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HomeMy WebLinkAbout261-7000-16-006 16-6 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and ,Building Division INSPECTION REPORT Sanitary Permit No: 515096 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)J. Permit Holder's Name: X City Village Township Parcel Tax No: City of New Richmond, airport prop erties I City of New Richmond 261- 7000 -16 -006 CST BM Elev: Insp. BM Elev: BM Descri tp ion: Section/Town /Range /Map No: / 00-0 n . 4xi 24.30.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ` / Benchmark / • 6 �• `� 'a D g (�lJ LB]dg. ew �y 9 Aeration e Holding let i Ht Outlet TANK SETBACK INFORMATION TANK TO /L l BLDG. Vent to Air Intle ROAD Dt Inlet Cc h �v►� 6 Septic 5 I \ ?� I Dt Bottom Dosing / Header /Man. Aeration Dist. Pipe Holding Bot. Syst o• 9 /•0 a� Fi ar Dade PUMP /SIPHON INFORMATION, $�. / /(�, 36 Manufacturer Demand St Cover .� GPM 97 • Model Number Q I N TDH Lift Friction Loss Head TDH Ft 10 Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM h BED /TRENCH Width 1 Length No. Of Trenches PIT DIME�tSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / SETBACK SYSTEM TO P/L BLDG � LAKE /STREAM LEACHIN Man ure : INFORMATION ,, (� L CHAMBE OR Typ f System: V. 6K �/ 7 / I Model Number: 20 DISTRIBUTION SYSTEM ah4d'eLCa- 3Z Header /Manif Id IlDistribution x Hole Size x Hole Spacing Vent t Air Intake ►� Pipe(s) 2(o A —�" / > t Length Aia 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 7No Mulched Bed /Trench Center 4/— 1 Bed/Trench Edges f Topsoil q �r Yes El El Yes [] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 7 / ( /6 Inspection #2: Location: Row 16 Hangar 6 New Richmond, WI 54017 (SW 1/4 SW 1/4 24 T30N R18W) New Richmond Airport Lot 16- Parcel No: 24.30.18. 1.) Alt BM Description 2.) Bldg sewer length = 'Z SGf ( C/o � � a G �IAI� � � � •S 2 - amount of cover = yl � � it Plan revision Required? Yes No Use other side for additional f i_��� l SBD -6710 R.3/97 Date Insepctor's Signatur Cart. No. r eommerce.wi.gov Safety and Buildings Division County 201 W. Washington Ave., P Madison, WI 7 2 �o�,71(� e filled ' ti s c o n s i n Sanitary Permit Number (to be in by Co.) Department of Commerce 1 �j Sanitary Permit Application state Transacti Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary p urpos es in accordance with the Privacy Law, s. 15.04 1 m , Stats. Information — Please Prin 11 Information Property er's ame 11 Parcel ff Property Owner's Mailing Address 6 H ua Property Locafion all Z, rJ/ ST CROIX COUNTY Govt. Lot C ity, State Zip Code VAIN 1JbWNING OFFICE , ) , � Section circle one II. Type of Building (chec Al that apply) Lot # T N; R E o ❑ 1 or 2 Family Dwelling — Number of Bedrooms Subdivision Name � Block # Public /Commercial — Describe Use ,oC e,E' City of ❑ State Owned — Describe Use �" 19 � CSM Number El Village of ""--' ❑ Town of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A M New System ❑ Replacement System ❑ Treatment/Holdin Tank Replacement Only El Other Modification to Existing System (explain) Y P Y g P Y g Y ( P ) B. El Permit Renewal ❑Permit Revision ❑Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner i IV. Type of POWTS System/Component/Device: Check all that a I Z, , Non- Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 244n. of suitable soil ❑ Mound < 24 in: of suitable soilC ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: T - Cdr Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (s System Elevation °? / VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units .0 2 o d New Tanks Existing Tanks d a d v R rn P. Septic or Holding Tank Dosing Chamber VII. Respons • ity Stateinent- the undersigned, assume responsiAilkW for installatio of the POWTS shown on the attached plans. Plumber' N e Plumber's na MP/MPRS Number Business Phone Number Plumber' A dres Street, ity, S e, Zip Code VIII. C"&runty /De artment Use Onl pproved ❑ Disapproved Permit Fee Date Issued Is mg Agent SigpAure ❑ Owner Given Reason for Denial IX. B>l pRval/Reasons for Disapproval L , f �✓� 1 Septic tank, effluent filter and ( J `1 dispersal cell must all be serviced / maintained `��tGC� � =;� c� __ diz as per management Ian provided b lumber. P P Y P 2. All setback requirements must be maintained 88 Per 8PPl:eablViMft/Al;;A;jp r the system and submit to the County only on paper not less tha a x 11 inches in size SBD -6398 (R. 02/09) Valid thru 02/11 4 7 � I ;i ,r Li _ COP' PAJ LD Wisconsin Department of Commerce SOIL EVALUATION RE PGRT — Page / of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code -c County V o r D Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location t road. Please print all in orma &C E I V E D Revi wed by Oat Personal inform tion you provide may be use for secc ida 1 urposes (Privacy Law, s. 15.04 ( ) (m)). 2- D Property Owner �r� l SEE 'E rope Location / f Cat} /J&4/ // 1 /4Jlt/�1 /4 S T N R I E( W Property Owner's Mailing Address S . L t Bloc# Subd. Name or CSM# �� /Q O INGOFFI E / p /r J �-1 _ City State Zip Code Phone Number City ©❑ Village ❑ To Nearest Road New Construction Use: ❑ Residential / Number of bedrooms __ Code derived design flow rate �/ GPD ❑ Replacement Public / qr commercial - Describe: C Jti+ e-aQ__ 1_ _1-2r .� _______ _ Parent material lood PI elevation if applicable General comments and recorturiendations: System Type L'O.'V System Elevation �# Boring F-1 r Pit Ground surface elev. _�ft. Depth to limiting factor � a , in. Soil Application Rate Hoftm Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 4 1 t I K I t Fx-1 Boring # O Boring .Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 I �r � � t�J u . 0 - 2, Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) CST Number Bird Plumbing, Inc. Shaun Bird ��� 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54 17 �� 715- 246 -4516 Property Owner _ Parcel ID # Page of Boring Boring ® # ❑ O–P' r t Ground surface elev. l y" / � 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 [4-1 Boring # ❑ Boring p/ // Pit Ground surface elev. fO ft. Depth to limiting factor -- / W in. in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in.. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Q J A & i 3/ L Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F Cl Pit Soil Application Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/FF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA_ ' Effluent #2 = BOD < 30 ffKA and TSS < 30 mg1L 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 -8330 (RAM) i Soil Test Plot Plan Project Name Matt Miller Shaun Mir Address 10855 176th St. N Marine Mn 55047 CST 26900 Lot 16-6 Subdivision NR Airport Date 9/ 11/08 SW 1/4 SW 1/4S 24 T 31 N /R18 W City New Richmond R Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Power Box System Elevation 91.2' *HRPSameasBenchmark Scale = 1 " = 20' Leased Lot Lines B -4 B -3 Pro Airplane B-2 Hangar 2 employees and 1 floor drain 77 gpd O Well B -1 B.M. Airport Road Site has <1 % Slope • Safety and Buildings 10541N RANCH ROAD commerce .Wl.gov HAYWARD WI 54843 Contact Through Relay www. commerce.wi.gov /sb/ isconsin www.wisconsin.gov Department of Commerce Jim Doyle, Governor Richard J. Leinenkugel, Secretary December 01, 2008 CUST ID No. 224263 ATTN: POWTS Inspector KIM A 0 CONNELL ZONING OFFICE K.O. CONSTRUCTION ST CROIX COUNTY SPIA 504 3RD AVE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 I CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 12/01/2010 Transaction ID No. 1613886 SITE: Site ID No. 643579 New Richmond Airport Please refer to both identification numbers, Airport Rd above, in all correspondence with the a enc �=d City of New Richmond, 54017 � St Croix County; Fire Dept ID: 5502 �� `i Lot: 1, Row 13, FOR: t9 i, t Facility: 695450 NEW RICHMOND AIRPORT MATT MILLER HANGER t ' LOT 6 BLK 16 AIRPORT RD NEW RICHMOND 54017 Description: Non pressurized inground system, airplane hangar, 2 employees, 1 floor drain SF=E GOr` y' Object Type: POWTS Component Manual Regulated Object ID No.: 1209842 Maintenance required; 77 GPD Flow rate; 110 in Soil minimum depth to limiting factor from original grade; System(s): In- ground POWTS Component Manual, SBD- 10705 -P (N.01 /01); Commercial System The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health h p rop e rty contingency hazard, the owner must follow the contin enc 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. • This plan is approved in conjunction with Transaction # 1613868, a petition for variance for the setback between the dispersal cell and the building. All other setback distances must be maintained per code. • 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. KIM A O CONNELL Page 2 12/1/2008 • 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. • 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.litm #septic • The designer proposes to install an outlet filter to achieve the requirement of wastewater particle size. Access to the filter for cleaning must be provided per ss. Comm 84.25 (7) and (8),Wis. Adm. Code product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is 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 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Beginning October l 2008, small wastewater holding tanks with estimated flows less than 3,000 gpd that are based completely on approved POWTS component manuals must be submitted to the appropriate governmental unit and will no longer be accepted by the Safety and Buildings Division for review. Please refer to s. Comm 83.22, Wis. Adm. Code for further information. 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 shal vi e a opy of this letter to the owner and any others who are responsible for the installation, operation or aintenance o the POWTS. Sincerely Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Patricia L Shandorf POWTS Plan Revi ver , Integr ted Services WiSMART code: 7633 (715) 634 -7810, F x: (715) 4-5150, M -f 7:45 am - 4:30 pm pat.shandorf @wisco v cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. �✓v' / �- `rte c"' 1 1 b /�, �_Jsl�m Sl��hJc% L'� /4rffi d _ �t fi r, � fry �c�S5 - r j� 7 r /` ,�.� >,,r• r. ✓i��J� %�u � / .s,�a'c`C ��4s:,�Bf,✓?r , w 416i i1'�r 4 A , l� / %rs�. 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I 0 • :� �, o ,. o Q0 ( A � l • \w s \/D O � a r - - O x l POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa ofZ FILE INFORMATION SYSTEM SPECIFICATION Owner Septic Tank Cap acity al ❑ NA Permit # " j —/ Septic Tank Manufacturer ❑ NA Effluent Filter Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Model ❑ NA Number of bedrooms Vit NA Pump Tank Capacity al ANA Number of Commercial Unit °s ❑ NA Pump Tank Manufacturer O-NA Estimated flow (average) gal/day Pump Manufacturer 2f NA Design flow ( (Estimated x 1.5) al /da Pum Model i*NA Soil Application Rate `7 gal/day/ft' Pretreated Unit Influent /Effluent Quality Monthly Average* ❑ Sand /Gravel Filter ❑ Peat Filter Fats, Oils & Grease (FOG) <30 mg /L n Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) <220 mg /L ❑ Disinfection ❑ Other: Total Suspended Solids (TSS) < t 150 m L Manufacturer Pretreated Effluent Quality NA Monthly Average" Dispersal Cell(s) ,� � In- ground (gravity) ❑ In- ground (pressurized) Biochemical Oxygen Demand (BODs) <30 mg/L ❑ At -grade ❑Mound Total Suspended Solids (TSS) <30mg /L ❑ At- -line a Other: Fecal Coliform (geometric mean) <10 4 cfu /100mL Maximum Effluent Particle Size '/s inch diameter * Values typical for domestic (non - commercial) wastewater and septic tank effluent. ** Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequenc Inspect condition of tank(s) At least once every ❑ months ear(s) (Maximum 3 rs) Pump out contents of tank(s) When combined sludge and scum equals one third ('/3) of tank volume Inspect dispersal cell(s) At least once every ❑ months ears (Maximum 3 rs) Clean effluent filter At least once every ❑ months ear(s) Insp ect pump, pump controls & alarm At least once every ❑ months ❑ ear(s) ONA Flush laterals and pressure test At least once every ❑ months ❑ ear(s) oNA Other: At least once every ❑ months ❑ ear(s) o-NA Other: At least once every ❑ months ❑ ear(s) 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 check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third ('/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 1 13, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that my impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tanks(s) removed by a septage servicing operator prior to use. Owner: �� /�' Page /".f System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal high water levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact. The area within 15 feet down slope of any mound or at -grade soft absorption are. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONEMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. • The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. • Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at the time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTAL R Name POWTS MAINTAINER Phone _ _ Name Phone SEPTAGE SERVICING OPERATOR (PUMP R) LOCAL REGULATORY AUTH Name Nam 3 t Phone e 1 i Phone _ _ Safety and Buildings 10541 N RANCH ROAD commercemi.gov HAYWARD WI 54843 Contact Through Relay i s c o n s i n www•commerce.wi.govlsb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Richard J. Leinenkugel, Secretary December 01, 2008 CUST ID No. 1079922 ATTN: POWTS Inspector ZONING OFFICE MATT MILLER ST CROIX COUNTY SPIA 10855 176TH ST N 1101 CARMICHAEL RD MARINE ON ST CROIX MN 55047 HUDSON WI 54016 APPROVAL OF PETITION FOR VARIANCE Identification Numbers Transaction ID No. 1613868 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 Lot: 1, Row 13, FOR: Petition for Variance The submittal described above has been reviewed for equivalency to applicable Wisconsin Administrative Codes and compliance with Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in section 101.01(10), Wisconsin Statutes, is responsible for compliance with all conditions of this petition approval and other applicable code requirements. Plan submittal and approval to the department or its agent may be necessary prior to construction undertaken per this petition. This petition approval may be affected if applicable codes are revised prior to plan submittal for any necessary construction work. • Comm 83.43 (8) (i) Table 1: The code section petitioned requires that a POWTS distribution cell (Dispersal Component) maintain a minimum horizontal setback of 10 feet from any building, water service or private water main, 5 feet from a property line, 15 feet from a swimming pool, and 50 feet from the high water mark of navigable waters. • The variance requested is to allow a POWTS distribution cell to be 5 feet from a building. • The intent of the code section petitioned is to provide the minimum .horizontal setback distances as outlined in table 83.43 -I as extra safety factors for public health, waters of the state and structures during construction and in the event of component failure. The petitioner submitted the SB -9890 application form including 1 additional page(s) of supporting documents and/or plans. Reviewer's Comments: 1. Based on the precedent established by the previous petitions, this petition for variance is being processed as permitted by Wisconsin Statute s. 101.02(6)(g), and Comm 3. 2. The soil in the proposed system area and elevation is sandy and will promote vertical movement of effluent. 3. The building is not for residential use. Departmental Action: CONDITIONAL APPROVAL Reviewer's Conditions of Approval: • All of the petitioner's statements included on the variance application form, any other documents submitted to the Department, and all conditions of approval, if any, listed below shall be carried out. This variance is specific to the subject petition and cannot be used for any additional modifications. MATT MILLER Page 2 12/1/2008 • The plans for the system must be submitted to the appropriate agency and approved prior to issuance of the Sanitary Permit. All of the petitioner's statements of fact or intent included on the variance application form, any other documents submitted to the Department, as well as any other conditions of approval listed below, shall be carried out. Any recommended conditions of approval by the fire department and/or municipal building inspection department listed above shall also be carried out unless otherwise stated below. This variance is specific to the subject code section(s) petitioned and the building or object as it will exist following completion of the current construction project and shall not be used for any additional or future modifications, additions, or alterations to the subject building or object. This decision will become final unless the department within 30 days from the date of this letter receives a written request for a hearing. A request for hearing should be sent to the address shown on this letterhead. A copy of this letter must be included with the request for a hearing. The request for hearing should state the reasons for objecting to the department's decision, because a request for hearing may be denied if it does not present a significant question in fact, law or policy. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Fee Required $ 225.00 Fee Received $ 225.00 Balance Due $ 0.00 Patricia L handorf POWTS Plan Reviewe , Inte ated Services WiSMART code: 7633 (715) 634 - 7810, Fax: ( 4-5150, M -f 7:45 am - 4:30 pm pat.shandorf@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. Kim A 0 Connell, K.O. 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"C /�( r�S /= ia1J1'G�.C'i[.lJ.c lU! /iG ivi l/, yi.?r " ThSlrf -' .�� d(w7,�9x1�j17e9+,.n....!' ST. CROIX COUNTY -SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM J Mailing Address Property Address f'jG� ( %� zv` �� � f �� (E, (Verlflcati requireLl from 1'lantling 6� Zoning De :rent for new consu City /State r im Parcel Identification Number 261 LEGAL DESCRIPTION Property Location J� �� ,� ;� , Se E.' ,_/ N R Town off- Subdivision F. ; , , r,Cr'r ,ems Lot / Lot # Certified Survey Map # , Volume , Page # _ Warrant) D eed 2� � VoiuMe Pa r Spec house yes no Lot lines identifiable 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 ofpunlpinb out the septic tank every tluee 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 treatinent 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 fort, 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. Uwe, the undersigned have read the above requirements and agree to :maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained trust be completed and returned to the St. Croix.County Planning & Zoning Department within 30 (lays of the three year expiration date. . . II'wc ccrijfy that all statvinellts oil (has Iu]'llI arc true to Ilte best of'my /our knowledge, I /we anl/arc tllc owners) of'tlle Property described above, by virrue of a warranty deed recurdcd in Register of Deeds Office. Numbe lof' bedrooms E IGNAT , O APPLICANTS) DATE ** *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 grid a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) 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 Matthew Miller 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 o£ 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 6, Row 16 of the Airport Layout Plan - New Richmond Regional Airport. Leased Property equals 6400 square feet 2. Hangar Construction The Lessee shall have the right to erect, maintain and alter buildings or structures upon said premises providing such buildings or structures conform to the applicable requirements of the Wisconsin Department of Industry, Labor & Human Relations and pertinent provisions of any local ordinances in effect. All plans for such buildings or structures shall be reviewed and approved in writing by the Lessor n, 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 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 $640.00, payable on July 1 annually. It is understood and agreed that the rental rate herein specified shall be subject to re- examination and readjustment at the end of each three year period of this lease, provided that any readjustment of said present rates, or as same may be amended hereafter, shall be reasonable. 5. Non - Exclusive Use The Lessee shall have the right to the non - exclusive use, in common with others, of the airport parking areas, appurtenances and improvements thereon; the right to install, operate, maintain and store, subject to the approval of the Lessor in the interests of safety and convenience of all concerned, all equipment necessary for the safe hangaring of the Lessee's aircraft, the right of ingress to and egress from the demised premises, which right shall extend to the Lessee's employees, guests, and patrons; the right, in common with others authorized to do so, to use common areas of the airport, including runways, taxiways, aprons, roadways, and other conveniences for the take -off, flying and landing of aircraft. 6. Laws and Regulations The Lessee agrees to observe and obey during the term of this lease all laws, ordinances, rules and regulations promulgated and enforced by the Lessor, and by other proper authority having jurisdiction over the conduct of operations at the airport. 7. Hold Harmless The Lessee agrees to hold the Lessor free and harmless from loss from each and every claim and demand of whatever nature made upon the behalf of or by any person or persons for any wrongful act or omission on the part of the Lessee, his agents or employees, and from all loss or damages by reason of such acts or omissions. 8. Insurance The Lessee agrees that he will deposit with the Lessor a policy of comprehensive liability insurance upon 90 days written notice from the Lessor. 9. Maintenance of Premises The Lessee shall maintain the structures occupied by him and the surrounding land premises in good order and make repairs as necessary. No outside storage shall be permitted except with the written approval of the Airport Commission. In the event of fire or any other casualty to structures owned by the Lessee, the Lessee shall either repair or replace the leased area to its original condition; such action must be accomplished within 120 days of the date the damage occurred. Upon petition by the Lessee, the Lessor may grant an extension of time if it appears such extension is warranted. 10. Right to Inspect The Lessor reserves the right to enter upon the premises at any reasonable time for the purpose of making any inspection it may deem expedient to the proper enforcement of any of the covenants or conditions of this agreement. 2 11. Taxes The Lessee shall pay all taxes or assessments that may be levied against the personal property of the Lessee or the buildings which he may erect on lands leased exclusively to him. 12. Signs 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 properly 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. 3 I 17. Airport Development The Lessor reserves the right to further develop or improve the landing area of the airport as it sees fit, regardless of the desires or view of the Lessee, and without interference or hindrance. If the development of the airport requires the relocation of the Lessee, the Lessor agrees to provide a compatible location and agrees to relocate all buildings or provide similar facilities for the Lessee at no cost to the Lessee. 18. Subordination Clause This lease shall be subordinate to the provisions of any existing or future agreement between the Lessor and the United States or the State of Wisconsin relative to the operation or maintenance of the airport, the execution of which has been or may be required as a condition precedent to the expenditure of federal or stated funds for the development of the airport. Furthermore, this lease may be amended to include provisions required by these agreements with the United States or the Stated of Wisconsin. 19. Arbitration Any controversy or claim arising out of or relating to this lease or any alleged breach thereof, which cannot be settled between the parties, shall be settled by arbitration in accordance with the rules of the American Arbitration Association, and judgment upon the dispute rendered by the arbitrator(s) shall be final and binding on the parties. 20. Floor 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. Parkiniz Automobile parking must be on the leased premises or on designated areas of the airport. 4 IN WITNESS WHEREOF, the parties have hereunto set their hands and seals this day of , in the City of New Richmond, St. Croix County, Wisconsin. LESSOR: Airport Manager, Mike Demulling LESSEE: Matthew Miller 5 o< — Z m O On z oo rn O Z E m X N 00 m 7o O m —� � r -n 70 x O m W _ CO) O ca o Z N Z Z Z CO) o. G7 m to C --� r CO) c N -p _ � °— X �o m m O r0 m -n Cn C �z w c m Z O m< c ao Z ■ ■ m rn m Se' a �� �'i •� ao �o m C 5 , Al cn 1 Q 3 F , x$ o rr .c $. �. a. y O , rZ*X m S o a n c m co mn z o CD z '