLAN PROJECT Stephen Waaner ADDRESS 2360 Overlo . 4 N. Stillwater Mn 55082 SW 1/4 SW 1 /4S 24 /T 31 N/R 18 W City N ichmond COUNTY ST. CROIX SYSTEM ELEVATION 93.0 6.5' below qrade `� , I <J — 1 GPD 154 CONVENTIONAL XXX AT -GRADE CONVE ONAL LIFT / HOLDING TANK MOUND SEPTIC TANK SIZE 627 gallons LIFT K SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 248 # of chambers 8 BENCHMARK V.R.P. Bottom of Siding ASSUME ELEVATION loo' Filter Zabel A -100 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark a cs: Total GPD = 154 Tank Size 154 X 2.088= 322 gallons using a Huffcutt 627 Scale = 1 /4" _ 1 Leaching chambers 154 gpd /.7gpd /ft ^2 X 31.1 chambers /ft ^2= 7.07 chambers Airport Rd going to use 8 chambers Owner leases both hangors Lease lot line Pro Hangor 2 employees 1 floor drain 77 gpd Not Discharging Pro Hangor 2 into catch basin! employees 1 floor B.M. * /Alt.B.M. drain top of Slab @ vent ST Not Discharging I [I B - 3 D' into catch basin! B -1 B -2 Parking area 0% Slope lease lot line B -4 ❑ Please note: this sanitary system Taxi Way is for domestic waste only! No Please note: the city of New catch basin is to discharge Richmond owns the entire airport and the hangors are leased, the lot into this system. Also no waste line indicates the leased area, thus setbacks from lot lines need not or debris from and airplane or apply mechanical device is to be put into system! PLOT PLA " ,oJECT Stephen Waaner ADD ES 60 Overlook Ct. N. Stillwater Mn 55Q8'2 SW 1/4 SW 1/4S 24 /T 31 N/R 18 City New Richmond COUNTY ST. CROIX SYSTEM ELEVATION 93.0 6.5' below grad 1� �kD 154 CONVENTIONAL )00C A T - GRADE CONVENTIONAL LIFT HOLDING TANK � -CQZ MOUND SEPTIC TANK SIZE 627 onS LIFT TANK SSE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 248 # of chambers 8 BENCHMARK V.R.P. Bottom of Siding ASSUME ELEVATION l00 Fffter ZabelA -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark a cs: Total GPD = 154 Tank Size 154 X 2.088= 322 gallons using a Scale = 1 / 4" = 1 Huffcutt 627 Leaching chambers 154 gpd /.7gpd /ftA2 X 31.1 chambers /ftA2= 7,07 chambers Airport Rd going to us c-,8 chambers o ase '14 th hangors Lease lot line �� —4111b Pro Pro Hangor 2 9 employees 1 floor drain 77 gpd Not Discharging / Pro Hangor 2 into catch basin! a employees 1 floor B.M. * /Alt.B.M. I drain top of Slab @ Vent - Not Discharging into catch basin! ® B -1 B -2 B -3 Parking area 0% Slope lease lot line Please note: this sanitary system g is for domestic waste only! No Taxi Way catch basin is to discharge Please note: the city of New into this system Also no waste Richmond owns the entire airport and the hangors are leased, the lot or debris from an airplane or line indicates the leased area, thus mechanical devic is to be put setbacks from lot lines need not apply. into system! co OP I-CI dSS :Oi SO IE 2nd Safety and Buildings 10541 N RANCH ROAD commerce HAYWARD WI 548433 TDD #: (608) 264 -8777 i s c o n s i n w ww.c e.w i. gov/s ! www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary September 01, 2005 CUST ID No. 226900 ATIN. 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: 09/01/2007 Identification Numbers Transaction ID No. 1188778 SITE: Site ID No. 643579 New Richmond Airport Please refer to both identification numbers, Airport Rd above, in all correspondence with the agency. City of New Richmond, 54017 St Croix County; Fire Dept ID: 5502 (mow 17 - 1.4 16 g..dur e+� FOR: Description: New non pressurized in ground system, 2 airplane hangars w/4 employees, 2 floor drains Facility: 666742 NEW RICHMOND AIRPORT STEPHEN WAGNER ROW 12 NORTH HANGOR 5 AIRPORT RD NEW RICHMOND 54017 Object Type: POWTS Component Manual Regulated Object ID No.: 1035947 Maintenance required; 153 GPD Flow rate; 136 in Soil minimum depth to limiting factor from original grade; System(s): In- ground POWTS Component Manual, SBD- 10705 -P (N.01 101) P.O 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 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 stats. The following conditions shall be met during construction or installation and prior to occupancy or use: �. o 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) • 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. SHAUN R BIRD Page 2 9/1/2005 • 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. • 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 copy of this letter to the owner and any others who are responsible for the installation, operation o aintenance of e POWTS. Sincerel Fee Required $ 175.00 Fee Received $ 175.00 L Balance Due $ 0.00 Patricia L hando POWTS Plan ewer , In ated rvices WiSMART code: 7633 (715) 634 -7810, Fax: (715) 6 - 0 , M -f 7:45 am - 4:30 pm pshandorf @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 f Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 8/16/05 Owner: Stephen Wagner Location: SW1 /4 SW1 /4 S24 T31 N,R18W Lot 6 &7 Row 12 NR Airport System type: In- ground absorbtion system(conventional) Manuals Used: In- ground absorbtion system (version 2.0) Page# 1. Cover Page 9 2. System Plot Plan 3.Chamber Cross 4 -5. maint S t n ance and igency plan est 6 -8. Soil T ^�•T S '' Signature License nu er 226900 a • "" 4i G0 Su DINGS SF E CE PLOT PLA PROJECT Steohen Wanner ADD ES 360 Overlook Ct. N. Stillwater Mn 55082 SW 1/4 SW 1/4S 24 /T 31 N/R 18 City New Richmond COUNTY ST. CROIX SYSTEM ELEVATION 93.0 6.5' below grad - f ✓�� ��� 154 a v _ CONVENTIONAL XXX AT -GRADZco) CONVENTIONAL LIFT HOLDING TAN�� -��� MOUND SEPTIC TANK SIZE 6LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 248 # of chambers 8 BENCHMARK V.R.P. Bottom of Siding ASSUME ELEVATION 100 ]filter Zabe] A -1 ❑ BOREHOLE O WELL +H.R.p, Same as Benchmark a cs: Total GPD = 154 Tank Size 154 X 2.088= 322 gallons using a Huffcutt 627 Scale = 1/4" _ 10' Leaching chambers 154 gpd /.7gpd /ftA2 X 31.1 chambers /ftA2= 7.07 chambers Airport Rd going to use 8 chambers Owner leases both hangors Lease lot line -- -� Pro Hangor 2 employees 1 floor drain 77 gpd Not Discharging Pro Hangor 2 into catch basin! employees 1 floor B.M. * /Alt.B.M. drain top of Slab @ Vent ST Not Discharging LV into catch basin! B -1 B -2 B -3 Parking area 0% Slope lease lot line Please note: this sanitary system is for domestic waste only! No Taxi Way catch basin is to discharge Please note: the city of New i nto this system. Also no waste Richmond owns the entire airport and the hangors are leased, the lot or debris from an airplane or line indicates the leased area, thus mechanical devic is to be put setbacks from lot lines need not apply. into system! T -d dSSrOT SO TE 9nd Cross Section of Standard Biodiffuser Leaching Chamber Typical cross section for 1 of 1 cells To be >1' above grade Standard Biodiffuser Leaching Chamber Finish grade elevation with 31.1 ft2 of Area Aa 7' Typical Installation Vent Grade 4 ' 4 x/30/34 From Septic Tank 6' Long 1 34" Grade at System Elevation 1 -3' X 50' Cell Same on other end Observation tubeNent 3.25' y/ A 8 chambers per cell System elevations: A -93.0 PIAN Page of _ R'S MAN UAL . & MANAG . CIFtCA"� POV�TS flWN SYSTEM SPE �.. 7 at 0 NA n rut - $eptiaTac►it Ca cG c T ank tan l n NA VAf °µ 5 �e sew meter Manutac owr E�uent p NA pecma FfRuent Filter'Model Na )ESIGN P 2 Pump -'fanK capacity rer NA Num�r of Bed erdal Units pump Tank Manufactu NA N Comm 1 �C aVda _ pump M� r flow (�'g@) ated x 77 Z ".'� � pump Modell unit _ Fl(ter n tWw (P ' (gym , ' 7 pre 't Ft p Peat nd Deww Monthly average t7 Sarxltrmv n ❑ vVeta . so mg/L r3 M [3 t?th er- � t�EMuent ats.-aff S Grease (FOG) �fl mg/L C3 Disinfec e /L man B1odtwm�t OxylIef' ids (TSS) 5150 a stag "� 0 Cett(s �y) C3 In-ground (p�ssurQed) - rat SusPet1 NA MonthtY a n ..ground (g p Mound Eff Wen QuaCth( 530 mg/- CI .grade E3 Other_ P en pemand (80Us) n - ❑ D t � wasia"t" a"° 530 M g 'L oy otitis {f: s) 1 OOml domes T Btodt Total Suspended S n) st 0 cEu! values ar& �ue i t=em Gordon . (geOmetne - Y inchdtam sew M mum Effluent Particle Size «. values typical Rte° aw �r Service Frequency m 3 Yrs. s LE ear( s-' (Maximu N�1yppCE gCF1EDU ❑ month of tank volume MA1 Event p� least one every cum equals one (>ts) Service an mum 3 yfs -) rnbir a sludge earls? (M condrttof of t0nk( When � � ❑month Ins - ped Pump out co, east of tank(s) At least once every o rnonths f( s) NA IttSpeot dispersal cell(s) At least once every 0 mo nths, every p years) L7 NA Clean ieffluent {,tier At least once 13 month �s g ale ©� p NA taped Pump, Pump contra ala At feast once every ❑ months �� p NA Flush laterals and p sure test A t least once every Cl month., II yeafl ante every At (east o�hec licenses or Oc�r one of the foil ratne� SePmSe CE iNS�UCT10N5 tis Shall be made try an ind'nridpoo� I nspecto r t � � arty M " or �n up rsat ce cW SeWe on of the tanks) ] t4 m and rhea for any t levels tnspe�"s of � tanks tanks plumber. Master Ptumt� d Huai Inspe� , sludge and , to cheer the effluen Maw ions must Ind volume of combined of effluent on the a:r6fl tor. Tank inspeo ure the v i s ually Ins y P ndin9 or tea shall be She po ority. tcs, meal rsal cetils) round surface - aufl' son , ideniff am ro und since po ding o f effluent an ttie 9 nod �,tion Of the total f tan volum the or Pond'in9 of effluen and to check for any P° d regLfwes the IMmediate or more Of the WO ch. NR in the o bsef�fl0'�' PIPS condition an oats one -lam { of in acCOfda roustd sow may , a t�'o sludge and scum in any��� o � a nd dtsPosed g aocumutation a $eptage Se and any When the Combined r oved by t cornPene k shalt be of the tan onents, p PO retreat�e 5 Maintainef- entire oonte e. g comp a fled WT it3, V sin Admtnlstm� ressudZed P0Y1� ed by - ce eYent or p o selvi se rv icing of �oent anicaf at inter+rals of 12 mantles or less. shalt be n of any P? o f oomP� Th. nos or Rlonitonng to the tack regulatory au#tllontY witfiin 'f Q days Other malntog t ling pducts or other ro A 50MRe napart shalt be P le 5ence Of P are SION treatmen# - if high oonc ta th cell s) en�ti0 START UP AND OP W to use of the PO ss and r damage ti1e dispel P � to use - For new constm>� impede die treatment P b a septage servicing operator p chettuc3ls� t th OOntents of the bnk( Cen'oved Y det�ed page — of—, n at the infiltrative sur#ave is reSWred the e c onditions are froze x� rt UP Shall not Qatar v+fien above normal tiighv ater level Vtifhen a ceg(s) and may result in the Sys sta es Pump tanks iauW cents} one large dose, overtoac mp tank removed by a outa9 dispel on have the contents of the P Ma or POWTS tMainerto to the situate a Plumber D y am[ be � ��t. To vo the effluent purr � m p P �k or tC1 d'IttT of c . badaiP O Pr= to restore normal levels t� over. Sept wag the PUMP - O not drive Or Pa or of enwzse mamlaily vet> over tanks and prolong the fife d of ar y mound o f at -grade soil Do not drive or pa absorption ve the Pe�� the area jagn 45 feet down slope s, degreasers: dental tfoss; dmpelsy from the wastewaW stream rnaY improve Me �ltowing �1ine; grease. ,educ or- eCunlna dgarets; condoms, - �tton swablin s g herbiades� meat tte but . t N utnp) vVater fruit and vegetable pe 9 s brine. of theme � ��� dii1n (StitT►F " des; sanlbry napkins: l pons, wa oU; rye that the sC rile ' the folfowlno stets shall taken to tnsu ABANDIDNWENT fails andtor is pe�ane�Y ken out of service Adrninist a Code tine p0VM ed in DDmPrar>ce wdh ch_ Gomm oned Pipe ings seated_ is property and s at -N Bandon d,�annected and the abandoned se of by a Septage Servicing OPemtor. System All Piping to tanks and p shin shat! be ir co removed and property disposed and the void space The contents of all �� d its 'had be excavated and removed or thevers removed After PumPlng- art tames and Pizs ravel or another inert sand material_ frt[ed sot!, g or mast be tai do provide a code C O�NGENCY PLAN ed ftte foEtawing measures have been and cannot be repair location of a replacement soil t If the p01Rt fad ensystem be utilized for the compac and should no c ompliant repiaCern system has been evaluated and may from disturbance and cotnPa re �rnent ent area should be protected re, lot lines and welts. Facture to t3 AA suitable Vim- The replaccem and pr oposed :' Tctu to establish a suable aired setbacl from existing evaluate be infringed upon b y reQ alt in the need fora new soil and site at that in pp time pr o£ect the replacement area ++ + 4 with the rules in effect at Barring advances VYTS Replacement systems must comp Y replacement area- is not ava itable due to setback andlor soil e f a d d A suitable replacement area be Willed as a last resort to re p+ace the Ljjpon failure of the POWTS a available . . m t are Elab techno a holding tank � a suitable replacemen t area is ava has n ot been +evaluated to !d a sulrable replacement area- if no reP Q The site r2 lace the failed POWTS removal of the tsiomat at holding tank may be install tact resort to P nstructed in place°'"nng Stmt time. e SoII a b sor ption sYstenns may be repo With the rules in e at Mound and at-gr moons of such systems must comply the infittratnre surface.. Recons GASSES pNt310R INSUFFICIENT OaCYfEN. <NYARNING> TMENT T/�NKS MAY COt+fTAltti i ETt 1AL CUaCUMSTANCES. DEATH MAY OTHr pTIC� P A S 7 ' I u p R OTHER Ti�F�ATMENT TANK UN BE A E UO NO AI FROM T F IN'rERtaR at= A TANK MAY DIFFICULT OR IMPOSSIBLE. RESULT_ . RESCUE OF A PERSON ADDITIONAL COMMEWTS POVYTS NWNTAINER poWTS INSTALLER blame ✓�� Name u i Phone /_j—' Phtme R PUMp� LOCAL REGULATORY AUTHORffy �� 94 SEPTAiGE SERVICING► 0 EMTO Agent ` j � � Name Phone 4 --7J ^.3 T Phone f'"S' Cas;nty Zaning and Sane wAndes- This dooum�►t mew id`s of the Oman islce. Ntarttuetfs and Waushara Aden �� Use of tl+ls doarttioes not [1lAtl This do=me+' draped by Ow 83 <dW4 and 83_S4(1). (2) & (j)• Wisconsin ENV the n*!M= mg Wm tents of dL Comm guarantee ft►e per{orrmnce Of the POW T'S. i J Wisconsin Department if ComrAITM 3 2805 SOIL EVALUATION REPORT Page of Division of Safety and 8 jildings in accordance ' h Comm 85, Wis. Adm. Code A ST. CROIX COUNTY County Attach complete site Ian on �A 8 1/2 x 11 inches in size. Plan must include, but not limit point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. f2evigiked by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). L' L J& f' ` Property Owner Property Location 'S �4 Govt. Lot J C j 1/4 j LO 14 S C 2- T3/ N R E (o W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# r- )e I •L Al rl2 City State Zip Code Phone Number City ❑ Village ❑ TowA Nearest Road ce oc S sl — o 6 `64� A a ;L New Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate 7 - 7 X Z GPD ❑ Replacement / ublic or commercial - escribe:Ze- M- l �i _ �• ��_!► a1► tZG -- Parent material , / / Floo Plain elevation if applicable General comments and recommendations: F _0 Ong # El Boring W. Pit Ground surface elev.� ft. Depth to limiting factor 3 (1=1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Efi#1 •Eff#2 e--s- r L j I N 1 41 f 41 q F:�] Ong # El Boring P, Pit Ground surface ele � ft. Depth to limiting factor I Jo in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 0 /()v,- V z— .v ' nil4 n1j,* r 7 ro 93 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 nVL CST Name (Please Print) S' a CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evalu tion Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017'`^ --� ,Y 715- 246 -4516 Property firmer Parcel ID # Page of ©Boring # E] Boring / / Pit Ground surface elev. � ft. Depth to limiting factor f in. �iI Iication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 7 T �-/ Boring # ❑ Boring " � l , 1 O pit Ground surface ele� 7 ' ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 F-1 Boring # E] Boring 1:1 Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description- Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - Eff#2 I Effluent #1 = BOD. > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 130 mg/L and TSS 130 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD- 833,0 (RAMO) • Soil Test Plot Plan Project Name Stephen Wagner Shaun Address 2360 Overlook Ct. N Stillwater Mn 55082 Cr 6900 Lot 6/7 Subdivision NR Airport Date /16/05 S W 1/4 S W 1/4S 24 T 31 N /R W City New Richmond Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Bottom of Siding System Elevation 93.0 *HRpSame as Benchmark Scale = 1/4" = 10' Owner leases both hangors Airport Rd Lease lot line —� Pro Hangor 2 employees 1 floor drain 77 gpd Not Discharging Pro Hangor 2 into catch basin! employees 1 floor B.M. * /Alt.B.M. drain top of Slab @ 00.0' Not Discharging 13 0 into catch basin! B-1 B -2 B -3 Parking area 0% Slope lease lot line Taxi Way Please note: this sanitary system is for domestic waste only! No Please note: the city of New Richmond owns the entire airport catch basin is to discharge and the hangors are leased, the lot line indicates the leased area, thus setbacks from lot lines need not into this system. Also no waste apply or debris from and airplane or mechanical device is to be put Rug 08 05 06:29p Steve Wagner 651 351 -9037 p.1 bUphen R & Teri L Wagner 2360 Overtook Court North afitlwater MN 55082 C� � Rug 08 05 06:29p Steve Wagner 651 351 -9037 p•? _ _� 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 Stephen Wagner, 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, fvr 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: k1 1. PProerty Description Lot 6, Row 12 of the Airport Layout Plan - New Richmond Municipal Airport. Leased Property equals 11,610 square feet (86' x 135') 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. - 1 I 9 Rog 08 05 06:29p Steve Wagner 651 351 -9037 p.3 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 $1,161.00, 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 an y readjust of said present rates ' ' or as same maybe amended herea shall b - - - -- 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 tbis 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 I Hug 08 05 06:29p Steve Wagner 651 351 -9037 p.4 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. &M: 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 amendment thereto including a petition for reorganization or an arrangement; c. The commencement of a proceeding for dissolution or for the appointment of a receiver; d. The making of an assignment for the benefit of creditors without the prior written consent of the Lessor; e. Violation of any restrictions in this lease, or failure to keep any of its covenants after written notice to cease such violation and failure to correct such violation within thirty days. Default by the Lessee shall authorize the Lessor, at its option and without legal proceedings, to declare this lease void, cancel the same, and re -enter and take possession of the premises. 14. Title Title to the buildings erected by the Lessee shall remain with the Lessee and shall be transferable. Upon termination of this lease, the Lessee may, at the option of the Lessor, remove the buildings, all equipment and property therein and restore the leased - property to its original condition. t5. 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. 3 Ryg 08 05 06:30p Steve Wagner 651 351 -9037 p.5 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 t he Lesse 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 Height 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 Rug 08 05 06:30p Steve Wagner 651 351 -9037 p.6 h IN WITNESS WHEREOF, the artier have hereunto set their ands and seals this da y of 6 c --� ,� � I CU , in the City of New Richmond, 5 � St. Croy County, Wisconsin. LESSOR: Airport nager, Mike Demulling LESSEE: " Amzn�' S ephen Wagner 5 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer : Mailing Address d a () U Q/�.��� r Y1N v" 0 ' Property Address N l �_ N 1 1 i r p o r-1' (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number LEGAL DESCRIPTION P y l C�n Prop Location' V 1 /a , S U) 1 /a , Sec9_ T I N R Subdivision i / �' /" t Ya tY v Lot# 7 Certified Survey Map # , Volume , Page # Warranty Deed # , Volume Page # �-- pw� no Lot lines identifiabl yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master 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 necessary), the septic tank is less than 1/3 full of sludge. I/we, 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 Planning & Zoning Department within 30 days of the three year expiration date. I /we certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property described above, by virt a of a warranty deed recorded in Register of Deeds Office. SIGNATUREO APPLICANT(S) DATE S) JT Q�► I�o -r.� �7 - * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) . t n o (D -o C rt a �' n 13S 210` roil% °i° n m 3 ic O W i. CL C> m Y N O '►C i s (D w 0 � i m m 1 O _ w j 1 m N � m m U W � 5 m s s �1! O 'g' O X 0 O m - �N C O ID o, � m X o CD t ID (1) .1 f t?1 A 3 i W N R : i .p m- :3 3 i m N : i CD i 5 CD 'd = : Y p. o s ID m r Q. t m c • x i � �O Y