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HomeMy WebLinkAbout020-1413-60-000Wisconsin 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: City Village X Township Sienna Cor Hudson Townshi CST BM Elev: jam, Insp. BM Elev: BM Descri 1ti/on^ / ¢y'''%/ 1 TANK INFORMATION _ ~ TYPE MANUFACTURER CAPACITY Septic `" / ~~ Dosing ~ ~ D Aeration Holding TANK SETBACK INFORMATION~~-e a~sa%/, TANK TO P/L WELL BLDG. Vent to Air Septic > ~ ` ~ ~ ~' Dosing ~~ PUMP/SIPHON INFORMATION Manufacturer and GPM Model Number TDH Lift Friction System Head TDH Ft Forcemain gth Dia. Dist. to Well ELEVATION DATA county: St. Croix Sanitary Permit No: 430189 State Plan ID No: Parcel Tax No: 20-1413-60-000 Section/Town/Range/Map No: 20.29.19.2604 STATION BS _ HI FS FLE ~ Benchmark /e ~' g v0 . o Alt. BM S7-~ X07.3 Bldg. Sewer 3 6~ ~ b ,1 ~ ~yA l9'7 ~ d , SUHt Inlet 3 ~~a ~~ ,l.gs . Z ,~2. ~9 SU~Outlet / ! S G y0 (o /1I~/~ Inlet l ~~ Dt Bottom ~ -~ Hea er an. ~ y~ / ~j' g Dist. Pipe y~S TD y p . 1 ~ 9 • t%0 Bot. System Z / ;~ .a Gl7 • ss Final Grade ~'d s s o. S St Cover h'~ ? 2 ~ 7- 3 ~o-zk ~ ~ ~ SOIL ABSORPTION SYSTEM ~ „~ ~ •}-~ ,}-/p i~ -~~~(,~ -_ 2 ~' BED/TRENCH Width Length r o. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 7 ~ Z ~S 3 SETBACK INFORMATION SYSTEM TO P/L BLDG W L LAKE/STREA CHI CHAMBER O Manufact rer: , / Type f System: ~ ~ r ~~I ~ ~ UNIT Model Number: ~~ UI, 1 KItSU I IVIV JYJ 1 CM ' ~"~'-`~'7 `"Yn~K ~-T ...rC/r:~ Header/Manifol ~ Distribution~t /- Pipe(s) i~ S ~ !i ~ (.~~ ~ x Hole Size ~~ x Hole Spaci ~ _ / ~} Lengt is Length ~ Dia Spacing~_ ~ ~ - t SOIL COVER ,~~, ~ x Pressure Svstems Onlv xz Mound Or At-Grade Svstems Onlv Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded Bed/Trench Center Bed/Trench Edges Topsoil ~ Yes COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ 6/ Location: 796 Martin Ave Hudson, WI 54016 (NE 1/4 SW 1/4 20 T29N R19W) The Glen Lot 10 1.) Alt BM Description = ~' ~Y~ ;I^• / 2.) Bldg sewer length = R 7 f vio (~Q(,{i2 -amount of cover = ~ xx Mulch ~ JJ ~ ~ No ~j Yes rt No Inspection #2: / s Parcel No: 20.29.19.2gf0~~Lp/~ (i'~`~ y 7 '~----- -- ~~'~~`` --- --- -- - _ - ~ ~ -~- i Use otheris de for add tional information. No L (( ~_~ ~ ~ ~ _. _- .- - ~ I~~~ ~0 6 ~-- _ -' SBD-6710 (R.3/97) Date Insepctor's Signa re .Cert. No. /fit ~~ S ~.~ Vent to Air Intake - ___. • ~ and Buildings Division R~~~~t®ton e., P.O. Bcx 7152 County ~~ 5~~°y~Di~ ~~~jo~s,~ Madison, WI 7137 - 7162 Sanitary Permit Numbe (to be fil in by Co.) Department of Commerce (608) 26 -3151 `_ Sanit P i A 30 ~~ State Plan I.D. Number ary rm t pplilea is i In accord with Comm 83,21, Wi . Adttis~`a~ ~ Q ~j~~tStnatio you provide '---~`~ may be used far seco ~1~RI~;~s1:i.04( (m) Project Address (if different than mailing address) I. Application Itafortnation -Please Print All Wormation _-___. ~ -~ _-- ~ M 1N Avb Property-Owner's Na me - i Parcel >y Lot Block ,d \ ` C~~ JI r~ Property Owner's M ailing Address Property Locatio ~ City, S ace kP`.U Y Zip Code P-r hone Number l i ~ `'4~~`~',Sectian ~~ ,~ ' 'LG~----~~'1 ~ ~ Jr~ ~ ~ ~3J -?~4 d'' I T ~~-- (circle R~E or~ T fir/ N I. ype of Building (check all that apply) ~~i~~`` "~'~'`~at'~' ~J or 2 Family Dwellin -Numbe f B d ~ ; - Subdivision Name CSM Number g r o e rooms _ i _~ ^ PubliclCommercial -Describe Use /` _ - - ~ ~>~~ ^ State Owned -Describe IJsa (3~ 3 1C bZ-S~ ~Gp,~,,~ CAQ,~ ~ y~_ ( 0 ^City QVillage Township of ~(~~/ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) p? p _ lcf/ 3 _ ba -Ot?p O "- A. ~,/ n,l New System ^ Replacement System ^ Tream~ent/Hotding Tank Replacement Only ^ Other Modification to )~xisting System ~ B. ^ Permit Renewal Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner ~ `~30 8~ ~~3~ 03 IV. Type of PDWTS System: (Check all that apply)_ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment L'nit ^ Recirculating Sand Filter _^ Recirculating Synthetic Media Filter Leachin ,hamber ^ Drip Line U Gravel-les ^ Other {explain) ~ V. Dispersal/Treatment Area Information: - pp Design Flow rgpd) Design Soil Application Rate(g stl Dispersal Area Required {sf) Dispersal Area Proposed {sf) System Elevation - s ~ 1 ~d . ~ _ ~.~-~ ~~7 ~r ~ t _. 3 . ~ VI. Tank Info Capa city in Total II Number ' Manufacturer Prefab Site Steel Fib iC '~ _Ga llons Gallons f of Units Concrete Constructed Glass ? - New Existing ~ I i Septic or Holding Tank Tanks Tan;cs l ~ as~ I ( ~ - 'CS L/ ~- -- t ~ ~ ~ erobic Treatineat Unit Dosing Lhamber I ~ ~ - ~"~""~ _ j - ~_ Vd.i. Responsibility Statement- I, the undersigned, assume responsibility for ' llation of the PO WTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si gnarure P PRS Number Business Phone Number I l.]i~lQ~ S~~l~,~e ~ ~ ~ o~~~JA~ ~lS - 3~~-3iz/ , Plumber's Addre ss (Strut, City. State, Zip Code) VIlI. Count !De artment L)se Onl ~---- Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued ~ I ui gent Signatur (No Stamps) Surcbarg~ Fee) ~[ _ ^ Owner Given Reason for Denial ~ ~ '- , 2 7 e~ [?~F:. Conditions of ApprovaUReasons for Disap t - -+ roval (~,, p SYSTEM OWNER: 3) vc-~Ite-n '~p az R-W $s~~ ` 1 Septic tank, efifluant filter and i ~ i i dispersal cell must all be serviced /maintained _t e „-¢~ ~- ~ ~/ ~~-, ~, as per management lan ro id d b l T"-'~ ~D'`S "`"~ p p v y p e umber. 2. All setback requirements must be maintained _~Q.~2S~' , (,J as per applicable code/ordinances. ,, a ~~ ~ ~ ~ v u ~ ~~Y Attactl Complete DI917S (to the t nctntc nnlvl Pnr ~ . i__~ `f .. ~..a-... .,....c~u ...wa. oars x li-ufCnCB rHrStZe SBD-6398 (R. O1/03) ~ ~ .r J J c ~ s 7"ll~ Sc~~{ l `~y0' r .~{, c'y~ ~~ . ~ ~ z g~~Z _--- .~-- COPY Sc~~-~ ~ `~yp' ,~<~~ i '~~~ieD~ ~ ~l NVisconsin Department of Commerce nivision of Safety and Buildings SOIL EVALUATION REPORT Page ~ of _ in accordance with c:omm as, wrs. Aam. ~,oae t ` County ~ ~ ' Attach wmplete site plan on paper not less than 6 1/2 x 11 inches in size. Plan mus include, but not limited to: vertical and horizontal reference point (BM), direction and scale or dimensions, north arrow, and location and distance to nearest road. percent slope pal l,D. , Please print all fnformatlon. Persona! infortnelion you provide mey ba used ror sewndary purposes (Privacy Law, s. 75.04 (1) (m)). e ~ ed by Date (~i~ Property Owner ®~ Property Location Govt Lot ~ 114,~j~114 S ~(> T N R E (or 1~ Property Owner's Mailing ddress Lot # Block # Subd. Name or CSM# ~, l e r C~ -~- ~c~ ~o ~ City ate p C Nu T. CROIX ) r City ^ Village (Town Nearest Road DSO r New Construdion se: esr en rooms _,~_ ' Code derived design flow rate Q ~ GPD ^ Replacement ^ Public or commeroial -Describe: _ - v1 --- Parentmaterial _-~~_ ~ ~~--------- Fbod Plain elevation it applicable _-__~f (~_-- ft• General comments c 2 ~'e v ~ ~~r ~ d and 2commendations: S,LJ~ ~. I ~ Boring Boring # ~ Pit Ground surface elev.ly°~ 3 d ft. Depth to limiting factor _ 1 Z~ in. Soa A licafion Rate H i th D t Golor i D Redox Description Texture Strudure Consistence Boundary Roots GPD/ft= zon or ep in. nan om Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 'Eft#2 -10 0 - ~ ~ G i ~' ,~ .~1 o - ~-._ c~ ~ _ , i .a ' ~s. o I Boring # ~ Boring ~j~ ® pit Ground surface elev. ~°'r~_ ft. Depth to limiting factor ~_ in. Soo A ica6on Rate Horizon Deptfi Dominant Color Redox Description Texture Strudure Consistence ( Boundary Roots GPDIft? in. Munsell Qu. Sz. Cont Cobr Gr. Sz. Sh. I ~ 'Eti#1 'Eff#2 ~ ~- ~. _ s~ ~~ m r ~ c - , ~ . I 'Effluent a>'1 = BOD > 30 < 220 mglL and TSS >30 < 150 mg/L ' Efffuerrt #2 = BODS < 30 mglL and 15~ < 3u mgrs CST Name (Please Prxrt) Signature CST Number fir. ~ ~-S ~~ Address ~~~ ~ ~ ~/ Date Evaluation Conducted Telephone Num er w.s<c ~- ~ ~ ~ (, ST `t'UZ,~ 1 [ -(o - v 3 7rs- ~~ ~z ~3 -~v i~ s~ ~ ' Page ~ of _~_ A Par Property Owner _ W~y~~ cel ID # _ - . ^ Boring 3 Boring # G Q ft. Pit Ground surface etev.~ Z•~o Deptlr to limiting tacbor in. SoB A ication Rate = tence i C Boundary Roots GP Dlft Horizon Depth ~ Dominant Color Redox Descriptbn Texture Structure ons s .E~ Eff#2 eil M Sz. Cont Color Qu Gr. Sz. Sh. in. uns . ~ , ~ ~-~Z - SL ~~ ~ C v- ~' ~l /1 al ~NI ~ ~ 1' r qq, o ~~.~. z U Boring Boring # ft, Depth to limiting factor in. ^ Pit Ground surface elev. Sol A lication Rate i t C Bounda Roots GPD/fF Horznon Depth in. Dominant Color Munseil Redox pesexiptbn du. Sz. Cant Cobr Texture Structure Gr. Sz. Sh. ence ons s ry •E~ Etf#2 U Boring Boring # Ground surface elev. ft. Depth to limiting factor _ in. ^ Pit SoB Application Rate Horizon Depth Dominant Color Redox Description Texture I Structure Consistence Boundary i Roots GPDliF in. Munsell Du. Sz. Cont Cobr Gr. Sz Sh. ! 'Eff#1 'Eff#2 ~~ • Effluent #1 =GODS > 30 < 220 mgit and TSS >30 < 150 mglL 'Effluent #2 =GODS < 30 mg/L and TSS < 30 mg1L "1~he Department of Commerce is an equal opportunity service provider and employer. lfyou necd assistance to access services or need material in an alternate format, please contact the department at 608-26b-3151 or TI'Y 608-264-8777. sao.arraax;e?aa~ ~v h~ti So ~ Property Owner _ Parcel ID # ^ Baring BorNrg # d ft• a ~ Pit Ground surface elev. G ' Depth W limiting factor in. Page _Z of _~ ^ Boring ^ Boring # Ground surface elev. ft. Depth to limi5ng factor . in• ^ Pit Sod Application Ra GPDRP Horizon Depth Dominant Color Redox Description Texture I Structure Consistence Boundary i Roots 'Eff#1 ~ 'Eff#2 in. Munseli I Du. Sz. Cont Cobr Gr. Sz Sh. ! i I i • Effluent #1 = BODS> 30 < 220 mgtt and TSS >30 < 1 ~ mglL 'Effluent #2 = BODS < 30 mgiL and TSS < 36 mgiL 7'he 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 608-2bb-3151 or TTY 608-264-8777. sar».rxs:e~:ar~t t ^ Boring Boring # ft, Depth to limiting factor in. ^ Pit Ground surface elev. SoB A licatian Rate GPD/fg Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ~Eff#1 'Etf#2 in. Munseil Ou. Sz. Ctmt Cobr Gr. Sz Sh. PAGE ~ OF 3 NAME: ~~hY~So/~ LOT# lU LEGAL DESCRIPTION•rG4/1/4 f+~/1/4,SZO TT~4,N,R,~E(or~ SCALE: I"= H U r ,,,. jj rn 1 ELEVATION: l fI ~ ~ '^ _,,.~ w n =` ~; ~ BM 1 DESCRIPTION:$aD ~-~- ~.~~~- Ar~~ BM 2 ELEVATION:, BM 2 DESCRIPTION: SYSTEM ELEVATION: `~`I~ c~ SYSTEM TYPE: ~n ~c,..-l,~v ne.~-( »;A; LL .'. i :: }ice 1 ..n• S~ SIGNATURE:T '~ - ~ ~ ~ DATE: //-/ ~-~~ ' -~' Safety and Buil~inbs Division X201 W. Washington Ave , P.O. Box 7162 {~~~~~~~ Ivladison, WI 53707 - 7162 (b08) 246-3151 ~'~ rtment of Commerce Sanitary Permit Application Ia accoM wilt Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.(14(1)(m) County r Y Sanitary Permit Number (to t tilled in by Co.} ~v~ State lan;.D.~N,umber Project dress (if different than mailing address) I. Appift:auon tgiot'rnauon - s-i~+aq r+"+`h°„~~:~~~r"a,~ ~ f , Parcel ~ ~ t>y Block N aperry Owner's Na me ~ . . PAID ~ ~ ~~ Dzo ~a : ~ 2003 ~ ~ ,.. , sr`~ ~ t , .~ a /_OL~ Pro r lion ~ roperty Owner's M ailing Address ~ ~ ~ (~ ~/ t l 9 ~ ~ a ~r ~' !r ~~ ~ 'b,s~ ~k,Section o4'G" City, State Zip Code Phone Number ~- apeP 3~' ~ ~ (circle o e} ~ ,~ ~ ~ S Y~~ ~ T o~Q N; R~E o f ~ /7/~~ f- Q ~ Gu/ II. Type oP Boil check all that apply} CSM Number Subdivision Name ~ a ^ 1 or 2 Family Dwellin Number of Bedrooms I ~ ~~e / S . ^ PttbliclCommercial - Desc Use ~ t ,r-,A~za,.. ^Village replownshlp of'~J _ Q'~ ~ ^City ^ State Owned -Describe Use V i III. Type of Permit: (Check only box on line A. Complete line B if livable) A' (~` New System ^ Replacemen stem ^ TreatmendHolding Replacement Only ^ Other Modification to Existing System List Previous Permit Number and Date Issued B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New Before Expiration Plumber Owner li } IV, Ty of POWTS S stem: (Check all that a Non -Pressurized In-Ground I~ Mound > 24 in. of sui soil ^ Mound 24 ' table soil ^ A e e Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ d' ank ^ Peat Filter ^ Aer reatmen 't trc ng 5' ~ titer Y ^ Recirculatin Synthetic Media Filter eaching C her ri Lin ~iravel=teas- r V. Dis rsal/Treatment Area Infor ation: ~' Design Flaw (gpd) Design Soil Application Rate( sf) Dispersal A ettc}ired (sf)~1?lsper I s0 yst I ' n O P°S ~G}d ~ l P ' ~ VI, Tank Info Capacity in T 1 Number facturer l 1 r ias tic i as Site ncrete Construe G s /~~ Gallons ons of Units ~ New Existing 6 Tanks Tanks Septic or Hoiding Tank ~ ~ ~ t-~ ~ ~~, ~ .s ,~ y _ /~yy YL VII. me e ~~ Iw,` Pg 1 1, the mtdersigned, assttme responsibility for Plumber's Si gnature /~gg ~' 1. ii 1~~ 0 of the P S shown on the attached Number Business Phone Nurrtber Plumber's Addre ss State, Zip Code) .d ount /De ~trtment Use Onl ' Sanitary Permit Pee (includes G11~wxlwater Date Issued Issuing gent Signatu o Stamps) Approved C Disapproved ~ ~ 0~ 7/ ~ ~~~Gt Surcharge Fee) 5~ 3 / ^ Owner Given Reason for Denial Conditions of Appt~ivailReasons for Disapproval ~ ~ ~ ~Z ~- (DI •S C~~'b?.~2' . ~ ~ ~3 ~a~ hr~ /~ ~w d~ -~ Gam- ~ ~ hS /p-~~zo?t- ~- ~ins~Q E~ Attach co pleto pI (to tha County only) for a sys o paper not fe 8 !Z x 11 inches in size BD-6398 (R. X1/03) /3 ~U~.P~~ ~ ~QCIrn~ ~~~~G~.S/~f~j'~~~~~t• ~'~1.~ ~Sa- . J s';'«a- G~~'~o .C~Z~LD /'/~~ ~.~~,cJ ~k~,r/ e~ 1~lc~s'O..r~ • ~ f 1'~nz ~~~~G ioe• ~~ J/ ~n~~l' ~-J W ~S i ~~L~ S ys-~ ~~~ ~ ~ ~y,~ d~,~n. ~ ~3 /~ .'m~ 8 ~,~~~ ~~ ~~~~~~ d ;.~~, C y~ ~'`f4 ~°6,(e ~~~ .. u _~~ ~~. ~~~ S~ ~~e~` ~~r`~,~1 l~ ~/j3/~.~ ~P ~~ E'/'~~ ~~~. ~~~~~ ~~~~~ ~~~ d3 ~ ~~~ ~~ sue, d G r ~- ~~~ s~ '~,~ ixsr~ ~i6,Cr '~ d d~~ ~~~ ~y 9~• 0 ~~f/~~c-c l o~ °~ ~~nz 1e ~`-~ X64• ~/ .~~/` SEr i~C M1A.~VK ~ rL'~%r LHAM?ER '~R•~5S ;,£CTIC~h A~~D c?~LIF;CAiICPvS . _4____.~, - ...._..._._._~.._,_.~.._...__.._..._,__._~__.~_____ ~" CS VENT PIPE 1:" MYN. ABOVE GRADE E WEA~'Hk.RPROOP ? 25' FROM DOOR, WINI70W OR v'UNCTION ECX P.PPROVED FRESH ASR SNTAKE t~1IT~i COND'.JIT MANI~OLE COVER Wi PADLOCK ~ f INISHED GRADE 'fi't .----~--WARNING :ABEL t,~ tr,,t 1 G f4 ~ 1N . 6'~ MA?t . t t6 4~' ~q7 # ~ ~~ I '4~ 1 Y N L£ T •'' { ' ~~ ' GAS- ` 1` WATER TIG~iT SEALS ~ 4 T IGHT ~ ~ APPROVED A SEAL 4 0, I JQINT5 WITH ~PPRO'VED ~--}-~ ~ ' 'ALM APPROVED PIPE 'iPE 3' ~ __~__ ~ ~ ON 3 ` ONTO i~iTO SALID ~ ~ SOi.ID SOiI sQIL PUMP OFF ELEV . FT. --~--- ~ + OFF '~~` RISER EXST D PERMIT?'ED ONL`. I F TANK MANUFACTURER HA5 APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SF£CIFICATSOt~S s~PT~~ ~ DOSE ~~ TANK MANUFACTURER: r,,J~~ NUMBER DOSES PER DAY: ____._.~-.... TANK Si~ES: SEPTIC ~aS`d GAL. ....'. Dt~SE GAL. A..,ARNi MANUFAC'I'I.'RER : wl ~ u,~l ~~,"~yr,•.• ..__.r_w MODEL NUMBER: I71 U SWITCH TYPE: ~~r~„ PUMA"' MANUFACTURER : ~~~„r` MODEL NUMBER: ~~~1 SWITCH TYPE: ~ REQUIRED DISCHARGE RATE ~^ GPM DOSE VOLUME INCLUDING FLOWBACK: l~ ~ GAL. CAPACITIES: A = ~a $~ z `: - ~ D - ~, PUMP ~ ALAKM WIRING INCHES = ._..GAL. INCHES =GAL, INCHES = l~'8 __ GAL• TNC~iES = GAL . A.S PER I:.~HR '16. Z3' WAC VERTICAL DIFFERENCE BET'n~'EEN PUMP OFF ANTI DISTRIBUTION PIPE l~ FEET + MINZMUt~ ~tETWORK SUPPLY PRESSURE ~ FEET + (~J`_ FEET FORCEMAI.N X ~•~D FT/300 FT. FRICTION FACTOR ~.~ ? FEET TOTAL DYNAMIC HEAD = ~ x:3'7 FEET INTERNAL DiMEP+3SI01VS OF PUMP TANK: LENGTH ; 'WIDTH ~ DIAMETER LIQUID II~ ,3~.r_._., -__ ,~ a ~.~~.. ~,o.~y 1 SIG1vED: ~_° ~ ~..~ LicENSE NUMBER: ~~~~ T)ATE: .~ 3l ~_. ~rs~ ,r ' r ~~ ~, AppuCATi~tti Speciifilcally designed far the following uses: • Effluent systems • Homes • Farms Heavy duty sump • Vfrater transfer • Dewatering sp3i:clPtcAttoss Pump:!°P0~ • Solids handling capability: a/d maximum. • Capacfdes: up to 55 GPM. • Total heads; up to 24 fee#. • Discharge size; l'/x" NPT. • lwiachanlcal soai: carban- rotary/ceramic-statiatiary, SUVA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (li0°C; irrkermittent• • Fasteners; 300 series stainles$ Steel. • Capable of running dry without damage to components. Pump: EPOS • Solidi handling capability; ~~• maximum. • Capachies: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size:l'~t" NPT. • Mechanics! seat: carbon- rotarylceramiC-stationary, 8!!NA-N eiastamers. ~ Temperature: 1 O+t°F (40°C) contjnuous i40°F (60°C) intermittent. c~) ~ ! oi6 Oa~ld1 Pups, Inc. • Fasteners: 300 series stainless steel. • Capar?le of running dry without damage to components. Motor: • EP04 Single hose; 0.4 NP, 115 or 230 V, 60 Hz, 1550 RPM, built In overload with automatic reset. • EP05 Single phase: 9.5 HP, 115 V, 84 Hz, 1550 RPM, built in overload with automatic reset • Power cord: to toot standard length,16~3 SJTa wl#h three prong grounding plug. Optional 20 fast lengih,1ii13 SJZ1N with three prong grounding plug ;standard on EP05). ME7'Eq~ FED 1Q~ 7 to 8 ZI 5 n ti 4 3 ti ~dUi(~5 P~G~ ~ uF ~ Submers~b~e Effluent Pump ~~~~~~ 3871 EP05 • Fuiiy submerged in high grade turbine oil far fabrication and efficient heat transfer. AvaUa6ie far automatic and tt~arwel operatioa. Au#omatlc madala Include Mechanlcei !=lost 8wltch essrimttled end preset ^ the taotory. FsAYUI~s ^ EP'Q4 impeller: Thermo- plastic Semi-open design with pump out vanes far mechanical seal protection. ^ ~ impeller: Thermo p~stic oncittced design for improved performance. ^ tasiag and Bate: Rugged thermoplasticc desWn pro~ndes superior strength and corrosi4n• rssistance. ^ ll~otor Hoaaing: Cast iron for etfident heat transfer, stretigd't; ehd durabillt~r. ^ Ma#or hover. Thermoplas- ticcoverwith integral handle and float switch attachment points. ^ power qbb: Severe duty rated dt and water resistant ^ Bearing8: Upper and lower heavy l~l I~-ring co on. Ae~ccY us~nlta I ~~ ane~aaito~ (CSA listed model numbers end in "F"or "AC`.) --a--- i ~ , .t ~~ ~---.1-- s s i ~ ~ f 5 i aw • w ! M d 0 s a ~~~ p 4 ~~6~p~/ t0 ~z m~ . 4:'{x:~.'. Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance vrith Comm 85, W is. Adm. Code Attach complete sitee-plan an paper not less than 8%: z 11 inches in see. Plan mist County include, but rrot limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and locatron and distarx;e to nearest road. Parcel I.D. Please print all inforn-ation. I Personal information you provide maybe used for secondary W~~ ~ ? _- PropertyOwner ~ ~ roperty oration 1167 Page 1 ~ 3 Steel Soil Service St. Crour pending ~- Date `/23 /6 Sienna Corporation Govt. Lot NE 1/4 SW 114 S 20 T 29 N R 19 W Property Owner's Mailing Address 2 ~~~ ~ Block # Subd. Name or CSM# 4940 Viking Dr, Suite 608 10 na The Glen City Sate Zip Code cee m~~,x C" N u )~ !City U~ Village Town Nearest Road ' ~~~~ ~~ `` ~~ MN 55435 9 z-~SZpd~ Or= ~c;C= Hudson Carmichael Rd. Y' New Constructiar Use: ~_ , Residential /(dumber of bedrooms 4 Code derived design fkrw rate 600 GPD Replacement Public or commercial -Describe: Parent material Pitted outwash Flood plain elevation, iF applicable na General comments .and recommendations: System elevation 97.50ft trenches spaced and depth to code 4.OOft below grade S .~P~, / S~vrw;,. ~ Boring # Boring / pit Ground Surtace elev. 101.50 ff. Depth to limiting factor 108 in. ~ Application Rate Horizon Depth Dominant Color Redox Description Texture Stnrctrrre Consistence Boundary Roots GPDlftz 'Eff#1 'Eff#2 1 0-12 10yt3/3 none sl 2msbk mfr cs 2f .5 .9 2 12-22 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 22-32 7.5yr4/4 none Is osg mvfr cs na .7 1.2 4 32-10 7.5yr4/4 none cos osg mvtr na na ~ 1.6 ~'~ l b ~' ~~ ~ -M G~-s~ IOU `" ,a.~a2a~'-~ Boring # Boring Pit Ground Surtace elev. 101.50 ft. pepth to limiting factor 108 in. Sod Application Rate Horizon Depth Dominant Gaor Redox Description Texture Structure Consistence Boundary Roots GPDHt= *Eff#1 *Eff#2 1 0-12 10yr4/4 none st 2msbk mfr cs 2f .5 .9 2 12-34 7.5yr4/4 none scUst 2msbk mvfr gw na .4 .6 3 '34-10 7.5yr4/4 none cos osg (~_ mvfr na na 7 1.2 ~~ ~~ a~ " _ clti:~-mod ~ ~ 6~~~ ,~ ~e ''d~~ syr.~ . tmuenr ~~ = csvu 5> su < zz0 mgrs ana l ss >30 < 150 mg/L `Effluent #2 = BODS< 30 mglL and TSS <_3o mg/L SST Name (Please Print) S~nature: CST Number David J. Steel 248956 4ddress Steel Sat Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54 17 9/162002 715-246-5085 Pra~periy Owner Sienna Corporation Parcel ID # Pending Page 2 of 3 Q Bering # Boring ~~ ~ ~ th t De ft o limiting factor 108 i 11 ~i±" P~ II Ground Surface ele~r. • p • n. S~ Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Cor~~tence Boundary Roots GPDffP *Eff#1 *Eff#2 1 0-12 10yr3l3 none s{ 2msbk mfr gw 2f .5 .9 2 12-22 10yr414 none sicl 2msbk mfr gw na .4 .6 ~- 3 22-32 7.5yr4/4 none 1s osg mvfr cs na .7 1.2 4 32-108 7.5yr4/4 _~ none cos osg mvfr na na ~ / .7 1 1.6 ~~ ~'. ~ 1 ~ ~~ /, ~d 0 ,, - W µX L~ ~- ~ 7j~D h ~ "a<° I5 1/N ,S 1(~K Gl/ ~-G° y"~ 1/~'1f~ ~~~ Boring # 'Boring - - ... .. ... _ . * Effluent #1 = BOD 5> 30 < 220 mgJL and TSS >30 < 150 mg/L ' Effluent #2 = BODS <30 mg/t 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 NEl/4,SW1/4,S 20,T29,R19W (715) 246-6200 Town of I-ludscxi, St. Croix Co. (715) 246-5085 'The Glen lot # 10 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 timethe sod test was conducted u ~ bpd, arJ~~- ~+~ ~~. ioo,b~v~ >,~- ~~ ~t ~~'f "~~ ^~ _- r ,- - r -- _... I I -- -- ~ ~. j - - - - - 54 ~~, 55.-n ., . r - ~y ~- I -~ ~ I =~ 53 °'' 56 ,. ._ , .. - _ I - _ - ,- . _. S2 ~ __ -- ""- ;: t ~,,1 ', ~ ~ ~~ ~ 57;~ it _ ~. ` 1 r b , ~' r I 45p7 s.. a L1 . \ . 1 r , ~, , ~ \, ;- .~. ... ...a,~-„__~ -....-~ ~ LLB ' + _ - . ;:. rr ,,CC 1 ~ ~~ -~ _Q i t J. I~ f . 1'i ~`J'.. Y ~r Z\ ' e' L .~. L~~ '~ ... '~1 11 J 1 ' 4. '~ ~ , ~ to _ Fri ,.. ~ ~~ 1 1 t µ' ~ ! l \ ~ Q ~ t ! / y,~ _ 1 ~ .. r ^ .` _ . y .+.__ '` ~~. ~ ~ 9 1!- 1 1 t l \ _ ~ 438 ,. • .. 1 t .. .. - 's- I 5 ~ ,65 . r ~ ~s., _ 7A + __ ., .::. .. " _ ~" _. ~.. tl 1 _. " .. l .. ; - • :. ., ... '~ ~ ~- .\ 'l 1 ~ ~ i, .. 1 .; v... I .+ .: .'. 1.. ~ 1 az ,, ,' L~ _ Y L I _ ~~ \ { r. 1 ~ 1 \ 1, `: r: 1.: r r 1 ! ~ .l.•. 2~ _~ .~ IL 208 ---so 39 .' ~ ~ i ,i+ ' ' _ __ . ,~f _ _ - - - - .., r _ ''~ ._. -_ . ~ q, 1 f / T 7.... a r~ ., \`^ ~f~y 1. ..._ ~ ~~ _ ~~L t+ll ~ '+ ~~; , ' ~ l.. ; +• 1 ~ 1.. s., .L . 293. ~' Ir, ~~_ ,' ~.~ ~. ~ ~ r ,.Lnn~ 1 1 ? ~ L >. r ,. _ ... r' t ' ", • ,r .. 1 ' h .., '.1 ' L t ~1 1 - sZ9t~ 36 i Ji • ' ~ ~ m LL.. •r \ 1~,; ~ i 11 , ; ~ L / it ; r ~ .iJ LL ~ 1 1_ 1 t ,ter i',1 ( ~ M1`~~•'' ~ + 1."~ ~` 1. ` ` ^~~ r l~ 1 +, I ~,~ ~ r ~ L 4 + .~ , ! ~. + + . L~ " ' 1 j iii ~L 14 ~ ~,: '~' ~ ,'', ", _ . " ~, ," ~~ ~ ~.. ; ~~ : ~ ,r,a .. r;; " ' ~ : 41 L r~.~yy~ I , ~ ~ I ~ 1 L e I _ _ i ~ , ~ ~ ~ ~ 1 1 . -. _ , r FROM Schumaker Plumbinq FAX N0. 7153863121 Jul. 18 2003 12:10PM P3 ~3+: o.~.~ r ~u~cu7 r . rJG~ -7L gEFLTC TAISK C.$ AC~R~NT AND OW1~RS~ CSR'I~fCATION riORM OuvtterBuya ,SI~~IA Co,ePo~-n a -~ lksifiag Addrtss V~ ~ ~ ~.. su ~~ X06 ~ ,~ ~tti1 ~3 s Ptope[Ey Address (yetlf~esdon ie+quited from PLsnamg Dopaetmeat for near (~ity/5tato f~V ~b~ !~~ Parcel Icl~lificatioa Numbest n~,~~, 3 - loQ O~U_y LSGAI.~,~1'P ON q ~ 6Q ~'topaty Y.ocation yG. ~ ~,, Sec_ ZO . T Z~ Is ~I I_W. ?ova of ~V~~~ Subclivisioia THE' ~ -L~N Y~c # f © `~ Ccrtitiad Stllrvcy Map # . Vvlame -..page # R~arranty Deed # tD (® -_ D.,~D ~ _ Volume ~_~ . ~t~e * ~ 3 spy ~~ ~ y~ a Let tines idesntifisble ~ yes ^ no ~~~ ~~ b:+px~per use rmd ma£ttiemaaee of yo~llc aopdc eyctem could ~ yr its pesmatuee faiintt to haadle.vastcs. ptoQcrmaiasmaaci ~l~ of pntmpigg oat tbo septse rialc every tl>~e~et yesm ar aonoc~ it aeer]r~ by a lirae_sad putter. W$at Y°u'P~ t~ ~ ~ affixt t1w fuaction of duo ~'PbC tam as s Reelmemt edge m tl~ waste dispoesl aY~- 'I~e p=opa~r erwna agiess to ntbat~ to 5`t (Yoiz 7aei>tg De~Ytptt~t a ~eiGrltien ~ett~, by ~ owaa aad by a ata.~Crpl~~ber, joatoey~tnPlom~er, easd~adPlumbeocaLitam~p~p~~~~~t(ly 1bo e~ste~~ oy~m is le Propel o~as~uyg e~tsdidon aad/or (t) after ~.~erbaa aad pompiag (daecramry), ~ scptil~C sale ii 1e~ t6aa Y!3 ~]1 of =lodge Ilse. ~1e andeCr~,ped have ttld tlse *ba~+c tegvuemend as fob b~+a. as set by ~hc Dopnit>ncat of Go ~d~ ssptic s7~sr~t ~9gb~xa davs.ef tbees Y4ar ~ ds~ ~} ap~e+e to maiataia the ptiVSta sewr~ del sysm°~ a-i{t< ~ s aad the ~]epatemeat of l~s~at 8raousms. Sfstt of R~iteoosm- CetttSwtiou be completed ~d nKa:oad b thn S`~ t~oii C.tRmly T~n~ t~ffire sr}tbia ~o ~~ ~,3 DACE GRTJI~IC;A~iyt~l ~, ere aiv owr~Ks) of ~tify stet all o Lhis iatsa aze floe to the Erse of aiy (out kneaiadge~ 1(ive) ~ ) scn Rbovr a warranty dae:d roro=ded is Aerja't~ of Deeds Ofd. Z. /Z DATE flay iatomyal~oa ~s mis-tep~;tps~ max:eavlt bz the aaaiassy permit b1°+~ Zevelmd by doe Z.ntuag DaP~°t' •• Iaefudt wr~t6 tbfs applioatles: s smmpod waitaatY dead T=vm the Lgittet; of Derma offir~ a r~'Py of die eadfiad cotvey ~P if tcfeceor.~e is made is the watsaat~r ~d TOTAL P, s~2 •Pt7W7'S CIWNER'S MANUAL & MANAGEMENT PLAN Page / of ?~ PILE INFORMATION Owner 5' ~ ~ ~ ~ ~ Permit ~ pEStl3N i*ARAMB?'EFtS Number of Badrocma ~ d NA Number 4f PubUc Faofiity Unite p NA Estimated fbw (average) ,/ d'd elide Design flow speak), (Estimated x 1.5) GCS d aVda Sad Application Rsta acid tftz Standard 1nMuent/Efftuent t]uality Monthly average' Fate, Oii 8; Qrease tFOG) S30 mgfi. Sioohembai Oxygen Demand IBODs) 5220 mg!!- DNA Taut Suspended SoBda tTSS} 6160 mgli. Pretreated Effluent Guallty Monthly average Biochemk:al Oxygen Demand (BOD,i s34 mg/!. Tatal Suspended SoEtis tTSS) S30 mg/L DNA Feoal Caliform {geometric meant 510' cfu/100m1 Maximum C-tHuent taartlote Sirs ys to die. DNA Other: p NA "Vaiuea typioaf for dantestia waatswater end septic tank effluent. SYBTIfN1 8P8CiFICAT10N8 Septic Tank Capacity ,2 ~ al O NA Septic Tank Manufacturer ~ ~ d NA Effluent Filter Manufacturer ~ ~ ~ d NA Effluent Filter Model A'~" d NA Rump Tank Capacity ai Q NA Pump Tank Manufacturor r~+ ~,y. DNA Pump Manufacturer ~. ~,~ / DNA Pump Model ~ ~ NA Pretreatment Unit O Band/Gravel Filter Q Mechanical Aeration O Disinfection O Peat Flter O Wetland O Other: DNA Dispersal GeINs} O in-Ground tgravltyi ~ At-grade d Drip•Line O NA D En-Ground ipressurizedi O Mound O Other; Other; 0 NA r: O NA ate: 0 NA MAINT~i E tiICF1EDIJt~E Savloe Event Service Frequsnoy inspect condition of tankta! At least once every: 3 a tMaxin'atm 3 yserai ear . O NA ~p out contents of tankta} When comblr-ed sludge and scum oquais ane-third !Ya) of tank volume DNA Inspect diaparasl celita! At feast once every: ~ more ~{ei (f4laxhnum 3 yeatel DNA Glean effluent filter At least onos every: l ~~ a) SiQt' le! Q NA inspect pump, pump oantrols & alarm At least once every: .---- m~thts) ('D ai O NA Flush laterals and pressure test At least once every: ~-- O nfon ai ai ^ NA ate' At least once every: -~- p mond~j{al Q NA Other; Q NA MAMITBfiIANCIe INSTRUCTIONS Inspsatione of tanks end dlapersal coils shat! be made by an individual carrying one of the following iioenses or certifications Mester Plumber, Master Plumber itestrieted Sewer, POWTS inspector: POWTS Mamtainar; Septage Servking Operator. Tani inspections moat include a visual inspection of the tank{a) to 'sdentify any missing or broken hardware, identify any cracks or leaks measure the volume of aambined sludge and scum and to check for any bask up ar pondlrtg of effluent on the ground surface The dispersal celita! shall be vlettaUy inspected to check the effluent busts in the observation pipes and to check far any pondinl of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a fallMg condition and requires thi inunediaRe notification of the Iocal regulatory authority. When the combined accumulation of sludge and soum in any tank equals one-third tYs1 or more of the tank volume, the entin contents of the tank shaii be removed by a Septege Servicing Operator and disposed of in sccordsnoe with chapter NR 113 Wisoonein AdminUtnativa Code. All other esrvbea, including but not limited to the aervking of effluent filters, mechanical or pressurized oomponents, pretreatmen units, and any servicing at intsrvaie at S12 menthe, shaii bs performed by a certified POWTS Maintainer. A earvias report ship be provided to the local regulatory iutharlty within 10 days of cornpletbn at any service event. Rage _~ Of ~~ START IJP AND OPERATION For new conatruation, prior to use cf the PbWT5 check traetrnent tanklsl for the presence of painting products ar other chemicals that may impede th8 treatment process andlor damage the dispersal celitsl. If high concenuationa era detected have the contents of the tank(s) removed by s septage servicing operator prior to us®. System start up shall not occur when soil conditions ors frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater wail bet disoharged to the dispersal celllal in one large doso, ovstloading the ceittsl and may result in the backup or surface discharge of offiuent. To avoid this situation have the oontents of the pump tank removed by a Saptage Servioing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to asslsi in manually operating the pump controls to restore normal levels within the pump tank. Igo not drive cr park vehicles over tanks and dispersal calla. Do not drive or park over, or otherwise disturb or compact, the area within 18 foal down slope of any mound ar at-grads soli absorption area. fieductlon or elimination of the following from the wastewater stream may improve the performance and prolong the life of the FOWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; deQreasera; dental ##ass; diapers; disinfectants; fat; foundation drain )sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; cil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ASANDCNMENT When the POWTS fella and/or is permanently taken out of service the following steps sha11 be taken to insure that the system is properly and safely abandoned In compliance with chapter Comm 83.33, Wisconsin Administrative Code: e All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. e The contents of sit tanks and pits shall be removed and properly disposed of by a Septage Servicing ~peratcr. ~ After pumping, ail 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. Ct)NTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or ~ must be taken, to provide a code compliant replan .system: ~, y,, / ~ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soi! absorption ~'`" , system. The repiaoement area ahaukf be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wails. 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 oornplY with the rules in effect at that time. !,~ A suitable rsplaeement area la not available due to setback andlar soil limitations. Barring advances In P4WT8 technology a holding tank may ba installed as a last resort to replace the failed P'0WT3. ~~ o d < <WARNINO s > SEPTIC, PUMP AND OTHER TREATNiE@iT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO N01 ENTER A $EPT1C, PUMP OR OTHER TREATMP.PIT TALK UNDER ANY CIRCUMSTANCES. DEATIi MAY RESULT. RESCUE OF ~ PER8ON FROM THE INTERIOR OF A TANK MAY BB pIPRiCUiT OR IMPOSSIBLE. ADD{TIONAL COMMENTS POWTS MISTAI.LER Name t ~,~1..~ s.~•+ ~~c ~ Phone 7 ~' - - ? ' w .~' ..Z' POWTS MAINTAINER Name Phone SEPTAi3E SERVICING OPRrRATOR {PUMPEAi LOCAL REOtiLATORY AUTHORITY Name Name ~T, Q ~ ~j , /J` '- Phone ~~® / _ '" This document was drafted in compliance with chapter Camm 83.22t21tblt11td1&iti ark 83.54i1i, {2i & l3i, Wisconsin Administrative Code. Mound and at-grade soil absorption systems may be reconstructed in place fallowing removal of the biomat at the infiltrative surface. Recanauuctions of such systems must comply with the raise in effect at that time. ~~ " STATE BAR OF WISCONSIN FORM 1 - 1998 666080 WARR A N T Y DEED KATHLEEN H. WALSH ~7 ~J ( ~ ~ I YDI PA6[ 613 DEEWI STGICROI OC Document Ntrnber . c7 I X O ~ _'---..: _.. _.. _ ,- .. __ RECEIVED FOR RECORD This Deed, made between Bane Corporation, 12-21,2001 3:10 RN a Minnesota corporation _ _ ~ UARRAHTY DEED ._, Grantor, `j EXEMPT A ~~ and Sienna Corporation. a Minnesota corpors+rion __ ~yF~ TRANSFER FEE: 9D63.~0 `- 7.00 ~INB FEE: RA _ -- 4 P ( .- ______, Grantee. ' Grantor, for a valuable consideration, conveys to Grantee the following '; described real estate In St. Croix _ _ County. State of Wisconsin (the 'Property: Hecadh~y Mee See Attached Exhibit A ' ~"B°`td~"`"Add` f ~ni~r~tG ~l ~~ '; 5'1Gu 5 me.+ar~i ~Dr i+~ ~iii-~ bbl full vine -I~nka,_ ~ ~ 553' _. ~ 20-1048-30-000 Perm Identlfication N[xriber IPIM this ie not homestead property. (Is} (Is not) 20-1048-60-000 20-1048-90-000 20-1049-40-000 20-1050-00-000 20-1050-80-000 '~ 20-1052-20-000 20-1052-70-000 ~~ Together with all appurtenant rights, tale and interests. Grantor warcants that the title to the Property is good, Indefeasible In fee simple and tree and clear of encumbrances except See Attached Exhibit B. Dated this 20th day of December 2001 ;i Bane rporation (SEAL) by Jo M. Nassef i Its of Executive Offic (SEAL) Signature(s) AUTHENTICATION ~i~ authenticated this day of ' TITLE: MEMBER STATE BAR OF WISCONSIN (If not. authorized by §706.06, Wis. Stets.) (SEAL) (SEAL) ACKNOWLEDGMENT ' Minnesota State of1+6'tsrvtrsirt- ~ 1 ss. R- ""'~'"` `I Counry~ Personally came before me this = :-lt ~ day of ' December 2001 ,rite above named John M. Nasaeff. Chief Executive Officer of Bane Corporation, a Minnesota corporation _ _ to me known to be jtie per;grf?~ , ~ who executed the foregoing instrument and ac THIS INSTRUMENT WAS DRAFTED BV C Lockridge Grindal Law Firm ~ ,, HARRY E OALl.Ai1FR ~ , Minneapolis, MN 55401 NolarpPublic.StateotWisconsin _ ~ICfy commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not January 31 , 2005 ) `necessary.) • Name of penan sianing in eny capaci[y muu 6e typed a prm[ad 6ebw [trtv signature. STATE BAR Of WISCONSIN Wuwnan Lapel 8ienk Co., e+c. ~' WARRANTY DEED FORM No. I - 1998 MMeuwaa. wn. t i~si~,' y ~i ~~ ~ i ~ i~ i~ ~~ i i i 8 ~~ ~ i ~ , ~ i . .nas ss i ~ ~~ ~ ~ i ~ ~i x' ~~~~ - I t ~i ~ ,i~~ ,~ ~ ~. ~ ~ g ~ ~ ~ i i , ~ , ~ ~ ~ , ~ ~ ?•~`/,, ''/', i `~ ,~ ~~ 10 ~~ ~~ ~ ~ ,~,~ ~ ` \ `` ' ' BLOCK 1 ~ ~ / ,y ~ ~ ~ i ,~, ~'b. ~ ~ ~ i swis ss. a ~ ~ ~ ~i y ~~ ~~ 'tt~' ~ V ~ 9 ~ ~ ~ ~ i W ~ 4s. ~ y~~ ,,~ ; ~~ `C ~ i ~ ~~ ~ I ~ ~~ ~~ `. \ i ~ i 29 1 ~ sos:o ss. 7, ~ . ~ 12 (~.~s~ ~c.) ~~ ,~ ; ~ saw sf. y tZ \ :~ ~ (.set ~c.) I ~~\ ~. 1 ~~ rllJ ~,, ; ~4''Mi i'`~~i ~~~i~ _ - I--~ ,, y I+`~~~ 'Its ~~ ~~ ~ ~~ ~~' y ~~- ~ \ y I .~~ ~ y ~I y y y 30' y y y y y ~ y 13 y iy Ndp is 1 ~' ~ " I BLOCK 4 ~ r ~ ~ ~ C ~---- ------------- ---