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020-1413-20-000
r , 3 ~ ~ i ~'o~' ,,; i .. cn~; ~ ~ N ~ z y O cng ~ v 01 gz cn O o.Atn W N o ~, ~. m a 0~ ~ 3 . . ~ ~ o ~, N m > ~ > ~ m ~ o ~ j C (D -G ~ ~, y j C t4 -~ p ~ N ~ N I W N ~ Q ~ ~ ~ C• j ~ W N ~ ~ ~ ~ ~. C• j ~ C) O ~ O _ ~ Q . ~ O . ~ ~ ~ ~ N ~ ! ° cnz ~z D cnz cnz D m ¢a D psi D ~' m co' D co D ~' I ~ ~ W ~ a a ~ 3 o. o. .' I O O O O ~ a .. .. ~ .. .. m o m o I (p Vl I I N. I ~ cn ~ -o ~ ~ ^' ~ ~- 3 x ~ `~ m co I N ~ o 0 a Z v ~ of ~ O Q' 3 N W d c N Z O N ~ _ N N O. I I ~ D ~ ~ ~ a y m ~. I v~ > N C > N . ~ !A ~. Q Z y 'C N 3mc ,_~'. o n y ~- U C o, o ~ c ~ m c ~~ m~°--< ac ~ ~ a a~ ~ ~ c ~~ O O O O ry N O 7 N EA O O ~ O Q- z 0 .; o' N a Z O O' 7 W O. Z O_ •_+i N O 7 s v x m 3 m o ~ ~ 3 ~ ~ d ~ ° o d N O ~ 7 ~ ~ ~ N W p~ N O ~ O ~ O 'O ,- ~ o°~o °w ~ N c w cc co oa ~ a ~ O c 0 3 c ~ .. ~ oo~i "' c ~ N y ~ m ~ Q ~ v O rn I ~ m ~ ~ ~o ui i ~ '~ ~ ~ ~ ~ -C c+ < ~ .. G1 ~ ~ '~ 7 ~ O 7 - 7 _, p 0~ ~ N ~ O N 41 ~ p C • 7. C ~' A O. (3D N ~ ~ ~ N ~ C d ~ ~ A A a 3 O '"• fR Z 41 (p 1 ~ ~ ~ a a m ~ ~ o . o o ~ cfDV, d c ~ d N . Q Z fD 01 :2 y ~ ~ m a O w N 01 7~ ~ O fDa o ~ v m m -;F~ < ~~ ~~ < a~ co ~f Da C C N _. fD 7 b9 O O O O -~ -~ W A Z n 3 'y A ~ m N O CO '' Z A A _ Wisconnsin Department of C mmerce ' PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. Permit Holder's Name: City Village X Township Sienna Cor Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: /aa ~1~, \ ~ ~ 1 TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing ~ ~e (J ~ ~x ~~ ~,~C.s uL.1 Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 5 ~ ~ ~ o Q j (~ __,_ Dosing Aeralion Holding PUMP/SIPHON INFORMATION ELEVATION DATA County: St. CroiX Sanitary Permit No: 453046 0 State Plan ID No: Parcel Tax No: 020-1413-62-000 Section/Town/Range/Map No: 20.29.19.2600 STATION BS HI FS ELEV. Benchmark . 3 /e~l• 3 ~~ Alt. BM Bldg. Sewer 5~ ~O , 0 SUHt Inlet ~.s~ 9~•73 SUHt Outlet -~ Q] I ~ V Dt Inlet Dt Bottom ~ ~ Header/Man. 9•) S ~ ~ ~ / S .7 Dist. Pipe ~ 'C J ~~ y ~ Bot. System /o•z~ 9`~~~5 Final Grade ~ ~ ~ ~ ~ `~ f T St Cover ( ~ ~; /', C 9~ ~ Manufacturer Demand GPM Mo I Number TD Lift Friction Loss System H TDH Ft Forcemai Length Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH DIMENSIONS Width / ~ Length / Q No. Of Trenches '7 PIT DIMENSIONS No. Of Pits Inside Di Liqui epth 7 C, I ~ SETBACK SYSTEM TO P/L B LDG WELL LAKE/STREAM LEACHING Manufacture,~;.< < ~ INFORMATION CHAMBER OR ~°>~ ~ Type Q# System: A ~' ~~ ~ I / ~ ~ r ~ UNIT Model Number 0 DISTRIBUTION SYSTEM ~ S "ta ~;.~ Z7 - Z~ Header/Manifold ' J Distribution x Hole ize ~ x Hol Spacing ~ Vent to Air ntake~ `te 1 ~ ~' ~ \ ~ a ~Ce Dia Length Length Dia Spacing G\ SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Onlv ~ (~' Depth Over ~ Bed/Trench Center /] Depth Over 1 Bed/Trench Edges xx Depth of Topsoil ~ xx Seed /Sodded xx Mulched ~ `' I f \ , x• Yes ~ No ~ No °- Yes COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Location: 785 Martin Avenue Hudson, WI 54016 (SE 1/4 NW 1/4 20 T29N R19W/l) The Glen Lot 6 /~ _ 1.) Alt BM Description = 2.) Bldg sewer length = I L ~ ~ ~~ ~ ~ I ~J ~~_ - amount of cover = 2 ~ Inspection #2: / `~ Parcel No: 20.29.19.2600 . Use otherls de for addit onal ,n Yes No ~ ~ - formation. U 1 ~ b~ _~ __ T___-~! SBD-6710 (R.3/97) Date ~ Cert. No. Safety and Buildings pivisiun ~ C-r ounty ~~~~~~~~~ 20i '~~. Washington Ave., P.O. Box 7i62, ~~ ~y^~ ,' y ~ Madison, WI 537Q7 - ?!62 Sanitary Permit Number (to be filled n by Co.) ~ apartment t7f C~mmerct3 (b08) 265.3151 ~34y~, Stau Plan I.D. Number {~ Sanitary Permit Application ~ Yn accord with Comm 83.21, Wis. Aim. Coot, personal information you provide ~~ may be used for secondary pt:rposa privacy Law, sI5 2 ~'"'~"~'-~~~~"~~ roject Address f different than tnaiiittn addressl rlication Intortnation • Flesae Frint A!1 Information ~ C~-ZO -It-!/-3 -(off -QC~O Owner's Na me `- ' e' ~ ~ reel ~' Lot f Hlock A' Q _ v, ~G. ~~ v ~ Owner's M aslina Address ... , ., -. - , 7 ~,...e...re.....m.s....,..--_ svl.~. v> wvYNV,l -~ City Stn~oe ~ ~ y` , !/'~ ,~Lf /t! ~ ~CJ~ ~~'/'' ~/~~ Zip Code ~ Phone Number -=-~- `a'~w ''i+Section ~~` ~~`..,UCt- ~ ~ ' ~~"~3.~ ~~,~ ~~ ~c92 (circle o II. Type of Stulafn$ (check ail that apply) T •~ ~ N, R~8 ~,! or 2 Family Dwelling - Nwnber of Bedrooms _~ Subdivision Name CSM Number ^ Publie/Corttmercial -Describe Use ~~~ 7fj G ~~ State Owned -Describe Use ~ ~ ~ ^City^^Viliage Township of~./S" ID. Type of Penttltt (Check tuily one bar an Iiae A. Complete line 8 If applicable) A' ; New 5ystetn ^ Replacement System ^ Treatmtnd;rFolding'I'ank Replaetmenr Only ~ ^ Other Modification to Existing System ~• ^ Permit Rtnewal ~Perm}t Revision ^ Change of ^ Permit Transfer to New ~ List Previous Permit Number and Date Issues Before P.xptration ~ Plumber Uwnar , _--- s.rk+o va av~v as ayd[Y.Irt' IR.ACCK a7r that ajlplY) I( ~~Non -Prwsurizad Iti-Ground ^ Mou.~d > 24 in. of sustabic soli ^ Mouad < 2y in. of suitable soil ^ At-Grade ^ SlttRle Pass Sand Pilter ^ Constructed Wedatuir.,l pressurized In-Ground ^ Hording Tank ^ Peat Filar ~..i Aerobic Treatment Unir r Recirculating Sand Filter Recirculatias Synthetic Medit- Filter Leachiag Chatttber ^ Dri Line ^ Gravel-less Pi ^ Other (ex in) '4'. dale rsszUTreatt»eni Area Inla atitia: _ -f-,-~ r - r~~ L _ Design Flow (gpd) Design Soil Application Rau+(gpdsf) Dispersal Area Required (sfl ~ Dispersal Area Proposed (a System Elevation VI. Tank Into ~ Capa city in Tara1 Number Manufacturer Prefab Site Steel Fiber Plastic Ca pons Gallons of Claire ~ Concrete Constructed Glass i Now Ext~su'ne Tanks Tanks ~ Srptic ar Holding Tank ~ / Aerobic Treatmeta wait Aosing tDtarnber j 'VII. Res nsiblilty Statement- 1, thie itisderai d, aaatmte respansibillt for ullation of the PO'4VTS shown ot, the attached ~ Plumber's Na me (Print) Plumber's 5i gnature M b1PRS Number Business Phone Number .__; ~,' l~~c z c;- , e i% 07~ 7 ~ ~ 7/.~ °.9iF'~' -~- ~ 1 a! , Plumber's Addr+e ss (Street, City, Scat o, Zip Coda) . ____- ! / rApprovgd ! ~] l~isappraved Sanitary Permit Foe {includes Groundwater Da Issued Issuing tat Si natur li Surcharge Feel ~ ~' , ^ Owner Given Reason fat Detsiai ~ ~ . ~ 3 Q ~ t. Conttii~olttt at Approvai(Reasonc for Dfsapgroval~ ..~. ~~. ~---~ ~vwv,s,a p+$as l~ ~u6 E:nunty Oaly) rot tltt syetom on prtper not tote ttuua $1i3 x 3t Sl9D-6398 (R. 01/03) .~. 0 b V ~ ~~ ~ ~_ ~ ~ ~ „ ~~ M O ~~ ~~ > ~ ; 1 J ~ \~ ' `~J °_ ~~ ~ ~.~`° \ ~a w ~' S .0 `2 Cj~ ^ ~ V ,:~ ~~~ h .~ T b ~. ~. ~.~ c~~ ~'~. ~~ O wrsconsinDepartmentofCommerce SOIL EVALUATION REPORT Page C of~ Division of Safety and Buildings m accvraance wnn wmm oa, vvis. Ham. t,oae County ~ ~ } ~ Attach complete site lan on paper not less than 8 1/2 x 11 inches in size Plan must ` l G p . inGude, ix>t not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. _ percent slope, scale or dimensions, north arrow, and I ton an roa ~~~ Please print all informat , " _ ion Re • Date Personal information you provide may be used for secondary pu ~ . ' es (Privacy Law, s. 15.04 (1) (m)). ~ ~z ~ ~ ~p Pro party Owner ~ r' ~ >1 yiR G ~' ocatio // nn l l.-~t h ~ VVl0. ~ ~ u ' ° ~S ~ -, _ : ~ lpt (! 1/4 1/4 S T z N R ~ E (or) ~ ::. .. . ~ Property Owners Mailing Address p!~ i N ~I#I ~~~. Block Subd. Name or CSM# City State 'p Code Phone Nu ^ t;ity ^ Vllage [Town Nearest road ® New Construcflon Use: ® Residential ! Number of bedrooms ~`~ Code derived design flow rate y ~L~ ,~l ~ C) GPD ^ Replacement ^ Public or commeraal -Describe: ___ _ ___ Parent material ~' ~ ~-c-i.~ a. S In Flood Plain elevation if applicable ~/ ft. General oonxnerrts // and recommendations: S~/S t G rvt Q ~ L> U. ''~ ~csr i° nq S i 3 d~ fi~ QSC i ( ~ S ~ e r~ de e m o v~ ( Boring _ ~~ # 9~~ S ~ ft. th to limiti factor //// 5 in. © Pit Ground surface elev. Dep n9 Sal ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Mansell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 `Eft#2 0~1 ~ v S ~s ~- ~ ~~ . Z Boring # ^ Boring c7 /~d ®Pit Ground surface elev. / , 40 ft, Depth to limiting factor ~ in. Soil icaflon Rate Horizon Depth Dominant Cd Redox Description Texture Strucdue Consistence Boundary Roots GP DIff? in. Mansell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eff#2 t U-/ ~ - S vs v-~ l - - , -~ /• 'Effluent #1 = BOD > 30 < ~0 mg/L and TSS >30 _< 150 mglL 'Effluent #2 = BOD < 30 rnglL and TSS < 30 rrtglL CST Name (Please Print) re .. CST Nrxrrber Address Date Evaluation Conducted Telephone Ntxn~ bar ~-! 3 ~~~~ ~~ Soinn~~S~.-r! , ~.Jl..Sy~z.S Co-/~ -oy 7/S -7G~ -az ~q Property Owner!-~ ~cQ vv~ r ~ Parcel ID # ~a ~ (O Page _~ of ~~ # ^ Bonng ® Pit Ground surface elev. Sd ft. Depth to limiting factor ~ in, 1.-t_ - -_ soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eif#2 _'~ / ~~/ / o f ^ ~~~ ^ Pit Ground surface elev. ft. Depth to limiting factor ~• Sal ication Rate Horizon Depth Dominant Color Redox Description Texture Struchxe Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ^ Pit Ground surface elev. ft. Depth to Nrniting factor in. Sa'I ication Rate Horizon Depth Dominant Redox Description. Texture Structure Consistence Boundary Roots GP D/fP in. Munsell f]u. Sz. Cont Cobr Gr. Sz Sh. •Eff#1 'Eff#2 'Effluent #1 = BOD, > 30 < 220 mgA. and TSS >30 < 150 mgll 'Effluent #2 = BOD, < 30 mgll. and TSS < 30 mglL 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. seo-e3w ~rt.sroo~ PAGE~OF~ NAME: ,ca,n~vr~o~r~LOT#_~LEGAL DGSCRIPTION!U~l/4$W 1/4,S~T~,N,R,~E(or}'~ /J ~ SCALE: 1 "_ "! ~ ~-~ ^`jz Br,.~~ ELEVATION: IUC~ U ~`~~~~;~' BM l DESCRIPTION:. -~.2.~0 c~-~ ~..~- ~~ c~nr~r s"~ i BM 2 ELEVATION: _ BM 2 DESCRIPTION: .. t SYSTEM ELEVATION: ~~. ~SC~ - ~ SYSTEM TYPE: .~c> n U erg-E-" ~ ~ a-~ ' _;~ 1"~ w~°~ ~,~ ~~ «~ z U . ~ ~~,v ~! DATE: lv - Z.S`- cam/ Wisconsin Department of,Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: Sienna Cor City Village X Township Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 453046 0 State Plan ID No: Parcel Tax No: 020-1413-62-000 Section/Town/Range/Map No: 20.29.19.2600 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer SUHt Inlet St/Ht Outlet Dtlnlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ ~ Yes i I No Yes ?, No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / /, Location: 785 Martin Avenue Hudson, WI 54016 (SE 1/4 NW 1/4 20 T29N R19W) The Glen Lot 6 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = r Plan revision Required? ~' Yes ! ] No I Use other side for additional information. __ ~ ___ SBD-6710 (R.3/97) Date Insepctor's Signature Inspection #2: / /_ Parcel No: 20.29.19.2600 ~- _. j _~ ~ ~ _ ._ Cert. No. Safety and ]3uildings Uivuwn 2G1 W. Washin n°ftiv~.,' Pa~13~. . ~~~n~i~ Madison. Wl 50707..E 7t6~ rfinerlf of Commerce I ( $) 26~-3151 Sanitary permit Applies ion' ~ ' t, ' ~ ~ ~' ~~ ~ in accord with Comm 83.21, Wis. Adm. Code, persanai infer tian you provide ttlay be used for secondary purposes Privacy Law, sl .t>4{t)t;nt` _ i i '~ ~tion Information - Pksue Print AU Information 7ier'a 1V8 triC County ,. anitary Permit hl~r Lto 1x filled in by Ca,} rate Plan 1.D. NN3 bar reject Address (if different than mailing address) ~ ~ M~te-rln/ ~v~ . Parcel ~ Lot M Htolck 1 Properey Owner's M ailing Address' o Yt'oPerry t.ocanarr~ ~ ~~ j/, ~.;,(I Y .~ ' :~ •G- ~ O J`~~ ~t,~4f,Secdon i7~ City, Stan Zip Cody Phone Number .-Gr `.~G~ ~~ ' SS~'3 ~,3 -' ~d2- (tircie o ) iY. Type ot>3nildfnp (check x111 thpt apply) S T ~ 9 N; R~8 or~9 y- Subdivision Name CSM Number or 2 Family Awelling - Number of Setiroams __-_, ~_ ^ Public~Cotnmarcial -Describe Use _ ~ ~^~ ' . V State Qwned -Describe Uae ~ ^City^~Viliage ~ownship of ,1 J s ~ III. Type of Perrrtitt (Check only one box on line A, Complete line li ii' applicable) 1 ~ - ~ - dv0 •2l~ by A' New System ^ Replacement System ^ TreatmentJHolding Tank Replacement Onty ^ Other Modification to Existing System B. ~ Permit Renewal ~ Permit Revision 0 Change of ^ Permit Transfer to New 1 List Previous Permie Number and Date Issued l Before lxpiraition ~ Plumber ~~j Owner , IV. Ty,~te of POWTS 3~stem: {Check aA that apply) ~ '~Noa -Preasurixad in-Ground ^ Mound > 24 in. of suitable soil ^ Mound ~ 24 in. of suitable soil ^ At-C-rade ^ Sit~te Pass Sari Filter I Constructed Wetland ^ Pressurised In-Ground ^ Holding Tariit ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating 5anrl Filler Reeirculatia~ Synthetic Media Filter ^ Leaching Chamber ~ r~ Drip Line ^ Grave]-less Pi ^ Other (ex in} i 3 V. Dis rs~UTreattneltt Area Int'ormatfon: Aesigtt Flow (gpd) Design 5oi1 Application Rate(gpdsf) Dispersal Area Required (sfj Dispersal Area Pro } 5 s n Ekvatian I VI. Ttu1k Wo Capacity in Taral Number Manufacturer ~~ Site Steel Fiber plastic , Gallons Gallons of Uniu W-~~~~ ~ -~vo ~.~~~"_ I / oncret8 Constructed i Gtass IIIBW r..YIA.tHO ~ .l_ ~, or Haldinl{ rank j ~ ~ Ile ~~ I / r /~; p 5 .o ,. I k posing Chamber 1~ I ~~,d,~i° i ~ ~ ~ ` ~~ 5 'B y L ~ I- -~ ~ L._--_--...r VII. Rospolulbility tutement- I~ thb trntlers! , aasttelte respottsibiltty for ailation of the POWTS shown on the attached s. Plumber's Na tna (Print} Plumber's Si grtature 1N'I'/ tPPS Number Business Phone Number +; .` l ~e.~ ,~ .~~u-~ ~~r !~" .2 ~ ~` ~ ~ X1.5' - 38G - 3~~ ~ Plumber's Addre es (Street, City, State, Zip Cade) Approved ~] Disapproved Sanitary Permit Fee (in odes Groundwater ~ ~ Date Issued Issu' Agent Sy~nature (No Stamps) Surcharge Fee) ~~ ~ 2 ^ Owner Given Reason far Denies ~. Gonciitlons of Alppruval/Rcesons for Disapproval ~ _1~~~ SYSTEM OWNER: 3~ ~Q.ClL.tM ~C $ ` `tL, tf ~-~.~ I ! 1 Septic tank, effluent filter and ~ o dispersal cell must all be serviced 1 maintained , as per management plan provided by plumber. ~ ~ 2. All setback requirements must be maintained _~___I as per applicable code/ordinances. ~'l t~a.~ l - ~ nr11 rvo n .. nbwm. svsapts[e press (oo tl~ cotwty eery? rer tZtrr system an papee~itot lose t6ra i1R x ll iacha to RRn-fr39R i'R M mil ~~.~/>G 1D4. ao ,a/17~ v~ , gD s_ ~r-~ .~ ~ , laze /~~osz,~>,C ~.J, ~7/ 2.e 6,C a ,d~~v -r-- J f ~~ c ~ - ~, ~ ~>~ ~ 3 ~~~a,~-b~sT h~ J ~~-_ coP~ ~~ ®~ .r~GG >DD. ~~~ ~~~ ,god, ~o ~'s~--~ ~~ ~T~ ~~zd ~~dd.s-~~yc ~lJ,'7/, 2,e /.C e .d /DJ S S ~. R~.Q,~.,.. ~. 10.E . ~,~' .._.. __.. ---~ ~ c ! ~. z~~l~,~,b~-~- ° k'~~ k~ / ~ ~. __ f ~___ ~y~~ ~ ~~ Q ~~ Wisconsin Departmentof Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach canplete site plan on paper not less than 8'/: x 11 inches in size. Plan must include, tort not limited to: vertical and horizontal reference point (BM), direction and Parcel l.Q. percent slope, scale or denemsiortis, north arrow, arxt location and distance to nearest nzad: Please print all infonr-ation. gg~'~ R Personal infonnetron you provide mey be used fa r.tid.04 jt) ( ). ~a 1143 page 1 of 3 Steel Soil Service St. Croot Pending ,~,~.:. D ~ /2 3 Property Owner Property v J ~ Sienna Corporatlort r. ~ :1 ~ 2 ~ ~ ~ . lQt SE 1!4 NW 114 S 20 T 29 N R 19 W Property Owrref s Matting Rdcfress `" Lot # Bloek # Subd. Name or CSUIpI 494E}Viking Dt~, Su~608 T ~ ;~.oiX CO N' `§/ na The Glen Crty f'~,H~ State ZipCode SS Nuv<<~ OF CL _ Village ~ Town Nearest Road MN 55435. g -,2~vy Hudson Carmichael Rd. ~' New Construc6an Use: ~ Reskiential /Number of bedroans 4 Code derived design flow rate 600 GPD Replacement ' Public or commercial -Describe: Parent material Pitted ouiwash Flood plain elQVatron, if applicable na General cx~nateats and recornmendations: System elevation 104.65ft, trenches spaced and depth to code 3.75ft bebw grade ~vn`~' !~ C3 I - ~~ rYw., . -Q-f 6 a,c.~e_ -~° . /i vra- u~ 0 1 Boring # Boring ` ~- 96 ~" Pit Grand Surtace elev. 10$.40 ft. pepth to in. limiting factor Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 1 0-6 10yr3/4 none sl 2msbk mfr gw 2f .5 .8 2 6-14 10yr4/4 none sicl 2msbk mfr gw 1f .4 .6 3 14-19 10yr4/4 none scl 2msbk mfr cs 1 f .4 .6 4 9-96 7.5yr4/6 none ~ osg ml na na .7 1.2 ifs'/~~ ti ~G~,~,.~-~~ ut ~~ ~ 2`' d, ~~J 3rr~ ~0-4,~,0,~-- ~o~ ~ scl~. a ~ ~ Pit Ground Surtace elev. 108.40 ft. Depth to limiting facts in• Sod Ap~ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlft~ 'Eff#1 *Eff#2 1 0-12 10yr3/4 none sl 2msbk mfr gw 2f .5 .9 2 12-32 10yr4/4 none sl 1 csbk mvfr gw 1 f .4 .6 3 32-9fr 7.5yr4/6 none ms osg ml na na ~ 1.2 I ~ `/ jrl h tttluent aF1 = t3t~u 5> 30 < 220 mgl~ and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name {Please Prirrtj Sign~ure: CST Number David-J. Sleet ~ //~ 248956 Address Steel Sal Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, Wt 5401 9{18/20E}2 715-246-5085 Property Owner Sienna Corporation Parcel ID # Pending Boring # ~~~ N" Pit Ground Surtace env. 104.60 ft. Depth to limning factor 96 in. Page 2 of 3 Soil Appl~ation Rate Horizon Depth Dominant Color Redox Description Texture Stnxture Consistence Boundary Roots GPDfft2 *Eff#1 'Eff#2 1 0-12 10yr3/2 none sl 2msbk mfr cs 1f .5 .9 2 12-23 10yr4rr4 none scf 2msbk mfr cs na .4 .6 3 ~ 7.5yr4/ti none m~s osg mf na na ~ 1.2 ~- ~- ~ `~ ~-~ ~w ~ ~~ ~ ~ ~,~- ~ per„-~,.: ass y~~. - ~ i ~ ~ ~ ~, / ~ ~ 1 18orina # ~~ _ _ .. .. ... - . * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS <30 mglL 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 Boring # Boring - Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM Sienna Corporation New Richmond, WI 54017 Lic. # 248956 SE1/4,NW1/4,S 20,T29,R19W (715) 246-6200 Town of Hudson, St. Croix Co. (715} 246-5085 The Glen lot # 6 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, 100.00Ft Top of 1/2" pvc pipe • =Alt Benchmark E1.100.90Ft Top of/z" pvc pipe n = Rnrinuc ~/O~f yo F"~- N ~'-~~ ,- 1 I -~ • i ..- , ., _ • , ... - - 1 ,~ .__ ~_ _. .. .. - , - -- - ,. - - 53 I • .. ' _ ~ 52 ~ _.. ' .. , : _- ~- __ ,, _.. ~ ;` I it r a. ,~ ~~ 57 ..: .,•A>~~ ,' r ~- ~~b. ' I y ,~,.~, ~ 417•" .~ ~ ~ 'a'e _.~ ~' a. _ w -. ~~ . , 4~;; :tom- ` \ - , r ,I' ,n , 8 . - ` ... - l ,-. 11,,.1 ,/- 1 \ ~ , 1,~ n . r . a• ~ ... t~ , l~ .., .. `` , ~ \ ` ~ ~ g,. .. 4 \ ~ ~IA ~~, a`aa r 11~ _''..t- .1 la _ _~~ N~ ' 'I ~ \1J \ is , I i _ 1 a ~;;< `. I + 4 a , i ~'' " Q~ ".\ ", .• ~ ~. J- _ ' ~ / - i...' t .. ... ,\ -`a .a. , ~~ a ` ~ ; 1 N ~, al - ~. , ~ ._ 1 Ors/ ~J W,, _ r ... _... - ,.-_ a _ ~: • } _ -1 „ _. 9. • 1 • ' 2 _ ~~.--'-~. ..~~_..~..~_.''-_ _ ,. 1 s . : ._ ~: : r ,. ____ a, I. ,_ __ - . t ,' ' .. __ _.. _ ~ . 4 ~• 19 _ - .i'~~'r-~ 1 1 / 1~~ 1 ? \ i ~ i _ \\1 438 J.r \ \ 1 1 g 7 C ~6 5 ~~ 5. ,`` ..1 1 ,,/ r.. 1, 1 ~ f aa, t .r y~J '. TaJ`. .. ~ 1 1 ' ~~S / 1- `345 a • / _ ~. - , 1 i Jf ,. ... ~. f \ ~=~ i I ` ` 1 1 _ ._ n, _. / _ ~ ` ., :~ ,,i{` r .. t a .. i. _ _ ~\`,i 1 ~y1} - 344' ~. ~ 11~; ~ 4 ,~ '" , 1 M ., f r ,N'.i{il r i r I r ,' ~ _... a.,. _... `. h . f•.~> 1 r z ~.. 1-_ \{ a\ . ~~. ~ / ... .. i r `c> , ii llll~ , : { ~') "...;wa' .~; - {'.,~ 1-~ 1 'f1 1 ,,: a ~ r,~ 3~ ''96' 7 ~ ~ .~_ ,. Y.r .,, 4 r , , 1 ,. •a ~, jxy , CIF 1 -..! ,, a ', ; ',{ 111 _. i,. a~' .~\ -'l. ~, f •` ` t r .~.... r ~ ..a.-. -*_ __ ~ _ l 1 \ 1 • p ' a , -. • ~ po . .c. _ , I ~ • _ iJ~ {7 -', ' 7- .. _ - .a _ ~ s; _ i. as a,(~ ~ ~ ~ ~_'f •~, -_-- .1 '. ~ , r - I 1 ~ - . ~., , 1 • ,a a i :.. 243. r _ ~~ it '' ~-'"7L-~..` 9 r : 1 ' j~ `` ' , 1 _ ` ? \ ` 1 1 1 ,, . . - _~ - X38 , , r ~ ' ~ ., ~ 1 ; ~'.+ , `,i .a i {' l r 1 `i 1'1 ' _ .. _. F/ ~. ~_ .. 1 \{ ~1+1 111 ~ _.t1 1 ~\\ 1j1 _i-; rl " - A_ >, ` { I 1 i 1; 1.- y1 5 'i • I r. ,I 1` 1 t , } ~V 11.- f. .. 1 .. -A.-N ~1' .-Ii 1 1 ~..~a '/ 1 1.. \'. 4•I .i,i lr i±• d:t, a` 1.1 ; ~ t'~ ~ .- Its:[. i i~ ~ i I ~~.{I ,`aa a a lr!i lli 1 11 - .. \ 1 ~ ._ ,, 1 , __ _ _ .1 1 1 a , a, , a ~ 1 I \ \ l I . ." - ( , I 1 1 1 1 I r 1; I I 1 ,~~ ., ( ~1 ~ i ~4} i 111',1 i i_ ~i. { 11 ` 1 1 t1 ~ f i A ~~, LL . 1'+I '~~ - ~.. .. }~' CI IENi P ,~ .- ~S- FR x~'E Y? M,~1Vr ABOVE I'A;E~S~ ~x}I'~~.VTAk$ Wi ~~W aR G'~,4DE' b ~£'AT't~ERp~F JL'NC~i IO,ti' S'v"X ''r2:~ CONDL'I? ~RAt~~ ~ ~ ~9 r '~„ryr a ~ ~ i ~zr ~ ~ ~ { C ~""~ «.I2 ~'Ivei{ SEALS ;FPROVED ';~~ 3' ,,,,,,~ i A INTO ~,~t l0 t 8 PIMP CFF ~LEV , ,-w-r,._fi T . ! Q -.~- ~`~ n =a=IC r DOSE =`A:VK MAN'JFACTJR~R; ~: MA~tt,-pAC'YL7RER MOt?EL 1Wtf~~t; $W2TCN TYPE: <.,~ MANUFACTURER: rsa~F;, xu~ss~R $WITCFi SYPE: ~" APP1tVED ~EDDNG U~1'DER TA.~7K „~,,,,~ ~ CIF: A T i C iy' S ~ e~ .~._ ~--~_ E~~:RED ~ISCHARG~ R.A.T ~~ ~ ~ ~P:, ~'RT+CA~. JIFF}~ENCE BE. ~'INIMU~i NETk-CRK SJPpLy p "'•~~ FE~m f ORCEMAIN X A Pl~R 0'~ EQ ,`S~.NHQLg iG'J W 1 PA1; LQC K WARNING :.AB. .; i ~t r t~., GASH ~ ; ~ t TIGHT, '. r ,, Al.ri ~ Y ;€~N ~ ~ j . ~~'oPj ~ I ~J1 ~~ ~u'RFGV~a JQJ~V'~"S kST~t APP~OVE~ FIAT 3~ ONTO SO~Y8.SQ2L ~« RxSER ~x:; PERM~'T?ED CNL ~~` Tax MANUFAC?"J.~ER HAS APPROVAL OON~$ETE PAJ ?Y.;MEER ~,~OS~S pFR SAY; .,~ 8r O~ w Y V ~~/ a i~ 4 At1r a~IJ 4/ w R~1 Y'LO~v'SACk: 1~~ GAS. , CArA:ZwZES: A ~ I.~tiCKFS ' ,~,~,,,,,,„~~A L . C s INCHES D : .„~„ I.YCFiE5 .1.~,w.....~Aw . p'~I~P E A;,.gn'r! ~v.RiNG A5 : ER ILHR 2.23' ~A~ 1....~-~P Ot ~' A,~~ .'^.IS'1'`1+,7BUTION PiP~ l«? FEE".' E5 SL'R E . r d FT/w~~ r~. • •'."T:Ot~ g ~ ~ FEET ~b1,1 ~y*yr~ y~~+ +'~"•:+F1L•QYNAMIC~~IEAb . x ' ~'L"rT '*` ERNA~;i+,i~"iirlirdi~lfY*7 GF PUM? ~"h;~~h ; , ~~++ G J TO /~ r ,_.~, «i;:EKr4 '`~BEP Nom. t DC`v` ~ av C~.:d.. ~Cur~3 p'tc';F `? c ~ Sttt~~sr~ble -- ~f ~lu~~ pu~~ ~~~1 E~ _.~ ---.~.. .~~~~ ~~~ ~ -+0 y~ ~1t. j~; ~ ~ io 5b Q~u. ~J -~M; up b ~1~, • ~Mpi ~' ~'M IYrt: . ~ 1 ta~, coA~Weia • ~~ ~+~ ~~ ~ m ~: ~ .' `fir goo ~•~ ~ ~ ~ ~. ~, to ~j'ft' ~ gaga . ~y4rN1k r~ -~tl +e~hh ~y~e"~"' ~ ~ ttP, butt~o ~~~~ ~4Y$t ~ ~~Ilriogai~ 1~ s.-ro ~~~ ~~~ER ~ I~ p~yC ~~~ m ;~eeoopM, +rer tK• N-r. ~. a r ~ ,d'! h,tiuq. ny, 'F ~~~ ~c~ Sao.. F,eof ~~ Are11~ ~ ~ ~~ ~ ~t ~+~#Dr ~3~ ~ ~ ~~ IICI. t~i~ tiNipr pror ~~ C~er;ror~ ~~'~r ~ ~,~ ,,,,,d~;~ ~~~ Ao d~ol ~' ~~ ~' i fit. ~~~~ ~ tOwwr I'L ~_ ~ ~ m0a11 Aye f~ ~nQ tn'!' pr'~•.) lY ~. ~ .~~ ... o~rryro~ra- ~i ";,,~ The Standard Infiltrator' Chamber The Standard Infiltrator Chamber T L Chamber End View PosiLock'" End Plate - Size (VV x L a ~~ o o a 0 tr o°~~o 0000 o Q ©~~ ~O~O~ ~oDo~ l 34' -~ ..34' > "'• c~ Storage Capacity ............77.5 gal (293 L) Weight ....:.. ................ `.....26' Ibs (i1.8 kg) Louvered Sidewall Height ......,...6" (15 cm) INFlL ATOR SYSTEMS. ING. STANDARD LIMITED WARRANTY pFLTRATOR SYSTEMS. INC. fYtleem1l STANDMD tLtTEDwARRANIY FOR SEP11C PRODUCTS ~ Thsstnranl Ytspty d asdr devrba and and pea nw.Acwdw M H4M« (oaYctlrdy ~aferad b u'UNts'1. wlw~ Yarded end apraud in a Yedlled d at avW septic aim it eccadertcs vtth YMRatorY YeYeYdm YeYUNms. b wrranMd b me aig4W padmar rHo ~ 1 a9ewrr~• tre ntererlds end woia~wdYp 1« one p) year t«n ma date rpm wHth a aepuc psmY is Yauee wr ne septic system c~aYig Udts. nort.w, rrt f e aepee paint a net mquiad for Ne sepdc system Dy ePPauOk Ynit the oro m y'ro '~~Y Pd~ ~ ~n ~^ 9ie den des $eytroo t~"Cam~ec6N~wtlit~deys d the aNged ddaMltr~ w~ anoN~nepl a iert lYYls b tl ~ lMts decamYiediRYa1« b b ddetM ono cowed ay Ues lYteed Wamrty. YAtrabAt fedq speotaq aeG,~as"s da mx a rmaw atll« Ywaeetwn a me tits. q THE U7,tTED WARRANTY AND REMEDIES N SUBPARAGWIPH 6d ARE E%CLUSIVE. THERE ARE NO OTHER WARtLW TIES WRH RESPECT TO TIE UNITS, tfCLUDeK' NO tAPL1ED WARRANTEE OF MERCHANTABIUTV OR FITNESS FOR A PARTICULAR PURPOSE. p lie lYrtted Weraay does net acted b Ytddaad, oawpwntld, apadel «Y16aa denrges. Yeltretar steel not ba fade t« parMies « iq,edaed YrGrdep Yee d end praats, leb« aM meterYk. ovaleed ams « otlre lasses « eepuvas Yruarod try tle Holder « arty and cMy aetstded tram LMlad wanady oarerays Y: dtnags n IM IMks dus b «d'nay ww rd rear. ataatbn ecddaM. mWee. ateae « d tle laYts: eie IAIb oaYq suhJeuad b alila antic «atr armae vMdt en net perrtaeed by Ina YtstaMtlort tr<sYtrawra: tetura b msin- eeln tr mYasan pored cores sa brat ti tr Yaraladan YaYttulom: tr psanlw d Yrtproper rreteriels Yro to system cortaY+tD tr lYts: lairs d tr IMis «the sep9e as~y!Mamn doe b Yrpropa atYq, eaoeseha wale rospA Ytprapr passe dapaeal « oPa°tl°^ a erry ache avert nor ratesd byYtlaerr. THS lhlted wmensy ahf M void-a Yis Ildda We b onnpiy wth al d rr time sa kM In Mis Wr~ted Waranty iurtb h ro cwt ahsl Ytlaattr ore rapomde f« any 1os «dwmpe b tie Hddsc to Oats. « tad early font Yaralseon or ahprraat «iam ay pralYrl faiety deYm d Holder a tltd poly. f« tors IYrYlsd wmanly b YM UHts meat Oe h+teiad b eooddaba wIh r erte aortmar ragrisd try sae ad (oral ado. al dher appiraCla Mws aM Mwterk YNalatlm- iabcdas. ~ ~ ~ ~ ~ ~ Yy b~ ws tlr+ed waraty n ay mwr wlrno.var. « b .dad ws uNOw wmaty. Tie aDaa npasats tr atrdsd LYtrRed Wetaty eased aY telraaar. A Inalad renDa d states aM oouraYa heea dfaet vnnerty ragrtanwas. Any punirser d Urns should carrell Yelaalor! caporals heedqurMS h pd CaaecWar. prior b such purdesa, b addn • copy d tla epplraals vtenerty and orated eddy reed ttr vveaarty prYr b tlr pudrse of iAtts • • SYSTEMS I NC Environmental Onsite Wastewater Solutions'" 6 Business Park Road • P.O. Box 768 Oki Saybrook, CT 06475 , 860-577-7000 • FAX 860-577-7001 1-800-221-4436 www.infiltratorsystems.com Yrtefor Syrrm does net tacarrarrerd Yataerg ante systrm utdr P~~ drTaala heal b YBe1ed amadYq b eenaaawrk Ylalntorbrla. feiaa b iaW eOwdYq b mee/aurak Yaeuetfora vAl va10 vaarMy. YThralor Syswrs acarrntrds to tae d aeplc tent Hors and terdry Rtes wth a1 amts seplk systems. Syrra sdrlt k dsesmalW by parrrerrKrapuYtorr. err'' for technical assistance, ilnstaliat~on linstructfons or customer service, .call Infiltrator Systems at 1-800-22=446• ~' U.8. Peterlb: 4.75®.661; 5,017,041; 5.158.488; 5.336,017; 5,101,116; 5,101,159; 5.511.900; 5,718,163; 5.588.778; 5.839.844 Cule6en Paterlfs: 1,328.959; 2.004,584 Older paMMt pentlap. YtNlralor, F.queMter and SideVYaaler ale rophbrod traderrlerks d Ynfttrabr Sytbme Inc. InfiMrabr b a ropbtered tradelTltrlt in France. YMtelDr 9yalenr Inc. Y a fepisbred Medir-Itrk in Mexico. Coltolx, Mind etcltn9. PdYTuB. SnepLOCk. ChrnberSPe~ PoaLOCk Quidccut 1' Overlap at Latching Mechanism ~~`l1 ~ POWTS vWlItER'S MANUAL & MANAf3EMEfil7 PLAN gags of _,,,_ F~ oelf~o rHON 5'3©~~O D~W?N 1!AItANAlTtERlir Number at BedrooMe ~ d NA Number of PubWo FaoWtY Unite NA Eatimatad fbw tavarage) ~ ar da i3esipn fMw (peakf, lEstimated x 1.6} ,~,!'~ arltia APpdcatkut Rate Standard lnftuant/Effiwnt tluept Y aWd lftt Monthly averspe" ~«:. oit ~ Grease IFOGi s3o ma/L Siochemioat Oxygen Demand (13t3DgP 520 m9rz O NA Total Suspended 8olid• tT651~ ~1 tiG mg/i. Pratnated Ettiuent Y Monthly average Btoahemlpal Oxygen oer»and tBC}ta~1 ><3a ong/L Total Suspended Sogda fTSS} 33o mg1L [7 NA Faoat CorNorm (peometrlc mean) 510° cfu/100rn! Maxlmurri ll<ffiuant Partiote $Ise Ya in tile. p NA O NA 'values typroa! for doreMgttlc weatswenr snd septk tank affluent. aY TEM aPECiFNCATfONa septin rank Capacity ,2 ~I ai a NA Septto Tank Menu#acturer ~ d NA Ef#tuent Pllter Manu#aottirrer ~' ,e I3 NA EHkiunt Flher Mode) ~' d NA Pump Tank Capaolty ai Q NA Pump Tank Manufacturer r ~ ©NA Pump Mann#eoturer ~••-c~ / Q NA Pump Model ~ O NA Prstreatn-ent Unit q C1 Sand/t3rswl Fliter ©Pest Riitar t7 Mechanical Aeration a Wectend a bitdnfaatbn o other: ~{a~ ~ NA ~tn-Grout-d Ipravtty} ^ in-Gros~nd ipraasuriYed) ©At-Grade tO Mound © >hip~Ltne O Other: Otttsr: DNA Other: p MA other: DNA MAGI iCM~UtB ie~iae Event ++ay inspect eerydkien of tankisD At lssst ona• every: 3 main a (Maidnx~m 8 yaarsD O NA Pump out aattefua of tankU) VNhen combined skldga and scum equsb ontthkd {3y2 a# tank vatume D fdA lnepeat dhperaat atilltN At reas< anpe every: ~ m'o ~iN EAeaMwm 9 year: t7 NA ~ Clear, efNuerrt ~e« At iaaat anoe every: .l es •~ o NA inspect ptonp. qurnp oontroN A alarre< At irast onw every: ,...-- ~ • O NA Plush laterals and praetors test ~~~ they: At loaet onaa every: At resat once suety: .---- ~ t3 ^~ ~ sl ,....- ^ ~ ~~ C7 NA 0 NA d NA MAINTI'klANt:E tN~TAi1CTiONB --_ _~_~ Map~otiona o! tanks snd disperses oaks shxli ba r+nsde by an individual carrying ono of the follawlny Iloenses yr osrtificatlona: Nester Plumber, Messer Plumber Restricted Sewer; POWTS inspector; POWTS Maintainer, 8eptene Se+viatnp Operator. Tank ktspeatiane must lnotuds a visual inspection cf the tsnkla} to identify arty mialting or brokers hardware, identity any Critcks or leaks, measure the volume of pare sedge ~ mum and to check fnr any baalc up a pondEng of e##luent an the ground aurtace. The dispersal oe~Ciis} shell be visuelty inspected tc chock the effluent levels to the observation pipes and to aheak far any pcndinp of afikieni ors the ground wrfepe, The por~dinp of effluent on the ground surface may indicate a failing oondhton end raquirea the immadfaa r+otlfiaatbn of the boil ragulatQry authority. WMn the oomt~ined sooc~rrwlatior~ of sk+d9s arrd scum to any tank equsls one-third l3yt or mare of the tank volume, tM entire oontenta at the tank shah be removed by a Septage Servicing Operator and dlspased of in sceordenoe with dwpter NR 113, WlsoonNn Adm9nietrativa Code. All other serolees, inck~ding but not limited to the servfcinp of effluent fitters, rrteehanica! err units, and any setvtting at intervals of st 7 months, shall be paN'ormad by a certrttsd POWTS Maintainerp~penanta, pretreatment ~ airvlai nport shall ba'providad tc the loCSl regulatory tuthor~y within t0 days of ocmptatbn cf any service event. P89s _'w_ ~r __,.._.._ 8TART t1P AND OPERATION For now conatruct(on, prior to use of the POWTS check treatment tank(s) for the presence of painting products;ar other chernicais that may impede the treatment process andlor damage the disperse( cetl(sl. If high concentrations are detected-have the cr~ntents of the tank-si removed by a septege servicing operator prior to use, System start up shalt not occur when soil conditions are frozen at the infiltrative surface. i?uring power outages pump tanks may fist above normal highwater !ousts. When power is restored the excess wastewater will be discharged to the disperse( cell{s1 ~ one large dose, overloading the ceNlsl and may result in the backup or surface discharge aF affluent. To avoid this situation !rave 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 t' restore normal levels within the pump tank. Do not drive or park vehicles over tanks and disperse) 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 sail absorption area, Reduction or elimination of the following from the wastewate- stream may improve the performanc+a and prolong the fife of the POWT'S: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreesePa; dental floss: diapers; disintectants; fat. foundation drain (sump pump) water; fruit and vegetable peelings; gaso)ine; grease; herbicides; meat scraps; medicdticns; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails andlor 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 63.33, Wisconsin Administrative Cade: • Ail piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. e The contents of ail tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. e 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 sand material, CONTINC3F.l11CY PLAN if the POWTS fails and cannot be repaired the following measures have been, or. must be taken, io provide a code crsmpliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement &oil absorption system. The replacement area should be protected from disturbance and compaction and should rot be infringed upon by required setbacks from existing and proposed structure, lot lines and waifs. Fa)iura to protect the replacement area will result in the need for a new $oii and site evalustion to establish a suitable replacement aroa. Replacement systems must comply with the rules in effect at that time. Q A suitable replacement aroa is not available due to setback andlor soi! lim)tatlans. Barring advances in P4WTS technology a i'-olding tank msy bs installed as a last resort to soplaco the failed POWTS. ~~ a sit Site ® tanl~ b Mound and at-grade soil absorption systems msy be reconstructed in place following removal of the biornat at the infiltrative surface. Reconstructions of such systems must comply with the ruins in effect at that time. < < WARNING > > SEPTIC, PUMP AND gTHER TREATMENT TANKS MAY CONTAIN LETHAL QASSF.S AND/OR tNSUFFICfENT OXYQEM. Do Nat ENTER A SEPTIC, PUMP OR QTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. F`iESCUt2 Ol+ A PERSON FROM THt3 INTERIOR Of A TANK MAY BE dtFFiCULT OR iMP0S81BLE. ADDtTtONAL COMMENTS POWTS INSTALLER Name ~~'t~~~u ,,-, F~~y, Phone ~ C ~ _ ~ w .3' .~ POWTS MAINTAINER Nama Phone &FPTAt3E SERVICING OPERATOR IPUMPERI LOCAL REGULATORY AUTHORITY Name Nama 5~, C~.O (K. COtA.nf~"Y ~DN /_~~_ phone Phone ~s. 3$b , ~ This documarK was drafted in cortsplianca with chapter Comm 83.22tZllbi(11td18tf) and 83.5411), 121 & 131, Wisconsin Admtnlstrative Code. ST tL'ROIX CO ~ ppR88MENT SP,P'I'iC TAI~IK. I~Q~'ISAI~ s4I~ ov~xaxsx~ ~~caTtoN Foxr~ OwtterBuycr ,~! ~J,~JA ~ ~ Pe PA~-~ o Mr-iling Atidrtxs a V t K ~ ~ ~ 2: Su t ~ ~ ~b D ~ /"t /~-~ ~f 3 S Proporty Address cc ~ ~ •~_ (ycdfuatioa required from Plsnaiag Acpartateat for new wastntCtiogl 1 t~ty~tate f-~UDSo~ (,</~ Parcel Ydenhficatioa Number LTGAI,~_ ~''Y' ~N _ U Property T-ocation~~ ~/., ~ `/,, Sx. 20 . T 2~ N-~_~~ To'ws of {~(/AS 6 Subdivision ~~~ `-~--- Volume _ age # ~_ Cctrti..ficd SurvCy Map # '~ Page # T 3 Warranty Decd # ~O t!O •~. ~~0 Volume Spec house ~ yes Q no T..ot Lines ideatifisble ~ yes ^ no SLR j$TE11'~ MAIIVTEI!I PACE cure: failure to baadle wales. Prop~z ms~ie~ace I~aprvpet use and rnaiak~aoa of you: atpdc aystuu could result in its prr~ma ~~ you ~ iato the ~ e~tSb of ptrmpiag out tb+o septic tank every thtex y~ or aooocr. if aredod by a Licoascd pttmpec. an affect the fuac-tioa of du septic task as a erutment stt~e im the ,caste diepossl ry~- ta c:ati5rxtion fottn. riper by tSu owns and by a The propaty ovraa agna to enbmit to St Qroix 7~aia1; y~ that (i) the oniitewasuantadisp~v ~m mastCrp}umbet, joermayrnanptutnber, rwtsictodplumba oc a liumsodp~pe< tie lade it less than 1~3 ~ of siudae. it in Proper opaat~ag coodidoa and/or (2) ^~~~spcrk+aa ~ pumP'rsE (if~eeecsary). the uF rau iewa8e dispose ~'°~ e+vit~ tb~ sandu~ Ilv~. tbo v~dotsigaed lave read the ibovc rcqu~meaa ag~ax to maintain the Fri nt oiNaturai Beaources,l Stste of WisconeOffice~china30 eel fat1L bcr~in. as cct by the UcparuiLCat of t;,ommc and the Doputmc elating the eeptic cystcm bocn tua~ lx cAm~letcd and setusnod to ebe St. (~oix CotmtY Zoning da f tbroc cxpira • daft ~•'%Z/ oy _ !~./,.,./"' ~ _ DAZE ;12 CA ON am ere tho owner(s) of ccrtity that all s ats o this form are true to flu: list o[~ttYof Deeds OfSeee. L (we) ( ) ~cn abov a aarraoty dad rocordcd is iLegist ~/z~oY -.----- ' ' DA'I'i3 J,VI•~ tbe• revokedby-tbcloaing poP~C°t' •••••• •••••• Arsy informati_u is mis-reptesentedmay result in the saai~rS'P~ ~ •• Yn,ctudc ~vit6 thls sppGcatlon: a stamped warraary dcod &trw the Aegieter of Utcds o~tx a cofry of the ccrdEed ctuvey taap if t'cfctnaeo it taasdo ist the wat>saty died TOTAL P.02 _ {j STATE 9AR OF" WISCONS7n rnutu t _ taoa "'°'~ ~ WARRANTY DEED txotenw,r NurMn ;~ YOl ~ ! ~7YAr,( 6~~ This Deed, mtdc Detweon Gage CoT or_atlon, __a,Tlinne:aota corpozation _ 'E'° _ -_ ..._.__ dart _Sienn q~ .. .._~_, Grantor, oration_ n traJtn@.8~ta cot arar __.___.__ ..._ P 19A_ .__..... _.._• ., _ Grantee. Crnnfor. for a va1„able rota{dera:!on. wnveyt to C.ranrt~r ttte Po!lowing ducrfbed tea! c:ate kn SLCroix _. CA„nty. grate of Wtscoruin (the 'PrraNerty ): See Attached Exhibit A Together with at! a},!lr,rtenant ri@hts, tltie ano lnwrests Ea66C)+$O REOYST~k bi' DEEDS S?. CROIX CO., MI RECEIVE/ FUR RE13YtD D2-2l-204! 3:I0 PM owe I+Tri °m! C,ERT CORY fEF: COPY FEE: T~IgSFElI FEE: 9163.40 kFtI~RO1M0 fEE: `7.00 Rer;n.n.tg Aren ~k nit~r5ctl 1 }~~. 5`7CY~ 5 m¢.~ar~i Tar i ~,. .Si.~i~,'~b) I~tinrte-4tinka 1J1u~53~ 20-1048-3D-000 Patter 7deNiMCaGan FJtn,ber tF'M ~, 1A not horltestetd propm~ty. (i4) (SY ROt) xo-~o4a-6a-ooo to-so4e-so-aafl 20-2049-90-000 20-1050-00-000 20-1050-60.000 10-1052-20-000 20-1052-a0-OOfl Crenwr warra<uc ,h.t thtr utJr to the PTODerty I5 good, lnticJer,tuir in !ee Ytmple and Tree and Bleu of encwr,b,Yncrt cutept Sea Attached Exh1b1[ d. L1atc,0 tnt: 20th _..__. day of Ttecstab®r __ 2001 Bane r oration _ ~ {SEAL) r -...._.. (,~1 by t 6 M. Siacsef _ ------ _._. .._~ ICC of Executive; Offi (SEAL) „_ ~ (~~ v AUTHEN7ICATlON ACIENOWtEDGMENT `~ Stputwe(s) MinAYBOtd ~I ._.__. __ _ ~_._.___ ...-._ State of'iNtsL•ettYtr- ~ _ ..._ .___. __ - 1;~ ......,~.c -t~- 1! xuti,ertklcruod ttti5 ~_.. dry fll .~„_... __•_,__ ___._.Pcrsorulky euarr lwfure errs rhaF E~ December !' ---- _ 3ohr, K. Hsaaeff, Chits ~t _ of Bane Cor~orstion, __ cozpo!catio>R ~! T'1TLE MEMBER STA1•E $AR OF WISCONSIN ~~ (I a ti+t. "'- avthortzed Cy ~"7(1Fi Ofi. Wts Stats.l rnr i~[wwn l4 be ~ Der knstnunent and ~{ 'N,S WS7AUMENT WAS UP,AF'T-EO 6~' {~ Lockridge GritidaY l,aw I''irm ~~ Minnea oI' M )~ sx. J~ ~... day uP ., t(lc abOvr Jtarrterl tfv_~•~f icer sots ~-- _ to ~ a+tru ktx:rukec! the [oregWtlg HAAItY' ~ ~~ w00aaeewxegP@ye ltutee (; p 1 s , , N ~ cy4Q l Noy,y ubik, 5tue of Wlseortstn ~ ~ ~! --. _ y eommrxunrt La pan7Krtcnt (If rwt, s,errr sxpirakiutt bau: ,~ (S[@,tiuu,lx nwy be autrw+ruleated cu ,w!tnow{ed@~ Both an nw { J@nuary 32 r neuasar}+.) HMuYt s ir'y up+cey urro, w ryy,r a ,,rut.., r,ww u~' , ..:'- _ __:.. .... _ - - _ _. r,. WA@RAkTY Q~ STATF eAN OF' wtSCOkSIN wpconW tre~i ~~ ~ , Ne. ~ PORtI tVa. t r5sta -aryeWrr. Wit II l' .• '. , Y°~. ! 7•y7PA~E fj.14 File No: es-o49o0 EXHIBIT "A" A parcel of land in the Northeast Quarter of the Northwest Quarter, in the Northwest Quarter of the Northeast Quarter, in the Southeast Quarter of the Northwest Quarter, in the Southwest Quarter of the Northeast Quarter, in the Northeast Quarter of the Southwest Quarter, in the Northwest Quarter of the Southeast Quarter, in the Southeast Quarter of the Southwest Quarter and in the Southwest Quarter of the Southeast Quarter, all in Section 20, Township 29 North, Range 19 West, Town of Hudson, St. CroiX County, Wisconsin, more fully described as follows: Commencing at the west Quarter Corner of said Section 20; thence North 89 degrees 25 minutes 02 seconds Easc, assumed bearing along the East-West Quarter line, a distance of 1319.52 feet to the point of beginning also being the southwest corner of the Southeast Quarter of the Northwest Quarter; thence North 00 degrees 36 minutes 14 seconds West, along the west line of said Southeast Quarter of the Northwest Quarter and Northeast Quarter of the Northwest Quarter, a distance of 1325.15 feet to thQ southerly right-of-way line of the Chicago-Northwestern Railroad; thence North 79 degrees 56 minutes 29 seconds East, along said southerly riQht-of•way, a distance of 451.00 feet; theme northeasterly a distance of 807.03 feet, along said southerly right•of-way, along a tangential curve, concave to the northwest, having a central angle of 09 degrees 54 minutes 03 seconds and a radius of 4670.25 feet; thence North 70 degrees 02 minutes 26 seconds East, along said southerly right-of-way, a distance of 429.04 feet; thence northeasterly a distance of 445.52 feet, along said southerly right-of-way, along a tangential curve, concave to the southeast, having a central angle of l4 degrees 30 minutes 21 seconds and a radius of 1759.75 feet; thence North 84 degrees 32 minutes 47 seconds East, along said southerly right-of•way, a distance of 7.57 feet to the west line of Certified Survey Map in volume 12, Page 3302; thence South, along said west line, a distance of 703.32 feet to the south tine of said Certified Survey Mag in volume 12, Page 3302: thence East, along said south line, a distance of 593.00 feet co the east line of the southwest QuaztQr of the Northtast Quarter; thence South 00 degrees 26 minutes 06 seconds East, along said east line, a distance of 1127.21 feet to the southeast corner of said Southwest Quarter of the Northeast Quarter; thence South 00 degrees 26 minutes SS seconds East, along the east line of said Northwest Quarter of the southeast Quarter, a distance of 192.71 feet to the north line of Certified Survey Map in Volume 15, Page 4172; thence South 89 degrees 37 minutes 27 seconds West, along the north lines of Certified Survey Map in voiumQ 15, Page 4172, and Certified Survey Map in Volume 15, Paqe 4173, a distance of 1113.42 feet to the west line of Certified Survey Map in volume 15, page 41?3; thence South 32 degrees 43 minutes 57 seconds East, along said west line and its southerly extension, a distance of 591.64 feet; thence south 07 degrees 13 minutes 18 seconds East a distance of 323.01 Eeet; thence South 08 degrees 41 minutes 11 seconds East a distance of 413.63 feet; thence South 08 degrees 43 minutes 31 seconds East a distance of 229.88 feet to the north line of Certified Survey Map in volume 11, Page 3128; thence North 89 degrees 52 minutes 10 seconds West, along the north lines of Certified Survey Map In Volume il, Page 3128 and of Certified Survey Map in Volume 12, Paye 3292, d distance of 682.86 feet to the northwest corner of Certified Survey Map in xr-Gl~-e1~G I~y~e1 ~iuww~ ~ur~r ' ~ vor.17~~Par,E ~15 ~.,c u..,..~ ~ uuu Volume 12, Page 3292; thence North O1 degree 24 minutes 30 seconds East, along the northerly extension of the west line of Certified Survey Map in Volume 12, Page 3292, a distance of 5.66 feet to the easterly extension of the north line of parcel recorded in Volume 1390, Page 163; then South 89 degrees 30 minutes 27 seconds west, along the easterly extension and the north line of parcel recorded in Volume 1390, Page 163 and the north line of Certified Survey Map in Volume 3, Page 776, a distance of 508.92 feet; thence North 0o degreQS 07 minutes 56 seconds East a distance of 1003.47 feet; thence North 89 degrees 54 minutes 15 seconds West a distance of 270.16 feet to the west Iine of Certified Survey Map in Volume 5, Page 1317; thence South 00 degrees 27 minutes S3 seconds East, along said west line, a distance of 293.97 feet; thence South 89 degrees 16 minutes 33 seconds West, a distance of 533.93 feet to the west line of the Northeast Quarter of the southwest Quarter; thence North 00 degrees 36 minutes 14 seconds west, along said west line, a distance of 820.23 feet to the point of beginning. SEP-20-2002 09 ~ 21 51 tNNH l.t.Ntt' • .. ~ von 17~1'7~~~t G:l 6 Exhibit B to Warranty Deed dated December 20, 2001 by and between Bane Corporation ("Grantor") and Sienna Corporation ("Grantee") 7~e c>a~ r ew~o r . rr :~ I. Building and zoning laws, ordinances, State and Federal regulations; 2. Restrictions relating to the use or improvement of the premises without effective forfeiture provision; 3. Reservation of any minerals or mineral rights to the State of Wisconsin; 4. Utility, drainage and roadway easements which do not interfere with Buyer's proposed development of the property; 5. L-ncroachtnent of Qwest Communications, Inc. fiber optic cable along the northerly property Iine; 6. Agreement between Bane Corporation and John and Pearl Gies dated August 22, 1997 to exchange property following final determination of the location for Carmichael Road; and 7. Ameritech General Non-fixclusive }easement Agreement by and between Bane Corporation and Wisconsin Bell Telephone Company a/k/a Ameritech Wisconsin dated December 10, 2001. TOTAL P.05 T OJ P~~~o~~~ ~ o~~ ~ Q ~~ O ~o ~ 100.58' S30 g3~ _ % 2s f sot. 76. .--; EASErr ~ _o MENT -~ ' ~ ~ 13469' +•. / r 1 1 ' I 1 i \~ I I 1 1 1 ~\ I I 1 1 1 I 1 1 I I 1 ' 1 ~_~ I I ~ 1 1 0/ I I 1 1 1 V/ I I G~' 1 1 ~"~ I I Q 1 1 ~ i i ~~ i 1 ~~ ' I 1 ~ ~ ~~~ ~I i J/ i 1 „O 1 ~ ~ I I /T.~<f~~~ 1 1 i ~, ~ o~ ,~ Z 1 ZI I `. o JI 1 / I a 1 ~ '~ I I of 1 a~< / ~ I ~ ~ 1 `. M1 ~ I i . ~~ 1 1 ! 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