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020-1415-80-000
o y~ o ~F 3vc~ d Cy ~* c :: ~ I c .. > o > ~ ~ ,A.r y ~ ~ ~ ~.Yi K ~~y .e w ~ 0 'p ~ Z d N 0 O A fn Cn 'S ~ j Z N O~ N C O N ~ ~• W 7 ?~ ~ ~ N `~ ~' IV Q 0 ~~`111 p O N C N N C? ~ O N (WD ~ 7 ~ j O A 7 7 O N d> O ' > 7 N ~ I O IV ~ ~ l \ 1 ~ ~ i ~ ' ~ N O O ? ~ O~ ~ W O O S ~ ~ (r W ~ N ~ ~ +. (~ oNMi ~ ~ I ~ ~ c C o D y a~ I p ~ Q D vDi p e s ~? c a c a W II ~ Q ~ (W n „~ 0 ' W N I ~ O N N= O N ~.~ ~ C ` ~ C v O y O O N d p 0 fD N N 0 0~ H A 7 N A A C O C 3 :"! Q • < ~ ~ lll~~~lll .. ~ W ~ O ~ ~ SS Sc~ S4 " " "' O O ~ ~ n O) ~ ~ y ~ w ( ) ~c i i 1 v~U~~n°'I ~ ~ 3 NNy Nm ~ v ~vv I 3 c' wvv ~ m ~ eo I : .. ~ ° m ~ ~ A .. ~ I . 3 .. I n ~ .. ~ " ~ z 3 .. 0 O o~ v ~ O c v v ~ I y ~ ~ ~ ~ ~ N ~ fD fG (~ ~ I ~ ~ N /1 ( ~ ~ C d N ~ ~p I C ~, N. A d Q a w m ~ ~ I n 3 ~ ~ ~ z m m~ ~ ~-~cn c _; ~ c ~ 70 s*. n I ~ ~ a a ~ ~ I ~ ~~ W ~ I ~ ~ Z -I N m ~ 0 I a a z ~ ~ A ~ y ~ G Z m I ~ ~ ~ p {i A ~ N p~mc a a I ~°~m~ a ° o >> a m m~ o ~ I O~~'~ a m m ° O ~ mc~ua ~ c I o oc ; ~ c ~ a~ ~ , o ~ no ~ > > <, o a I ~~ ~~ ° a N ~ y' N f ~o ~ N ~ ~ N rn m ~ oo ? I a v 3 -„ arc I c v '~ c m i ~a OcQ~ A r.. ~ ~,rc~o'a ~ v m I `~ o b n o m S ~' o o'er ~ ov i ~m~~ o ~ o ~ I ~ ~ m ~ m c ~ a g a~~ ~' v a I voN ~, ~• ~ ° ~ i c ~ ~ I o ~ a o I o :'° N I m' a0 o~ o I f , . H ~ ~ o `Wisconsin Department of Co~ m~ mew PRIVATE SEWAGE SYSTEM Safety and Building Division ~~.~ /~Qj INSPECTION REPORT GEC ~~•RLMhATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Ta lor, Lisa Hudson Townshi CST BM Elev: Insp. BM Elev: BM Des 'ption: ~ oa a , a a , ~ ' ~ ~.so ~ TANK INFORMATION TANK TO P/ W E~ ~ BL~G. Vent to Air Intake ROAD Septic ~ f Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer GPM Model Number TDH Lift Friction Loss ystem Head Ft Forcemain Le Dia. Dist. to Well SOIL ABSORPTION SYSTEM 77 -r=l"ji ~ G ~.~.,~ ~< ELEVATION DATA County: $t. CirOIX Sanitary Permit No: 463239 0 State Plan ID No: Parcel Tax No: 020-1415-80-000 Sectionlrown/Range/Map No: 20.29.19.2626 STATION BS HI FS ELEV. Benchmark ~..s mz ~ d D~ d Alt ~ a Bldg. Sewer r..~~ o r Civ . ~ ~'. S SUHt Inlet 6 SUHt Outlet /~ to•~ ('"t~0•~~ Dt Inlet ~_ Dt Bottom ~~ Header/Ma c6 ~~ Dist. ipe ~ !(~ V . t7 93 Bot m AN 10, Q 2.. S Fina e X0.3' MI6. Z st Cover ~ ~~ ~ ~ '3• ~ g~ ~- °~ ~ ~"~ U-`'t BED/TRENCH DIMENSIONS Width ~ Length ~~ r No. Of Trenches ~ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth ~ Q ~ SETBACK SYSTEM TO P/L BLDG WELL LAK THE LEACHING Manufact INFORMATION CHAMBER OR T e S tem: yp ~ ~ t ~ O ~ ~ y~ r Model Number: BUTTON SYSTEM -~(~rt~~~ ~ g„! - ~G-l~e.s~„~.~ Head anifold ~ Length ~ Dia Distribution Pipe(s) p r Length Dia Spacing ~ x Hole Size ~-. x Hole Spacing '~! Vent to Air Intake f ~ I SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes ~,~ No :~~* Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~Z / / ~ / U~ Inspection #2: / / Location: 433 Swift Circle Hudson, WI 54016 (NE 1/4 SW 1/4 20 T29N R19W) The Glen Lot 32~.'~,,,J~~ Parcel No: 20.29.19.2626 1 J Alt BM Description = y'P t~V~~ " ~ """ s ~^'~ds ~'(' Sy~''~r`` a-~C~~ 2.) Bldg sewer length =-- ~~ ~ ~~ .~j ~ ~~~',~~(~ ~._ ~J~~~~,_f., ,__ ~ /~ -amount of cover = ~( ~ // _~. ~Q/ Z f ~'~' ~ G~~' `~~' `".' S(~/ dZ ~ ~cTo~'rl. Plan revision Required? ~ Yes ["'~No ~~ )~ I~/ n I ~ ~ / Use other side for additional information. ~_`~ L_ _- _. -__ ~ _ (per SBD-6710 (R.3/97) Date ~ /~~9~~ctor's S` grye uie '~~ ~_: Cert. No. TANK SETBACK INFORMATION ~~~ 'eve- Go y~ .~ a 7 s~ 7~ -e-- // ~~c/ ~/t~-~So.~ ~., ~....... ~, . ~ ~~ `~\.' ~ ~_. /~ ~'~~. ~ ~. ~-~~- ~ .~ _`~~ ~a~ D~'n y S'~ ' l/ /ed~ )U~ ~~ 2U err -W ~~ CB'vn sr* ~SU) 6• ~o ~~ /~~ ~r~ 1~,. U~f V y'^ .. ~~ ~%l.A~''~~ ~~5~ .~~ l b~.G- ---~._ %~1~~ D~ `~~~ ``x'~r V` C~6/ i r~2 U ~ ;, ,~~ .~ `off ' ~/ /' ;.. ~~ g, , ., ~. ~ ~ \ E:. \ o ~~.~' ~ h~ \\ s~9 - 1~-------------- \ SSA ~~. \ "~~ 44 ~ ~ I~ \ ~ 7~4 ~ :f1 I \ ~ ~~_~. ~ 1 T4~ \ ------------ ~ ------ -- ~ 3~ / ~ ~\ ~ 45931 S.F. / / ~ ~ ,, / \ (1.054 AC.) /~o-~ / _ `1 I ;, / /rye. / `~~ se< ® 1 Ir ~ /~ / ~~i / / ' N0 DWELLING / /~~~ ~ FLOOR ELEVATIONS /a / ! /~~, ~. I BELOW 854.0 //h"~ / "" %~ l l SBC I ~ ~ / / i / / UTILITY EASEMEN / ' . ~ ~ _;~ ~ ~, / // ~ / ~.v1 / 1 / / ~ r~ 1 / 45915 S.F. ` ~~ TOP STEEL PIPE __-' ~ ~ 54936 S. F. ELEVATION 850.66 ~, / (1.261 AC.) '~ '; ~. 0 GWEWNG ~ / ~. ~ F OCR ELEVATIONS ,~/ / l g OW 854.0 w/ ~' ~ ~ 3/ / I ~ .o / ~ _ ys: i, ~ ~ ~„/ ~ o ~ ~ ,~~_.. ~ _. I ~ Q .y ENT I ~', / / N ~] ~^ ~ , Imo: `°w 1 / I ;' r a ' I ~. / / ~ LJ. I ~ ~ 1.1i f i c i ~~ i / ~~~ ~ / ; ~ ~;' ~ , ~ / `~ RFC NCHA~~ / ~ TOP STEEL PIPE ___, ~ 168.08 i ELEVATION 873.19 ~~~~ ~ .r• ': ,I 15.. ~ -- -- - --- _... ~ ~ Safety and Buildings Division 2111 ~a~shittgwn Avr. .U, Hox ?162 D Couary ~ -~ - --. 5~- CIUJ 1 Sanitary Permit !Number (ro be F licd ,n by Co.j epartment of Cgmmerce ~~ 8)~6 S1 R g j oZ ~ I Sanitary Permit Applica: ' Q~n ~~° ~~m~rr --`- { n/ !n accord with Cotam 83.21, Wis. Adm. Code, persotutl informal you pt'tf' ~ ~ 1 may be used for secondary purposes Privacy Law, s15. 1}(m} ST 2~~ ~ I Pn j t Address (if differ nt than [nailing address)~~ I. Application Infortnatioa - Ples~c Print All Information ~N oF~~~_}-4 !~ ~ '~ ~ ~ ~- IA~~L ~ _ _ __ i~ Property Owner's Na the steel ~Y Lot N Bto~:k p /p~~ / / /j / ^ ~f / T" "'" ' ""` ~ H S /--1' lam/ /`' ~~- I Property what's M silt/ng dress ~ ~~ y ~ ..Kr~ ~ilr ~./i'' ' ~~' l 0 Y ~ _~~'~ . p petty [,ovation Ciry, State ~ Z~C d ~)~ '~`'~$,5ection ~(~ ' 2r'o~4 ~~ ~ o e Photle Ntunber r [~(Ur4. r,~ •"' r ~i~T 4 --7 i ~J a~~~!,~$^ ~? ~ep~ i II. Type of Building (check all that apply) __.__ _ ~ • -- 1 (circle n ,l ff T ~~ N; R 1 ~ E o~ I V `~ ~-L~ ,- ~x { ~ 1 or 2 Family Dwelling - tiumber of Bedrooms ~ ~~Q~1/Yl'l/~f I _ ... ~ Subdivision Namr CSM Number ~ I ^ PtibiiclCotnmercial -Describe Use __ _ ^ Start Owned -Describe Use _~~ ST. C~LI ~Z 2 ~ ~3 _,_~ ,~ ! ~~~ ~~~ {?City ^Vtllage fi~Towrtship of ,~~..;,!/ ^ III. Type of Permit: (Check only one box on line A. Complete line B if applicable} A' ~ New System a Replacement S stem ~_' T /H ldi T ~ y rratmenr o ng ank Replawerntnt Only ~_ Other Modification to Fxisiing System ~,- 1 _ _ a B. ^ Permit Renewal j~'Permit Revision ~ ~? Chant of~ Permit Transfer to New list Previous Pennit dumber and Date ]sued '~ Btfore Expiration ; ?lumber U r ~~-~ o ~~ 3/2 ~ U '; 7 IV._ Type of POW TS Svsteat: (Check all that apply) -~~~ ____ _ _ I~ ~tvon -Pressurize(i In-GTOUfId ^ Mound > 24 in, of suitable soil ~; Mound < 2d m. of suitable soil ~J At-Grade ^ Single Pass Sand Filter ~ v„~ ....«~ ..ouunu ~; rrrssurizra tn-tirountl U Holding Tank Rccirc,utating Synthetic Media Filter Leaching Chamber, _ L~ DI Area Inforrfiatlon: ~vt LJ Peat Filter L~ Aerobic Treatment Unit ~_t Reeireulauny Satxi Filter line ^ Grayv-ei-t •v Pipe ~ rr ur} _ ; t; (gpd) Design Soil Application Ra sf} SaisperYal Arra Rryutrtd (s~ I Dispersal A Yr pas (Sf) System F;Itvatwn I ,~ ,,, ,, , ~ VI Tank Info Ca acit i T l ~ . p y n ota Numi>zr Manufacturer Gallot~ Galiats of iJnits i Prrfatr Sipe Stee! Fiber Plastic Concrete Constructed I Glass f6~,c~•F New Exutinx ;, Tonics I Tanks r S~ 'eptic or NoldtnP Tank ~~ ~.j . J L ~ ~ . -__-_-_-------- __._ _. ~ J`- _ _ "" _ Aerobic Treatnleal Unit ..~'7J" i (~F^L/~f..CJ./1 j Dosing Chamber ~ t_. f - ~~.-'~` M __..1 ~_.___- , _ ~ _ VII. Responsibility Statement- I, the undersigned, assume responsibility for ' Nation pf the PQWTS shown on the attached plaits. _ ' _ Plun;bEr s Na me (Print) Plumber's Si $nature PRS Number -- r __ ~-~~~ $uair-css Pitane ~"umber ~----^~~ Plumber's Addre ss /Street- Cirv_ .cr~r» ~.;., r,~w.~ ~ ~~- -'~"~" - -- -~ ~ Approved ^ Disapproved anitary Permit Fat (includes Groundwater Date sued suing A tit S' [taro ~ Stamps) Surcharge Fee} ,y ~'o ~~ Owner Given Reason for Dania] 7~ 'a Q 1i~2~Z+~-C.~c. G~ IX. Conditions at Approval/Reasons for Disapproval ____. ~ --~w _ ~ I SYS ~'Z,~lhQh l~t~~~~- M2 C~ G~t~ 1 eptic tank, effluent filter and ~( p.~'~~ ~'~ ~~j ~, ~yU,~,1C! ~ i dispersal cell must all be serviced / a ai d ` ~ ~j ~ ~ ~ as per mans ement Ian rovided b lumber ~ ~ ~~~ ~~~u-~' (/~ se ac requirements must be maintained j as per app ' le c de/ordinances. ~~~ ,~ A ~r.r 1~ ~(~ ,o~ ~~~ ~~~6u L_._. Atlath romyle "('the t>atY}!oq thNe~gys}e",~i` o`art)a~l~r n~~1J z I r-,. tar 7- ~'~_..._...-_... _ __~ _1 'e,~v ~- Gv v ~~~ n,~~ v sr' l/ /d~~ ~ - ~z ~.. rr ,' !' o ~ o~~ 3~ n o d I Si I ~ o ~ ~ ~ o ~ ~• ~ ~ ~4 I m ~~~ I ~~~ e ~o ~o' ~ A '" ~ I g " I " '~ ~ L7 ~ ;: A~ ~ Z ~ y O c~ N ' Z O vi O O Q~I N C O N °C ~• O 1""4 O~ p, N FrD N D iv Q y t0 ~ y p O O O O ~ O 7 ~ O O ~ y N O ~ 1 7 d 01 O ~yy R A O. W S O O r. I ~ c cA I ~~ ' ~ C ~' D S i ~' N I cn D N a ~ I ~ D u , n ~, 1 I n. IW o ~ I o. ~ I p w m I p o c ~S ~ C .~`,. ~ y N G N O ' !r ~ ~ 3 ~ c ~• I I ~ t ~l I r. ( ~ _ ~f ~ ~ ~ ~ ~ ~ n ~ ~ ~ ~ °' w ~ s~ N NN°' I ~~ yNrn Nm `o~ ~ vv I 3 c ~vv, ~`~ " , ~~ ~`' `D d a ' m ~ co I m ~ o ~ 3 m I ~ 3 d ~ ~ o > o I ~c I d ~ p >, ~ ~ ~ I ~ o ?~ I ? o 0 0 ~ n c ~ ~ C p c . C N Q d ~ ~ ~ ~ ~ ' ~ O. ' N ~ fD S N ~ -~ ~ fA ' -, = 3 A z o I I a I I ~ a A~~ ~~ ~ i ~ Z -~ N m~ o a a -' Z ~ ~ ~ ~_ A ~ 3 3 y Z H ~ ~ G O ? ~ ~ N ~ N A I I m I ~ w c a ~ I m a >>o ~ ~ ~ ~ C N ~ . . C I wma m c I ;,w c I 'nom o a I 3 o a >><, ~ O y ~ N ~ C O M ~ I arc I o' a I I n o ' a ~ a I m ~ I ~ ~ ~o ~ I $ o I o ~ I ~~ I v ~o I a~ I y I I < N o Vi A I ~ I ~ ~ ~ I o I o !~ m I m oQ a I o~ I o~ m ~ ,;~ ~ i ti O O L iy ~' .~ . RECF~~E~ Wisconsin De SOIL EV LUATION REPORT oitris'rort of Sa a ' in AFC . 0 7 ~~a A Page let - to accordance w~avugrtm n wts. Aam. 4oae County s / ~ r t le T. X Pi t i i ' A l i t T t ze. on mus on nn pa r no tn ttach comp ete s te p , ®~j es indude, but not limited to: vertical a fE3f®' nt (B , direction and Paroal i,p, /S d /~- , r T~ ~~/v l percent slope, scale or dimensions, north arrow, and d canto to nearest road. i/ Please prinf ap i»formaBon. Re ~ Date Penional inrorrnation you provide may be used for aeCOndary purposes (Privacy Low, a. 15.04 (1) (m}), G{~!/hi D y~- Property Owner Properly location C;~ ~ r Govt, lot h 1!4 ~ 114 S Z d T Z~ N R~ E (or~ Pro rty Owner's Mailing Address l.ot # Block # Subd. Name or CSM# 1 ~ c' ~ ., ~~ ~ ~ y'4~ 1 City State Zip Phone Number ^ City ^ Yllage [Town Nearest Road v` Vi'l/~ (9~Z) i:S~S= Q 8' ~ o n Sw r -~ ~, New Conabrudion User Residantlal I Nun~er of bedrooms- ~l Cade derived design flow rate _.~Z.... f ~ O ~- GPb ^ Replacement ^ Pubpc or cwnmercial -Describe: __~__. __ ____..~-___._ Parent material ~ ~.I l.~1 c` g ~ ,____._._,~ Flood Plain elevation i1 apppcable ____,.~~ ft. Generet corrrnents and recommendations: s~/S.~.e y,.~ -e (e v ~ 9 Z, ~ 92.2 aJ,~ )~z ~~~ '~ ice;. ~/In/A,r/ Pit Ground surface elev. ~P~ S `~. Depth to limitng factor 1_s ~ in. Sop ication Rate horizon Depth Damirsant Color Redox Description Texture Structure Consistence boundary Roots GP !ff in. Munsep Qu. 5z. Corrt. Cdor (3;. Sz. Sh. •Eff#1 •Eff#2 ~-z ~ y - Si' i mss i >~ r- ~ - ~ ~ - ~ a~ ~ ~ ~/ ~ , P[ ®pit Grcwnd surface elev. ~'~= ft. Depth to limiting tailor ~ in. ~ ~ ~ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rods GP DffF in. Mansell tau. Sz. Cont. Color CBr, Sz. Sh. •Eft#1 •Etf#2 i ©-ia to ~~' z - S ,~i' ~,~ ~ I v , s .-~ ` ~ '" 2 • (<fAuellt ill = BOD > 30.<, 720 m8lE. and TSS >3t3 < 1 50 • Effluent ; 80D < 30 mgll and TSS,<r 3(1 ntgll CST (Pleatse ) ,, ahue CST Number o ~ ~ _ __ -. _ ~~ 330 // Gate Evaluatbn Conducted Tekpi~a'te urger Z!/~, ail ~' S-~/. ~ivh/r ~~ ~. LUr~ .S~IDz ~ __LZ- ~--0 7l5 =7~0 -n~~ •. toa~+~xloccraes 'l.LlB-ti9Z-809 .LI„L 1o I S i £-99Z•809 2e auow~sdap o~ laquo0 oseald `1BUUO3 a~BUra~~a ue ut ~eu~eui p~ou .to saauuas ss~~oe o~ aaue~sisse paau no~(,{I •~o~foldmo pus aaptnad a~tn.tas ~ituttuoddo Denbo ue st aoaaun>tso~;o ~uow~tedaQ au,~, ll~u OE ~ SSl Due y&L ~ > °a09 ^ Z# luanyyd . 'V&u 05t > 0£< SSl D~ 'LPL OZZ > OE <'U08 = t# u~W3 . 7,#1t3. ~#it3. '4S 'ZS '~J ~faJ '3uo'J 'ZS 'M? II~W •w ~llO dJ slooa tiepunog - aoue~slsuo~ aanl~S auyxe j ~ uogdu3sed xopaa auewuwa y{deq ue¢}~oH aie21 uopeo poS 'u! - ref su4luiM of 41da0 'u '-'Hale r~e}ms pur-aa~ t!d ~ ^ ~~~ ^ # ~!~ 2,#113. l#Ji3. 'yS '=S '~J ~oloJ '3uaJ 'ZS '~b pasunyy 'u! ~-IO d'J saooa ~Gepunog aoua~slsuwJ ennonns amucel uoltdes~sep x~a ~ lueu,wop ~ uo~H alb uoge~ LoS ~° a la ~ D ~xJ ~ 'u! p 16unl~n oa ytdaQ '~ ns eo ns u t.d Quuog ~ # ~@ a 2 / ~.' _ - s s ~ ~Z_ -~ ~ - S~ J WL WtZ 7, ~ O~ 'Zi Z -s f J~. S ~ ~ ~~~ - z~~ or ~I -o ~ t#113. t#113. 4S 'ZS 'f°J ~~3 'rim'J 'ZS "nO pasunyy •tn d1/O dJ stoo2i iGepunog eauatslsuo~ eani~Wg amvicel uogduosat, xope~{ .row lueulwop Wd80 uozpoN ales uaye;nl IloS •ui Bu iuN da i . ~ ~~ N. .I of 41 Q u~~ Hale eoe}ms puno~~ l.d D # X08 12. I 8ulaog i I -~- to "~ a6ed ~ ~ p~ # 01 Iced G~ ~ nd 5 u~ ~ ~auenp ~tyedad . , PAGE ~O F NAME ~~ ~ -~o~ ~ ~~i'fJ LOT# "~Z LEGAL DESCRIPTiONai~ ~/a_~~ ~/a,S~ T Zq ,N,R I Q E(OR~ 'SCALE: 1 ~~ = G,/U `re BM 1 ELEVATION /~U . U BM 1 DESCRIPTION ~-o~ L ~ ~a-hrca C~00 ~ S~~ BM 2 ELEVATION "- BM 2 DESCRIPTION ~ ~~ SYSTEM ELEVATION ~ Z ~ S~ '~ ~ SYSTEM TYPE ~d ~ d -e /~~ J'o/L4. ~ _ r U 2690 P 371 STATE BAR OF WISCONSIN FORM t - 2000 WARRANTY DEED This Deed, made between Landmark. Inc.. a Minnesota Corooration Grantor, and Lisa C. Taylor Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (the "Property") (if more space is needed, please attach addendum): Lot 32, Block 4, Plat of The Glen, in the Town of Hudson, St. Croix County, Wisconsin ~-~9i~+~ KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 11/08/2684 89:28AM NARRAHTY DEED EXEMPT ~ RfiC FEE• 11.80 TRAIiS FES s 299.76 COPY FEE: CC FEE: PAGES: 1 1~ Name and Return Address ~,~ a,~~ G cording Requested by & (~ hen Recorded Return To: US Recordings, Inc. 2825 Country Drive Ste 201 ~~ I a St. Paul, MN 55117 Together with all appurtenant rights, title and interests. ~0-1415-80.000 Parcel Identification Number (PIN) This i homestead property. Grantor warrants that the title to the Property is good, indefeasible in fee simple and &ee and clear of enctunbrances except Dated this 12 day of O o er, ~. * _ * o c r si en AU'I'AENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) authenticated this day of ) ss. Ramsey County ) * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY C.I. Title. Inc. 2925 Country Drive Little Canada. MN 55117 (Signatures may be authenticated or aelmowledged. Both are not necessary.) Personally came before me this .l~ZII day of OcWber , 2004, the above named $Qbert J. McAda*~?- the President of I~ttdmark. Inc.. a Minnesota Cotrooration to me known to be the person who executed the foregoing instrument and acknowledged the same. Notary Public, State of Wisconsin My Commission is permanent. (If not, state expiration date: *Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN TRACY A. MARTINEAU~ NOTApY PU6lIC • MINNESOTA 1 Co~nmfaabn Erpina Jan. 91. _ No. 1 - 2000 U215S7389-03CI®1 LIARRRNTY DEED REFN T-84539 U9 R~eordtnp~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERA~IINFARMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: Sienna Cor City Village X Township Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Modei Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. C Sanitary Perm' 453050 State Plan I No: Parcel Tax No: 020-1415-80-000 Section/Town/Range/Map No: 20.29.19.2626 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer SUHt Inlet SUHt Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Onlv zx Mound Or At-Grade Svstems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil i ` Yes "1 No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /_ Location: 433 Swift Circle Hudson, WI 54016 (NE 1/4 SW 1/4 20 T29N R19W) The Glen Lot 32 Parcel No: 20.29.19.2626 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes C No i~ --~_ - ~ - - -- - ~ r -~ T ? l~ Use other side for additional information. ~ I ~ _ _ 1_ 1_ ___ _l SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. Safety and Buildings C7ivisiun ~ county 201 W. Washington Avc., P.O. Box 7162 ~ '1s~onsiiin Madison, WI 53707 - 71 .,~,,,_ Sanitary PermPermi_t De artment of Commerce ~ (tea) 256.3151 ~~ Sanitary Permit Application ~., I ,~ t W lion ou r e In accord with Comm 83.21, is Adm Code, rsonai lnfortna y p ~~ :7 De t may be used far secondary purposaa Privacy Law, s13.04(1}im) ` ` ~ ~Addrss i j 1. Application Iaeorrnation -Please Print All Iuformsttion ~ ~ ~ , ~` / I c''r, p~F 1 -.~G'` (to be filled in by Co.) ~ ~ So li 'erent than ntailuag address) `f33 Swl~r-Ct ` Property Owner s Na me ~ r ,,~` oiL~N - Block >i' Property Owner's M ailing Address ~~ Property Location ~ fyO ~i ~~ ~,v .. 'V ~ ..mow ,'r'-~ ~1S - ~' ' ~ City, State Zip Code Ph Number ~~ ~'=-L`l u,Section ~ 4- G~,`/~~ ~~ ' .~S~l~/F ,f ,Z- ~3 -~~4g (circle o ) Tag N; R~~Bo~ II. Type o[ ~uildin~ (check 511 thsat aPPIY) era Pvs ~~ r 1 or 2 Family I~weliing - Number of Bedrooms ,(jtt _ _ lz Subdivision Namt CSM Number ^ Pnblic/Commerciel -Describe Use s G'-'d~l ~ / ~ ~~ v°~ ^ State Owned -Describe Use ~ ~ 'City L]Village ~ow f III. Type o[ Permltt (Check only one box on line A om a ne t p c e A' Nsw S stem ^ y Replacement System ^ Tre nUHclding Tank Replacement Only 0 r n to tin Ste 18• ^ Permit Retlewa! ^ Permit Revision ^ C e o ^ Permit Transfer to New Lis it ate lssue~ Before Expiration Pltttn r Owrtar ~ ~ i iV. T e of POWTS 3~stem: (Chet:k all than a 1 ovr, 020 ~ ~c Non -Preasuriaad [n-Ground ^ Motutd > 24 in. of su" bie soil ^ Mo < 24 in. of suitable soil ^ At-Grrt~de ^ SittSie Pass Sand Filter (^ Constructed Wetland C Pressurized In-Ground ^ olding Tank ^ Peat 'ter ^ Aerobic Treatment Unir ^ Recirculating Sand Filter ~ ~ ^ Reoirculatin 5 nthedc Media Silter hin bar ~ Dri Line ~ avel-less P' ^ Other (ex sin) V. D rsal/Treetment Area IaformaHoa: ~ S h 2 3 K . SD c Design Plow (gpd) Design Soii Appligtion Rate(gpd Dispersal Area Re ed (s ispersal Area P s po yytem Elevation p 0 . ms's ~ ~o.g' . ~ a'~ VI. Tank Info Capacity in Touti Number Manufacturer Pre Site Steel ~ Piber Plastic Gallons Gallons of Units w~ -~cQ l4 -1cA _ ,~__ 1 ~ Concrete Consmucted ~ ~ Glass :v L uwa,~ ..narr~acr / ~. O ~ ~ I s ,J,'e S'G rte' VII. Ref: nsibiUty Statement- I, cite tin , asstune res anstbility far Nation of the POWTS she oA the attached plans. ---i Plumber s Na the (Print) Plum is Si gnentre F/ 4PRS Number Business Phons Number Plumber's Addre ss (Street, City, State, Zip a} .~"- l ~~ ~ c~ ~ ~o,~J ~ G VIII. Count /De nt Use Onl Approved ^ Duapproved Sanitary Permit Fee "ncludes Groundwater Date Issued I. uin gent Signs re `o Stamps] 1 Surcharge Fete) ~/ ^ Ow loan Rc n for Dsnial Z~ '' 2 9 0 I7i-. Condltlonls prov -~~.. ~ --------~ SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced /main fined as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances, system en paper not Icss lbatt 81r2 x lI lae>sea SBD-6398 nt. o~ m~~ ~SG~~~. ~ ~ ~ Gr'~ ~ ~ i -/ ~~ ~ G ~~~ ---~- O ~~j ~0 rl ~~ ~ ~~ tr, ~ My ~~ 3 ~e~ loa. °~ ~ ~~ ~i ~/ w.• ~~ z`6~-~- ~6dd SY~ ~~ e C~pY ~~ ~ i ~ i / •~ J, .AP' / ~/ ~' ~o j ~~ ~~ y ~~ ;~~ .~o ~~ ~~ ~ ,~ ~~~ ~~ o~-- ~°~ oe.~ hro~ w.• ~~ ~~6~t-~ ~66d s s~,,.. ~(~,~,~^ e ~~s~' G~~-~~~~~" dy1 ~ ~ ~z ~ y 9G ~ 3~~ ~~G- y 1091 Wisconsin Department of commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service County Attach complete ste plan on paper not less than 8Yz x 11 inches in s¢e. Plan must St. CfODt include, but not limited to: vertical and horizontal. refererxe point (BM), direction and Parcel LD. perrznt slope, scale or dimemsions, north arrow, and location and distance to nearest ding P/ease print alt info . ' "'"~" ? ;,,~ Reviewed ) Date Persons information you proaide may be used for sewn Purp~ ~'(Piivacy law, s. 15.04 (1) tm))- ~ ~iy~ ~'~P~/1iy~ ,~ ~ Q Property Owner _ ,~ c ,~ ~rty L ion Sienna Corporation ~~~==~ ~ ~ ~ovt. Lot NE 1/4 SW 1/4 S 20 T 29 N R 19 W Property Owner's Mailing Address ~ot.# i lock # Subd. Name or CSM# 4940 Viking Dr, Suite 608 ~ ~~„-.., na The Glen City State Zip Code Ph -~! City Village '1~ Town Nearest Road ~~%N~f MN 55435 952-~5-z~dZ Wudson Carmichael Rd. 1/~ New Construction Use: /!; Residential /Number 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 9`2ft; trenches spaced and depth to code 3 ~_below grade U~ , ~ Boring # Boring /~ Pit Ground Surface elev. 102.65 ft. Depth to limiting factor ~ in. Sod Application Rate Horizon Depth Dominant Cobr Redox Description Texture Stnrcture Consstence Boundary Roots GPDJft= *Eff#1 *Eff#2 1 0-13 10yr3/3 none sil 2msbk mft gw 1vf .5 .8 2 13-29 10yr4/4 none sic/ 2msbk mfr cs na .4 .6 3 29-96j 7:5yr4/6 none i Cs~ osg ml na na ~ 1.2 ~J r ~ ~( Q~ ~r ~/` ( ~ ~ l ' O ~ ` /~' C C~r~ Boring # `Boring Pit Ground Surface elev. 102.65 ft. Depth to limiting factor ~ in• Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence l3oundarv Roots GPD/ft= "Eff#1 I "Eff#2 1 0-12 10yr3/3 2 12-34 10yr4/4 3 34-96~ 7.5yr4/6 )! <, ,~I~~~ none sil 2msbk mfr none sic/ 2msbk mfr none marts osg ml cs 1 of .5 .8 cs na .4 .6 na na /~ 1.2 trrwenr ~~ = rsw ~ su < rxu mgrs ano r ss >so < ~ 5U mcyt_ `Effluent #2 = t3oD5 < 30 mg/L and T55 <30 mg/L SST Name (Please Print) ~ Signat~ur/~e: CST Number 3avid J. Steel G%/~~ ~G~~ 248956 4ddress Steel Soil Servi ~ Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, W 154017 9/5/2002 715-246-5085 Property owner Sienna Corporation parcel_ID # . pending. Page 2 of 3 Boririg # --- Boring 99 35 Depth to ft limiting factor 96 i ~~ Pit Ground Surface elev. . . n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Cor~~tence Boundary Roots GPD/ft' *Efi#1 *Eff#2 1 D-12 1Oyr3/3 none sil -2msbk .mfr gw 1f .5 .8 2 1~ 10yr414 none sicl 2msbk mfr _gw na .4 .6 3 320 7.5yr4l4 none Is osg mvfr gw na .7 1.2 4 40-9 7.5yr4l6 none (ms) osg ml na na ~ .7~ 1.2 ~~ /~ - t~~ - I'Y~-, . ~' ~~ S/C I Borina # -- ~ Boring * Effluent #1 = BOD ~ 30 < 220 mg/L 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 Borina # -- Boring - - -. ... _ . Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel CST-POWTSM Lic. # 248956 Sienna Corporation NE1/4,SW1/4,S 20,T29,R19W Town of Hudson, St. Croix Co. The Glen lot 32 1564 Cty Rd GG New Richmond, WI 54017 (715)246-6200 (71.5} 246-5085 This soil. evaluation was conducted to satisfy a zoning requirement,. it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established. at the time. the soil test was. conducted. Legend 1" = 40' =Benchmark El. 100.pOFt Top of 1" steel pipe • =Alt Benchmark E1.99.65Ft Top of/z' pvc pipe a =Borings Boring Elevations B1 =102.65Ft B2 =102.65Ft B3 =99.35Ft B4 =00.OOFt ~~~~ s=oz u '.~~ ~" - f'y Ttik '.r ! '~ y \ ~ ' \, nom` ^~/A /J''". ~``c _.~ ~~• U11• ~~. ~~,`.'',~q •f, ,'. ~~ ! t slr ~ ~ lit 1 ~ v~ ~ r >._~.a• i/ _. ... s , _ -~---~- ___._ _. ~ 1 e fin;,- ``~..~ ~Y~~~`-~~ , ~m Y ~ ' ~-- ~~~__ ~l : ~s\ ` ~s" L ~~ ~' 1 r ~~. Q'j p ` ! , l ~ ~ i •~ y{)J`i ~ '~ R•ar-~n{ to 1 r~; 1~. _ t ~ _ Iv '~ ; , _l-~ t ," -_ t~~ rl. • -ate -v2~ ~'fd _ f F 71- \ $~~ _._ _~ _ -, - 7 1 7 t y =., _... ~r...a, ~,_ • ~T . ~-r _-~_ • . 1 a ~ .=- ... - t -- j F9s _ " _ , F- , ^-- _ ~~~ ,6~, • ` ...l,t ,~ ,~; ~ 39~, t 78 1 ~ ~ f '; ~ 4 fi^ ~' l 5 ~~~(~~a~- m _- ! tv ~ - 1 14 \ 1 ;' e~ a ... 1 ~ J a I r art # 1 - .. - ~" •~ L 1 t as ~,. t ~ ~ t t , t eov _ --tJsgdc " x •, - r t.. 1 - , 1 .".~,5 ,ate .4.,i\ .: _~-~ .~"~:~ ' i -.j r!Fs-r- .-~ ~3 1 ~ 3~. I t r _ 11 ~ ~` tt •`- . 41 :wF' ~~~`\v~Y ' t ~' + [! a~ . ;.Ir 3 296 +-'r> J .\I 1! iJtT , '4b7. ~ ~h.' - 1 1~ ~ ~f ~n'11 \\'` _.. . ~ . ,, ,' { -=-- -~ _ - _ , 2~ _ ~ _ ~~` ' - - _ .a. _ _ .. , ~- - s, ,.;.:~ ~ ..f. ,, t ,f~--•ti•j' ~ `rL9}, r ~ •. r !• ~I rl ~ty ~ r" ~ a, , a t' t / ~ 1 1 t' i,,, ~ ' i ~•: 1! : 1 `•~ r " ~ ~ f .-, -.,~~ , . '~ ~ x:111 1 , t ` ~ "' ; 1 ~ !. y . ` ~ P!. , fr 1 f ih :~,• , ~ 1 F ,~1,i1 \ ^` l a~-1 \'~ `, )11Ir1 j1~1: ~ t ., .,~.BL> a 1 * ~~~ y r V a a - 7r~ /1 ~ I 1 `t~ `yr r~~ ' l ..J 1 q N a r 1 ,.. .` . .. ;: a a t r . tt ~ , . 1 11, . 111 r 1 1 •'. b i ~I~ I _ 11j}y~~, _ 1 1~~ ' I I i "' F, a ! I " i ~ -j~ :- ~ ,1117 ,'~ ~ }~,• ,.: j iii I _ ~,4 _ ; ~ t .r ' -n. l' - _ _ - ~jt I f ~° ! '~ i ' ~ ~ 1 "" 1 t t ~ N ~eln~ ~ t5 * p ~ 1?"~ MIN, F'R,~-S~ e~IRMiDTAK~ WINDOW CRABOU~ G.~AD,C ~ ~Fa~~ FRPRtXfF F`~"~CH£D G'RAL? ~ ~L"NCTSO.ti !OX ~~A,~. a ~iN. ~"~ .,j ! " , X . ~ ~. 4t, j ~ i 1 i '~ 1 } ,~ ' ...R i w ~:'1' ~! ~ wq l _r TIC any SEALS ~-..~ ; ( I ~ ~~Jr'~ ~ ~ ,~PRQyF~ € ~~ ~ TIGHfi f '; 'IQE 3' ``i ~ S~:AI, ~` ~ f y~I~ ' ~ "'i"` ~' ~;~;jON t ~ I ~y PJMP vFF ELEV . ......~~T. ~ ~-~, r++ D tom' ~" APF1t;~VE~ EEDD~NG U:~'DER :A.~-'K FF~ , ;~ ,`SANKOL~ C~'J -~'` PAD LQC K W~1,RNI' ~-G ..AB, "~ ~_ Ni : h . ~~ 30?1~"S wi?~, APP~QYE'J P rA~ 3' ONTO SOLID.. SOIL ~ M R ~'S£R EX: PCRM2TTED cv:. IF TANis MANUFACTURER HAE APPRQVAY ,._„5~' CIF: AT`C,~'S ~ONCR~TE PAJ ~"`'7IC i DOSE ~,~ .,,~. "°AN3C MANUFACTURER: -~i~' h~..E t '' ~" ER CC~ES DER DAY; :.~~'~! 5 DES : -~ D05E ~~ GAL. LOSW VC:~(.1~tiE SI~'C:~JDrNG MG~EL NVr€BER: ~ ' CAI~ACI «xE'S: A , .~,_ SW2TCH TYPh: i.wCHSS r ..,.:~,._a~1L. '~: ~! P ........,,, MANZ,rFAO~AEk ~ 8 ~ ..~.. ~„ IYCHES ~ ,,,,,~,,,_ 6Ai . r Mop f;, r~resE~t : ~~(!~-- c ~ rxca~s SWITCFI TYPE: ~''` -~.~.~....~A~. E~~:RL"D 7IgC ~ D : ~. S.YCHES : ~ ., wR r .~P.. PIMP E h:•Ar~tit Wr + . ~'+CAL :~1FF}~EMCE $E .R~hG AS : ~J@ ZLHFt 2.23' '+,'A~ "INIMV~S NE'r'WOR~ SUPP~,Y PRE t}r"F AA~D DZSTR7BU+ICN FSP" -~~,..,r FEET p R S~sR F ~ ~ !.? FEf "' 0 C~IAxN k ~~FT/x0 , ~^~ ~ ',~.' FEET .. ~'R. ~ x. aN ~'~-croR 'M~NAi: D2MEA'~:vriS ~; ~ ~ ,~ +'C'.''.+1L LYNAMIC MEAD s ~"FET F PGM. »k?ti1~; : ~ r FFw. _~- ~.... .. . y~„f ~.--~ .~~~~~ ~NOf~ ~~ .~ ~~ ~ ~~ ~: +ro ~ s~ eau. . J~hMq ~'M Nit: t~'~o ~~~ . ~'~!" «~~ m Pwq~, ~ err Joq:+~a ~~ ,. ~ ~1I101 to ~Me: ~~~Q,1H? • 11~1pp r~ ,load ~1 ~~a 1+,OQ : ~.~ nP. ~ ~~ r r~ '~~IOtnat ~, ~e~ ~+fl ~~ inp ~ a,rrw whn f"°pl~c ~~~ r ~ ~o ~'M, ~tx'N~ i~'r, ~~ N ~ qrs. ~.~ a ,r,,,, ,~ ~EGERE~ 5'~,1~ Tic-,~, `~~aC ~S G~~~~s ~~ •? C R ~~rbnter~bl$ ~. E~ue~ Pu~A ~~ .Q ~,~~h Mgt ~~fMt~ M~Md N~~ ~o ~n/ oerp ~ ~ ~~ rN o~Mroutw,sbr ~ E1 r1~f Or~e111e. ~ ~~p~~dd ~~~ ~~ ~i l!QR ~~MM~ Md dur~0l~q, ' ~ ~ ~ ~~. ~ ~~~ ~~~ +~llnt. ~w~~ bwwr ~!+ r'et~~~ _ f ~~ ~R~4 nt ~ ~t n~r~a P~ ~".1 _~... . ., The Standard Infiltratnr° POWTS OWNER'S MANUAL & MANAQEMENT PLAN FILE INfOtiMAT10N Owner Permit ~ 3 0 DE$ION PARAMETERS / Number of Bedrooms ~ d NA Number of Public Facility Unite A Estimated flow !average) ai/da Design flow {peak!, {Estimated x 1.51 ~~ ~ elide Soil Apptication Rate et/da lftt Standard lnfluent/Efffuent Qualiity Monthly average' Fats, Oil 8e Grease (FOG) 530 mg/L f3iaohemical Oxygen Demand {BOOB) 5220 mglL C] NA Total Suspended Solids {TSS} 5180 mg/L Pretreated Effluent t]uaNty Monthly average Biochemloaf Oxygen Demand {13OD4i 53{i mglL Total Suspended Solids {TSS) 530 mg/L ^ NA Fecal Coliform !geometric mean) 51 O` cfu/1 t30rni Maximum Effluent Psrtioia Size Ys in die. ^ NA Other: C1 NA aVatuas typical for domestic wastrwater and septic tank effluent. 8Y$TEM $PECiI~ICATION$ Page ~ ~ of Z- Septic Tank Cspacity ,,? p' al O NA Septic Tank Manufacturer O NA Effluent Filter Manufscturer ~ ~ ^ NA EHluent Fiker Model Slf O NA Pump Tsnk Capacity el ^ NA Pump Tank Manufacturer rr S Lo DNA Pump Manufacturer ~,.,~ / ^ NA Pump Mods) ~ ~QO ^ NA Pretreatment Unit 0 SandJt3ravei Filter ®Meahanicai Aeration O Dbdnfeaion O Peat Fiher O Wetland D Other; A Dbperaal Collis) CBround {gravity! At-Grade D Orip-Line DNA O in-Ground {pressurized! ^ Mound D Other: Other: ~A Other: Other: A MAiNTl~IANCE $cwllcuLi: 8ervia Event $ervlce Frequency inspect condhinn of tank{al At least once every: 3 a} a tMaxlrnum 3 years} O NA Pump out oontente of tank{s} When combined sludge and arum equals on+e-third IYs? of tank volume ^ NA inspect dispersal cell{s) At least once every: 3 mon ~iai ~1-Aa~dnwm S yaaral O NA Clean effluent faker At least anon every: ~o ~ ~s el O NA inspect pump, pump controls & alarm At feast once every: ,,.-- ~~-{ti O sl 0 NA Flush tsterab and prsasure test At least once every: ~ O nisi } DNA aufer: At least once every: ...~ monthial ^ cartel ^ NA Other: O NA MAUIf'tENANCE INSTRUCTIONS -~~~- inspections of tanks and dispersal cells shall bs made by an individual carrying one of the foilowinp ilcenaaa or certifications: Master Plumber; Maaier Plumber Aeatricted Sewer, POWTS Inspector; POWTS MaintaMsr; Septega Servicing Operator. Tank inspections moat include a visual inspection of the tank{al to identify any missing or broken hardware. identify any cracks or leaks, measure the vokune of combined sludge and scum and to check for sny back up err ponding of effluent on the ground surface. The dispwsal cell{si shall be visually inspected tc check the etflwnt levels in the observation pipes end to check far any ponding of sffkieni on flea grauM surface. The ponding of effluent on the ground surface may indicate a failing condhion and requires iha immediate notification of the loan! regulatory authorhy. When the combined socumutation of siudge and scum in any tank equals one-third {ys} or more of the tank volume, the entire contents of the tank shall be rempved by a Septage Servicing Operator and disposed of in accordenos with chapter NR 113, Wisconsin Administrative Code. All ott-ar serv~et, Including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment unrta, and any servicing at intervals at 512 months, shall bs psrtormed by a certified POwT8 MaintaMer. A service report shalt be provided to the local regulatory authority within 1 p Jaya of rampietiors of any service event. apo~ onixa,lslu!wpy u}suoos!M '{B) S IL) '(tfOq'fr8 Pus (!}~9fP)(t)(q!lL1ZZ'68 wu,trj ,aideya yisn+ aa-e{pwoa ul psi;s,p seM tusumaoR s!yl Q~ ~$~ s euay~{ N N )odd '..1~ eweN auol,{d . - _ vweN lLL!!lOHln1/ AbO1V1nOSS 1V~Ol (tl3dW[ldi li01~/!l3dQ pNIOlAit33 7pt/tdSS v~4d vwaN >d3NIV.lNIdW S1MOd ~'( r7,~a,~-t !A~ Ya.J~I s~ SuJ6N a3'i1M1SN( SJ.MOd . SINSWW00 'fVNOLLtdtl~l '3']81SSOdW{ b10 ll~al,ldlG Sg At/W SNVJ. d ~O a01fi31N13H1 WO~id NOSa~d ta' ~a 3nas~~ `iln33a /ltlW t~1tl3o '830t~-1SWn0ai0 ANd l~34Nn KNVIINSW1V3~11 liSHlO ao aWna 'O11d38 V aS1N~ lON 0{] •N~OJlXO 1N3(a(ddnSNt ~O/ONV S3SSV0 1VHJ.31 NIM1N0~ ~vW SKN~Ol 1N~w1v3ai !l3H1o GNf1 aWnd '~IAd93 e <ONfN!!VM> > •ewli xeyi it iav;;e u{ svlru ayi yilM ~tldu,oo isnw sweis~ta yaps;o suol3ooJxtuoava •vae;,ns vn{3sJllyu! ayx ie xewolq ayi ;o ;snows, 8ulMOpo; eaeld u! pelonJisuoaoJ eq slaw swvis~ls uolidJOSge lps opeJ6-ie pus punoyy ~ S,LMOd u! seauenpe 8u!JJeg 'SJ.lNOd pv!!vd vyi voelde, ox i,ose, isel a se pe~laxsul eq ~twu >luex du}ploy s ASopuyoex •suo!iexitu!1 I!os ,o/pue ~laegias of anp elgellsne iou sl eaJS 3uau,eaeldaJ elgeuns d ^ •vw{i iey3 is ias~a ut selnJ vyi yi{m A{dwaa isntu swais,ts iuewv~e{dad •ev,s iuvwvaeldeJ algeilns s yspgeisv o3 uolismsno v3!s pus {!os Meu a m; peeu eyi u! i{nsv,- IIlM eeJe wawe~eldvJ vyi xoexord of eJnl{sd 's{{em pus soutl iol •eJni~nJls pvsodoJd pue 9ulis-xv uJOJ; s~laegies peJ{nbvJ Aq uodn pe~u{J;u} eq iou plncys pu uo{ioe vegJni , J; peioeia eq p{noys eeJe xueutoae{ eJ eyl •uJeisAs uo{id,osge !{os iuewaae{deJ a ;o uaisaol ayi Jo; pezlttxn eq ~cew pus peiertiene uevq sey eeJe 3uvuJVaeldeJ elgex{ns y :wvis~ts iueweasldvJ iuelldwoo epoo a ap!nad ox ~ua~lex vq isnw ,o 'ueaq eney sv,nseeu,, 8ulMOpo; ayi pa,lsdeJ eq iouvea pu¢ s{{e; S1M0ef ~ ~! 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Z~ . T 2~ ~ W, T wn SubdivisYOn ^ ~~E ~} agx+ee.w maintain the private sews ~P°~ y°~ ~`~ oadoa and the jkPartmcat of Nstutal B tarnuca. Stste of Wiscona0~~ ~~ 30 be completed cad retu:nod b tlae St (~oix Cotmty 7.o~g Certified Survey Map # - Volume _ --~-~ Page # Warranty Decd # _ ~ ~~••- ~~0 ~ Volume ~ ~'`~ ~ ~ Page # 13 cs O no Lot lints identi.fisble ~ yes ^ tlo Spec house ~ y ~.X~M ~'~~~~ cost: failure Uo handle wastes. Propci maiaseaaau Improper use and maintcnaaGe of yotu aepdc system could result us its preens Q~het you ~ into the eyekm ooasiata of pumping out tho septic tank every thcce ycam or twoocr, if ecedod by a licoascd pumpes• as aSret the function of the eeptic tack as a ezeatmeae stage is the ,vaste disposal ~ The property vanes a to submit to St_ CYoix ?~oafss6 D~a~at a ces~5catwn fotas, sip~ud by ~% owaa cad by a lumber tea~cictodplumbes or a Iicaasod p~p~ `~~ that (!) the tm~site ~stearatos disposal cyaoem ma~tCcpltmzbes, joumtryuunp ,fury). tLe septic talc ii less than 1/3 full of dudae. li {A Per opa~tiag wadiaoa tad/or (2) ^Rcr3uspa~aa cad p~P~ (• ~~ livoe. tbo uadotsip~ed have read the abmrcof t;,oo:rmc~ eei foeth, bcrzin, as act by the DepaYlmea eta the sceptic system been mz- dara.nf t~fc thsec Yes cxpindate. ccttify char all Any iaformntia ~ihis form arc tau fA slur tx~c of my (our) knowkdgo, a warranty dad rocordcd in AAgistes oC Deeds OfSne. Lot # -~-Z •• ~ ~ G~ A~ t (~) am. (are) tho owa~tr) of ,?4 6 AT8 -eeptesented cnay rcavlt in lht unitary pctcatt bo~ag revoked by.du?~a8 DepalO°u°t' ••••'• •• Inctudc tvitb thls appGcatloa: a stasapod warranty dcod ttvw the ReS~~ of Dccdt oboe a tofry of the certified ctstvey map if ttifct~ ~ t~0 ~ the wazcaary decd TOTAL P.02 ,~ JCr-GtJ-LUCK V7•LCl JIIJW V. ~.~xu I STATIi BAR OF WISCONSIN FORM 1 - 1998 ~ ~ WAR1R~A](N]Try/Y DEED poatrnenl Numdv Vnl. J / i„) 1 PA,t 6~3 ' This Deed" trade betwocn Bane Corporation. _ ., .__ a Minnesota corporation .,... _- _ _,..._. -.._.. _ ___, C"rancor, and Sienna COrQordtion, a Minng~gla co~pozat±on ___.,,._~ .._ _.. . _.. •.-- -._.. ......, Grantee. Grantor. for a valuable conslderadon. wnvcys to Grantee the following desvibcd real cstatr to St . Croix Cnunty. Srate of Wlscoraln (the "Proiicrty`): See Attached Exhibit A Together with all aplxlr[enant rights. Utle and Interests. ~..~ ...-.. ....... ...- , 1 6660$0 KATHLEEN H. WALSH FEGISTEk OF DEEDS 9T. CROIX CO., MI RECEIVEI FOR RECORD 12-21-2001 3:10 PM YARRAIITY DEED LERT COnY FEE: cony FEE: TRaisFER FEE: %63.40 kE~CORSDIN6 FEE: 47.00 nw'.fxei~9 Artd~ Ntrne erld Rxtrn Andress Uni~r~t.L -~~1-I~, 57Q~ 5 meira.r~'i ~r i ~ ~iu-t~. '~Di µinne-t~o~nka.i Nu553'~3 O ~~ 20-1048-30-000 .. -__ Parcel tde~tieemlon NumDr tP-N •~ is not homestead progeny. ~ (t31 (ls nut) zo-lo4a-bo-ooo 20-1048-90-000 20-1049-90-000 20-1050-00-000 20-1050-80-000 20-IOS2-20-000 20-1052-70-000 Granta• warran~c that the utle to the Property 15 good. lndrfea+tble in fee simple and tree and clear of axwnbranees rxcept See Attached Exhibit B. Datod thi: 20th - _ day ~ December 2001 Banc rporatioa (SEAL) by Jo M. Nassef - Its of Executive Offi (SEAI,l ... (SEAL) AUTHENTICATION Signature(s) autttertticated this .day of TITLE: MEMBER STATE BAR OF WISCONSIN of mt' - authorized by §706.06. Wis. Stats.l ACKNOWLEDGMENT ., (sEAW Minnesota State otiNtsC07tCfi1- ss. _1~.._.-~~c -I Courn . Personal- ly carne bvfnre me this `+~ day of December 2001 , ~ above r~rned Joha N. PIasseff, Chief Sxecutiv_g,Officer of _Bane Corporation, 8 Minnesota corporation _ ., ....._. ..... __ to me luxrwn to be - per wtw cxarured the fo7ego41g insWtttent a`/nd aame- THrS INSTRUMENT WAS DRAFTED 0M C - ~y E' Lockridge Grindal Law T'irln t^tO01~o"~a+~~ ~ nn Wp ~i_, t .~,r~_.. Aurnn.e_Snu th ~ I~r~r~ Minneapolis, MN 55401 NyryrPu~Ik,StateotWtsconun y COmmisatnn !s pcnn:uu:nl. (If not. :rare -xpiralitm den: (Slanatw•es pray br autrwttleeted rx acknovlsdQod. Both err rwt January 31 2005 J necessuy) _ _. N.wn W peas nanbet N any CapKxy raurt lr typed a r1rLACJ below Ih.w sytnu~ut. WAttAANTY DEED S7ATf. aAA OF WISCONSIN tvbuAwn upy tiu.y Ca„ inc. FO4M No. 1 - 1991 ~,,.wy,a, y~;. 5th'-~b-~l11~~ by ~ ~1 5 i t(VrvM l.ufCr ~.~~ w~ , uuu . c,_. Y~~.1797Pa~~6.14 EXHIBIT "A" File No: 85-04900 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, SC. Croix County, Wisconsin, more fully de,,cribed as follows: Commencing at the west Quarter Corner of said Section 20; thence North 89 degrees 25 minutes 02 seconds Easc, assumed bearing along the East-West Quarter line, a distance of 1319.52 feet to the point of beginning also being the southwest corner of the Southeast Quarter of the Northwest Quarter; thence North 00 degrees 36 minutes 14 seconds west, along the west line of said Southeast Quarter of the Northwest Quarter and Northeast Quarter of the Northwest Quarter, a distance of 1325.15 feet to thQ southerly right-of-way line Of the Chicago-Northwestern Railroad; thence North 79 degrees 56 minutes 29 seconds East, along said southerly right-of•way, a aiscance 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 Sa minutes o3 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 21 seconds and a radius of 1759.75 feet; thence North 84 degrees 32 minutes 47 seconds East, along said southerly right-of•way, a distance of 7.57 feet to the west line of Certified survey Map in Volume 12, Page 3302; thence south, along said west line, a distance of 703.32 feet to the south line of said Certified Survey Map in volume 12, Page 3302; thence East, along said south Iine, 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 55 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 feeC 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 feet; thence South 08 degrees 41 minutes 21 seconds East a distance of 413.63 feet; thence South 08 degzQQS 43 minutes 31 seconds East a distance of 229.88 feet to the north line of Certified survey Map in volume 11, Page 31?8; thence North 89 degrees 52 rninutas 10 seconds West, along the north lines of Certified Surrey Map in Volume 11, Page 3128 and of Certified Survey Map in volume 12, Paye 3292, a distance of 68?.86 feet to the northwest corner of Certified Survey Map in 5th'-~-GIG bye C1 5 ~ tivrvH ~unr - ~.x ~.~... , c.,uu , . ,..~ SEP-20-2002 09 ~ 21 5 ! tt~UVH I.UFtt' - y~e a~ r~x r . ru ' ' ~ ~ von 17~)7~~~t 6:I 6 Exhibit B to Warranty Deed dated December Z0, 2001 by and between Bane Corporation ("Grantor") and Sienna Corporation ("Grantee") 1. Building and zoning laws, ordinances, State and Federal regulations; 2. Restrictions relating to the use or improvement of the premises without effective forfeiture provision; 3. Reservation of any minerals or mineral rights to the State of Wisconsin; 4. Utility, drainage and roadway easements which do not interfere with Buyer's proposed development of the property; 5. Cncroachment of Qwest Communications, Inc. fiber optic cable along the northerly property line; 6. Agrecment between Bane Corporation and John and Pearl Gies datod August 22, 1997 to exchange property following final determination of the location for Carmichael Road; and 7. Ameritech General Non-Exclusive irasement Agreement by and between Bane Corporation and Wisconsin Bell Telephone Company a/k/a Ameritech 'W.isconsin dated December 10, 2001. TOTAL P. @5