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Home My WebLink About030-2131-35-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 463439 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: City Village X Township Parcel Tax No: Glen Johnson Construction I St. Joseph, Town of 030 - 2131 -35 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /6 (A l G � 23.30.20.1089 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 9� /OZ5 Dosing /1 Alt. BM n.. 5 v a-�� l �- S c 3 5 d ' r 7 1 • (e n 0 i Bldg. Sewer y•Z5 83.35 Holding SUHt Inlet TANK SETBACK INFORMATION SUHt Outlet TANK TO �P /JL WELL BLDG. Vent to Air Intake ROAD Dt Inlet septic 7-4 / Dt Bottom Dosing 7 I y / Z` L / Header /Man. T --- � •35 C�o - iiii S Aeration Dist. Pipe 90 . S 1, 3 • (D Holding Bot. System — ° 6 (.J ,' PUMP /SIPHON INFORMATION Final Grade yS 1 /y•S Manufacturer f Demand St Cover 6 GPM F L cam- d Z' 7 o Model Number !V / 2 ` 1 C -K y S TDH Life $ Friction Loss System He ad TDH Forcemain LengitA i Dia. i 1 Dist. to Well IS 2 2- / - Co SOIL ABSORPTION SYSTEM BED /TRENCH Width ! Length 2 No. Of Tren PIT DIMENSIONS No. Of Pits Inside Dim Liquid Depth DIMENSIONS 3 �j Z + eo G � �_ SETBACK SYSTEM TO ll P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR iQ Type Of System: a i / N 1 UNIT Model Number: G +nVQe t` DISTRIBUTION SYSTEM Header /Manifold ,/ Distribution x Hole.Size x Hole Spacing Vent to Irytake �+ I Pipe(s) ` \ Z Length C7 Dia Length Dia 1 Spacing C•C4�S SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only `, G Depth Over / Depth Over ` xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges \ Topsoil \ Yes ! No 1 Yes No COMMENTS: (Include code discrepencies, persons present etc.) Inspection #1: / / Inspection #2: / / Location: 1422 Settler's Way Houlton, WI 54082 (SE 1/4 SW 1/4 23 T30N R20W) Settler's Glen Lot 35 Parcel No: 23.30.20.1089 1.) Alt BM Description= 15 t � �- �d v V 2.) Bldg sewer length = l z 1 - amount of cover = 1 Z Plan revision Required. Yes( No I� G Use other side for additional informatio D __. - - - Date Insepct s Signa a Cert. No. SBD -6710 (R.3/97) I Safety aria Buildi C IV "ly C [ J 201 nl ngton Av . P.O 6;L ,o 1 53 7 - 7162 Sanitary P it Number Consi � 2 (to be filled in by Co.) N1 �d- 1 26 %5 �b X39 Department of Commerce State Plan D. Number Sanitary Permit Applicatio T cROlx c uNTY —� In accotd with Comm 83.21, Wis- Adm. Code, personal infor ration you ovides ZONING OF may be used for secondary purposes Privacy Law, sl 3.04(1)(m) ress (if different than mailing address) I. Application Information - Please Print All Information Property Owner's Name . Parcel Lot ' # W Block # Property Owner's Mailing Address �J Property Locatio P r )3 O ! - _-- ' /.`1V"' /o, Section City, State Zip Code Phone Number 2 ttclOe) ) C � 19 N, R II ype of Building (check all that apply) S Subdivision Name M Number 2 Family Dwelling - Number ofBedrooms ❑ Public /Commercial - Describe Use ❑ State Owned - Describe Use ❑City ❑Villag ship of III. Type of Permit: (Check only one box on line A. Complete L ne B if applicable) 03 2 (- C?KU 0 A. New System 11 Replacement System El Treatment holding Tank Replacement Only 11 Other Modification to Existing System -- List Previous Permit Number and Date Issued B. mit Renewal 11 Permit Revision ❑ Change of El Permit Transfer to New Expirati on Plumber Owner IV. a of POWTS S stem: (Check all that apply) - ressurized In- Ground ❑ Mound > 24 in. of suitable soil ! J Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank L I Peat Filter ❑ Aerobic Treatment Unit ❑ Recircula Sand Filter / ❑ Recirculating Synthetic Media Filt king Chamber ❑ Drip Li ne ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area ormation: _ Des' Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal area Required (sf) Dispersal Area Pro osed (sf) System Elevati DIP VI. Tank Info Capacity in Total Number Manufacturer Prefab Site teel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Z Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, Xundlejrsignedume sibility for installa tion of the POWTS shown on the attached plans. Plumb ' Name (Print) MP/NIPRS Number usiness Phone Number e7% _-z ]umber's Address (Street, City, State, VIII. Coun /De artment Use Only rSurcharge Perm t l ee includes Groundwater Date Issued Is wing A nt Signature Stamps) Approved ❑Disapproved Feei iv en Reason for ial �"' J IX. Conditions Ap ro � -&,A� SYSTEM OWNER: (I`[ a�rer s� 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained S 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 on r the system on paper not less than 8112 x 11 inches in size SBD -6398 (R. 01/03) PL PLAN PROJECT Glen Johnson Construction Inc. DRESS P.O. Box 809 Hudson Wi 54016 1/4 1/4S 23 /T 30 20 W TOWN St. Joseph COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/24/05 BEDROOM 4 CONVENTIONAL IN- GROUND P SSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 28 BENCHMARK V.R.P. Top of Power Box ASSUME ELEVATION 100' Filter 7-abelA -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 91.1/90.7 5.5' below qrade setbacks required by WDNR Vent Plans Designed Using Conventional Powts > 691 Standard Biodiffuser Manual Version 2.0 Leaching Chamber of Cover with 31.1 ft2 of Area Scale is 1" = 40' 6' Long 11 " ® nless otherwise Grade at System Elevation 34" 2 � ettler's Way Pro 4 �,(� efi � Bedroom House �0 25' 90' 90, -3 7% Slope 5' 2 -3' x 88' Cells ith >3' Spacing B -2 0' Vents 94.5' 0 , 96.5' Q e Thelen Farm Road 70' PL PLAN PROJECT Glen Johnson Construction Inc. DRESS P.O. Box 809 Hudson Wi 54016 1/4 1 /4s 23 /T 30 20 W TOWN St. Joseph COUNTY ST. CROIX i ` MPRS Shaun Bird 226900 DATE 4/24/05 BEDROOM 4 CONVENTIONAL IN- GROUND PIVSSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 28 BENCHMARK V.R.P. Top of Power Box ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 91.1/90.7 5.5 below qrade setbacks required by WDNR Vent Plans Designed Using Conventional Powts >6" Standard Biodiffuser Manual Version 2.0 Leaching Chamber of Cover with 3 1. 1 ft2 of Area Scale is 1" = 40' 6' Long 1 unless otherwise Grade at System Elevation 34" 2�. ettler's Way Pro 4 Bedroom U House 25' �L 90' 90' 7% Slope 5 ' 2 -3' x 88' Cells with >3' Spacing B_2 0 , W War Vents 94.5' 5(0' _ 96.5' g VV � Thelen Farm Road 70' Wisconsin Department of Commerce SOI :::sl J N R PORT Page of Division of Safety and Buildings 4 in n odm. Code J 2 (� 0 � County Attach complete site plan on paper not less than 8 i n must c 1 X include, but not limited to: vertical and horizontal referen �t n Parcel I.D. percent slope, scale or dimensions, north arrow, and I tion all st road. FICE Re 'wed by ate Please print all informa ro . Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z � Property Owner 6 " Property Location 2 f e ,r ✓ /L ovt. Lot 1/4 1/4 s / V N R 2_('�/E (o W Property Owner's Address Lot # I Block # Subd. Name or CSM# Q gl>L 8D 3 s j City State Zip Code one Number [I city ❑Village To Nearest R ad New Construction Use Residential / Number of bedrooms Code derived design flow rat PD ❑ Replaoement ��❑ \\ Public or meraal - Describe: __— Parent material �� tnP" FI Plain elevation if applicable / ft. General ooranents - and recommendations: �.�! ✓ oL p % z �2GI n. r c.0 �l �1 Jr✓ Ong # Q Boring pit Ground surface elev. �' ft. Depth to limiting factor 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. 'Eff#1 'Eff#2 0 Boring # Boring Pit Ground surface elev.�ft. Depth to limiting factor 3 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 r n o- A 3IL r L l 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) - e CST Number S' r Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 - 715- 246 -4516 I Property Owner _ Parcel ID # Page of -, E] Boring Boni # � $1 pit Ground surface elev. Depth to limiting factor 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. 'Eff#1 'Eff#2 a Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh 'Eff#1 'Eff#2 Effluent #1 = BOU > 30 < 720 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. Sa48330 (R.6=) Soil Test Plot Plan Project Name Glen Johnson Construction Inc. Sha i Address P.O. Box 809 Hudson Wi 54016 M #226900 Lot 35 Subdivision Settler's Glen Date 4/24/05 1/4 1/4S 23 T 30 N /R W Township St. Joseph Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Power Box System Elevation 9 1.1/90.7 * H R PSame as Benchmark Scale is 1" = 40' unless otherwise noted Settler's Way B -1 IL 90' B -3 7% Slope 5 ' B -2 30' 94.5' 0' 96.5' ,� M. Thelen Farm Road 70' -,-_ : G S£PTZC TANK CROSS S£CTiG'� A SPECIFICATIONS PUMP ClihMa£R wf- ATNERPRWF VENT PI y ++ C A . PE 12" MIN. ,ABOVE GRADE JUNCTION BOX APPROVED WI A1DOW 4R WITH CONDUIT MANHOLE CO V ER I'ROH DOOR. W/ PADLOCK FRESH SIR INTAKE 1n WARNING LABEL GRADEE 4" f� MITE . all 28" IN r : I N LET Ff GA S - W ATER W ATER TIGHT SEALS GHT , ` N4jPp{IQIfED A SEAL j ! JOINTS 1+lItH ALM pPPROY£D PIPE ' ONTO $ ' + ON 3 cJ(I1,IB SOIL APPROVED --v— ' PIPE 3 C r + OFF om SOLID � A FT. — — SOIL pump 0 ELEV - D BEDDING UNDER TANK �� APPROVED BE ONCRETE PAD rCIFICATIONS 1 '7 �c'( MBER DOSES ?£R DAY': SEPTIC ! DOSE AIt1 / TANK 14ANUFACTURL"R: DOSE vOwME FLOWB DING GAL. GAL F LOyiSAC '(- TANK SIZES: SEPTIC �° (;AL* - _ = - -w DOSE Z�.� INCHES ��C � CAFAe ;TIES GAL. MANUrAC ruRER ; • B INCHES = '� GA A -�� MODEL NUMBER- � INCHES = _L_s� --- SWITCN TYpE' y C INCHES L PUMP MANUFACT{1R£R = / ! �/ C r D J-- — KODEL NUMBER : " P I LHR 16.23 WAC S WITCH TYPE: g ALARM WIRING � �O GPM PUMP FEET REQUIRED DISCHARGE RATE PIPE FEET MP OFF AND F)ISTRIBUTiON �< FED VERTICAL DIFFERENCE B EEN •FT••FRIC + MINIMUM N£T TION FACTOR Fr ET TOFORC£MAIN PRESSURE ,I RES E T OTAL DYN C ai + FEE T DIAMETER T LENGTH W ;dTH�.. PUMP LIQUID INTERNAL DIMENSION _ LfCENSr. NU MBLR SIGNED: FROM BRIAN VAUGHT-PREFERRED PUMP FAX NO. 7154258035 Mar. 30 2005 09:57AM P1 A. i- io"Al DYNAM!"', I -i R MNUTE" C 1 FPLUEN AND MODEL Meters Got. t;IP.(.% Cal. 'I Liters Gci i 1.5 45 261 26i AO 3,1 42 231 61 � ;2 2 30- 15 4 .6 36 201 53 20: 20 13.1 28 167 44 167 52 129 34 49 fill 2 25 7.6 20 30 91 4 35 10.7 40 12.2 ehul-olf Head- 30.0 ft. 40 60 80 100 N ---- r - 0 80 160 240 320 "LOW PER MINUTE 01-15MTEMP Model 151 Models 1521153 CONSULT FACTORY FOR 6 1/32 1 1/4 z SPECIAL APPLICATIONS 3 7/8. 5 2732— 5/8j Timed dosing panels available. 3 7/8 ?7/:; • Electrical ahernator& for duplex systems, are available and supoiedWith an 21WM. • Variable level control Witches are available for controlling single phase SYS10ITIS• • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available W outdoor kwWlatiOns- See FM1420. • ovet 130'F. (5A*C.) spa" Quotation (Wired- 7' — I 151f151f153 Series 3 W)DELS 4 J/8 Model volts Ph Mode Duplex N451 1 {5 1 t &0 2or3 o _V, lo Av lo 6.0 2or3 Induced 2or3 3.2 fi•'rEW BE 151 21 t ' Auto 3 .2 lerduded 2W3 &S 1 2or3 is ed 2or3 E152 230 1 Nat 4.3 i 2or3 Brig 230 — i 4.3 IndLded_ 2or3 N153_ . 1 1 15 1 iTa;_ io.5 1 2or3 1 BN1531 113 +. Auto 10.5 Included 2*0 SELECTION GUIDE E153 236 1 Owl 53 1 2 o 3 $a" pSgyba& vamble level, katw ach �y double pWyback variable 110 i LF 1-.31 236 I Z ! W Lj . �S 3 W*d _ 3 switch. Rotor to FM0477- JA CA•Iblil :1 2, So FW712 fo coned nWW of Electrical Aftemstor E-Pak. at ACWI1Ijq of coftwots. Vro j K tAW d vA wiring should ba 11611 by a 4uldifl9d 3 V?Mble level wont oi switch 10-0225 used as a control activator. specify duplex (3) licensed electrician. All eledrksl and safety codas 8 b* f0powad Iftivift the Most or (4) float System. recvt National Electric We (NEC) crud the 0twPOli* S&W VW k gsb Act RESERVE POWERED DESIGN For unusual conditions a reserve safety Factor is engineered intD the design of every Zoeller pump. MNIL To P, a 90X 7W7 �O f , raisoae m+40211-19e! P06ar SAW Ifff for C %M7 7n 611 (•,, All Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County C Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must i include, but not limited to: vertical and horizo and Parcel I.D. percent slope, scale or dimensions, north arn nv. anal _4V &Woe to nearest road. Please print al information Reviewed by Date Pemonat information you provide may be used for nd4r)AP**Pr aw s. 15.04 (1) (m)). Property Owner P rty Location Gk. Lot ( 1/4 < W1/4 S T 30 N R ?o E (or) Property Owner's Mailing Add -° t # Block # Subd. Name or CSM# G � vG �- � ; �5 .-79q1 v' 1 t'o 1le City State zip Code Phone Number ❑ City ❑ Village ® -Town 1 Road 2 ( 1 ) �� - e y ® New Construction Use: a Residential / Number of bedrooms Code derived design flow rate _��r O o GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material t- l I Flood Plain elevation if applicable ✓y ft General comments Sy 4-e vv\ e I / (l Q. YO and recommendations: D Boring # ❑ Boring 3 ® pit Ground surface elev. f i ft. Depth to limiting factr , y in. Soil Application Rate Horizon Depth Dominant Color Redox Description FT exture Structure Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. ` ) ( 'Eff#1 - Eff#2 Q "IZ �� Z — IT' �S�/ 5 V 4 ^� � 1� Boring # ❑ Boring ® pit Ground surface elev. d ft. Depth to limiting factor 2y in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2n- pow n� G I v g � - I C - 8 3 Z4_ U (p y ,. 21r,�bk mr — 5 9 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number er - 25 Address Date Evaluation Conducted Telephone Number 3 �� rs�� , w 6�5 �-, Q5' - o e_- C 1 5) Z`t 7 -boo g Property Owner 10.4e �6 ,.S Parcel ID , # Page 2 of 3 Boring #• ❑Boring . Pit Ground surface.elev. 9 �� R Depth ; to Iimifing factor_ In. Horizon Depth Dominant Color Red ox Description Texture Struchrm Consistence Bounds Soil Application Ra ry Roots GPD/liz In. Munsell Qu. Sz. Cont. Color Ge. Sz. Sh. •Eff #1 •E1102 V 5 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to fimiQng factor in. Horizon Depth Dominant Color 7Redox Descriptlon....., Texture Soil Application Rai - Structure Consistence Boundary Roots GPD /ft= In. Munsell ou. Sz. ConL Color Gr. Sz Sh. •Eff#1 'Eff#2 E E- - 7 Boring # ❑ Boring ❑ Pit • Ground surface elev. R Depth to limiting factor In. Soil Application Rata Horizon Depth Dominant Color Redox Description Texture . Structure Consistence Boundary Roots GPD /ffr in. Munsell ou. Sz. ConL Color Gr. Sz. Sh. •Eff #1 •Eft #2 - ' Effluent #1 = BOD, > 30 < 220 mg/ and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/14 and TSS < 30 mg /l. The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. seamo (a orroo) a i ti PAGE 3 0F 3 NAME TOT# 3� LEGAL DESCRIPTION -SG `/a Svc Y4 S Z -?> T 3d N.R. ZO EW00 SCALE: I "= �' 0 BM I ELEVATION /00- U BM I DESCRIPTION 0 0 d ✓L �I -'D C BM 2 ELEVA'T'ION q SQc. z BM 2 DESCRIPTION 0 - Dec_ ®• 0-e SYSTEM ELEVATION /00 - 0 1 SYSTEM TYPE yr1 �u r��Jl CONTOUR ELEVATION 99 1 / 0 b� Z � \ SIGNATURE �- i � DATE Maintenance and Contingency Plan for a Septic System Maintenance Plan , me rs Mai 3 ea 1. Septic Tank is to be pumped once every y larger filter is being installed in 2. Eff luent filter is to be cleaned once a year. Please note. a g order to extend the maintenance interval of the filter. at the ends of 3. Once every 3 years, cells are to be inspected via the inspection s pipes the cells. age, and water conditioner discharge into the system. 4. Owner agrees to limit greases, garb 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 ntinge y Plan -- ti rmine cause of failure, u se, . `mate ae and 'install new option #1. system fails, dete o e 'tested replacement area. levation, by removing chambers, removing biomat, option #2. Install system at a lower e and install new system. O P tion#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -45 St. Croix County Zoning 715-386 - 46 80 Pumper Tom Mondor 715- 246 -5 Shaun Bird #226900 U.:.2 70P X15 762339 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX Co., MI STATE BAR OF WISCONSIN FORM I - 2000 RECEIVED FOR RECORD Document Number WARRANTY DEED 05/12/2004 10:15AN THIS DEED, made between St Joseph Development Corporation, a WARRANTY DEED Minnesota corporation, Grantor, and Glen Johnson Constructionjmi EXEMPT 11 a Minnesota Corporation Grantee. REC FEE: 13.00 Grantor, for a valuable consideration, conveys to Grantee the following TRANS FEE: 248.70 described real estate in St. Croix County, State of Wisconsin (the COPY FEE: CC FEE: "Property "): PAGES- 2 SEE ATTACHED EXHIBIT A Recording Area Name and Return Address: Land Title Inc. 1900 Silver Lake Road Suite 200 e, ton Mn 55112 Together with all appurtenant rights, title and interests. 33 31-3 —= Pa a tification Number (PIN) is is not homestead property. Grantor warrants that the title to the Property is good, indefeasible in fee situ a and tree and clear of encumbrances except 03 2�3 / - 3S -v-CPO Dated this 29th day of April 2004. St Jos h Development Co oration 'AlK 1 * Kellei St. Martin, Vice President * * AtiTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF Minnesota ) WASHINGTON COUNTY. ) ss. authenticated this 29th day of April, 2004 Personally came before me this 29th day of April, 2004 the above named Kellei St. Martin Vice President of St Joseph * Development Corporation, a Minnesota corporation to me TITLE: MEMBER STATE BAR OF WISCONSIN known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) 4M CA Ua , — - * THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of Minnesota My commission is permanent. (If not, state expiration date: Greg Booth A ttorney 1 900 S ilver L ake R oad S uite 2 00 New Brighton Mn 55112 (Signatures may be authenticated or acknowledged. Both are not necessary.) ✓ ^^^^^^ �" *names of persons signing in any capacity must be typed or printed below their signature y NANCY J. L E NTZ NOTARY PUBLIC - MINNESOTA Y Na. I- Expires Jan. 31. 2005 FO WARRANTY DEED STATE BAR OF WISCONSIN r a lb C6 ce) w in / /�� Q�Q CJB 0 CO OD co , 91 0 y � o 0 p 3 / O o cq I ri eo I I I pn I 14L'9oz ftvo8 .m cr) I w/ Q� ,`b QCl) n 0 o� F- o ca ' S M v I I I cd r I I I .•�� j �' � I N I . 00 °13'14 "E 101.93 ° 75' -- / G��; SWAY �, 00 4 W 98.35 , S, r / �• . • /, /� � j g z co p I ass• tzz cc a / 4e I r / I N I j w I ac Cy co Cf) 8 88 10 0 ;e r, 8 0 g J $ I I I J C 6 100' j uj CO a • ... At'eswM, o� .. , ao seos 0 1 \\ \ \ ¢ N U Cl) co W 8 m 2 t o .J o W pRPIN .� Q Gi G6 .... , r. \ 755.48' ' 71.56' 683.92 800 0 15'40 "E 1352. (5OOW14 "E)