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HomeMy WebLinkAbout032-2172-15-000 Wisconsin Departmentpf Commer�_e PRIVATE SEWAGE SYSTEM County: St. Croix Safety and'Building Division INSPECTION REPORT Sanitary Permit No: 506196 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: City Village X Township Parcel Tax No Residential Development Inc. I Somerset, Town of 032 - 2172 -15 -000 I CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No. 18.30.19.1455 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark eestrrg Alt. BM Aeration Blc5 Sewer 7 y3• s� Holding �� SUHt Inlet � 9Z I s�_ $ TANK SETBACK INFORMATION St/Ht Outlet 47— 92 TANK TO pp/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 11 _� 11 - 1 ljpJ1{n � Septic Dt Bottom N !GZ Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System C1 • g 5 /• J y ` PUMP /SIPHON INFORMATION Final Grade 3.3 '77- Manufacturer Demand St Cover 41. I f GPM 7 Model Number TDH Lift If Friction Loss System Hea H Ft \ �• Forcemain �tgth Dia. ist. to well - _ SOIL ABSORPTION SYSTEM 1.1q *I BEDITRENCH Width Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 �� L SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer, INFORMATION CHAMBER OR Type Of System: ( a. AJ dr w J UNIT Model Number: DISTRIBUTION SYSTEM pJ 4 9 =- I,? d"o Header,/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake �-- uu Pipe(s) Length_ Dia T Length Dia Spacing I N-1 I Z c' -rC C 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 Trench Center , S� f Bed /Trench Edges � Topsoiles No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1:_ Inspection #2:_________ _ Location: 329 153rd Avenue Somerset, WI 54025 (NE 1/4 SW 1/4 18 T30N R19W) St. Croix National Southern Estates Parcel No: 18.30.19.1455 1.) Alt BM Description = �, L OJ^C ti" G ��`' "^ 2.) Bldg sewer length = 1• 14 1,7t - amount of cover = 4 t 1 6 d 6, O n Required? Yes No Plan revisio q � Use other side for additional information. Date Insepctor's , nature Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division cam' 201 W. Washington Ave., P.O. Box 7162 �� Madison, WI 53107 7162 Sanitary No � f filled in by Co.) Sanitary Permit Application ShTmrmactionNurttber to in accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the a pp<apdate govemm l LZA unit is requited prim to obtaining a sanitary permit Now Application forms for PQed Address (' different than meAng 2 11111010 ) submitted to the Department of Commetrco. Personal information you provide ma used 1 purposes Privy in accordance with, law, for secondary t0 s. 5. 1 m State. L A Intoramtion —nnn t All Idot�st 0- ya Property. Name () .. > l Tl Pared # owwner's Mailing Addled property Location � �7 Govt. �Lot cam, State, Zip Code t v G y,, %, Section S Q I T N; R( II. Type of Building (check ill that apply) Lot # Sttb11ivisionName - - - tor2 Fami l)r NumberofBedaootns 3 6 e- exk —v 4G7JV_ 0k Zf17/ lo-k# so p ❑ Public/Commercial - Dasmibe Use /V ❑ City of CSM Number ❑ Village of ❑ State Owned - Deumbe Use N (Town of ] r i -S E M. Type of Permit: (Check only oaf box on line A. Complete time B if appucMt0 A. New System ❑ Replatxmertt System ❑ TteatmetttlHolding Tank Replloo recut Only ❑ Other Modfication to Fxistiog System (Ceplant) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of plumber ❑ Permit Transfer to New List previous Permit Number and Data U=W Before Expiration IV. of POW'I'6t 5 tftw neaVDevice: (Ch all that on- P[ossurmd I ❑ pros un=d In-Ground ❑ At -Grade © Mound? 24 in. of suitable and ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain ❑F ' V. D reatment Area Information: Dispersal Area System Ek:vation (gp Flow d) Design Soil Applicati , Dispersal AteaRequir0d (SO / g5 0 O 6 VI. Tank Info Cap Total # of Manufacturm Q G Gallons Units New Tanks Tanks t�j rn O is . Sepeic Holding Tank lot5O c .S VII, ResponsibUity S tement I, rite nnderslgaed, tissntne far instapatlon oEtbe POWTS s aU bed plaits. LPS Name (Prim[) P s igoa Business Phone Number • ��s 7 isa ES / Address (SttOet, City, Stste, Zip Code) Ah A U e rAP /De useOnl _ Si ❑ Disapproval S / O 1 d / /l 8 Agen ❑ owner Given Reason for Denial V 7] 4-v IX. Conditions of Approval/Reasons for Disapproval � -iyt, „-��. �f (�t� -C�� SYSTEM OWNER: ti Septic tank, effluent filter and 3, dispersal cell must all be serviced / — maintained 3 as er myna ement plan provided by plumber. sad sabtnk �tr ter ka tiva a 2. AN setback requirerrlr3ht� to the o an pa 2� as per applicable code /ordinances. Valid 01/09 sal) -639s (x- 01/07) tltEtt 0 Ra, LL E' sw� s r 7 11 man N 4 rrmo nI� LO 5 �� s �G�t�►iEeS�zCS /Po�5�18K �� �►1owCrcS� �n is s� t'�_ �a It- aa, 7 N I�1T $Yh -Ion° 3 14 ' e v c (C0 3 � 40\ � I 1 1 I 9� ..._ t AA �7 101 a PkT RaN, ON- MarA e LLG IV E �f �{ 5u=�f y i ] 30 !v R Iq tO L�0 �� ��^C I�C2 �V �1r� SfulU�� �?r✓� c),-� Yr.a, J w� 5 o r 7 LET t S p y Scrn� �-s� `sfi Cr r � 3 iC.+ �,ui feS �2r:5' O! 8� s� P h Is so - 4t- a3 7 1 �T $yid o( 3 14 ' p,C \ 9 i f #tt 4 AA I� 1 I� :acs � Maha hhQ✓1� a L� EZ1203H vvwvv �t 7• .. • h� `rrvvvvv OPVQp Vp VVVVVWV 990 "•.L•••.°:j~ •'" • ',.t:..��: f.: 't �,99v9000 j/111 VVV '� i t•• -j VP 24" Vvv VVQ VVv �:• •�� 'a 4.62511 w V V rVQ �-� vvv rv9 Prr � v v r f ° i " 1/2 Circ. = 18.84" 9Vf Vvv VQ9 9s9 VVQ VVp P9 rPVf TV rry ♦fPV ♦ p V V VVVV 9pVV VVV VVO f VQV VIPV VVf9f9VV V P Pf Vvvv V9VVV0 VVV TV vVVQOQV 999V 9PO Pf4V f'>vQ99r e 24 1t Bottom 36t Void Volome SWIlnter r� huab. so� Void Coeffuaatt in Aggregate given at 57.4%. Sidewall (2 Sidtwvalis) 2 * 18.84in O D. of 4 "pipe = 4.ti25 inches 3.14 12in Void volume Per linear ft = 3.14 I / 23125in lft ` 12in / ft 1 �' a 0.117 tN Bottom 2.00 O.D. of e- trcytinder- 7.5 inches Totpl Soil Interface Area 5.14 SQ.FT Void volume inag IC IFmof center cylinder + -3 J4�� 125ia t 12ia I ft •574 - .422 ft O.D. ofoutside cylinders= 12 inches Projected Trench Area Void volume in autsidc cylinders - 2 - 3.1 bin 574 ft' Sidewall Height - 12 in. •2 - 2.00 S .Ft. 12c.Ift, q Bottom = 36 in. = 3.00 Sq.Ft. Void volume at bottom between cylinders - IN22 �°' , bin 3 1 bin nNt t2iatft� - � t2intR� - 0.215 Pro jectedTrcnchArea = S.00SgXt. Void volume at outside bottom comers (1/2 of void volume between cylinders) 0.215 12 - 0.108 ft. Total void volume - 0.117 + 0.422 + 0.901 + 0.215 * 0.108 = 1.763 cubic ft f ft Gallons per fk _ 1.763 X 7.48 l3.2 eallons r Iin r ft 3 it X /o = 50 EPS Aggregate Trench System EZ1203H ow Rin g industrial Group 65 induAriai Park Rd. Oakland, Tlv 38060 SCALE FU tbMb EZ12WH -vat T: 1 of i 11 -27-oi • a r v 1462 . Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel's Soil Service Inc. Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Q _� j �� V Please pin infaamatioa.._ view g Date Personal information you provide ay bO useaAprsec 1 4 1 fty 0111p� Mracy law, si 15.04 (1) (m)). Property Owner Property Location Residential Development, In i ill„ Govt. Lot na NE 1/4 SW1/4 S 18 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 8929 Aztec Dr. I 15 na St. Croix National Southern Estates City State ode �'hrSWe f� rp _ _ _f City J Village Y J Town Nearest Road Eden Prairie MN 1 55347 1 952 - 9346238 Somerset I Cty Rd V 0 New Construction Use: W1 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement _( Public or commercial - Describe: Parent material Knolls of pitted outwash Flood plain elevation, if applicable na General comments and recommendations: Conventional system, system elevation 96.93ft. Trenches spaced and depth to code 4.67ft below grade. Boring # - I Boring f+" Pit Ground Surface elev. 101.60 ft. Depth to limiting factor 110 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 1 0 -9 10yr311 none 1 2msbk mfr cs 2c .6 .8 2 9 -15 10yr5/4 none sil 2msbk mfr cs 1 c .6 .8 3 15 -36 7.5yr4/4 none cos osg mvfr gw na .7 1.6 4 36 -110 7.5yr4/6 none Is osg mvfr na na .7 1.6 T __j Boring # Boring sm Pit Ground Surface elev. 101.60 ft. Depth to limiting factor 110 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 1 0 -8 10yr3/1 none I 2msbk mfr gw 1 c .6 .8 2 8 -26 10yr5/4 none sil 2msbk mfr gw 1c .6 .8 3 26 -48 7.5yr4/4 none sl 2msbk mfr gw 1 c .6 1.0 4 t 48 -110 7.5yr4/6 none Is osg mvfr na na .7 1.6 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) gnature: CST Number David J. Steel \ 248956 Address Steel's Soil Service Inc. Date Evaluation Conducted Telephone Number 9 S - 'T . �c�4j _ , �L Z 7/14/2004 715-:&W —S6�'6 Property Owner Residential Development, Inc. Parcel ID # Pending Page 2 of 3 3 ] F Boring # Boring Pit Ground Surface elev. 94.00 ft. Depth to limiting factor 110 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/1 none I 2msbk mfr cs 2f .6 .8 2 - 10yr41/4 none sl 2msbk mfr gw 1f .6 1.0 3 25 -110 7.5yr4/4 none Is osg mvfr gw na 7 1.6 F-1 Boring # _j Boring t J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # Boring f J Pit Ground Surface elev_ ff. Depth to limiting actor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD /8 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 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. 1 ---� r' l 4P t . -2 7 4 SB -1 :; ► WA 1 O� N f � a r i � � •' � 2 U t ZLA LAND 4j ' N8 ° 1 6. v 4 li e I f t e E 1/4 t V �� csm IR I Sep 09 05 01:57p CRLVIN POWERS 715- 246 -5135 p.l ST. CROW COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM -+- 2 OwnerBu m - h Mailing Address Property Address :32 (Vmiirx ation rCyuired from Planning & Zoning Department for new construction.) City /State 6 Q.'f ol- Parcel Identification Number LEGAL DESCRIPTION Property Location I v �, % , s W Y4 Sec. , T N _l — W, Town of tJ011�1'b� Subdivision c�t 'fix "anal &tjjhC rA4;"fd;ke S , Lot #J-5—. Certified Survey Map #- . Volume , Page # Warranty Deed # 7 6(0 Volume A rage # O Spec house ® no Lot lines identifiable yes rto SYSTEM MAINTENANCE AND OWNER CERTIFICATION I Improper use and penance 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 rnaiatermnce 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 phmrber or a licensed pumper verifying that (1) the on 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 mpri remeats and agree to mamtam 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 rmintained must be conrleted and returned to the St. Croix County Planning & Zoning Department within 30 days ofthe three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtw of a warranty deed recorded in Register of Deeds Office. Nu ber of bedrooms SIGMATURE OF APPLICANT(S) � DATE ** *Any information that is mid may result in the sanitary permit being revoked by the Plammng & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey nap if reference is made in the warranty deed (REV. 08ro5) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMA ON l ��G� SYSTEM SPECIFICATIONS [ Owne Septic Tank Capacity al ❑ NA Perm it # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufactur ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model j_ ❑ NA Number of Public Facility Units A Pump Tank Capacity al A Estimated flow (average) Q al /day Pump Tank Manufacturer NA Design flow (peak), (Estimated x 1.5) W g al/day Pump Manufacturer NA Soil Application Rate al /day /ft' Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) <30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: P[8t[es'tted_Efftuen IIuality_'._ -- - -- -- spersal- Cell(s)- - _ _ _ _ 12114A — Biochemical Oxygen Demand (BOD 530 mg /L In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) :!910 ❑ Drip -Line ❑ Other: G Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ear(s) Clean effluent filter �� At least once every: t months) ❑ NA years) Inspect pump, pump controls & alarm At least once every: month(s) ❑ NA ❑ year(s) Flush laterals and pressure test At least once every: ❑ mo ❑ yeaarr(s) (s) ) ❑ NA Other: At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to 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 IY or more of the tank volume, the entire contents of the tank shalt be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, 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. i START UP AND OPERATION Page — 2'of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal celf(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the 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 soil 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; 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. 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 and safely abandoned in compliance with chapter 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. Reconstruction of s uch systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES 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 'INSTA R POWTS MAINTAINER Name �� Name Phone -s R 5 LLL5 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name � ` Phone Phone i This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. V al v:i&yVr MVa. .77 rn+a r47 ROV "oor 01 b 1%MV Vr WMDUD .... WWr` WVVAI VVO r U 2602 P 004 -76 6745 KATHLEER H YALSH REGISTER OF DEEDS ST. CROIX C11. MI STATE BAR OF WISCONSIN FORM 2- 2000 RECEIVED FOR RECORD pocurnarl Number WARRANTY DEED 06/23/29" 01:36PI1 WARRANTY DEED TIJIS DEED, made between J P Golf Management, LLC, a Mirmtsota EXElPT # Limited Liability Cmmar% Grauer, and itial Development, Inc , a RE Fes; 130000 Minnesota Corporation, C,r mr�. Grantor, for a valuable consideration, conveys and warrants to Grantee COPY FEE the following described real estate in SL Croix County, State Of Wisconsin_ PAGES; ' 2 SEE ATTACHED IM BIT A J Recording Am % Name and Remm Address: Edina Realty Tide, Inc. 400 S. 2" St — Suite l I5 Exceptions to warranties: Hudson. Wl 54016 Easements, mslrictions and rights- of -vray of record, if any. 436970 032 - 2063- 30Jt10 -000 -0 5''000 Parcel k1cnfification Number (PM This is_not homestead pt•Operty. Da Ist day ofJune, 2004. J P ement, LLC, a MitMota Limited Liability Co B • Richa asseb Vice Pres n 4 • AUTHEMf[CATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) IC - 6f .cr0 %)( COUNTY. ) as. authenticated this 2N0%WJQRW4 Personally came before me this 6/21/04 the above named State of W isconsin Richard Hassel, Vice Presidcat of JP Golf Management, LLC, + a Minnesota Limited Liability Company to to known to be the T171.E: MEMBER STATE BAR OF WISCONSIN perso who executed the f oregoing inatmrnan and (If not, acknowledged the me. authorized by § 706.06, Wis. Stats.) TMS INSTRUMENT WAS DRAFTED DY Niwle ach Peterson, Fram & Bergman— Steven IL Bruns Notary Public, State of Wisconsin 50 East fifth Street, St Paul, MN 55101 My conurossion is pena:anent (If not, state expiration date: (Signa(ures may be aurheniieaied w ackAod4edged. Boat are not necessary.) 'Names of p-- tiaaIng in aqy afpeky VMI be typed or taiMal below their sign n, WARRANTY DEED STATE DAR OF WISCONSIN FORM KaZ - 200 VJ /VrI �vv/ nvq +v: 44 490 "V 04 'r-Vin .rV t %7 Vc unnup ijWvvi /Vv� U 2602P 005 EXHIBIT A I The Northeast Quarter of the Southwest Quarter and the Northwest Quarter of the Southeast Quarter of Section 18, Township 30 North, Range 19 West, Town of Somerset, St. Crone County, Wisconsin, the exterior boundary descried as follows: Commencing at the North Quarter Corocar of Section 18; Thence South 00 degrees 16 minutes 38 seconds East along the North -South centerline of said Swum 18 a distance of 262517 feet to the Center of said Section 18, this also being the POINT OF BEGINNING; Thence South 89 degrees 21 udwtes 00 seconds East along the North line of the Northwest Quarter of the Southeast Quarter of said Section 18, a distance of 1302.34 fect to the Northeast Comer of the Northwest Quarter of the Southeast Quarter; Thence South 00 degrees 18 minutes 50 seconds East along the East line of said Northwest Quarter of the Southeast Quarter 1314.79 fed to the Southeast Corner of said Northwest Quarter of tba Southeast Quarter; Thence North 89 degrees 22 minutes 35 seconds West along the South line of said Northwest Quarter of the Southeast Quarter 1303.17 fact to the Southwest Comer of said Nortinvest Quarter of the Southeast Quarter, Thence North 89 degrees 33 min= 33 seconds West along the South line of the Northeast Quarter of Southwest Quarter of said Section 18, a distance of 1306.04 feet to Southwesr Comer of the Northam Quarter of the Southwest Qua= of said Section 18; Thence North 00 degrees 10 minutes 54 seconds West along the West line of said Northeast Quarter of the Southwest Quarter 70.00 feet; Thence South 89 degees 33 minutes 33 tends East along the northerly tight of way line of Snowere st Drive and parallel with the South line of the Northeast Quarter of the Southwest Qunt cr of said Section 18 a di%taaca of 295.66 fed to a point of curvature; 'Thence continue along the nordncdy tight of way lice of Snowraest Drive on an arc of a save concave to the Northwest 127.78 feet, central angle 40 degrees 54 v*mtes 00 seconds, radius 179.00 feet, chard length 125.08 feet, chord bearing North 69 degrees 59 minutes 27 seconds East, to a point of tangency; Then oc North 49 degrees 32 minutes 27 seconds Fast along the northery tight of way line of Snowcrest Drive 344.84 feed Thence North 07 degrees 24 mimrtes 30 seconds Eat 522.51 feet; Thence North 39 degrees 07 minutes 46 seconds East 586.53 feet to a point on the Nordin line of the Northeast Quarter of the Southeast Quarter of said Section 18; Thence South 89 degrees 21 tz>i' 00 seconds East along the North line of the Northeast Quarter of the Southwest Quarter of said Section 18 a distance of 186.79 fea to the Ce nwr of said Section 18, this also being the POINT OF BEGINNING and there terrniaating. I 1 , 9 � i y .,. , ,, . 4, , ,�+► r , lid or �'�1��►' �� :W A�;�' ca � r „ Pft ^ �I •' � �{ � , �, 'gy e JAMMU a �� MMM.-tw ----------------------- ;" mm Ft a- - - - - - - - - - - rL 71 ` - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - It - at cn Is > R x cr 10 t. L 4VW ` � c� ; ", , �,'�,`, sa - --sir `� ��! � I a O 47 N R 4 ges ....... .. . 77 i lk tz 5f A S O 41 x Zz " , til lit gx Parcel #: 032- 2172 -15 -000 05/21/2007 03:32 PM PAGE 1 OF 1 Alt. Parcel #: 18.30.19.1455 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 09/29/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - RESIDENTIAL DEVELOPMENT INC RESIDENTIAL DEVELOPMENT INC 8929 AZTEC DR EDEN PRAIRIE MN 55347 -1916 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 329 153RD AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 3.000 Plat: 10/32 -ST CROIX NATIONAL SOUTHERN ESTATES SEC 18 T30N R19W PT NE SW ST CROIX Block/Condo Bldg: LOT 15 NATIONAL SOUTHERN ESTATES LOT 15 (3.000AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 18- 30N -19W NE SW Notes: Parcel History: Date Doc # Vol /Page Type 09/29/2004 775659 10/32 PLAT 06/23/2004 766745 2602/04 WD 01/03/2002 667040 1805/630 WD 07/23/1997 1117/414 WD more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 75,000 0 75,000 NO Totals for 2007: General Property 3.000 75,000 0 75,000 Woodland 0.000 0 0 Totals for 2006: General Property 3.000 75,000 0 75,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00