HomeMy WebLinkAbout020-1413-80-000r
Wiscons' Department of Commerce PRIVATE SEWAGE SYSTEM
Safety ay. Buildi~g Division
INSPECTION REPORT
(ATTACH TO P.,ERMIT)
GENERAL INFORMATION
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
'ermit Holder's Name: City Village X Township
Sienna Cor Hudson Townshi
;ST BM Elev: Insp. BM Elev: BM DescJiption:
sz S f Y~ -t~tc ~.v 1•+ e..i-~ 1.1 `. \\ w o,.~ f' e, my v
IANK INFUKMAI IVN
TYPE MANUFACTURER CAPACITY
Septic ~ ~ ~ `~ 12 Z~
Dosing
Aeration
Holding
~ -IU
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD
Septic ~..- ~5 ~ 75bi n.-~~ ._ ,~..
Dosing
Aeration
Holding
PUMP/SIPHON INFORMATION
Manufacturer Demand
GPM
Model ber
TDH Lift fiction Loss System Head TDH t
For ain Length Dist. to Well
SOIL ABSORPTION SYSTEM
CLCVHIIVIV LlHIH
county: St. Croix
Sanitary Permit No:
430654 0
State Plan ID No:
Parcel Tax No:
020-1413-80-000
Section/Town/Range/Map No:
20.29.19.2606
STATION BS HI FS ELEV.
B chmark ~ '6~0
Alt. BM S ~ ~ ` 3 •d ~~~
Bldg. Sewer~~d ~.r~,p
to-P`f
SUHt Inlet ~~y S ~ ~ S ~ s,
SUHt Outlet ~ 85 qs. ~~
Dt Inlet
~~
Dt Bottom f
Header/Man. ~ ~ q.~y p
~ I l 0
Dist. Pipe
Bot. System ~
rJ ~f . ~
' . O S ~ 3C~ S
Final Grade S .L ~~, 0
St Cover ,~ ~Gi•~
7.Z'S . rn~ G ~° "C7
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Li uid Depth
DIMENSIONS ~ ~;
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufactur
~
~f
INFORMATION CHAMBER OR ^~' (•'"k
Type Of System:
'^~' ~ ~
~ ~
/`Z `
~~d r
~
(V UNIT
Model Number: 11 t
~ n
~GII VQin 1 ~~ c~,
DISTRIBUTION SYSTEM
Header/Manifold Distributioru---"^ x Hole Size x Hole Spacing + oMj ent o it Inta
t ~
~ Pipe > ----- _-_ ~U~ ~
Length
Dia ~{ Len Dia S ~
SOIL COVER
Y Pracsura Svstamc C1nly
YY Mnund Or At-Grade Systems Only
Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center ' / ~"
`-C Bed/Trench Edges ~ t Topsoil - ,~
,Yes -, No
Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ / ~ `F /~ Inspection #2: 47'\ /
Location: 761 Martin Avenue Hudson, WI 54016 (NE 1/4 SW 1/4 20 T29N R19W) T e Glen Lot 12 ~~1~ Parcel No: 20.29.1~9.260~6
'{ ~ c'-c. ,~ t r L,~Q S6~-~Ch d~ Q • l ...~( ~ ?. S ~ Cwt t^'-t ai/ D~ L.~ .. '4' O G p~
1.) Alt BM Description = c w ~c r ,w... F.-} ~- c IJf
2.) Bldg sewer length = 23 - ,P ~.~*J~~ i` tr
- amount of cover = i ~ d2.. 1~cv-o-oe~~+~~ ~~
w~
Plan revision Re uired? 'Yes No ~ 6y
a ~ ~ /
Jse other side for additional informati ~ I_
Date
~-6710 (R.3/97)
__
~ ~rvr~•; ~tr~~ w1U -1 o p -St„c r;., s~..lal~~ by
t,.~...~c~ , N ~ ~o ~" ~ P a L.GJt_
,.
- - l!/ ~a
Insepctor's Signature Cert. No.
~ r.t. ~.. 4y ~ Ls ~ ~ SC...;tJ ~x-Ora SVGS -
--
ar ,~ `Safety and si3i"r+~ii~ie~--m -~
2t71 W. Washings Ave ~ ~~~)~
` ~ my P-- -_..._-_ _~
# ~' ~~GV
J ~` 1C
. ~
rseonsrn Madison, I 53707 - 7162 Sanitary Permit Number (to be filled in by Co.)
Department of Commerce (fig 26b^3 1 ~ c ~(ps
Sanitary Permit Applieat' ri Sete Plan LD. Number
qT ~~~~nn~~X COUNTY"
In accord with Comm 83.21. Wis. Adm. Code, personal inform 'on yd[[p iJVtttN
~ '~`-~
NING OFFICE
may be used for secondary purposes Privacy Law, s15. L p ject Address (if different than mailing address)
I. Application Information -Please Print Alt Information
~ ~ ~ m~-nN ,q~,~-.
__
~ Property Owner's Na me arcel # Lot # Block #
~
P or
perty Owner'sM~ailing Address -... operry Location
~~~Q ~ ~~i`/v r Su/ ~~-L~'~~'' ~G~_ '~,~L/ !d.Section ~~
Ciry, State Zip Code Phone Number
~
~
``'t'l~j` ~~ _Y~~ .~-1-~,3~'v~e~~~ T ~ '~T; R °I (CEoe
~ II. Type of Building {check all that apply) ~ ~S ~ uµ ~ ' -Z--
1 or 2 Family Dwelling -Number of Bedrooms ~ ~~~^ _ I Subdivision Name CSM Number
S,
^ Public/Commercial -Describe Use _ __~ ~,~ ~~~~
.
T
~
^ State Owned -Describe Use --==f-- _
L~City
^ViDage ~wnship of~~S'D ~
_ _-~
_
III. Type of Permit: (Check only one box on line A. Complete li B i applicable} pZp - ~3 _ , p~ , 2(~p(p
A. -~`-
~i New System ~ ^ Replacement System ^ TreatmentlHolding Tank Replacement Otily ^ Other Modification to Existing System
f---~- ------
-- _
~ B• ^ Permit Renewal ^ Permit Revision ~ ^ Change of ~ LJ Permit Transfer to New List Previous Permit Number artd Date Issued
1I Before Expiration Plumber + Owner
r lv. TT ~ of POWTS system: {Check all that a 1) 1 _ +~ ~ ero ~" -
' N
~,
on -Pressur[zed In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 2Q in. of suitable soil ^ At-Grade Q Single Pass Sand Filter
LJ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ~.~ Recinulating Sand Fiker i
LJ Recirculating Synthetic Media Filter ~L.eaching Chamber ^ L
)rip Lme ^ Gravel-less P"pe ^ Other (explain)
~
V. Dis rsaUTreatmetat Area Information: c2~ CiI1.d~ N~-~J S _ ZK - ~
~
Design Flow (gpd) Design Soil Application Rate(gpdsfl Dispersal Area Required (sfl Dis sal Area Proposed (sf) System Elevation
VI. Tank Info Capacity in Total Number Manufacturer Pretab Site Steel Fiber Plastic
Gallons Gallons of Units I Concrete Constructed
Glass
f
New Existing
Tanks Tanks
Septic or ltoiding 'rank -'T-"~""""" ~
~
/
~
~ G5~ v , I
~
Aerobic Trcatmen[ lint[
hosing Chamber ---
~ ~ ~GV 1 :.~.l:~~Y _
VII. Responsibility Statement- 1, the ttrtderslgned, assume responsibility for ' llatioa of the PCAWTS shown on the attached plans.
' Plumber's Na me (Print) Pl
b
'
Si
u --~ ` -i~
~~
um
er
s
gnanirc
P! PRS !Yumb:r
B [u nec ss Phone Numtrer i
Plumber's Addr
S
-
e ss (
treet, City, State, 7.ip Code)
l d ~~ ~~ .o_~ ~~~~~'~ ~• r S~{D/~
-
--
VIII. Count /De artrrtent Use Onl
----- _
"
(
,~ Approved ^ Disapproved Sanitary Pannit Fee (includes Groundwater Date Issueo~-I suin gent Signature o Stamps)
~
Surcharge 1'ee) I
^ Owtter Given Reason for Denial I
2~ ~ ~ ~6 ~ ~
_
IX. Conditions of Approval/Reasons for Disapproval ~~
SYSTEM OWNER: l
1 Septic tank, effluent filter and 3 ~EivCtf M~-kS ; ~ IDC-~
dispersal cell must all be serviced /maintained ~~
as per management plan provided by plumber. - b ~.-~ .e, „ , ; ~„ S 4~Il.Q.t~ , ~ _
2. All setback requirements must be maintained " -~ -1-~'-_'---'~
as per applicable code/ordinances.
SBD~63'98 (R. 01l03~
Attach conipiete plans;to
for the system on paper not less than 8112 x 11 inches in size
S~a~.~-l "= yD~
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Wisconsin Department ofCommere:e SOIL EVALUATION REPORT
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code
County
Attach complete sAe plan on paper not less than 8%: x 11 inches in size. flan must
include, bul not limited to: vertical and horizontal reference point (BM), d"mection and
percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D.
Please print all infonnaSon
1165
page 1 of 3
Steel Soil Service
St. Croot
" ~,,,.. R By Date
Personal information you prove may be used for secAndary ~ -~ 15.Q4 ( (m}}. ~ /
~,~ m,~ , ,f~ a 2 3 0"
Property Owner Pr Location
Sienna Corporation ~°ut. L NE 1/4 SW 1/4 S 20 T 29 N R 19 W
Property Owner's Mailing Address ~ ~ t~ ~~, ~ ~~ Loot # Block # Subd. Name or CSM#
4940 Viking Dr, Suite 608 _ 12 na The Glen
City Stale Zip Code Phon@~t~tiD~l+~ ~~~~; ~ ~ ~ C Village ~~ Town Nearest Road
~`~~`~~ MN 55435 SR-8 ~ Hudson Carmichael Rd.
I
~ l ~,,"
h~ i(
~~
~Z,g~
a~
~,`1I1
1~ New Construction Use: i/' Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement ,Public or commercial -Describe:
Parent material Pitted outwash Flood plain elevation, if applicable na
General comments '
and recommendations: System elevation 9229ft, trenches spaced and depth to code 5.91ft bebw grade
v-~ 1' 'Q ~ ,~ 1 GL!i~2 - s S-~Fir~ ~ 5 ~ 1 Z cGfa~r~- 6err
1 Boring # Boring
+r Ptt Ground Surface elev
120 in
98
20 ft
itin
f
t
D
th t
li ~ A
R
t
.
.
.
.
g
ac
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ep
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Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bourxlary Roots GPDNt2
*Eff#1 "`Eff#2
1 0-12 10yt3/3 none sil 2msbk mfr gw 1f .5 .8
2 12-24 10yr4/4 none sicl 2msbk mfr cs 1vF .4 .6
3 24-44 10yr4/4 c2d 7.5yr5/6 sicl 2msbk mfr di na .4 .6
4 44-131 7.5yr4/6 none cos osg ml na na ~ 1.6
~ W ~'~-~ - ~' `~ ~ ~O /~ ~t/ D +,c-rol ~ D~ C',!~(fiy~.a ~h~Si~ ~02c~1i-/ !ter- e s
.'"~O
Horizion # 3 has noncontiguous mottling
~~ # Boring
>Y Pit
Horizon Depth Dominant Col
1 0-10 10yr3/3
2 10-26 10yr4/4
1 3 6-131 7.5yr4/4
3~
~~2 ~ ~ //~~p ~~
~ q~~o
Ground Surface elev. 98.20 ft. Depth to limiting factor
Redox Description Texture Structure Consistence
none sil 2msbk mfr
none scl 2msbk mfr
none cos osg mvfr
131 in. ~ App(icatpn Rate
Boundary Roots GPDHt2
*EtT#1 ~ *Eff#2
gw 1 f .5 .8
cs na .4 .6
na na ~
/ .7 J 1.6
* Effluent #1 = BOD ~> 30 < 220 mo/L and TSS >30 < 150 ma/L * FffluPnt #2 = t3on < sn mn/1 anri TSS < 3n mn/I
- _ 5--- -•T------- _---~-
CST Name (Please Print) Signature- CST Number
David J. Steel 248956
Address Steel Soil Service Date Evaluatice Conducted Telephone Number
1564 CR GG, New Richmond, WI 54017 9/16/2002 715-246-5085
~ls
r
~
,
Pr 'owner Sienna Corporation pending
operty Parcel ID #
Page 2 of 3
~ $ ~ Boring # ;Boring
--
Depth to limi
~ fl
93
ting factor
107 i
11 Y Pif Grand Surface elea-
11 -
• n. Soi Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfftz
*Eff#1 *Eff#2
1 0-17 10yr3/2 none sil 2msbk mfr gw 1f .5 .8
2 17-42 10yr4/4 none sicl 2msbk mfr gw nq .4 .ti
3 42'59 _ 7.5yr4f4 c2d 7.5yr5/6 sl 2msbk mfr di na .5 .9
4 59-107 7-5yr4/6 none ms osg ml na na .7 1.2
~'lL `~ ~ ~ ~~, ~ sys-~ sr~.ed ~ b~'~ rz~
i"7 l Horizion # 3 has noncontiguous mottling
c {~.P_~- ~ -~~ Se~.~s A^~/ y+~-pve~,C1,6-i.~,
Boring # 'Boring _ _
* Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD$ <30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer.. If you need assistance to access services or
STEEL'S SOIL SERVICE
David J. Steel 1564 Cty Rd GG
Boring # - -. Borrng
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FRES~t AIA INTAKE
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ATER TiGii2' SEALS
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3" APFRa~'ED SEEDING UNDER TANK
PECIF'rCAT;C~'~S
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'T.~N3: Ss ZES: SEPTIC ~~d GAL<
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4I~AR.~ MANUFACTURER:
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MODEL NUMBER : .._
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aWITCFi TYPE : ~_
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'~M~' MANiJF'AC'PUR£R
MODEL Nt1M8ER ;
swtTCH TYPE.
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~~,i?~~ER DOSES PER DAY : .......1.~.,..
FLOwBACK: `~~ G.~;, .
CAPA~ Z':'I E5: A s I tiG~?ES ^ ~~A 1..
C ~ ,~.~..,, INCHES = iG A :, .
FUMP $ AI.,ARy k'iRa NG AS =F,R I LF3k 26.
£~RT+CAI. DIFFERENCE BE~'~:Ef„~.p-~.M'p 23' ~''~C
MINIMUM NET'WQRK SttPFLY P1~ES9UREGt~ ~~~G °'TSTF,TBUiTON ~+iPE j'~"~ ~£ET
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Saotb Teak Capacity /Z ~
Septlo Tank Manufeoturer
ieffluent ftltar Manufacture
EtNwnt Ftlter Model
Pump 'flank Capaolty _~--L~.
Pump Tank Manufsaturer ,
Pump MenufacturN G...4 /
Pump Model ~ d
Pretreatment lMit
Pale ~w Cf _._..
oal D N
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~ fiend/aravai Biter L7 Pear Fliter
0 Meohanicai Aeration D wetland
o DisMfectien a Other:
Dispersal Califs) A
d In•fsrour+d {gravity} O In-Ground {pressuriz6di
~ At•f3rade O Mound
Q a!~p•~ O Other;
- DNA
C7 NA
~": l7 NA
MAIN ~CFrDU1.ICe -
iervioe Evert - servi0e ~equan~
tnspKt condition of tankla) At least once every: ~ e tl~Na~dmunt ~ yeas) ^ NA
Pump out oaltents of tankis) Whoa combined ekutge and scum equals one-tfsird fIf) of tank volume a NA
inspect dispersal csiHsi At least once wary: 3 '~ ~fsj {Maidnlunt 3 yeah) O NA
Clesn s}fluent ffiker At least once every: ~ frlOn e1 Q NA
inspeot pump, pump controls rk aisrrn
At least once every; • as
fe)
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!"lush learab and pressure reef At !east once every: ®
r-- a) O NA '
0:her:
G sl ,
At Isaat once every: ,.,_ C ~It
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ther: •
a NA
TMr~11T1ipIlANCE INaTRUCTlpiYS
inspeotbna of tanks and dispereai cells shall be made by an individusi carryinE one of the fogowing )iCenaes or certificatlona;
M~rRK ~nber'; Master Flurriber Restricted Sewer; POW't'S Inspector; PONRS Maintainer;
inspectlone must include a visual in ~ y ~ 8epteae fiervicinQ Operator. Tank
spaction of the tsnkfs) to identi an rr+laa' or broken hardware, identify any cracks or leaks,
measure ~e volume of oombined sludge and scum and to check for sny tssck uR or
''he dispe-saa oetlisi !hail be visually inspected to check the effluent levels M the abserv of etftuent on the ground surface.
of effluen# on the around surface. The pondktg of effluent an the ground surface may indicate a faigng cored ~n and aQupireadthe
immediate notification of the iocsl regulatory authority.
When the combined sotwrrwlstion of sludge end scorn in an tank
cantenq of the tank shah be rem y aqusla one•thi-d f)~) or more of the tsnk volume, the entire
Wiaoonain Administrative Code, Quad by a Septage Servicing ppsrator and disposed of in accordsnae with chapter NR 113,
All other services. inoludina but not iim;fed to the servicing of effluent filters, meChanicei or
units, and any aervicirp at i~ttervsh Af g12 months, shall be performed by a aeriitied POWT Mairttainer~~~nenu, preereatmen:
A service report shalt be provided tra tRe local regulatory authority within 14 days of CompkttioR of any service event.
Pc~WTS OWNER'S MANUAL & MAANAQEMENT PLAN
"Valuer tyvioal fa donwstic wwtewate- and uptiC tank sttiusnt.
srART wP Atvo oPI~RArfoN Pe~a._ of _
For new construotlon, prier to use of the POWTS chsok trsatme~t tank(s) for the resence nt air, in ~ `
that may impede the treatmMnt process andlar damage the~diapereal ce!{{s1, if high concentratiaha are detected t-a~e the contends
of the tanklal removed by a asptaga aervioinp operator prior to use,
System start up chap not occur when sail Conditions are frozen at the infiltrative surface.
During power outages pump tanks may till above normal hlghwater levels. When paver is resiarstl the excess wastewater vV;ii be
discharged to the dispersal tsN(si its one large dose, overloading the calllsl and may resuR in the backup ac surface discharge of
effluent. 7v avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior tp restating
power #a the effluent pump or contact a Plumber ar POW~'S Maintainer to assist in manually operating the pump controls to
restore normal levels within the pump tank.
tea not drive or park vehicles aver tanks and disperse! cells. Do riot drive or park over, or otherwise disturb ar compact, the area
within 16 feet down slaps of any mound n! at-grade soil absorption area.
Reduotion or elimination of the following from the wastewater stream may improve that performance and pro{ong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degrsessrs; dental floss; diapers; disinfectants; fat:
foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease: herbicides; meat scraps; medications; ail;
pelntir-g products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMtI:NT
When the PQWTS fails and/or is permanently taken out of service the following steps shaft be taken to insure that the system is
properly and safely abandoned in cvmptiance with chapter Comm 63.33, Wisconsin Admirtistrativs Coda:
e AN piping to conks and pits shalt be disconnected and the abandoned pipe openings sealed.
• The cantenta of all tanks and pits shat! be removed and property disposed of by a Septage Servicing Operator,
• Attar pumping, al! tanks and pits shah be excavated and removed or their covers removed and the void sssace fi'icci wit'?
toil, gravel or another inert solid metertal.
CONTINOFJMGY PLAN
It the POWTS fain and cannot be repaired the following measuraa have been, or must be taken, to provide a code compliant
replaosntiont aystam:
'~ A suitable replacarnent etas has bean evaluated and may be utifzed for the looatioa of a replscemem sori ebacrption
system. There facement er houtd be ratected from disturbance and c m act' and should not be infrin on y
required sett~ac a frpm existing and proposed structure, lot lines and walls. Failure to protect t a replacement area wit:
result to the Head for a new soft end sits evelustlon tv establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
~~A
L7 Q suitable replacement area it not avallabie due to setback andlor soil limitations
technology a ho{ding tank may bs installed as a last resort to replace the failed POWTS.
Barring advances in POWTS
® Mound and at-grade sail absorption systems may be reconstructed in place following romovel of tfie biomat at the
infiltrative surface. Recanmuctions of such aystams must comply with the rules in effect at that time.
< <WARNiNO> >
8EPT'IC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL OASSES ANQlaR lN8UFFIClENT OXY4EN. DO NQT
!`LATER A BEPT`fC, PUMP OR OTNEA TREATMENT TANK UNOER ANY CIRCUMBTANCt:S. OEATFi MAY RESULT. RESCUE OF A
PERSt1N FROM THE INTERIOR Ofi A TANi( MAY l3E DIFFICULT OR iMP088laLE.
ApDIT'K3NAL COMMENTS
POWTS Itrt8TAt.LEq
Name li.~s~~lr~Gt "~, ~ ~k
Phone 7 / „ ~' - J' .~ ~-..,._
POWTS MAINYAIiNER
Name
~Phone
SEPTAdE 8~RVICINQ OPERATOR IPUMPER LOCAL REGULATORY AUTHORITY
Name Name
Phone pis
~~s. 356. y-~~so
This document was draped in ecn-piianee with chapter Comm 83.17121ibltllydidlfl and 83.54ft 3. (21 b 131, Wisconsin Administrative Code,
ST CROIX CO ~ pOR'RAMENT
... .~ gpp'ITC TATS
AND.
OWNERSHIP CSK'ITF[G,~,TIQ~I FORM
ownerBuycr ,Sr~J,~JA Co ~Pe~-n o
MRilin~ Address
Propotty Address
~ 2;
Su i
'7~ l a
fro Plaaaia Dapartimeat foc nea
~},g~aoeta maintain the privtLe sew*8e diiP°f~ ~m ~~ ~Cettifiatioa
and the Department of Natural Bcaou~ccs- State of Wisco~osOP6cc ~~ 30
b+c complctcd sad retmnad to the St_ (~oix tLatmty Zoning
~f3S
(Vctificadoatequued m 8
(/DSon.l lv~ Parcel Identification Number 020 - 1`13 -~ - t~ ~• ~°6~
t'~ty/State ~
L1icai,~E,s~'~
N~tC.1.t- o of {'lV ps a
Proaerty Location '/., ~ %, Sec. 20 . T Z~ W~ T evfl
Subdivision . ~~E L1--L
p/ihis form art true to t]u: tscst of ray (our) iaaoakdgo.
a aarraaty decd tocordcd in RABlstu of Docds OfSce.
'~ Volume _ ---~ Pagt% #
Ccrtificd Survry Map #
Warranty Decd # __~ ~ ~~0 .Volume LL ~ ~ ~ Page # i 3
cs Q no Lot lints idctrti.5able ~ yes ^ no
Spec house ~ y
~X~TE~ MAIIVTENAI`lCE ~,tU,ie: failure to han,dle.nsta• p~crmaiateaaace
ImPeopec use and mainicnaau%of your septic eysteai could res,~lc us its P a liconscd Pumper. Wlsat you vut into the ry~
ovoslsto of pumping out the optic tstck every thtec yearn or aoooa. if ncedod by
an aSeet the func.-tioa of ~ eeptic task as a treattnoat stage is the ,vasto dirpaal aye.
The ptvpetry ovvfla agnucs to robmit to St CYoix Z-aa>% Departmet-t a eecti5cation form. tap,~ed by tlu o~ ~ by a
lumber rca~ictodplumba or a licAnsed p~an?or ~~ tbat (1) the en~ite wt4stowata disposal ryt~m
masbcrphtmbtr~ joumeycnanp ~ it-0ececsary), tLe septic tick it less than 1!3 full of sludge.
it is proper opa-ating coadidon aad/v[ (2) ^ltcr~nspxiioa attd p~p~ (~
atsnds~dc
1/v~. tbo undotsiy~ed [save rtxd the =bvvrc tcquiteano~lS
cet fottl~ bcniII. u cct by the Dcpsctmsnt of Coomsc
s~t~ tbs septic syse,cmbeen taai:tta~i~ru
el.ve_nf throe >f~a< txp~ dice.
chat all
way informati.N
Lot # ~..._.
DA
I (vro) ssID. (ere) the oyvner(c) of
~~
-ceptesented asxy ressvtt In the uai~Y pettait bong revokad by -tbeZaaing pn'P~°L' ••~•••
•• Ipetude mit6 thls applieatlon: s clamped wartaDry deed tivm tbt i~eS~rtet of ~~ o~x
a copy of tbo cccdfiod ctuvey map if t~cfcsoacx it snide iA the waazsary decd
TOTAL P.02
JGf-CrJ-LtJC,L NJ•GCJ _..,uvr-r ~.uru
l
STATE; 8AR OF WISCONSIN FORM 1 - 1996
WARRANTY DEED
+IJO~aartrnt WaNxv ~~1, ~ 797~~~~ 613
This Deed, madebetwecn Bane Corporation, _ __
a Minnesota corporation
......._ ,..,._._ -._.._ ---~ Grantor,
and _Sienna Corporation, a MiAng9QCJ~ corporation ___.., _,._,
~_... ... _ . _ _ ._.. ...... , Grantee.
Granror. for a valuable ronsldarulon. conveys ro Grantee the fo0owing
described real crtatr fn St YCYOix Cnunty Srate of Wisconsin
(the 'Property`):
See Attached Exhibit A
Together with all ap}wr[enant rights, Utle antl !n[eresrs.
_.,.~ ~._... ....... . -- t 1
666dSt>,
KATHLEEN H. WLILSH
REGIBTEk DF DEEDS
3T. CROIX CD., WI
RECEIUEO FDR RECORD
12-21-2001 3:10 PM
YARRiWTY DEID
C~T COFY FEE:
COPY FEE:
TRANSFER FEE: 9163.0
fA~S.ING FEE: `7.00
20-104$-30-000
Rrcnroiig Ar(~rr
Name atttl Raven Atldress ..-_ _... .. .._.... _~.~_.._
Uni~r~.l i~}i~
57Q~ 5 meil~i ~ ~ ~-
~il.i~. SDI
_ i~litilne -b~nka~u553'~3
oil
Parcel IOOrYiaC8liort NurtlDar tF4J)
Tr,u is not hotnesteW property
(fs) (1, nol)
20-1048-60-000
20-1048-90-000
20-1049-90-000
20-1050-00-000
20-1050-80-000
20-1052-20-000
20-1052-70-000
Grantor warran~c that the aria to [he Property is good. Indefeasible in fee simple and free and clear of a,cu,nbranccs except
See Attached Lxhibit B.
Dated [hf. 20th _ _ day ~ December _ 2001
Bane rppr¢tlori (SEAL) ,,,,_. „ (SEA),)
by
Jo M. Nassef ~~ ~"'~~
Its ief Executiv¢ Offi (SEAL) _......,_ „_„ (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) ..
autltertticatcd thk day of
TITLE: MEMBER STAi'E BAR OF WISCONSIN
fir mt,
authorized by §706.06. Wis. Sta[s.)
TH,S INSTpUMENT WAS GRAFTED BY
Lockridge Grindal Law i'irm
Inn Wa ~ 1, ,., '.___sr=~_ .Av_cuu.e-Sou t h-
Minneapolis, MN 55401
Minnesota
State aC'W!>iCCTtstR-
ss.
7
>;~ "'^``'` `1 Count .
Personally cater brftrr. me this may. day of
December - _ _ 2001 ,the abovr r,n„ed
John K. Nasaeff, Chief Executiv_~.0£ficer
_of Bane Corporation, a Minnesota
corporation ~~
_ - 1 .. _.._. ..... __ to
me lurnvn to be pars wlr, eaaY.uied the toreguL,g
irulrtttnent and _~ same.
. ~ -' HARNY E. PaALWtER
-`mil waoarmwtraratu ~u
' -~--------------- -- ser
syfPublk, State of Wlsconstn
tommisclnn Ls penH[utenl. (If not, srare Axpiratitm data'
(Slglwtw•es nwy br authrytfleated w ackrtowledQed. Both am rwt January 31 , 2005 .)
neaasary) "'
,,._ .
_ . _.
.nee W pe-ass ntmryt ~ any Cspoery rural Or rypnu a rN4arJ IreM,w thnr SlrtrW~irr.
WARRANTY DEED STATE, lAR OF WISCONSIN Wtsconwt Laptd W>r Co.. tnc.
VORM N.. 1 - ISga r.tswsuwa. wr..
5EP-~-~bb~ by~~1 5ltlVtvM l,uKr
Y~'~ v ~ 6.14 File 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. 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 b~arinq along the East-West Quarter
line, a distance of 1319.52 feet to Che 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 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 a tangential curve, Concave to the northwest, having a
central angle of 09 degrees 59 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 14 degrees 30 minutes 21
seconds and a radius of 2759.75 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 line of said Certified
survey Map in volume 12, Paqe 3302; thence Easc, along said south line, a
distance of 593.00 feet Co the east line of the Southwest QuaztQr of the
Northeast 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 191.71 feet to the north line of Certified Survey
Map in Volume 15, Page 4172; thence South B9 degrees 37 minutes 27 seconds
west, along the north lines of Certified Survey Map in Volume 15, Page
4172, and Certified Survey Map in Volume 15, Page 4173, a distance of 1113.42
feet to the west sine of Certified survey Map in volume 15, Page 4173; thence
South 32 degrees 43 minutes 57 seconds Ease, 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 feet; thence South 08 degrees 41
minutes 12 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 11, Page 3128 and of Certified Survey Map in volume 12, Paye 3292, a
distance of 682.86 feet to the northwest corner of Certified Survey Map in
vo~.17.97Par,E 6~ 5
Volume 12, Paqe 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 thQ Qasterly extension of the north line
of parcel recorded in Volume 1390, Paqe 163; then South 89 degrees 30 minutes
27 seconds west, along thct easterly extension and thQ 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 degrQas 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 line of Certified
Survey Map in Volume 5, Paqe 1317; thence South 00 degzcses 27 minutes 53
seconds East, along eaid west line, a distance of 193.97 feet; thence South 89
degrees 16 minutes 33 seconds West, a distanca 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.
--~,
Exriibit B
to
Warranty Deed dated December 20, 2001
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