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HomeMy WebLinkAbout020-1416-80-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 556364 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: Premier Bank, sheriffs sale Hudson, Town of 020-1416-80-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: U 65 T 20.29.19.2636 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. F 7 Septic Z ! Z 5 U Benchmark z. t, MI. i as Dosing ZL Alt. BM / e 6 J I v l L e_ Q ✓~e Aeration Bldg. Sewer ~-73 57 Ir? Holding St/Ht Inlet S `a 9 7 5 .y 9(,. -7 TANK SETBACK INFORMATION St/Ht outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 50 S46 h Septic 46 Dt Bottom Dosing Header/Man. . r p Aeration Dist. Pipe 7 915 Holding Bot. System I aC..~ PUMP/SIPHON INFORMATION Final Grade cr-7 !7 3 Manufacturer Demand St Cover d GPM F'Gfw Lo I, oU 166 , 0 Model Num er $ 2-., 74-41 TDH Lift coon Loss System Hea H Ft p Sb 9 , / Z 0 • 7' • Forcemain Length Dia. Dist. to Well j 9.a8 !3. S SOIL ABSORPTION SYSTEM BEDITRENCH Width I Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 1~6 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: n UNIT Model Number: Ga ~ ✓e . ~ / o •cX ~ S Aw- sdLa ~ l DISTRIBUTION SYSTEM jd '7:YS ~6 ,de,,' 4i 6/7 L. k 6 = 1 g J-6 i`~Q Header/Manifold / N Distribution x Hole Size x Hole Spacing Vent to Air Intake '74- 13 1/ Pipe(s) ~ ~ ` ✓e a 42 E Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ~a S Mulched Depth Over / Depth Over xx Depth of T Seeded/Sodded F Bed/Trench Center Z Bed/Trench Edges Topsoil \ Yes ® No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: / / Location: 804 Martin Ave. Hudson, WI 54016 (SE 1/4 NW 1/4 20 T29N R1 9W) The Glen Lot 42 Parcel No: 20.29.19.2636 1.) Alt BM Description = F 1 ' , LD✓P.t,~+w~ 2.) Bldg sewer length = 26 t - amount of cover = ! 3 a Plan revision Required? ❑ Yes No Z7 Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor' Signatur Cert. No. PUM I ER BANK _ PLOT PLAN 4- CRO SS SECTION- _ _Pj 2__ df B_ IOT 42 THE GUN SCALE e = 5Q` Lai` t`t ~r6Po5~a µor•~. ~ q~~lJG R 4 W/' ~0~~1 L K 5Dj/7f ° 061 ~i 4 p„ , a 3 EACt . foO C ECTS a;~:rv s.-.1.0 E-L oW UN175/CG'I- 4 n3 -►n~ S~. r4! e 3 T►~w S Took b 94. „G~ Qe.RTAj County ` z~` ~,Q ~-~pN Safety and Buildings Division y 01 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) 3 S P Madison, WI 53707-7162 All late Transac o Number ermit Application ith S1i1jAq1AW4is.A in. Code, submission of this form to the appropriate governmenta in accordance w ` is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary 6 d a F W purposes in accordance with the Privacy Law, s. 15.04 1 m), Slats. , / lis 1. Application Information - Please Print All Information Parcel # I~ o k, Property Owner's Name ` ~1 - 0 U - LUv i r Z0 Property Owner's Mailing Address ~J Property Location h c`~T t .e o of r J City, State Zip Code Phone Number S g' y<, /7/)'/4, Section ~ (circle one E7 / T -70 N; R R E or II. Type if wilding (check all that apply) ~Q Lot # L Subdivision Name $.1 or 2 Family Dwelling ~-,,Number of Bedrooms Q L~• 3 B e, Patl k[L'V j o{'{ y 1 Vl L L Block # T4 e ! h ❑ Public/Commercial - Describe Use ❑ City of ~~i,~ CSM Number ❑ Village of ❑ State Owned -Describe Use R Town of L f LG b ~t/ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade l ❑ ound > 24 VtuetreatmtAenN itable sol❑ Mound < 24 inn o suite soil / Holding Tank ❑ Other Dispersal Component (explain) E ev (expain~0 3 / X Co d QLl r~r V. Dispersal/Treatment Area Information: U D Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf), t Dispersal Area Proposed (sf) System El ation ✓ Q ✓ 1 ✓ q0 q VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units ° w New Tanks Existing Tanks o Y a U iii v~ w C7 0. Septic or Holding Tank I t'D pis 6 f! C 5 i C k C / a x 7 Dosing Chamber In/ Pbto VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number T 0554 ~1 Q Z- $59 C 1 i` e Plumber's Address (Street, City, State, Zip Code) In9 S 0 ct f~,« t r Fa, M 46 'Z . VIII. ount /De artment Use Only Permit Fee Date Issued Iss ng Agent ignatur ~ Approved [I Disapproved X - ❑ Owner Given Reason for Denial $ I -710 C7 ) '44 IX. Conditions of Approval/Reasons for Disapproval dMpw" cill naM sp aspK -pPrsbC. AIrMA,.cknw;: _tW ns for the system and submit to the County ~only , on paper not less thaq S 1~ 1 inches in size 3(o It ~J^//Gllt U//l ~v Syf ice//,i SBD-6398 (R. 11/11) U i$4W'?~ &'~•i'!°.l~T?IO'tii~6'r1,316-'$fIFT }f!~ .~a .1M~1~. ` ~K;r 3~ ±!qy1~ gay CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Pr -m 1'"t a n A Owner's Name: Owner's Address: g ~/o ) A v<- W a-12 Ig W odd YA ITV S S1a Q Legal Description: P4 Ill w 14 -x o T 9 W 1 9 L) Township: IN Ulf. h w County: S Y- Crn) X Subdivision Name: -Ta r4 ✓ 8 r Lot Number. 42- Parcel ID Number. Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross-Section ceded T~ Page 4 Filter Specs v Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warrant Deed Page 9 CSM or Ptat_-~ Attachments: oil Test & House Pla r/ Designer/Plumber: CQr j -EP5 License Number. ~a ©SS 4" Date: fII SIB r/ z Phone Number /,,,S-/ x.92 g.59t Signature / ~p _ i!'tt/// e Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01). Page 1 PRF I ER _-RA _ PLOT PLAN 4- CRO 55 SECT 10 PI Z.._ it B_ _ IOT 42 THE GLFW SCALE t r 5o" i Lai` it r ~F ~roQ~SCR WG`~ ~~600 SG NornC q~~ldG hwI O~YL K 5 2 Pjm oa' d 4 rue - 3 EACe . 6D ~ CELLS E-L oW UN175/CEI-- ~L TMT:. - a 3 Mew e ~~C Div As. b 94. B v D Z N 72j„ D 86„ m X 53" D Z z r c m m ~ 0 21 m v o UP 52" N 4" CAS m r m N 0 > I m 47" 4" _ 0 m m I m A D o m 11 v g I > m I N UP 49" m / 4" CAS 0 ! I \ / N N v rrn 00Nm C 0 ~D~ ~ 50" DO0 v z IT! m m D cDi> ao z ~m~ ~ N O D D ~~0 m m r C7 .TJ 2 D Z O m = C p -u'i x A z z O o o z r --I mo v v c Fn m m D Or D p rW~~=~<n °~N z no XX M Z ~ N nC-4 D O~v Nov p0~~==~ ~F cn~ °m0 ~ v m >MD > mn AO =p~.. A O" N i m~0 firz- ~~0.. ~N (n ODD cnN 0 m D N r -IZ n moo > z c>- Z U) ~c mao" nrip N zz = ccn r~ z D = 0 ~zM n I ~ mrn°N rn w s=mom ~N q O m= -0 r D DDm Nf7~ ~ O N ^ D O rv v DO 00 Dm N ~N NNE o.. O s-4 r 'o : `l C:) 0-0 v v °n Z N ~m O - a cnmy I D rVw~O zn -!l s s v O O A m V) Z G7 s C N -7 D> co n < O O c O 0 ~O Z C O mm~ I cn O O W W O o C) 0 m -a m(/) W ;v -o s y < v D w °m 3 m D ~m ; t*1 O D V) (A 4° o \ OrZ r00 m m < v m a H (1 ~v O z O Z D° W D p 0 Z ;o ;o _1 `3 r .Z01 N D D vO~ 00~ ° Z m ~t 20 C r m c-) 0 U) w 70 m m v nrF ° z° ; zc z °o a 2 0 m (1) o (n r A r z z ; m r O m co H ~ ° ;o O m r~ cn z I*1 ; Z r - IT! \V) W1250-MR DRAWN BY: SME SCALE: 1 4"=1'-0" PRE-POUR: m MIENER REV. m ~ SEPTIC MANUAL Z W3716 US HWY 10 MAIDEN ROCK, W1 COOCAETE 54750 DATE: JANUARY 2010 DATE:. POST-POUR: \ 0 REVISED JAN. 2010 800-325-8456 FILE: W1750-MR Dan II 1111 [Ulu Bpi o ~ o 0 0 0 0 II U co O Lq U r u c,i O N U N m Cm0 U O O O .l'J ~ 'N-' E O U N u d' U ~ M N co CO m u u I- U Cl) O N CO U w a~~ O O df9 ry I OAA i U Mill CO U ~ N cn d 0 u W O U of co Y Ilk) J JL c..3 O Q to m U Q LO m ~ O ^ FV- Z y J U O U) M °v Z y 04 IJi tl.f f/~ In M U3 LL, co = HBO W c LL U a= ~O ' W CO ¢ 0 O QW w I-- LL U dLL_ Y N O Q' LLWU) Z a U~ Lq l 1 4 U J m co rn U') 0 ~`?a_ Z NUJ O co a M a W Y O j Q Z zc LL LL J W O O a OV O OO -0 _0 T N ;Uz cJ, O r- -PD O = C!O cnCO ~mccncn iv= r-IZ cnc 00 G) r~~ cn C-n C ' Z c -gyp = 0 CO r c cn Q m co o oc OX C t 0 cn 2 m C) ~ a3 = ? -o C m n G) --4 CO Z =m m m ° _ m z 0O o Z cn o - aO CIO 0o L cn ~ w 0 w .P CID w o cn N 0 O ~ ° POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page Z7- of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity SO gal ❑ NA Permit .3 (0 7 Septic Tank Manufacturer I eSC ^ , C ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ~Lal `p ❑ NA Number of Bedrooms 1.~ ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units EYNA Pump Tank Capacity gal 9--NA Estimated flow (average) gal/day Pump Tank Manufacturer 9 NA Design flow (peak), (Estimated x 1.5) 4a 01' gal/day Pump Manufacturer Al NA Soil Application Rate gal/day/ft' Pump Model fd NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit KNA Fats, Oil & Grease (FOG) :530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODS) <_220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ROW 741 fH ❑ NA Biochemical Oxygen Demand (BOD5) 530 mg/L E$ In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) :530 mg/L ❑ NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size Ya in dia. ❑ JNA Other: ❑ NA Other: ❑ Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE 5 Service Event ervice Frequency Inspect condition of tank(s) At least once every: L ❑ month(s) (Maximum 3 ears) ❑ NA 0 year(s) y Pump out contents of tank(s) When combined sludg scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once ever ❑ month(s) y' t IN year(s) (Maximum 3 years) 13 NA Clean effluent filter At least once every: j month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) Iff NA ❑ year(s) Flush laterals and pressure test At least once every: 13 month(s) SkNA ❑ year(s) Other: ❑ month(s) At least once every: 13 year(s) ❑ NA 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 (Y3) 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 chapter NR 113, Wisconsin Administrative Code. All other servic s, including but not limited to the s cing of effluent filters, mechanical or pressurize mponents, pretreatment units, and any s vicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A"service report shall be provided to t e oca regu a within e ion of any service event. 1thority GMW (4/01) Page START UP AND OPERATION 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 cell(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. Reconstructions of such 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 INSTALLER POWTS MAINTAINER Name CQ-i ( r ' p z ~J Jr Name Phone (01-5) Lj JC 9 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name 97N01',4 ZpYi a r Phone Phone 3 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. ..Un'.t} a"i?.'~ x , 8©q~ C<A:2➢.g ....t. i' -.,,1tt: I s4t'i«ad1€ C{S~tSiS^`'L'E~:731,~5 JW.5 OZD w. IT _W, Town 01-9 4;ajy tstctt ''Plat: e- ~ _ Lot 4 Certifled suvvey Map 4 orrmily Dct?d 2007)VOl;srrtc ff y d -cu lkxisc , Lai i+r w iticnt€E1 titi^ ti~? tf r= spa= u c a€rd mAirt=imcs of Your gotado ristzra e ad resuit in ttt prmchwu tkmro to lutn;te skem, Prvw u n n t t ~ . t 1g W* j ) 1 trt o t 144 rnnk eve# t sc -001,1 or aoo; t~r, if 0 , by a 114 pit . hrct you gout We r~ way c£:"°~»: F utiots o `thc stptiG tank M 4 tr trr At flap In ttrt "Ste disporai vittow ?ttcr rk"aMtcmrrcc i 41Wft s o spt vi6cd €m CQttsnr, 8 . 1) and In Chiipty 12 -fit. Croix Cawty Sanitary OriVnAuo.The prop4ny crv: r q to xud=rrit to St, Ovi& C'auniy PlAnning & Zortirtg 0c;uirtinent is cantle tionn fbrm signed by ttsc omvw vA ~y i t atior ptutrbor. journ,:ywara pttciratwafi. d €u1114a: 4r a lket< par spar verit~tnx th (1) ilm on-site u as.t , tRcr 6;;po_40 System 14 S is uNl o m+iog catrct tion vII&Ve (2) ancr €ngpvcfbn and ptrmpirtu (tt nec Mary) the Mgrtr irsrk k ic. s clan ;',3 hW sfx r u c. t w ,~c the t rdtgc;tn h4v-1 r 9 tk above rcgrtitomentss tnd agree to m4iattln the privato fie vs a diagosa; system dr the n f rla -t 1aF , _v s "t by Olt ter nett trt n trrrtct art t the I Rrrt1rn1t 0! NAtQM1 R4s0W state of Purace sin. C t,rtt r t k, 'r c s r c systcrrt l hr trtinwrtod t ttv he cnrrpkctod xnd r usted to dre 5t. Croix Ccru:rtY Pianrdng i~ t._ ortht true year fi»tt°piratirin date, I n`rr t ~t n11 q a I en,a on this intr t a t to the but Of rrsylour ltt,vflcdge, V W0 zm)are the tome(s) of a 1? w . , ra " city deedrroonied in Ftegiver of pads Off iod, ittstttsr of bait uas, 1 AP i ,N°(S) DATE w" I'Aay fiit~a'}-u wi VW it r ismpruentad:rav r ul: in the Mitary vmi, tang € 4d by he Planning 7.;,mJa# J)epsrttnwt. Ira e with this w 4 ordari warrsrrof daed f zrni the tt:Bgiptr of I?mAt 0 a and a opy of tote aartifi airvoy rrxtp it (it e. CW3) ~ 1083 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Cade Steel Soil Service Attach complete . plan on Par. paper not less than 8% x 11 inches in size. Plan must Cou in , but not ot limited to: vertical and horizontal reference point (BM), direction and r + . t D St. Croix perceope, scale or dimemsions, north arrow, and location and distance to nearest road. S r E ''~'UZ Please print all infomraMm. Revlewp0d B Date Personal information you provide may be used for jPrivacy Law, s 15 Od ji) (m)). X16 Property Owner c $ - ' w • % Prop rty Location - i Sienna Corporation Govt. of Sub 1 /4 NW 114 20 T 29 N R 19 W Property Owners Mailing Address t _ ap < Lot # Block # ✓Subd. Name or CSM# 4940 Vdcing Dr. Suite 608 4 ...aa The Glen 26,- 3 City State Zip Cide P♦r ,@fikprrlbe{r; City Village 1i Town Nearest Road PcQ~'_ MN 554>% Hudson Carmichael Rd. ✓ New Construction Use: ✓ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Pitted outwash Flood plain elevation, if applicable na General comments and recommendations: System Elevation 95.20ft, trenches spaced and depth to code 3.50ft below grade ~j ~vd- C~✓c a Boring # Boring ✓ Pit Ground Surface elev. 98.70 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 "Eff#2 1 0-10 10yr3/2 none sit 2msbk mfr cs 2f .5 .8 2 10-211 10yr4/4 none Sid 2msbk mfr cs If .4 .6 3 219q 7.5yr4/6 none ms osg ml na na 0 1.2 3~a`'f Noy w_ O Boring # Boring Pit Ground Surface elev. 98.70 ft. Depth to limiting factor 96 in- Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 -Eff#1 -Eff#2 1 0-6 10yr3/3 none so 2msbk mfr cs 2f .5 .8 2 6-15 10yr4/4 none skA 2msbk mfr cs if .4 .6 3 (15-9 7.5yr4/6 none ms osg ml na na ( .7 1.2 7, 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 CST Name (Please Print) Signature: CST Number David J. Sleet 248956 Address Steel Sal Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 9/3/2002 715-246-5085 Property owner Sienna Corporation Parcel ID # Pending Page 2 of 3 F3] Boring # Boxing Pit Ground Surface elev. 93.50 ft_ Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM *Eff#1 *Eff#2 1 0-10 10yr3/3 none SO 2msbk mfr Cs 2f .5 .8 2 10-16 1 Oyr4/4 none sicl 2msbk mfr CS 1 f .4 .6 3 16-96 7.5yr4/6 none osg mi na na C) 1.2 ❑ Boring # Bering 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/fts *Eff#1 *Eff#2 ❑ Boring # Boning Pit Ground Surface elev. ft. Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f 2 *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 S-30 rrtg/L and TSS <30 mg/- Department of Cornnnerce is an equal opportunity service provider and employer. If you need assistance to access services or Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM Sienna Corporation New Richmond, W154017 Lic. # 248956 SEi/4,NW1/4,S 20,T29,R19W (715) 246-6200 Town of Hudson, St. Croix Co. (715) 246-5085 The Glen lot 42 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the soil test was conducted. Legend 1" = 40' ♦ =Benchmark El. 100.OOFt Top of '/2"pvc pipe • = Alt Benchmark EL99.4OFt Top of/z" pvc pipe o = Borings Boring Elevations B1 =98.7OFt B2 =98.7OFt B3 =93.6OFt 134 =00.OOFt 02, 2' /d~ rDr £M 4 ~ ~ Q~~ $5 IY2~ Ar 6 8f p2 54' t .52 07.1 - F - 57, „ u I, . ~...-t`_' -1•'. "mss 'r_ _ _ - -T?~ , i~ r`~'_ _ r 4 - . '58 I t -841 I ♦ , , N 88'1 • `i t 6011, , 80, , 44- til. 08 ` ' I ' 146` s 7 mwm- 65 , i a - 1 s 77 f/,. t t i s Ifs n 1 N - ,66 _ I 344~ 4 72 ' - 6 1 , : 1 11 I , 1 rn; ~ ....208 ~ - i - .j `j 1 ,t ss ~ •t~ _ \ sue. t '~y't'I 1 1 " j \ 1 1 . \ 243 . ~ , 13$ 1 1.' + -33 1 (1 ` i II!!, it . i 1 r 1 413 i I, 26 1 1 2 i 18 I ~ ~3, I II I ' 0 . ~s i i e LOT 42 4414'1 SF. f 1.013 AGJ A i m i 195.68' LOT 42 r ' 51TE LAN 3 00 1,gj a~~. ~C f o 3 / ri 01" 0 SB 26 10 128 3 \ i 1'i 130 ASPHALT SURFA WITR 70,7 AcDbwAaD G TTER 0 THEI-,1 04 OV RLAP v 129 N; ~028 V1 3.22 04 OVERLAP \ tea.:.:... 33 33 o 00 Nei y I-y B 3 'ow s , 1 00 ~-l z CD to ( II I I of a 6 01 4' 862- ,..,_....860- u (W -858_._.. - f 4La ----g56--- Z I z I O AB 4~ `'854 o f ~ I N Q co() 52831 S.F. 1.213 Acres 208.19 1 1/4" X 30" SOLID STEEL BAR WEIGHING 3.65 LBS./FT., FOUND 1 1/4" X 30" SOLID STEEL BAR WEIGHING 3.65 LBS./FT., SET SOIL TEST SITE ® SLOPES > 20% ----100 a.. EXISTING CONTOURS SBL SETBACK LINE - PROPOSED 12' DRIVEWAY FENCE LINE RAILROAD TRACKS TREE LINE 8 0 0 5 3 1 8 Tx:4004179 DOCUMENT NO. SHERIFF'S DEED ON FORECLOSURE 921277 BETH PABST REGISTER OF DEEDS WHEREAS, pursuant to a Judgment of Foreclosure rendered in the ST. CROIX CO., WI Circuit Court of St. Croix County, Wisconsin, on January 12, 2010 in an RECEIVED FOR RECORD action between: 08/24/2010 2:39 PM EXEMPT 14 PREMIER BANK REC FEE: 30.00 2866 White Bear Avenue PAGES: 3 Maplewood, Minnesota 55109, Plaintiff, VS. CASE NO. 09-CV-564 CODE NO. 30404 WEST LAKE BUILDERS, INC., 1714 Crestview Drive Hudson, Wisconsin 54016, RECORDING INFORMATION And 3 NAME AND RETURN ADDRESS: RICHARD J. GREKOFF, LEONARD, OBRIEN, SPENCER, GALE & 1094 Golden Oaks Lane SAYRE, LTD. Hudson, Wisconsin 54016, 100 South Fifth Street, Suite 2500 And Minneapolis, Minnesota 55402 MARY A. GREKOFF, 1094 Golden Oaks Lane Hudson, Wisconsin 54016, And RANDALL D. GREKOFF, 513 Pamela Lane Hudson, Wisconsin 54016, And NAN M. GREKOFF, 513 Pamela Lane Hudson, Wisconsin 54016, And LAMPERT YARDS, INC. 1850 Como Avenue 1 of 3 Saint Paul, Minnesota 55108 And LIGHTING BY DESIGN, INC. 9470 Hudson Road Woodbury, Minnesota 55125 And JOHN DOES 1 THROUGH 10 Defendants. Parcel ID #s: 020-1415-60-000 020-1416-80-000 020-1418-20-000 020-1420-70-000 020-1420-80-000 and, after due advertisement, the subject premises hereinafter described were sold on July 20, 2010 to Premier Bank, a Minnesota corporation, for the sum of $500,0000.00. And, WHEREAS, said Premier Bank is now entitled to a conveyance according to law, NOW, THEREFORE, the undersigned in consideration of the payment to him of $500,000.00 receipt of which is hereby acknowledged, conveys to Premier Bank, the following tract of land in St. Croix County, Wisconsin: Parcel A: Lot 30, Block 4; Lot 42, Block 5; all in The Glen, Town of Hudson, St. Croix County, Wisconsin Parcel B: Lot 56, Block 6; Lots 81 and 82, Block 9; all in The Glen, Town of Hudson, St. Croix County, Wisconsin. (the "Real Property") Together with (a) all of the buildings, structures and other improvements now standing or at any time hereafter constructed or placed upon the Real Property; (b) all heating, plumbing and lighting apparatus, elevators and motors, engines and machinery, electrical equipment, incinerator apparatus, air conditioning apparatus, water and gas apparatus, pipes, water heaters, refrigerating plant and refrigerators, water softeners, carpets, carpeting, storm 2of3 windows and doors, window screens, screen doors, storm sash, window shades or blinds, awnings, locks, fences, trees, shrubs, and all other fixtures, equipment and personal property of every kind and nature whatsoever and attached or fixed to the Real Property, including all extensions, additions, improvements, betterments, renewals and replacements of any of the foregoing; (c) all hereditaments, easements, rights, privileges and appurtenances now or hereafter belonging, attached or in any way pertaining to the Real Property or to any building, structure or improvement now or hereafter located thereon; (d) the immediate and continuing right to receive and collect all rents, income, issues and profits now due and which may hereafter become due under or by virtue of any lease or agreement (oral or written) for the leasing, subleasing, use or occupancy of all or any part of the Real Property; (e) all of the leases and agreements described in (d) above; and, (f) all insurance and other proceeds of, and all condemnation awards with respect to, the foregoing thereafter be part of the Real Property. Dated: o) - ,:;La - a o ► O Dennis D. Hillstead Sheriff, St. Croix County STATE OF WISCONSIN } } ss. COUNTY OF ST. CROIX } r- On this )d day of , 2010,before me came 1Ny &U known to be the individual and officer describ in, and who executed, the above conveyance, and acknowledged that he executed the same as such Sheriff, for the uses and purposes therein set forth. Notary Publ . Croix County State of Wisconsin , My commission: ~6arY A "911 N®tary I3a M of :pub 424316 e 3 of 3