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HomeMy WebLinkAbout030-2125-40-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit N o: (ATTACH TO PERMIT) 479341 0 CE;VERAL INFORMATION 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: City Village X Township Parcel Tax No: Kast, Clifford & Sarah St. Joseph, Town of 030 - 2125 -40 -000 CST BM Elev: I Insp. BM Elev: f BM Description: Section/Town /Range/Map No: j( • 3 2 — C (6.3 2 C51 1, w� 2 - 25.30.20.1018 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark l i �SE�2 J Z Se ,S 1 0 3 A , CA • 3 Z Dosing Alt. BM t Z — \ - .u� L ? or Aeration Bldg. Sewer 5O Cjg - V I �1SS r Holding St/Ht Inlet G, gS.2Z St/Ht Outlet c� i TANK SETBACK INFORMATION I •�' TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > �� � �_ Dt Bottom Dosing Header /Man. (3• �D , „P / Aeration Dist. i e I• o• 0�• r 1 0 Holding got. System �, 3 Final Grade 7 PUMP /SIPHON INFORMATION t Manufacturer Demand St Cover �` QZ p �}, I g,� ---- - GPM ll (a Model Number TDH Lift 'CkToss System Head TDH Ft f Forcem rLength Dia. - SOIL ABSORPTION SYSTEM I3Wff ENC14 _ Width I Length f No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM 3 O Q4 2 - SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING q �J � r Manufacture . -2, t INFORMATION CHAM R OR Type Of System: I IT Sa Z `/ r _ ___ Model Number. � j D • 0 7 1 . 11 �- \ TL DISTRIBUTION SYSTEM Header /Manifold U Distribution / x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) 3z)'+ Length is Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ]Yes � j No � � Yes � J No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:�ti Inspection #2: _-4-- --- r — Location: 1341 Birch Park Road Hudson, WI 54016 (E 1/2 SW 1/4 25 T30N R20W) Birch P Lot 14 Pn.e el Nn 25.30.20.1018 Q / 1.) Alt BM Description U-V ;'r' SAC-, I �1 `s6- Ae ' 4 eu2r P'ttkwfl�v 2.) Bldg sewer length = 5 Ga4k �2 �.t � �424_ -�(� - amount of cover =. ! .�- cow- Plan revision Required? ] Yes No Use other side for additional Information. -___� _. _ - -- - ' - - _ t � Date Insepcto s Signature Cert. No. SBD -6710 (R.3/97) aarety AM bw&Mp Di" C ourdy -- - • 201 W. W41IN1118108 .A Ave., P. Bart 7162 < MAdb W! 53707 - T16Z Plrrmh Number (u► be led in by Co rce t ) ) Comme 60e _ a - ry PWmit Appl"t� {� J I. D. mumb t i In --d COMM 63.21. Wis. Adm. Code, pettpaa! be prove ' a Stay mad for Pei { SO vary Law st 3.111(1 mJ J O 2 � 20 Address (if differrnt than maa .ddress> L " - P IsAwl AN >befwmail�, - T Y } ; f (�j ` rt�, 7 Q rk f Prop"y owner's N. me - -_._ _ __ Y-ONINGOFFIC �� f Partxi lr Lot I B0 owsner's M ailm` Adder r d ` ' —` ___.__._- - - - - -- O 30 - Z l S - "- -ovo V P"gXrty Location --i City zip co�1r pl t Nttmbtx ._ — - Q ' at NUVAV Odom* an that apply) _._. _ ___ _ T N, It E or� X , or 2 Family Dwdtia6 - Number of 8edruorns subdivision Name e. CSM Number - ' PublictCotntrrercial - Describe Use 0 sate owned se - _ l_ICity_iIVdlave 1XTowrohip of d Iles ( Paranit: (cam �► are Gott a. A. CooWlele line s i< /C " System Replace tame System 0 Tristim ttdNolding Tank Replacement Only 1 ] Odw Modification to Existing System 1 8 • n Permit Renewal U Permit Revision 1.1 Change of F) Permit Transfer to New List Previous Permit Nwaber era Date tswtd Baf°`c Expiraina Plumber Owner 1V. Tyge of POWTS �NOR - hessurtmd W U Mowd > 24 in. of sutable snit i _i Mound C 24 in. of sumbile soil U At -Grade Single Pass Sand Filter i J CO=Rt W d Weiland U Plwairzmd le"Grottnd U Holding Tanis I I Plat Filter U Actable Treatment Unit C_) Rrctrcuhung Sand Filter C) SYNOMMic Mesta Filter C6atatw ❑ DM Luc I Gravel -less ❑ Odw c nteaihe F 3 (SAd) lbl� Sa8 Appticatioo Raw(fl Dispersal Arm trod Of) ) Re4n ( Atra s Proposed 1 System Elevation �. 7 q W. Taolt Info in T 8 S 7 -- v Q ©� g Gallons owl Namber Manufacturer Prefab Sift Steel Fiber PtastiC — ) Gallons of Units Concrete Constructed Clan New Tanks r ams tiastr T> Aembk Tree Unit Dusift vn. sw, - 1, the -- " af he rowers d wr en o the adw p taicas. i Plmttber's Na tae 1'battber's Si Number --- ._.- -� Bttsirtess Phan Number s Addre ss (Suet City. s`E t� < A SaNtary Pt arrdt Fee ( Groundwater Date Issued 1 Serge Fee) lag Signature No stamps) ns j SYSTEM O 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained u as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attar! w.q+.e ohm he S. Caaw rr Ae- LS �Q�(es - -- sl.a... peer .a !rs trot ores : t! i. rose - - - - - 1Z a QA/V` A� � iu :� O� raw , , , : i : I ' L : 4 � ' � �----= __...._ ---- _..,_� �' ' 1 �• 1st! �!o T i : Lib: : , , Play as 3o N X / <, Qm';x n 6. -Palk P I 5a Aar 7 edn� Q Ito • 3 t D � � b q ---_ 54 9� e vr j 7 Wisconsin Department of Commerce SOIL EVALUATION REPORT � p age 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix 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 and distance to nearest road. 03 ' T '2e ^ �� Please print all information. ev' ed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 2 �0 Property Owner Property Location ■ Quest Development, Inc. Govt. Lot E 1/2 1/4 SW 1/4 S 25 T 30 N R 20 E Property Owners Mailing Address Lot # Block # Subd. Name or CSW Suite 150 10700 Old County Road 15 14 Birch Park City State Zip Code Phone Number ity Village Town Nearest Road Plymouth MN 1 55441 1 ( 7¢3 -595 -9512 County Road E Q New Construction Use Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD F1 Replacement 11 Public or commercial - Describe: Parent material 1 .nest over out wash sands Flood Plain elevation if applicable WA ft. General comments This site is suitable as a below grade conventional s ste and recommendations: *alternating bands of sl, Oyr2 /2, 2msbk, mfr /,\ ', ` `' ,^• F Boring Boring # 0 pit Ground surface elev. 99.12 ft. Depth to limiting factor > •, in. T O it Applic;b Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence "ary R G 60 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.� E "Eff#1 ff#2 1 0 -4 10yr2/2 sl 2msbk mfr cs r (L .9 (o 2 4 -18 7,5 r5/4 s* Osg ml cs - .5 • 3 18 -96 7.5yr5/4 s Osg ml - - .7 1.2 ❑ 2 Boring # ❑ Boring 87.92 >96 Q 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 1 0 -22 10yr2/2 sl 2msbk mfr cs - .5 .9 2 22 -96 7.5 r5/4 s Osg ml - - .7 1.2 * Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg /L ' ET Wt OD < 30 mg /L and TSS < 30 mg/L CST Name (Please Print) Si � CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 10/22/01 715- 246 -2454 Property Owner Quest Development.Inc Parcel ID # Page 2 of 3 Boring ❑ Boring # ❑ Pit Ground surface elev. 87.97 ft. Depth to limiting factor X96 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 1 0 -42 10yr2/2 - is lmgr mvfr cs - .7 1.2 2 42 -96 7.5 r5/4 - s Osg ml - - .7 1.2 ❑ Boring # ❑ Boring n pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ 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 GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD, > 30 < 220 mg /L and TSS >30 < 150 mg /L * 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. SBD- 8330Test (R.07 /00) j� COQ Qr1 'Top O�ec)�(�.,,v 1ao� o I L)(�,32 63 OT 9 7 �1 0 ti� P y EZ1203 H vvPSVVO 's•; t• ._ .v V. VWW 4/vt �, .�'O'*' ti ,.�i. 't 'i♦ • eea't PP OP ,••, PPP 4.625tt vvP vvP Pv saV vPP 11 vvv vvV 9 v e t N VPPS.... •PP 1 1/2 Circ. = 18.84" PPV VVs VWVPPeP vt e1t VV VV,V t 1 ♦1P� PP P PPV PO♦ WV V V W t1t0 PPPPP PO V VW V 17 V1TV , , vvveP sleoa oevePes +� 24 ft Bottom 3 6 11 Z v l 12 -1I2" DIA. (typ.) Void Coefficient -in AUMgate given at 57.4%. So Int_ e`Ce Are. In. IQ EL s E O.D. of 4" pipe - 4.625 inches Sidewall (2 Sidewalls) * 18.84in Void volume per linear ft. a 3.14 • � 2.312Sht 12in — 3 .14 12in /ft )` !ft =0.117 fV 1$ Bottom O.D. of centei (7,5 inches 2.00 Total Soil Interface Area Void volume in aggrega[c of center cylinder - 14 12in / f14+( 5.14 SQ.Fry 6.21f ). —114 2.3125in 1 ` t • }- j .: 12in /R f J 374 = .422 ft' O.D. of outside cylinders s 12 inches Void volume in outside cylinders - 2.3.14( 6m Projected Trench Area `12in 1 ft J •574 - .901 ft' Sidewall Height = 12 in. *2 = 2.00 Sq.Ft. Void volume at bottom between cylinders = ( 6 m 24m Bottom = l /13. l l 36 in. = 3.00 Sq.Ft. 12 14( t2in /ft))I 40 . 2 !5 ft' Projected Trench Area = Void volume at outside bottom corners (1/2 of void volume 5 5.00 3q•Ft. t between cylinders) 0:215 / 2 = Q. t OS ft' Total void volume - 0.1 17 + 0.422 + 0.901 + 0,215 + 0,108 = 1,763 cubic ft/ ff Gallons per ft = 1.763 X 7.48 = 73.2 oallong ner Itn_ e_ a— r If Er S , Aggregat e Trench System EZ1203H Rin g` Industrial Group ,, O IL , 65 Industrial Park Rd. Oakland, Ttl 3.8060 } ..7 scu,E FlCE MAW.' EQ12MN -vat SHM: 1 of 1 11 - 27 - 01 r POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of r RNa�►T SYSTEM SI ECIMAIV!!E D CIA VT: ufacturer Owrre�r ` � al Permit 3`f a ❑ Vol. gg t ufacturer DI M PARAMETERS t3 O 0 HokOM Vol. gat Number of Bedrooms t3 NA fl Dome N+lurruter of Public Facility Units � NA Effluart l Manufacturer O Y L© CJ` NA Es*nated {fie} flow Effluent Ft Model L Design (peak) flow = (Estimated x 1.5) b Pump Manufa NA ro��� Model Sol Application Rate C�tN A Standard tr t/Effluent Oua ty Monthly * Pretreatment llnuit / Sand/Gnn� lite r Q Peat FitEer Fate, ON & Grease (FOG) 530 mgr- Aeration D wetland Biochemical Oxygen Demand (BUU 5220 mpll- D NA Mechwiical Total Suspended Solids (TSS) 51 s0 MOIL Disinfection ❑ Other Promoted Effluent Quality Monthly average manufacturer ❑ NA 8iochemicd Oxygen D tBOD 530 mg/t Qispersd Ce5(s1 ZW-: ound {grsvitY) O In- tir°und (pressurized) Tote{ ��) rrt9/l. ❑Mound Feast Coliform {9ear�euic mean) 510` full00rn1 A ade i n dia. ❑ NA a Drip -LiQ8 0 Ot Maximcxn Effluent Pactide Size Ys 0 NA Other: 0 NA DOW-. CI NA •VMs typical far domestic wastewater and d septic tank af&Wd. aA Service AMY Swvice Everut motrt )ts) � 3 years) D NA pct condition of lank At least once every: awronsbmbined sluff and scurn equals ore - third (ly) of tank volume ❑ NA P ump out contents of tank (s) d When the high water alarm is activated rruornth(a) fM 3 years) C3 NA Inspect dispersal tall(*) At least once every: s) D month(s) C3 NA Clean effluent filter At (east once every: (s) nnonthts) O NA pun V, pump co kaspect • ntrols & alarm At least once every: Q ) p.nrwttth {s} 0 NA tRushlaterals and press=" test At least once every: ❑ yearts) E3 month(s) 0 NA At least once Ovary= C( e} 0 NA MAINTENANCE INSTRUCTIONS c one of the following licensas or certifications: l nspectoont; of tanks and dispersal cells shall be made by individusi erY�9 Operator ( PumPer). S Master Plumber; master Plumber Restricted Sewer; POWTS inspector: POWTS tdlencuer% Septa " the tenk(s) to identify any missing crocks or Tank inspections must dude a visual inspection of a broken hardware. R f unt on he ll Y and strum and s check for �Y basic up or Pew of effhuarrt t ground leaks, mea sure the volume of exHmbituad sludge to Check the effluent levels in the observation Pipes and surface. The dispersal cell(*) shalt be to check for any y k surface may indicate a failing condition and ponding of effluent on the ground surface. The ponding of e ffl u ent on thus ground requires the immediate notification of the local regulatory authuxrtY- the When the accurrx anon *trig" aril scum in any treatment tank equals toe -third (Y or more of the tank volume a op and disposed of in accordance with chapter entire contents of the tank stroll be removed by Septage w'csconsin Administrative Code. mechanical or pressurized components, pretreatmerr All other services, including but not limited to the servicing of effluent frlters certified POWTS Maintainer - units, and any servicing at intervals of 512 months, shall be performed Y A service repo shy be pre comple f ar►Y service event. Pro vided to the local regulatory outhenty within 10 days of cola o GMW (2 /02) Page START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products, solvents or other, chemicals that may impede the treatment process and /or damage the sot dispersal ceff(s). if high concentrations are detected have the contents of the tank(s) removed by a saptage servicing operator prior to use. System start up shag not occur when soil Gordltions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwatur levels. When power is restored the excess wastewater will be discharged to the dispersal call(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the conterds of the pump tank renxwed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in rmarmall operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cads. Do not drive or park over, or otherwise disturb or compact, the area wi thin 15 feet down slope of any mound or at -grade sad absorption area. 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, cation swabs: degreasers: dental floss; diapers; disinfectants; t at, foundation drain (sump pump) dWwarge; fruit and vegetable peelings; gasoline; grease; herbicides, most scraps; medications; ail; Painting Products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT 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 aund safely abandoned in compliance with chapter Comm 83.33. Wisconsin AWkninistrative Cods: • AN 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: L' A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement urea should be protected from disturbance and compectiorn and should not be infringed upon by required setbacks from existing and proposed structure, lot lines aril weft. Failure to protect the replaceme area will restdt in the need for a new soil and site evaluation to establish a suitable replacement urea. Replacement systems must comply with the riles in effect at that time. ❑ A suitable replacement area Is not available due to setback snd/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The sits has not been evaluated to identify a suitable replacement area. Upon faire of the POWTS a soil and site evaluation must be performed to locate a suitable replacer wd area. If no replacement area is available a holding tank may be iristal(ed 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 blomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNI NG> > SEPTIC. PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR 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 UMPOSSWLE. ADDITIONAL COMMENTS POWTS POWTS MAINTAINER Name < i , Name Phone Phone ' SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name � %" 2 0 " " Phone Phone S 3 This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation ail mcles in compliance wM chapter Comm 83.22(2)Ib)IIl {dl &lf) and 83.5411). (2) & 13). Wisconsin Administrative Cooke. S CROM COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer �1 i rc °)V 80 Qj-j Kan Mailing ASS Ave, Property Address k (V fwm Planning Department for ww City/state hn 1 ph U-)Z Parcel Identification Number 4 3 0 - dl, -- Y LR-r'AL DES rwrrn�v � ° /g ) ftped Location % .sL 1., Sea T-a—N =R jg Town of �} Subdivision J�j r �a, Lot Certified Survey Map # vol um .. par warranty need # ; - 7 q q 53 S volume 37 P y g Spec h 0 Ym pi no Lot Imes identifiable Ya 0 no hupw"mea�i oe4fyoass�sy c tdrlf=*iaitspzca�eialuCewbande ..arc m� a eosa Ceosists of pt og OW the sq*k twk aguy *me yem ar SODOM if needed by a ticemad 3 What ym pat Mo the system can affect flee fonation of Me septk tank as a UcGbn= atsge in fete W=W d'iasal systan- The poopacy awnu apm to : w St. C:ot Zoaiag De pacmaam a coon foam„ Apwd by ilea owner and by a is I phberoraHcmwdpn War Beat (i)de=,dit spmdsystem P o cmft n atdlor (2) of iw =d PAS (d' uY). the septic teak is bm dean W h0 of A 4g . have =ad do above re ganemmft =d agree to nuhaak the prisate sewage disposal syatattt with do asx - fflLu y*aDqmftmwOtCOOMCI=Mdd=DqmMoMofWaftaRmamomstftofvbcoosiL moo. bas been armed want be canWit ed and Ma aed to the St Croix Cow Zateictg Office win 30 days dart GRA l ti OF DATE JL vve) fy that all its as this fmm apt am to ibe best of my (air) iaww I (i am (am) ebe gwnw(s) of by ritstee of a deed r+000ldcd is Register of Deeds OtSae. 5�--lt -- OF APPUCAW DATE *:a.w Any h&waatim that seats- esaoad map mmh is ffie spy pcanu berg malmd by ft DqmbacaL ' :sass • Include With thft appUcetiow a mnipad wamucy decd fame the Repsec of Deeds oM= a copy of the fled antr+ey map if sefacas is made in the wamany dad u, 3 7 p t� r 'nSTACE BAR Ole WISCONSIN FORM 1- 1998 7 9 9 5 3 WARRANTY DEED KATHLEEN H. WALSH P yo2� I REGISTER OF DEEDS Ducixnent Number ST. CROIX Co., MI - - - - - -- RECEIVED FOR RECORD This Deed inane between Birch Park, 7 L. C 07/06/2005 11 :15AM a limited liability company under the l aws of the state of Minnesota WARRANTY DEED Grantor. EXEMPT # and CliffoYd A. and Sarah A. Kast, aasTtus6 REC FEE: 11.00 and wife sura vorci,� arital property COPY TRANS 419.70 -- CC FEE: Grantee.. PAGES: 1 Grantor, for a valuable consideration. conveys to Grantee the following described real estate In St • Croix County, State of Wisconsin (tile "Property "): Recording Area Name and Return Address Premier T e`$- �f►61(f� Lot 14 Birch Park 7300 M ro Blvd.,300W� Edi MN 55439 t4JV Vat) - ac P�S -Z�V-VOD Parcel Identification Number (PIN► This i s not homestead property. (Is) (is not) Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good. Indefeasible In fee simple and free and clear of encumbrances except all easements, reservations and restrictions of record, if any. Dared this day of _ JUJIV 7005 —. _ (SEAL) BIRCH PARK, L. L .C. (SEAL) * -- By: Jam . Waters, Its Chief Manager (SEAL) (SEAL) AUT14ENTICATION ACKNOWLEDGMENT Signatures) — State of l 19cX C%Vi,Minnesota lI 1l County. J authenticated this __ day of Personally carne before me this 30th day of June 2005 the above named Jam M. W aters, the Chief Manager of Birch Park, L.L.C.. a Minne limite _ liability company_, on behalf of the LLC TITLE: MEMBER S'I'NtE BAR OF WISCONSIN to (If not, me known to be the person who executed tine foregoing authorized by §706.06, Wis. Stats.) Is A . 94jVVAWled the same. TI IIS INSTRUMENT WAS DnAFTF_D BY f•f �KiEt krli 4R — Wilker JS Hegna, PLL P Mr coujission[,Gtr;sJan 11. 1010 — 7300 Metro Blvd., #3 00 otaiy Public. State or Wisconsin Ed MN 55 4_3_ 9 My commission is permanent. (if not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not _ — T trod a t8! Sf 3 � ' 20 10 ) necessary) Names of persons signing In any capacity nu,at be typed or printed below their slgnanue STATF. BAR OF WISCONSIN Wiscoreh Legal BW* Go., tile. WARRANTY OFFD FORM Nn. 1 - 1998 MBwsukee, Wis. 3.01 acres , LOT 15 136,334 sq. ft. \� �s \J 13 acres F Jle \ 5 qrg'I.3 lu 154, 7 _ - - 3; ®1 14 3,55 357 ocres c9 v' HWL =787.9 N8 236 '47 , y 61,59• N79 4 "E 453.2 83.72' 1 , - -39 49' 71.2D l > Y i N20 °2223 "W LO ®� ® s, - - 4 s?� 181,527 sq, ft. 1 i i � `�s,�. �� /•�'i, 4.17 acres i ► ° ?\ °�4 ( H*L=787 9 JDJNT DR1VEWAY EASEMENT 70 3.48' • S160 I r