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020-1413-40-000
~ ~ ~ O Z ~ ~ ~ N O ? O ~ N y Q S~ N i V O ,-+` ~ ~ ~ ~ p n (~ W C ~ -=G ~ .O~ y s N C ~ 0 ~ v ~' c, j S N w C- w ~ ~ o O - ~ ~ O O ~ ~ (Op o ~ j ~ 7 ~ cn Z to Z D ~ cn Z cn Z D I m cc~ D cca D y co co D ~' D y o rn Q m a C o m G m o C - 3 . O . O ,., ~ O O r' m ~ ~ ro : a fD y O O y O Z Z - N. o o ~ ~ ~ N n C n C ~ C C ' = m m I m m < < < G N N d ~. o N ~ N 3 z ill 3 N 3 o nni. O v "'~ O O ~' (D 3 3 (D ;C1 ~ (D (D I I w n C m ~ w a C m 3 z m ~ Z m ~ ~ N ~_ y ~! N N I ~~ I c~cnpi: ~ v~ ~ 3 o ~ 3 ~ ~ '?a ~ ~ m `~ ° v ~ 3 ~' .. O ~ ~~~ C N (J~ ~ ~ d O N O W ~ fA 7 O ~ O '; ~ ~ N p 3 N ~ ~' ~ O t/~ N N w o. m ~ .. Q- p3 ', m ' i ° m o \o ° ~ w rn ° N N w ~' ~P ~ y ', ~ ~ .. Q p i •' ~ T T T ~ M 0 ~ 0 ~ !, .. ~ ~ ~ !A fA fA ~ '~' I N ~o vv -~ ~ =~ d ~ ~' r~i N Os .~. .. ' i ~ Z D o v ~ O (p y m p ~ ~ C N ~ a ~ ~ ' I .~ -.{ to N ~ i p Z m ~ C m a i i ~ ~ ~ n .. Z -1 N W 'U m ~ O Q 1 ' Z O ~ A ~ 3 r. N `< ~ Z m ~ .p A cn D (D O (D 61 ~ ~ p 7 T 3 a~ v ~ a~ v c I ~m~ z ~m~ z a y o - y o a~ C N a~ ~ N ~ CD ~ ~ (D 6 ~ O ~ ~p O < ~ n < x a av ~ Qni 3 I y y B rn ~ -o orn ca ~ ~~ ~ ~ ~• ~ ? r+ ~ ~ 0- ~ 0- i ~ ~ '~ ~ ~ ~ ~ ~ < (D (D ._ o- G (D f~D ._ O O fD tD I ~ O O O O O O O ! O O ! ~\ h a 4 n ti N N O O A_ w OrQ O fp ~ ~ b N (n 's ~ ~ j Z ~ '~S ~ ~ j ,Z" I ~~ N fl1 ~ N p 3 d N N ~ y M SD ~ fD ~ 7 fD tD ~ ~ N ~ 7 ~ W N w N N 7 d~ d ~ ~ ~ O W N ~ ~ d j N ~ j O O C ~ . (D O c ~ . O I ~ ~ 3 ~ ~ ~ cn Z u~z D cn z cnz D m co D co D ~' m co D ca' D ~' ~ n a W = = a a W i . o o : o . o ~ a N N rt Z Z o ~ fn ~ ° (~ (~ .~ ~ c c 3 ~ ~ ~ S ~ c v v ~ ~ ~ m m ~ m m ~ ~ N N ~ a 0 of 3 of 3 a 0 m' 3 of ~ j i 7 ~ N N C C ' W n. ~ ~ W n ~ ~ o ~ o ~ _ N ~+ N N d ~~ I I I cn~ m D cn~ v D ~ ~• m a ~ 5. m a m <, y. O ~ ~ ~ ~. O d j ~ N O ~ d> ~ N N N d N ~ N dN 'O ~ Q . 'O ~ Q ~ 0 3 ~ o ~- a < ~- o a~~ . av~ N N ~ ~ ~ ~ ~ ~~ ~ ~• i p O ? ' A a ~ I, ~ c I 3 'm 3 'm I N N ? (~D N I ~ ~ ' ' m m o o f o o ncn0 3~n d o f ~ c .. w o c ~p ~ ~ ~ ~ ~ ~. .. ~; ~ 3 3 ~ ~ ~ ~ ~ ~ M ~' I ii ~ ~ ~ C O N ~ • )i C I ~ ~ N O ~ II O~ ? R ~ ~ N W O 'a ~ O O r~~r~ R 1 O V it (/+ N ~ o ~ y N v I, ~ ~ ~ ~ ~ I fl. ~ a 9 ~~~ ~~, N W d c ~o~ ~s~ 3 ~ ~ rn ~ -l• ~ N N ~ I m ~ v _v, ~ ~ ~o ~ ~ ~ ~; ~ g d j ~ •• i ~ o ~, o' v ~ 7 O N p y I C C • ~. ~ d i 3 a i.?~ 7 f .l 'A M t~/ d ! i ? (Z 7 „ oo~ ! z -~ N N ~ m c, `D ~ ~ -' z ~ ; ~ ~ c y C C j Z < ~ A ~ I C a ~ ', 'e a fi I w N i O ~ I ~ ;n ~°o °~ m H , o°o N Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division ' ' INSPECTION REPORT GENERAL INFORMATION (ATT~CH Tab PERMIT) Personal information you provide may be used for secondary purposes iPrivacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Sienna Cor Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: ISO ~~ \ G~ ~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic I I ti l/~l ~~~Q Dosing /~ ,#j Aeration Holding TANK SETBACK INFORMATION \ TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ v / U ~ (~bf t Z / ~ Z , ~- Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufa Dem nd GP Mo el Number TDH ift Friction Loss System H TDH Ft Forcemain Le Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 453128 0 State Plan ID No: Parcel Tax No: 020-1413-40-000 Section/Town/Range/Map No: 20.29.19.2602 STATION BS HI FS ELEV. Benchmark F~..,~+- ~ut ',II / /2~6 Alt. BM Bldg. Sewer 7$ 7L •8 St/Ht Inlet ~'~z 9~. St/Ht Outlet ~ ~~ ~~ /~G J Dt Inlet `~ Dt Bottom ~~ Header/Man. g.SS G~ p /~ • O Dist. Pipe ~ ~ ~~ Bot. System ~ ~~ ~, I ~~ Final Grade GG J•~ ~~~ StCove~ ~ n~ L•Zj 9~~~j Z BED/TRENCH DIMENSIONS Width i ~ Length J ~~ 1,7+, No. Of Trenches ,~ ~ ~ PIT DIMENSIONS No. f Pits Insid ia. uid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/BYRE M LEACHING CHAMBER OR Manufacturer ~ Type Of System: (t ~ ~ ~ UNIT del Numty~r: w-3' 1 ~ (yam! ~ DISTRIBUTION SYSTEM Header/Manifold / i/ ~1 Length ~ Dia '~" Distribution Pipe(s) \ Length `' Dia rid \ SOIL COVER x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Only Depth Over Bed/Trench Center ~ Depth Over Bed/Trench Ed es xx Depth of To soil xx Seeded/Sodded xx Mulched g p \ ": Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 777 Martin Ave Unknown (NE 1/4 SW 1/4 20 T29N R19W)~T~he Glen Lot 8 Parcel No: 20.29.19.2602 1.) Alt BM Description = ~- , GoJ ¢,~, 2.) Bldg sewer length = Z`J ~ ~ /~8 - amount of cover = Z! Plan revision Required? Yes No ~ ~~ ~~ (_ Qr Q~ Use other side for additional information. ___- ~L_____ _ _ VD Q ~ f Date Cert. No. SBD-6710 (R.3/97) V) Z ~o, x Hole Size x Hole Sp ing Ve to Air Intake '"~'f ~ ~..~,r~d t~t,~l~ Satety and 13utidings Divisiun i Washington Ave., P.O. Box 7162 241 W t~ounty sl fY'O~~ u , j~~O~~"'~~ Madison, WI 53707 - 7162 _ Sanitary Permit Number (ra be filled in by Co.) De artment of Commerce {608) 266.3151 ~3 ~~~' Sanitary Permit Application ~~~ ~' 1.°~ Number ferpNN~ei-~~q~r-pFC+~icis-m.-..~ - .. Code parsonai ir Wis Adm In accord with Comm 63 21 ~ , . . . . ~ may bt used for accondary purposes Privacy Law; s15 0 ~ ~ ~~ ~'°`; Project Address (ff different Shan maiitu¢ address) CbL ~ _ /~ / ~ ^~U _ U ~/ i I. Application Infer matitm -Please Print Alf Information «; ;_ Property Owner's Ns me ~ P~ et ,f Z ~ Lot N Bicxk !t ^r /~ q ~ 1. l '`. u a Property Owtter'c M silinS Addrecc "~-°'°`°"--~--°~ Property Location zt` ~Y ' sf c i~r^ ~~ ~ ` f ~ Cf _.., ~ ,~CLJ'~ Section a ~ k Ciry, Stan Zip Code Phone Number , , .~.L::._ E ~~ ., ~ ~ ~, ~--~-,~~5-- {circle owe? RfQ E ~W T~N f II. Type oP BttilditsB (check all that apply) ot ; ~1 of 2 Fatally Uwaliing - Number tdf Bedrooms ~^~_ Snbdivlsion Name CSM Number ~ C PnbliclCommercial_Aescrlbe'Ure ~.~ ~ . ~~,,~ ^ State Owned -Describe Use '~~ ^Ciry~^Viltage ~ownship of~/s~~~~ j'E,~IJ iII. Type of Permits (Check only one box on line A. Cotnpiete line B IP applicable) A' New System ^ Replacement System ^ TreatmenUHalding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Rtttewal Permit Revsion ^ Change of ^ Permit Transfer to New List Previous permit Number and Date Issued 9e4ore 1~xpiraxion Plumber 1 Owner IV. Ty oPP4WT5 stem; (Check all that a 1 ) Non -Preaaurixad In-Ground ^ Mvund > 24 in. of suitabic soil Q Mounci < 2~t in. of suitable soil ^ At-Grade ^ Sittg2e Pass Sand Filter ^ Constructed Wetland ^ Prersur' In-Ground ^ Holding Tank ^ Peat F:Iter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ' ^ Recircula ' S tsdtetic Media Filter Leachin Chamber ^! Dri Line ~' ravel-lass Pi ^ Other (ox lei ) V. Dis ritaUlYeatr nent Area Iia[o on: ~ DcsigA Flow (~'pd} Design Soil Applkation Rats(gpdat) 'Dispersal Area Require (sf) Blevation Dispersal Arta PmposM (af) 5ystern g VI. Tank Into Capacity hi Total Number Manufacturer Prefab Site Steil Fiber Plastic J tiallona Gallons of Uttita Corxrete Constructed Glass 1 New Exlstlttg ~ Tan1u Tanks I Septic or Holding Tank ~ ~ fl ~ ~, ~,~ "' ~ ~ i Aerobic Treatment Unit t7wlne i'lurnber 4 C9 1 ~ r 'VII. Aes tsilbilit Statement- I, lira uaderrtgsted, aasutste res onribUity far lion of the POW75 shown on the attached " Plumber a Na me (Print} Plumber's 5i gnature M /MFRS Number Business Phone Number / r ~ l i ~6 .i C h~ Jwrt ?J/ ~-' G~ylVit6~/~ ~ c'e~ 7 ~ f ~ ~ ! (J ' .~ C- la - ~~v' ~ ~ Plum b er's A ddre cs (Street, City, State, Zip Code} ~ d ~ r / 1 L~ y 7G~/ "~G~~i ~ ~ciC ~ G'" c~ ~l c~~J~' S^ 7 ~l~ I VIII. Cdiur<t /De artment Un Onl ~""" A rev PP Pd ^ Disapproved Sanitary Permit F ncludes Groundwater Surcharge Fea) (~ 1 dU I31t a Issuai I J wing Agent 'gnature ( m s) P ^ Owner Given Reasgn for Denial -~ CJ' .~~ T j (~ < IX. CondWoas aP Approval/Reetuu Par Alsapp oval ~ _ ~+••.c. cwspa~s Wear li0 trte cottaty nary) ror tea aysteat oa paper not lt~rs than dl/2 x SAD-fs39R !R l11 rn~ti s ~} ~ ;~' `' b ~\ 1 _~ ~~ ~~ ~'yAI c V ~y~ 0 J~ a i -~..~.~ ~ ~ ~.~ ~ ~~ ~J I/1 ~N ~1 ~" h ~"B t ~~~' ~a~ j, {ti's ~\ ~~ * ~~ 1 i O y ~ ~`. Wisconsin Department of Commerce _a o_r..a.. .....1 C.,iUinne SOIL EVALUATION REPORT Page _ ~ of _ in accordance m ~ ~• County ~. ~i~ Attach complete site plan on paper not less than B 1I2 x 11 inches in size. Plan must inctude, but not limited to: vertical and horizontal reference point (BM), direction and north arro W a^d ~+tion and distance to nearest road. ions di Parcel I.D. , mens percent slope, scale or `~ ~ Please print al/four t~0~ ~ ~ ~ 0 viewed b Dat ~/ ~3 (1) (m)). Personal information you provide may bs ussd for dary purposes (Privacy Law, s. 15. Pro rty Owner ~ i° Prop~~y Location fG r\ ~ i'Y~Q ~. ~ v i ' Govt of ^/ 1/4 114 S T N R / E (or~ Property Owners Mailing Address ~ ` ~ :- Lot # ' Bock # Subd•`N~a/me a CSM# ',. ~~d Li~l ~4 'J' i - 1 Y..IL.. ~- ~,~- City State Zip C P Number ^ City ^ Village ®Town Nearest Road ( ) U~ U New Construction Use: ® Residential I Number of bedrooms _~_~_ Code derived design flow rate y-Sd~~C ~ a _--- GPD ^ Replacement ^ Public or commercial -Describe: _ -~-- ----- -- -----` _ Fbod Plain elevation if applicable _-_-_~~~------- ft• Parent material _-1')Lr~-~e^ l~-~ ~^ ---- ---- General comments 5 J~'e ~ .e ~-e J . I ~P and recommendations: /II' ^ Boring # ~ Boring Pit Ground surface elev. ~ C1Q y ft. Depth to Ilmitlng factor _/_f S - in. Sod lication Rate R t GP DifP Horizon Depth in. Dominant Cobr Munseli Redox Description Qu. Sz. ,Cont. Cobr Texture ' Structure Gr. Sz. Sh. Consistence Boundary oo s 'Eff#1 'Eff#2 1 z ~- z ~ Z- 16~ z 0 I s. 5 ,ry., GS ~-~ v-~ ~ ~S IV-~ - S . ~ ~- Z . 7-~ ® Boring # ~ Boring qq~~ ® Pit Ground surface elev.1L¢.~~_ fl. Depth to limiting factor // ~ in. Sort ication Rate Horizon Depth. Dominant Color RedoxDescription Texture Structure Consistence Boundary Roots GPDlft' in. MunseU Qu. Sz. Cont Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 z iZ- Y 2y- I ~ ~y ~ ~ j __ - s;~i S ,~ G S ~ r "-~ ~ s `- - - ~ ~ f ~ t~ _ ,,, __~ " Efliuent ff1= 80D ~> 30 < 220 ri+g/l and TSS >3t) <'i tiu mgrL, u~wc, ^ rrc - ....., _ .......~, _ .-, _ . __ _ -- --T - CST Name (Please Print nature ~ CST Number _._,~.~ __ Ads vv~ .~~~ wta a-- ~ _ ~s-33 ~ 4 Address Date Evaluation Conducted Telephone Number r7~ 1 13 X56 ~.~ , S~ vvt,z rS~ ~ -~ 1 S yo z ~ ~ "~ q -a ~ 7/S- 7G o ~°.Z~9' "' ~R ~'t~ v/~~ ~~-- Parcel ID # _~~ ..SSA--ms`s-~~ v~ Page __ Z of _~ Property Owner _~_-____- - (,J Boring ~ Bo Horizon ( 2 ring # Depth in. ~ - (I Pit Grou Dominant Cobr Mrmseq !0 3/Z air ~~- nd surface elev. _ ~ ~ ft. Depth to N-nitin9 factor Rex Descriptbn Texture Structure Consistence Qu. Sz. Cont Cobr Gr. Sz. Sh. S (' vr1S r •~- J I•LI ~ ~ in. Boundary C C~ Roots -~ Soa A ication Rate •E~GPDlfFE~2 ~ S ~ r t!/ IN-Q - DS VYII v ~ U Boring # B ri ng o ^ Pit 1Ground,surface elev. ___ ft• D@P~ ~ timfing facbr -- - )n' Horizon Depth Dominant Cotor Redox Description Texture St-udure Consistence Boundary Roots in. Mansell t7u. Sz. Copt Cobr Gr. Sz. Sh. Sofl A ication Rate •E~GPD/ft~Eff#2 Boring ^ Boring # Ground surface elev. r-`- ft. Depth to limiting factor ____-- in. ^ Pit Sol ication Rate ture T Structure Consstence Boundary Roots GPDIfP Horizon Depth in. Dominant Cobr Mansell Redox Description flu. Sz. Cont Cobr ex Gr. Sz Sh. "Eff#1 'Eff#2 `Effluent #7 =GODS > 30 _< 220 mglL and TSS >30 <_ 150 mglL "Effluent #2 =GODS < 30 mglL and TSS < 30 mglL The Department of Commerce is an equal oppomu»ry service provider and employer. If you need assistance to access services or need material in an alterr-ate forn-at, please contact the department at 608-266-3151 or TTY 608-264-8777. ~~ ~. PAGE,~OF~ NAME~~ci h ~ Wl~t.~LOT# `~_LEGAL UESCRIP`I'ION:rU 1 /4~U 1 /4,S~T Z~,N,R,~E(or~ SCALE: 1'~ ~D ~ ~jvr~1 ELEVATION: IUD ~U =~~ ~;~t; 'r+ e J_„ BM 1 DESCRIPTION:~ytT O-~ f4~iraa t-W~n~~~'~~~r` BM 2 ELEVATION: BM 2 DESCRIPTION: ~~-l SYSTEM ELEVATION: '~~ ~ ff~S " SYSTEM TYPE: ('a YL U e~T~~ !~~-~ U `} i"? .qf'!- '~ I, ^/~.~ 0 ~' ~~_~ ~ 6 ~ q cs° 0 ~~3 Igo cd .~ r 6-~ /~,-,.~ ~~r DATE: Co -~ -~ f I i } Safety and Buildings Uivisiun 2a1 W. Washi tort A,ve., P.Q. Box 7162 p~~O~~~~ I Madiso - _ Department of Commerce t a) 2 Sanitary Permit Applic tio~,~R In acwrd with Comte 83.21, Wia, Adm. Cede, personal info oration you prow d~ may be used foraewndery Purposes Privacy Law, s 5.04(,1 ~,,,r,} R~_ >, . ,,RG+r.,,i,J~~, s I. Application lltneortitatiwt -Please Print Alt Infarmattan - - - .~. Praperty Owner's Na me Property`,~Qwner'r M ail`it/tg Addreu ~ 1 - ~. ~t +L `, Sanitary Permit Number (W be filled in by Co.) ~fs3 ~zg 'reject Address (;f different than mailing address) ,'art?el tr t tY 133eEielt- 1~ City, State Zip Coda i Phone Ntunber ~dQ• ,q/a- ,~/~ iI T f B l ,~'~ `t~~.s I {circle o ) T ~ N; R lQ E a . ype o uf dln~ (check alt that apply) ~ ~ S ~ ~ I or 2 Family Dwalli ng - Ntuntter of Bodroams Subdivisltsn Name CSM Number ^ PubliciCommerciel -Describe Use l~ ~ ~~~ ^ State Owtted - Describe L1se ---r CCity~^Village~Township ofJ~.i/ III. Type of Fermlt: (Check only one box on tine A, Complete line B if applicable} pzo - 3 ^ - 0'O'0 . 2(QOZ A' New S ,~. ystem ,^ Replacement System ^ Treatrnent/tioiding Ta»,k Replacement Oniy ^ Other Modification w Exisring System ! E• ^ Permit Renews! ^ Permit Revision ^ Change of ^ Permit Transfer to New Ltst Previous Pertnit Nutnbar aril Date issued Before Expiration Plumber Owner J~Q Non -Preuurized [tt-Ground ~) Mound ~ 24 in, of suitable soil ^ Monad < 24 in. of suitable soil ^ At-Grade ^ Sit~1a Pass Sand Filter ^ Cor:attucted Wetland CI Pressurized In-Ground ^ Holding Tarn ^ Peat Filur ^ Aerobic Treatment Unir ^ Recirculating Sand Filter ^ Recirculatin S tethotic Media Fitter ~I.eachin Chamber ^_Drip Line ^ (travel-less Pi ^ Other (ex lain) V. pis rsaUTraatm t Area IpPorlnation: ~~~ G Dcsiga Flow (gpd) 'Design 5011 Appilcetion Rate(gpdef) Dispersal Area Required (sf) Disperse! Area Pr ed r ystcrn Elevation . ~ ~~~ ~ ~~r. for G~ 6 _ VI. Tank Info Capacity in Tora1 Number ManuPacnlrer Pr Site Steel ~ Fiber Plastic Gallans Gallons of Unite ,r,, ~ ~~ ~ -/~ ~,~y„~~4 Generate Constructed ~ ~ Gl9ss • New Fxistlng `(~-,~ (,~ ~ Tattler Tttnkr f Septic or Holding Tank - ~ ~v ~ ~ ; ~; ~s c ~ 1 ,~ ~ -, i L VII. Res IbWty Statement- X, th0 imttesstgtsad, srsutne respouslbillty fi+r Ilatian of the POWTS shown an the attached leas. Plumber's Na the (Prim) Flumbcr's Si gesture MP .1PRS Number + Business Phone Number ~ ~,~ `/l ate ~s~' - ~ ~G~' 111~~" ~3 ~' Plumber's Adda'o sr (Strt~et, Clty, State, Zlp Codo) "`~ Approved ^ Disapproved Butcher a Fes) Fee (includes Groundwater Dat/e Issued I Issuin Agent Signature {No Stamps) ^ 0 'ven Reason rot Denial & ~ ~~ ~ ~Yr ~~ ~ ~ IX. Conditloas Approv I SYSTE ; 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances.. ~ _ Attfdt eoatplete plans (to the County Duly} rot Ibe syattm ea paper aot loss tttaa ji13 x 11 iac~ la sia4 SBD-6398 (R. 01!03) Sr`e d,~rar G o X~'.l7 ,c o~ g' 7~i ~ .~~ ~e,~/ ~a'~v..y air ry~.SrJ.-~ ~Ll1I ~,p(/G /ACS . ~~~ ~,dvc /DO pS s ~~ ~~ ~~ ~` y ~~~~ ~~ ~ ~ abti ~ ~~ ~~ ~~ ~ ~~ ~j / ~~ .~ ~~, cOpY ~ ~~~~-,~~~.~~ -,~~~~~~~a ~//y~/dam r - S%'~ d G o ,P7 .~ 078' 7/, ~ .~~.~ ~,~/ ~6w..~ ,~ ,~" r~~XJ.-./ _, ~y- s ~~ ~~ . ~~ ~~ Bl ~~ ~Cr ~~~ ~V ~0~ ~~~~~ ~y P~j ~~ .~ ~~~ ~~ ~.Ot/c. /66. ° ~lh~ ~,dvG /D® ps ~ ~~.~~~~~''~~ ate- ~'6~O ~~?~~d ~~/7~~d~ nary ~~~~ ~~ ~~~~ ~~ Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach a County met plan on paper rwt less ttran 8~ x-1'k inches (sae Rlaa-must. include, but trot limited t4. veRicaf and horizontal reference point {BM), direction and percent slope, scale or dimemsior>s, north array, and locatron and distance to nearest road. Parcett:f7 Please print a!t info~rm~ati~o-n-~'~____ Perms infarr~ation you provide may+ be used for se~uarlf C~i~s~.oM1 C}k C ~i ~/i 1170 page 1 ~ 3 Steel Soil Service Sf. Crobt Date //~ 3 SienrraGorporaticfr ~~`t~ ~ ~ 2 ~. Lat NE t74 StRt1,r4 S 20 T 29 N R 19 W Property Owner's NtaTng Address tot# Block # Subd: Name or CSM# 4940 Viking f3~ Suite 6@8 The Glen S-~ ~~~~x C,u~`~' T ~ ~ na City State ZP Code hone N~p~NG O~ ~- CF- Village Town N~rest Road ~ d'"`r MN 55435 9 ~ Hudson Carmichael Rd. ~- /~ New Constnut~ Use: irr Residential / Number of bedrooms 4 Code derived design #louv rate 600 GPD Replacement Public a commercial -Describe: Parent materi~ Pitted outwtash Flood pfai-r etera#iorr, ~ apptic~le na General eamments- and r~xrorrrmendatians : System. etewatiott 4~fift;'trenehe s spaced and depfti to code 4. t6ft betavr grade ~~. ay' S s~ a~-R-- ~y l ~l~~,dtt ~ I 7 k Boring # _ . u / Boring. ~ Pit Ground Surt~e elev. 101.20 ft. pepth to in. limiting f~tar Sot gpptkation Rate Horizon Depth Dominant CaoF Redox Descriptan Texture Stnx:ture Consistence Boundary Roots GPDftt2 *Eff#1 *Eff#2 1 Q-22 t0yc312 none sit 2msbk mfr gw 1 t .5 .8 2 22-33 10yr4/4 none sicl 2msbk mfr cs na .4 .6 ~- 3 336- 7.5yr4f4 nor(g ~~ osg mvfr gvv na ~ .7 1.6 4 46-96 ~~ 7.5yr4f6 none ~ osg mt- na na [~ 1.2 ~~ ~_ otT ~.(apl S~•2/~~. 2 t3ormg # Banng v' Pit Ground surface elev. 101.20 ft. Depth to limiting factor ~ in. Sod Application Rate Horizon Depth ~ Gokx Redox Deseriptian Texture Structure CorzsFSterx;e Boundary Roots GPDHtz *Eff#1 *Eff#2 1 0-22 10yr3/2 none. sit 2msbk mfr gvr 1 f .5 .8 2 22-33 10yr4/4 none sicl 2msbk mfr cs na .4 .6 ~- 3 //33-46 7.5yr4i4 none ao osg mvfr gw na .7 1.6 4 46-96 7.5yr416 Wane- asg mt na- na .7 1.2 lJ ~"2 9~. Z - t(r1Uen( iFl = t3V t! ~ 3U < "L"1U mglt ant! ASS >30 < 150 rngtL * Effluent #2 = BODS < 3p ~ and TSS < 3o mg/L CST Name {Please Print) ignature: CST Number David J_ Steel 248956 Address Steel Sal Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 9/1672002 715-246-5085 party O,~er Sienna Corporation Parcel ID # Pending Page 2 of 3 •s 1 ~~ # __: Boring Depth to lim 8t7 ft ~J iting factor 96 i . . /' Pit Ground Surface elev. n. ~ Application Rate Horizon Depth Dominant Color Redoz Description Texture Structure Consistence Boundary Roots GPD/ftz "Eff#1 "Eff#2 1 0-16 10yr3/2 none sil 2msbk mfr gw 1f .5 .8 2 16-38 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 8-96 7.Syr4/6 none ms osg (~ ml na na C~ 1.2 Borirxi # Boring Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mgJL ' Effluent #2 = BODS <30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service. provider and employer.. If you nced 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 Riclunond, WI 54017 Lic. # 248956 NE114,SW1/4,S 20,T29,R19W (715) 246-6200 Town.ofI-Judson, St. Croix Co. (715} 246-5085 The Glen lot # 8 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for yoar use. The location of the st may or may not be as shown asp :rmanent tot lines were not established at the time the soil t was eondacted. , ` ~e~ Y~ N ~ l' - 13e~in+a~~ c'~. loo.bo~ ~- j b~ a~ ~~2~ ~,~~ ~,P~ 3~ ,roP a~ ~r2 ` D U[, p i .Pc.. S L ~ i ~or'`K y1S t ~(o ~ 13or~~nG ~1 ~i~~~°„5 ice' l ~~ 9p ~~~ ~~ ~~' `\~ ~~ '~~ `. ~~-I~~~n' ~L ptif~' o~°l ~ Fl" f~~' Z~r ~" /Od•~O~r /0% ~~ ~~~~-o~ ~ /~1 1 i1 W ~ I 11 _ _ ~ . ,r~ r ~ 57 _, r _. ./ , 1 S" ~` i ~p ''• •. .'.: 1 .l g~f7 o. ~ . . ~.. _ -a- --- C~ 1 ` .. ~ 1 ~ - _ ..... , . ,~5 ,, '1\ ~ -- _-841 ,' _ ' .~p~ t's.~ ',~9 .~'= -----• 1 ~ ~ 1 i 1 1 ~ ..~~ t '86 M1 1 . / 1~ .... . r, . . r ~. f.. .. _p _ '. 1 2 I lt6 1 ~,_~ 2 +~- 29 j - ~-~ ` t ; .. .. _1 ~~.. .. .%~r •~ 1631 _.. .: ,r w - $ \il ~' i.11 ~ - ..'' r• \~ 4. .. .. 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' , , ; i .111. _ . , I I ~ I ( ' . 413 ' .1 ' 1 1' i 1 ~ ~/~s{~/, lit I , `` 1- t '., 1 r ~ r. I -11 \ : i -++1 Q :t0 j ~ ~" r i{ i1 11 Fib. I ,1 ~~.~-~~- I III I ~•2V b.6. a • i r. i t .f ,1 - i 1~ 11 I I I I I ~' 1` ~ .. r I i I I ~; ~ , ,, , -.rte _ - __ I I i ., 2~ • ;~ • . '•n 4" CX V:~NT 'TPE 1?" M~:YN, ~ABGVt GZAD~ S s:~; xRO~ DaUR ~ c~; ~~aw oa ~t~ari~ERpROoi* F'~tESH AYR INTAKE ,1UNCT20'd $QX APt?Rt7'd~L '' 'DI'S'C: C~+N~~'r:' `~A.'11t~OLt~ ~~V,~n ~i~AI: E ~ '-'~ ! PAD LOCK 8 ~,~ CZ RISER ~--•~.~ r ~ WARNING :..ABEL ?~" ~yN, ~+~ ~ fit;.... i "" ~-+...~r--. .,,.,, k » ~ i ~.~.... y I ~ } E i t i ~ i, ~ " + WATER 7`IGri?' SEALS e „ ~ ° `f ' GA5 ,r r "'~ TTGHfi ~ °F ¢ ~ a s~A~ ~ ~ ~ p~avt:a ~~aROV~o `--~ ~ ~.:._. ~ ,'~ ~ , aar~rs t~r~iy 'IPA 3' { ~ r - ;V-+A~.M ~ ~ ~'-p~pVE~ P IPA 31YTq $~t 1~} ~ ~ T` ~ 1t7N ~ ~ 3' ONTO 'O`ff' SOLID, SOIE. ~ C ,i PJ MF OFF' ELEV . F T » -•~- f -.~.... ~ ~ OP.i , I """`~. ii ~ ~= +~ ~ R S SER EX « T ~ i D ~ + PRRMr i T£b ONLY ~~ ' ~ IF TAIviC MANUFACTURER ~" APFRuVED 8£DDNG U~tD£R TA?~TK I~tAS APPRpVA? SPECIF?CAT Gt~'5 ~~~TZC ~ DosE .. ~ON~RETE PAD s ANK i~hNJFACTUREFt : : 1. ~~-~rY htiMBER ~, GEES tiER DAY : ~'! 4- 3Ei'~'i~C ~'~ 17AL. DOSE ~ - LL.7w Y ~i~i~iis bl\~v~JDrNfi~ ~~ G?,?.,. ~'LQti$ACK: r,~'9 G 4~ ~LAR~ MAtdUFACTURER: ~~ . ,. """'"~"'" M4AEL N~JMBER : $~~=-~-~ CAnAC I :I ~S : A : jNC~:ES 4 ~A L . ~~ SWITCH TY'P£: ~ r ..~ ......, ~ ..._. r~ ~,,,~ M4S~EL NUMBER: ,~;» C = ,,.~„ INCHES ~GA~,. SWITCH TYPE: ~Q~iRED DISCHARGE R,I~.T ' ~ GP~~ '~ I:v'CHES z ~ ~ ~ .,.._...c~A.,. ~ .RT+G`AL DIFFi~RENCF, 8E PLC r .. MR F A..A~c!r! $v'R..hG AS rER ILHit Z6.'3' '~'r',C ` . G MINIMUM NE'r'WCR~C SUFFLY PRESSt;RE _..,,,, FEET £' ORCEM1IIN ` i ~ AdvL GISTp'Hii;2pN FIPz !~ ~`EET ` X ~a ~ ~ iT l 1 "~ 0 F .. r • --...-._ "' FR.~,'I~ON PAwTaR F£ET ` '°"'~NAL DtM~:~'a:~ti5 OF r ' " ' ££T .,0?AL DYNAM;C BEAD ~ r"ENS F ~; Mp r ,~-ti~};; ~,EtiG~. - ~r ~.. M ~'~ w. i/ ~ P ~w- . ~ ~ ~wa..w J ~r,~ i ~ ~~ ~y ~ ~~ (~ ~ • M + v Q Mater. SpeOAq~-y ~ ~ ~ i-~tbmc Monts • Fiume f+~M+ ~+ slump .p~~' ~~ -~. . ~: up ~ 56 QPM. ,.,j ~ ~ taW Meds: up sn 21 t1at, ~~~1 e1t1;1'f~ NPT. 6tt~Uol~~, ti~r~ ~~ent .~ O~Nta ~ aepabotty: "~:~maOdPM `T~~iK'p~t • ~~IkC~~ ~ ~~ ~~~~~ .i~~~ '~ ~~ ~ di l~ ~i ~~~ t#0. ~Ybne~s:'.ld0 eertis cleat. in tc K • R~a'~NY• eo 1~ 580 . E~ r~ tl0lld ~if~ ~~a V~~6f~ ~ ~M Pr bulk ~ pHrioed with tlc nawt. Powrr slord:l si toot -1~ SJTp ~~ ~~~g ~!~h• ~ 8+3 Srf TW wlth (WlldM~d~ O~Op~I~ pf~n C e . ~~~~~ luorlaetl~ end Mlcie~t Met ttrater. ~tnueW Nr ~~ ~ ft ~ ~~ h111~! ~NsN ~ Iasi i~ s~ 1i11 helery. ~Tl~ii ~~ ~ rr~cart melon. D4~Ci~,d~n bt frnprp~ p a tne~n~ rrtaK Auk sxdrtdre man ~~~C~t r'~orr ~Olli, ind durebiey ' ~ ~ ~w~aPhand • 1wNCh dbMChment ~ rtirrr Qtlil~, ~rn Bury rlted o0'rid w1Nr • ^~~Nr~r, c~o~~a ~- hee+9~ du[y bgrl~ AGCY I~fTUtB ~' ~ tCSA 51pd model numbers end ln'i`~`gC°.y '~.• , . „_ N4lNt'~Rr 1t bMQ :: ~Quic~(r4~ STANDARD CHAMRFR Gluick4 Standard Chamber MultiPort End Cap FfldNT VIEW ~~ ~ ~ ~+ ~..~i~~~ _.~_~.~a sloE vfEw s+a~ vlsw Top vfEw ^. '~U .~' s.,. c _= et~~ ,~r.. Nat ~ ,',Y.p~ r :{~` f ~~ ~~' _.. ~~,~ cl*k'* ,t, t * ,}&~5r~m . n t,- - Quick4 Standard-Chamber Nom-aa4 Specittcations ,. Multipart. End CaQ Nominal Speciiicatlons ~ - - -- - - , Size(WxLxH~ 34"x52"x12" Slze(WxLxN) `" 34"x16"xy2" Effective Length 48" Invert Height 8" or 1.25" invert Height g" jNFIITRATQR SYSTEMS. INC STANDARD LIMITED WA$RAN~ ja) lhn sr„-r,turat sagely or each ~. h;xnb9r. end plate, wedg0 and 0ih9r accA?SSINy manulacturetl by Inliliralur ("UrtN6 1. when Installed and nAOraled 'n a leachTielry Gt . onsrte sepl": sysl9m in arX:OKlenCe wim infiiitetor's msbucSlOns, Vs warranted to trre rn:gtrtal , urcttnsar ~ HOkter"I ngain9t da}gG1i,~9 n-iarP.r;9la and workmanship for one year [nee the dei9 Indt tlttl septic permit 0.: issued lW the SeAlk..rysiarrr antaavng -,M Lhtits; Provided. 'nr..wslvar, tl-,al it a septic permit is nnl mRrirc9d by aPWitaWe !aw, U,.e wartanty perrod vrih beryls upon the tlala that insrallalicn Of the septic system cortmsnC9s, Tip Pxarci5e its wananty ngltls. Holder must notify Infiltrala in veiling at its Corporate HeadQUadars !n Old :w?yWeOk, Connecticut wNhin finagn ;15) days n' Ina alleged detect. tnHltrata wily, supply nsr',ac9ment UnMs for iJnits delermin9d ny hthllralOr to be covered hY this L4r+Ited Warranty. InallralOr s Ifabilay spani}iCaIN ertclutl95 the cost oP rerrewal ar>[tlOr !nslalldtion of the Unik, l;) ' HE LIMI?f-.D WARRANTY AND REMECICv IN SI.ILiPARAGRAPFt td) ARE ExCLi1S;VE. l"IiERE. PJ1E NO OTu~'R WARRAFJ3'IE:; WITTJ RESPECT 70 FHE 1JNfru, 1NCLVDING pJp IpgPUED WARRANT!E i OF altERCNANTApILI'!l' bf"t Fi?NF ~u FOR A PARTICULAN PURPOSE {r.) l Iris Lmnlgd Warranty shat! be void if any pan of Ise chamt79r Syst9m' mnnufa ,lured by arryorre nth9r Than InldlralW. Ttt9 l imaa0 Warranty does rtnt exlond to in0idvnlal. crnsec;tmntial, stwcial a mtlirect damages. Inttlha m sRth not be liable tar penaavx or '~,ipuiWt9d damages, i,cluding loss cl INrxiurhen and profits, labor and materials. Ov9rh9ad costs, or other losses 0! 9xpan5eS inr:urrA3 b"i Itw_ *JOldgr or arty thin, pant. SlkxihcalN par..lutled ?root 1_rmitat Warranty oo>.grga am damage to the Units due to orctinarv wear and Isar; aaera!ion, acrirJenl, misus9, pitu3a or n9plpr:l W fha Units: 'ho Units being subja:tgd tc vehn~W traMic or ,ton cort7rlrons which are not pr,rnnttatl by ttto installalNXr iruiructkris, 'allure to nkrinlaht the ntrnimum g:ouM Wears set frith in the in59aGation Instruclhpns; the plac9rngrtl Of imprupc" maierl;;ts into fha system crxt(alning ttre Units: Iaihrt9 0l Ihg Units or the septir..r,5'9m due to impoper siting dr Imirnrxer aizirg, er~ss+,re wet x usage, intprop9r gr9pg9 didpOSal. M Rnrxnper pp9rali0: t; W any other a,9nt not caused by Inflliralor. This Llmiled Wananty shall L e wid ii the ri0kt9r fails to cortrpN weh aN nl ins termms set forth In this Lfmitod War; anty, i:adhar. in rq evsnl shall InBtlmlrn~ dr± r9spoosibH t-n any IUSS ur damage to ihn Npfder, the: Units. or any Ihin1 iknryy rosuhotg hom instahal4xt nr ship- ment or ircm arty , r a~iuct I+aMlily clanns d NGder a any thud pa,7y. For this Lmtil9d Warranty to apply, the Units must tte installed wt acrbrdartce with all sNe condltlortl mquirod by state acct local codes; ar Other appNCable laws: antl InEltratcx instaHat;on instructions. lal Hold~presentabve 01 In!iltra:or has the ardhorily to change or 9xlerxl this Umited Wananty No warranty applies to airy parry Otl,o! Phan +h9 org!• Trte above r9Urnsenis Cif Standard LimilE i Warranty <>lfenad py Inhitretp. A IimilIXl nunNter n! steles arc ccunfiss hays di'lerpnl wgnaMY rsgrdm- manls. A~ry purl"asar of Urrns shwld con}act In}i{trafa's COrypral9 HaadgtA?n9rs in ONE ~ayl;;ouk, Cigln9r;tlCAli, nrtor tc r+irh purchase, to obtain a copy Of tea appficab'e wa:ranry, antl slrnAtl camhlNy read that wanarty prior to 1h9 purchase o. Unes- I C bit ~ . • 0 SYSTEMS 1 NC EnvironmentalOnsite Wastewater Solutions`" 6 Business Park Road • P.O. Box 768 Old Sayiarcrok, CT 06475 860-577-7000 • FAX 860-577-7001 800-22i -4436 .: rv, u,~rv ~,noa; oar t„~rtiy; 5,nb,lU;1; 5.588,776; 5.939,8x4 Canadian Patents: 1,329,959; 2,DfiA,5fi4 Other patents pending. I•nfiitrarar, Equalizer and Sidewinder are registered trademarks of fnfiltraior Systems Inc. InfItrator is a rec3istared trademark in France, Infiltratru Sysltrrns InG. i, a registerer; trademark in MexiC,o. Coniix,r. Contour Swvel Connection, MicroLenching, po!yT;fr.:;napr_xk, CharnberSpacor, PoeiLock, QuickCut, QteckPlay ^`"OLFOP1PFq and Cu~ck4 are trademarks Gf ?nfiluator Systems inc. ©2003 Infiltrator systems Inc. Printed in U.S.A. 0o112oaHF -o SECTION VIEW ~OWTS OWNER'S MANUAL & MANAGEMENT PLAN page ~ a1 2 o l~A~, ~! nt~crrau aeaeaser~a ~ DNA Number of Bedrooms Number of public Facilhy Unito ^ NA Estimated flow (average? ~ aUda pesign flow (peak!, {Estimated x 1.5! ~'~ d al/da Sap Applicatton Rate elide lft~ Standard lnffuent/Effiuent nualky Monthry average• Fate, Oil 8~ areaae (FOG} 530 mg/t. t3iochemicei Oxygen Demand (BOOS) s~20 mglL DNA ?oral Suspended Salida tTSS! st 60 mgfl. Pretreated Effkasnt tlusiky Monthly average Biochemical Oxygen Demand tBOD$! ~tS mglL Total Suspended Salida iTSS! Sat) mgiL O NA Feoa! Conform ipeometric mean! S10` cfu/~ OOmI Maximum Effluent Particle Size Y~ in die. DNA ~~~ ^ NA "Vsluaa typical for domestic wastewater and septic tank effluent. SYSTEM tsrac~rR... ~ w..o Septic Tank Gapaaity ,? d ai ~ NA Septic Tank Manufacturer r ~ NA EfNuent filter Manufacturer ~' .e ^ NA Effluent Filter Model /drf d NA pump Tsnk Capacity al ~ NA Pump Tank Manufacturer r S.tcy. ^ NA Pump Manufacturer ,~ .~..u / Q NA Pump Model ~ 0 NA Pretreatment Unit O NA ~, ^ 9andlt3ravel Filter O peat Filter D Mechanical Aeration D Wetland Q p~infecrtion O Other: i}lsparsa! CelltsD O NA 0 !n-Csround (gravity} Q in-Ground (Pressurized! © At•Grade O Mound D Drip-Line CJ Other: Other: DNA Other: DNA Other: 0 NA MalaTSi-iAfrc~ scirf~ui,s Service Event se rvice ftregasncy lnspeet candkian of tankts! At leant once every: 3 ear a! s tMaximarn 3 years! ^ NA pump out eantents of tank{s} When combined Mudge and scum equals on~third lYg} of tank volume O NA inspect dispersal cellts! At least once every: ~ me~x~le1 lliAeximum 9 years) ^ NA Clean effluent fktsr° At least once every: ,~ monti-ta! sartai O NA lnspect pump, pump controls d~ alarm At least once every: ~--- enanth s! O sofa! DNA Flush laterals and pressure test At least once every: ~-- monthis! Q earls! ~ NA Other. At least once every: ~-- t7 eKli1 st DNA Ottwr: O NA MAWTENANCS INS7RUCT101115 tnspeatlone of tanks and dispersal cells shah be made by an individual carrying one of the fo{lowing licenses or certifications Master Rtumber; Master Piumbar Restricted Sewer; POWT9 inspector; POWTS Maintainer; Septage Servicing Operator. Tan inapectiane 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 beak up or ponding of affluent on the ground surfac+; The dispersal cetltsi shall be visually inspectod to cheek the effluent levels in the observation pipes and to check for any pondirn of effluent an the ground surface. The ponding of effluent on the ground surface may indicate a falling condition and requires th immediate notifieatian of the local regulatory authority. When the combined eecumulation of sludge and scum In any tank equals one-third tY~! or more of the tank volume, the anon contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113 Wieeonsin Adminietrstiva Coda. Ali other servloes, inckidirag but not limited to the servicing of affluent filters, mechanics! or pressuraed components, pratreatmen units, and any sarvicing at intatr,aia at s7 2 months, shell be performed by a certified POWTS Maintainer. A service report shalt be provided to the local regulatory authority within 10 days of completion of any service event °apo~ QnlieJlslulWpy ulsuoaslM `i£1 S iZ) `f tlti9'£8 pUe t1)~fp)tt-tg3EZ1Zt'£8 wu,o~ aeidsyo yuM` itous))du~oo ul~p@~vap sRnn iununaop g1s11 ~°J~-j •~ ~ ~~ euoyd ~ ouot~ auasN /LLltlOHll11/ /1aO11I1t103lI 1x001 IK3dWfld) li0iVli3d0 ON101Al1~S 31~Yid35 @uoyd au,el~ l3~JNfViNIVW S1MOd °2" ~' ~ ~ ' ,~ G auoyd aa•t~trlsNi ss.n~-oa S1NlWWO0 'IbNOIiiQGV '3'i818SOdWl ~1011f10idd10 S9 AVW ~tN1~i d d0 !lOltt3lNl 3Hi WO>dd NOStl~d V d0 9l10S~~ 'l1ftS~a AVW H1VS0 'S30N1l1SWf10>di0 ANV a30Ni1 ~NVI 1N;~Wlt~ii tl3Hi0 aQ dWfld '0LLd3S d FlS1N3 lON OCi 'N30AXO 1g11~191ddR81111 !i0/ONV S~SSV'J lVHi3'1 NI~f1N0~ AVW S~NVl 1N~Wlt/3lil Zi3H10 QNtI dWt1d '0LLd3S < •~ONINIItiM> > •@wli lsyi i8 ;oa}}e u! salna ayi y;!nn ~!duaoa ;sow sws;s~Ss yaps ;o cuo{;onJ;suoaeg~ •aoeims enlieal{{}u! ayi ie ieutolq ayi ~o lenow@J Buin~o11o~ eoeld u! p•;onJisuoa•J eq l~ew aWa;sAs uol;dJOSgs floe apeJB-ie pue punoyr ails n d/r 'SJ.MOd po;~a;ayi aoa~daa of laosea iss; a se pale;su! eq taw ~u•i 8u;pioy s Ado;ouyasi S1MOd u! seouenpe 6uuJeS •suolieuw;l !!os Jo/pue ~oegias of anp alge!lene ;ou sl seas iuawaasld•a a;gs~ns ~ 0 •ewl; isy; ie ;oaNa ui sa;nJ ayi y;{nn ~ldwoo isnw swaisAs iu@waaslda}~ •BaJS iuauJaoeldsJ a;geilns a ysflgeiss o3 uo;;enisno a;!s pus floe Mau a ao; paau •y; ul ilnsaa II!nn a@JB waw@osldaJ •yi iaeiaJd of coiled •silaM pus scull iol 'BJnionJi$ pasodaJd pus $ulislxe woJ~ s~losgias peJlnb@a hq uodn peBulJ;ui aq iou P2noys pus uaioedwoa pue aouegJnislp uaa~ pa;oa~oad eq plnays EaJ6 iueweoeidaa ayi •tua;sus uolidJOSge floe iuvuJaosid•J a ~o uolisaol ayi ao; p821i!in oq Aew pus pa3enlsne ueaq sgy eeJe luawaoaldaJ al~~ilns y p ;us•isAs iu•waasldea iuepdwoo epoo a aptnoad of 'ue~lei eq ;snw•JO 'ueaq cosy saansseuJ 6u;Hoot;o; ayi peatedaJ eq iouueo pus sites $1MOd ate ll NV'td A0N8DNliNOO •;s!a•isw p;{os uaul Jayious Jo i•ne~S `ltos ylinn pally @asds plop ayi pue p@nawaJ saanoo Jleyi JO panoW@J pue peieneaxa aq {lays s;ld pus s~luei lie 'Bulduand Jai;d • ,ozeJedp SuralnJaS aBeidag a ~tq ~o pasodslp ~tlJadoad pus panouaaJ aq flays sild pue s~iuel ifs ;o siuaiuoa ayi • •pvle•s s6ulueda adld pauapuege ayi pue peioauuooslp eq l;eye sild pus s~lusi of 8wdld Nd • :gpo0 enlisa;stuiwpy ulsuoas!M '£E'£8 wwoa Ja;deyo y;!nn eoueildwoa ui pauopuegs Aia~es pue ~tiJedoad s! uae;sits syi ieyi eJnsu{ of ua~ei •q llsya sda;s 6wnnollo; ayi aolnJes }o ina ua~isi ~cliueuswaod sl Jo/pus sile~ S.LMOd a41 u•yM 1N3WNOaNdBq °auuq J@uei}os JeleM pus :suoduasJ :sur~ideu ~lJeiluES :saplallsad :sianpoad Bulluled :llo :suol;ealpeuJ :sdeJas ieeuJ :saplalgJay :assaJB :aulioseB :sBullsad eigeiaban pue YInJ} :Je1eM •dwnd du:ns) uieJp uoliapuno{ :ie; :slue;oa;uis;p :saadelp :ssa13 lsiuap :sJessaJBap csger+ns o.JOuao :suaopuoa :sung aueas8!s :sadl,w Ageq :soliolgiius :S~iMOd ay; ;o a;t; ayi Suotoad pus aouewao}aad ayi enaaduJl ~teui weaais aeienn83senn ayi wa; Bu;nnoggo; ayi ;o uol;sulw!la ao uo;;onpga •e@Je uol;daosge alas epeJB-le ao punaw ~tue ;o •dols unnop iaa; g ! uEy;;nn seas eye ';oedwoa Jo ganisip as!nna©yio ao 'JSno ~lJed Jo an!ap iou oq •sllea ;esJ@ds1P pue s~iusi Jena sal~lyt-n ~iasd ao coup ;ou o0 •~usi duand ayi my;lm sl•nai ieWaou @aaisaJ of slaJiuoo duand sy; g)ulisaeda ~tpenusw ul ;slsse o; aeulsiuley~ s~pd Ja Jegwn;d a iosiuoa Jo dwnd iuani~;e ayi ai. JaN-ad BulaolsaJ of aolad Jaieaedp BulolnJeS eBeidag a Aq panauaaJ plus; dwnd @yi ;o siuaiuoa @y; cosy uolien;ls sty; pions of °3u8ngNs ;o geJeyaslp aasiJns Jo dnilosq ayi ul iinseJ Jtsw pue {sipeo ayi Bu~psolJeno 'asop aBJe{ suo u{ {s)Ilao IssJedslp ayi of paBJeyoslp aq ;l!n++ aaiBMaisenn ssaoxs ayi t?@JOisaJ sl JeMOd uey/yti •sienel a6;eN+yBly ieWJOU anoge i;l; /yew silUS; dwnd s•Be;no JeMOd 6ulanQ •eas~ns aniiea3l!;w ayi is uazoa; oae suo!;~puoo ;toe u9ynn anooo iou pays do iaeis wsis~tS •asn o; Joiad Jo;eJado Bulo!nJes e6s;dvs s atq penauaaa {si~usi ayi ;o s;uaiuoo ayi cosy paioaiap acs suol;eJ;ueauaa yBly ~{ •{sfllao lesaedslp ayi aBeuJep Jo/pue sseooJd 1uaW;seal ayi epadwl Aew;ayi sleotwayo Jayio Jo sianpoJd Butiuled ;o aau@seJd ayi ao; {s)~lusi iu@uaiseJi sloayo 51MOd 6~{i io asn of Jolad 'uoltanJisuoo n~•u Jcy NOilO~tl3d0 ONV di111idiS ;o-> e8ed , ST CROIX CO'IJ1~'T~` SP,PTIC TANK MAII1''I~3NANC8 AC~R'BfilvlENT AND OWNHRSHIP ~CBRT'F1aFiCATION FORM t7wnerBuya J`~! f~, f ~tl A C.v ~ Po Q.i}710 --~ M:USin~ Address Proposty Address ~2: , Svt7E (0~6 ~D (Vcrifiutiotx trgttired Emm Pianniti~ Dopacfo-ieat for dew t~ry/Stata !:-BUD-Sa~..J 1,</~ Pagel Idenfi~ication Num'bGt LEGAI.pESC~PT'~ON Property I.ocatiou ~~., ~l l~! %, Sac. ZO . T 2~ N-R l ~'W, Town of ~U~~'N SUbdlvtSlC~u ~~~ t /-"L~ _ lrOt # Ces~iexi Survey Map # ___,___., Volumt Page # wa~rrusty Dead tY ~ Cy~... ~8~ ____ , Volunne ~ page # ~ r spy 1~~~ ~ y~ o ao ~.,at l;.nes idttlti$ablt: ~ yep o ao ~F3 S ~X~ ~ M~nvz~xAxC~ fmpmper use add uuiaitnaaR'~e of your ~epdz systeiu weld result in its peomsttsa: falltsxt.t4 haatfcc~tla~vsstes. Proper maiatataarc oass~ of pumpiag out the teptie tani+ evey tlttu yet oc wone~, it neodod by a lieonscd pumper. ghat you pus into the ayaaoa <sd aSret the l~tactioa of tiDc septic task as a trr:tmeat sta`e in thr .waste d+ipe+at syrtcam. 'fie pnopaty owns aka to snbtnir re St. Gtou Zva~~ Department s ear~iGcatiod fotsn. a~od by the: ow;ots and by s sa~plsnnbet, jourdeymaaPlambet, res~;igedplumba of a liumsad Purnp4c ve:tifying Qtst (!) the oa-site ~vaste~ratecdie~+nes1 cyseem is in proper operating caaditiots sad~ot (2) alter iatspacC~an aad puwpinE (iiY). t3ae sepQc tsdi~ ii less than tr3 full of studae. lhoc„ the vodettip~ed have read the abavc rcQuitnnc~CS a$roe.to .~^SKa3in the private krvage ditpoaal ilyt~~ nth t5s Kandudt set fastlL hereio as act by the DRaartmeat of t:Ceaa?]e and the Department oiNatteral Rertouscesr 6ttte Of' W1iCOa>aiaZ Certttigatioa s~t~ tha sepdc system boon ms~ be coua{alcted and reKrraod to rbe 5t- Ch+oix C,otmty Zoeung OfSee r+ttbtn 30 d±?~il~ ~.Y~s cXpitadua. D~dy .~~. that all t errs a this form arc true to the best oC my (ostr)lasowlcd,~o~ I (SVa) aazx (are) rho owaec(c) of abov a aarraaty docd recocdcd in R,eg~cter of Deeds OfSee. ~ ~~~ n . r-. D •••••r: My informati.a th[tis mis-reprosenredraay ravlt 9n lht uaitarYPrr~tbeing revok+edby.tbro7AO~irtp,' D°P~°~°t •••••• •• Ipclude ~vitb this appiie•tloa; a coped warranty dread Btiao tha; AegitteC of Deeds offioc a copy of the cecdfiad auvey ~A tf t+ciciaoee it farads is tha: >vas:anty deed roTaL p. e7 xr-GU-LVJtJC YJJ•crJ .lr Ll Vrl~ e.u1v ! STATE BAR OF WISCONSIN FORM 1 - 1996 WARRANTY DEED Docwwnl tJtanMr ~Al. 7 7~?p~~~ 613 , This Decd. [Wade between Bane Corporation, _ _ a Minnesota corporation ..... _- ,.._ -.._.. , _ '-_ Grantor, and Sienna Corporation. a Mipnt<g~ta coroo a ion ___.., ._,~_ .._ _.. ,... .... .._.. ....... Grantee. Grantor. for a vapgble consldero[lon, wnvcys to Cranree the (altowing dCiCr9bed fCal Oalal,r in St . Croix Crnrnty. Srate of Wlscomin (rlu 'Property ): See Attached Exhibit A Together wi[h all apprar[enanl rights. Utle and Interests t 6660.Qrtp KgTI1lEEN H. WiiISH FEGI8TEk OF DEE:D5 3T. CkOIX CO., WI RECEIVER FOR RECOkD 12-21-2001 3:10 PM YARRRNTT DEED c~T cavr FEE: COPT FEE: TRAISFER FEE: 9b63.40 ~C~ IN6 FEE: X7.00 ~ narnb:y AKy~ j... - .. .__ -... -- . _..._~.-.».... Name W Rwurn ArkSrass i Uni~r~n.l i~}~~ S~Gb 5 m¢.+ar~'i ~~ ~- ~i.I.i-t~. 'SDI I~(~vtne-Eonka Nu553'~ 20-104$-30-000 Parcel ldenpaCalien MrrtDr (PB.p Thls is not homestead property. (lY) (!s Oal) 20-1048-60--000 20-1048-90-000 20-1049-90-000 zo-loso-oo-ooo 2o-loso-ao-ooo zo-los2-2o-000 20-1052-70-000 Grantor warrant.[ thal tha utle to the Property 15 good, lndcfeaslWe in fee simple and free and clear of auwnbranccs cxcepl See Attached Lxhibit 8. Dated this 20th - _ day ~ December 2001 Bane r ozatlon (EAU by Jo M. Nassef ~~ Its of Eacecutivts Offi (SEAL) AUTHENTICATION SI}mstnre(s) .... autttenticatcd this _.. day of .. TITLE: MEMBER STATE BAR OF WISCONSIN (1f m(, _ authorized by §706.06. Wis. Stats.) TNrS INSTnUMC•NT WAS ORAFTEp BY _` Lockridge Grindal Law i'irm ton Wac}ti,~y,_,p,~cnue-South- ` - O ...._ ... (SEAL) _......_ ._ .. (SEAL) ACKNOWLEDGMENT Minnesota State ofiNtst'anstA- ss. t-.~+~r`SC _1 Count. Personally carer beflxe rx this ' ~y day of December _.-_ 2001 , ~ above ,ul,na,i John H. Nasaeff, Chief Executiv_e,OffiCer _of Bane Corporation, a Hinnesota corpozatlon ~~~ me krwwn to be per} wlw exrcuted the toregoing insinttnent and . ~ same. • ~ HARNY E. GAIIAHER MYOdMIOSOIIIIIffNia fa[aal{ Minneapolis, MN 55401 N~Pubhc,5tateolWiuoruin y committlon It pennmunl. (If rwt, stare a%pirotiun daa' (Slpttuurtt rlwy br autnerltlcaled w advrowlsdQed. Both arc nUl January 31 , 2005 .) necessary) - - . _. ..._~.~_ .....,..T---°.- ---- ' PLu,er W pemre s,amryt to gay eap~,cky rnurr a. ryprA or ,vpnrrr trrlnw ra.,r %gpw~ur. ... ... WARRANTY OGED S7ATF, IAA OF WISCONSIN Wtscenun wgti akrd~ Co.. Inc. PORM N.. 1 - 1998 Mrwauxb, Wr-. 5tF'-~-GbbG by ~ ~ 1 o i tirrvM ~uKr ` ~ Y~~, ~ r r fj14 Fae No: 85-04900 797 A.E 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. Crgix county, Wisconsin, more fully described as follows: Commencing at the west Quarter Corner of said Section 20; thence North B9 degrees 25 minutQa 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 1325.25 feet to the southerly right-of-way line of the Chicago-Northwestern Railroad; thence North 79 degrees 56 minutes 29 seconds East, along said southerly right-of-way, a distance of 451.00 feet; thence northeasterly a distance of 807.03 feet, along said southerly right•of-way, along d 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 feeC, along said southerly right-of-way, along a tangential curve, concave to the southeast, having a central angle of 14 degrees 30 minutes Z1 seconds and a radius of 1759.75 feet; thence North B4 degrees 32 minutes 47 seeondc 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 tho south line of said Certified Survey Map in Volume 12, Page 3302; thence East, along said south line, a distance of 593.00 feet to the east line of the Southwest Quarter of the Northeast Quarter; thence SOUth 00 degrees 26 minutes 06 seconds East, along said east line, a distance of 1127.21 feet to Che southeast corner of said Southwest Quarter of the Northeast Quarter; thence South 00 degrees 26 minutes 55 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 iri Volume 15, Page 4172; thence South B9 degrees 37 minutes 27 Seconds west, along the north lines of Certified Survey Map in volume 15, Paqe 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 4173] 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 degroQS 43 minutes 31 seconds East a distance of 229.88 feet to the north line of Certified Survey Map in volume 11, Page 31?6; thence North 89 degrees 52 minutQS 10 seconds West, along the north lines of Certified Survey Map in Volume 11, Page 3128 and of Certified Survey Map in volume 12, Paye 3292, d distance of 68?.86 feet to the northwest corner of certified survey Map in 5th''-Gb-GF~G f~7 • G 1 J / uwvn ~unr ...~ ~.... , "~.~. ....~ vol. ~ 17.Q7Par,E 615 Volume 12, Page 3292; thence North 01 degree 24 minutes 30 seconds East, along the northerly extension of the west line of Certified Survey Map in Volume 12, Sage 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 00 degrees 07 minutes 56 seconds East a dirtBence of 1003.47 feet; thence North $9 degrees 54 minutes 15 seconds West a distance of 270.16 feet to the west line of Certified survey Map in Volume 5, Page 1317; thence South 00 degrees Z7 minutes S3 seconds East, along said west line, a distance of 193.97 feet; thence South 89 degrees 16 minutes 33 seconds West, a distance og 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. 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