HomeMy WebLinkAbout020-1416-30-000Wisconsin 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 Ele : Insp. BM Elev: BM Description: _ /~D, ~l
/~ -r~J ~~^-~---
TANK IN ORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY
Septic 5 ~ 2 ~O
Dosing
Aeration ~ i ~- C rf-~N
Holding
TANK SETBACK INFORMATION
TANK TO P/L
b Y~ WELL BLDG. Vent to Air Intake
~_ ROAD
Septic
~ '~ /
l ~
Dosing / ~
/
Aeration
Holding
PUMP/SIPHON INFORMATION (7/--'Gt~'`L-'"y ,
M cturer Demand
GPM
Model Number
TDH Lift F ' n Loss System TDH Ft
Force n Length Dia. Dist. to Well
county: St. Croix
Sanitary Permit No:
430652 0
State Plan ID No:
Parcel Tax No:
020-1416-30-000
Section/Town/Range/Map No:
20.29.19.2631
STATION BS HI FS ELEV.
Benchmark
_~ /I
Alt.
~~ ~U"B''2~
Z
/ O b.- ~
Bldg. Sewer ~°~ 2 S ~ ~ ~
SUHt Inlet
.7
7 ~
St/ht Outlet
SG-f ~~
2 '
. 2Z
~ `~
Dt Inlet /
Dt Bottom / ~
Header/Man.
S,~
-all
~~,Z~
Dist. Pipe ~G ~ ~ ~ ~ ~ ,Z~
Bot. System ~
~-'~ ~ ( ~ S
c
Final ad ~~ ~~ r I~
a? ~, I ~O r ~
St Cover ,~
Z ri
s I o
3.9
D O. Z
WrN ~ ~7•~
3~ ~
SOIL ABSORPTION SYSTEM 22-)'r~3 ~0.,~ L.p~,., ~.>'~it ILD~ -f-b u1» -~'L,. ~,L-..,a~
BED/TRENCH Width ~ Length No. Of Trenches IT DIMENSI No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ~ c'1 ~Cj/~~/
'b
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STRE LEACHING anu er. rt
L
/
INFORMATION
CHAMBER O _
_
_ ~
-T YLt~`0
Type System: ~ , ~ l I
N / Model Number:
CftSTI~IBUTION SYSTEM
Bader anif9ld
/ Distribution ~ ~
Pipe(s)
~ ~ ~ x Hole Size
~~ x Hole Spacing
~ ~i
~ ' /---
Length Dia ~
Len
th Dia S
acin
~ ~
g
g
p
SOIL COVER ~ / ~ ~n~ ,~„~ ".-""' ~`."/J"~"`_'
x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center BedlTrench Edges Topsoil
Yes ~ No
,Yes _~ No
COMMENTS (~de cdrde discrepe cies, persons sent, etc.) Inspection #1:~/~!~ Inspection #2: / /
7~y ~~ia2~ ~~. -
Location: 430 a Hudson, WI 54016 (NE 1/4 SW 1/4 20 T29N R19W) The Glen Lot 37 ~t~ Parcel No: 20.29.19.2631
. =Fh•- ~fw. a-bal.~c. gs . ,C~~ ~ ~~ -
1.)Alt BM Description = ~~ ~L2~~
2.) Btdg sewer length = ~~ / "Zt~ ~ ~{
- amount of cover = y !fy' ~~~J~, ~~• ~~ ~~ ~ ~ /I ~ ~ D
a~~K~ ~'" SGT. Qh~ t~
C~rA,a(¢. Sh-8~-17~'t a~"~'~'-- r l X11 ~ ~~ _ t _~~'~"~
Plan revision Required? [:._~] Yes [~No j ~ ~ ~ ~ ~
Use other side for additional information. i___~__.__i- _-! ~_-______._____-._______.____.-_ _ __--.~ L___ l_____ __ ____1____
SBD-6710 (R.3/97) Date Gtr ~- G~Insegctor. s SiggaturL ~~~ ~ /^~~ Cert. No.
_' _ _ ^ , , Imo, L,.,y~ t,~l _ V~n~ s~/~ 1!
t'
Vent to Air Intake S
Safety and Buildings Division County
a ~ 201 W. Washington Ave., P.O. ~ _ ~~(~
J,,~cO~s~~
D Madiso E~~q~D
B) ~ G Sanitary Permit Number (to be filled in by Co.)
epartment of Commerce 3(~10~~--
Sanitary Permit Applie~ t1O1
N 1 2 2004
[~ State Plan I.D. Number
~
,
In accord with Comm 83.21, 'Wis. Adm. Code, personal info anon 6u provide
may be used for secondary purposes Privacy Law, sl .04(I)S~) GROIX CpUNT~ _
roject Address {if different than mailing address)
FFICE
I. Application Information -Please Print All Information ~ ~3t7 S(~ I FT- C ~¢~~
Property Owner's Na me Parcel ~' Lot ;y B-
~•~~~ ~ ~~~ ~ 37 B~~~s
Prope
rty
O
w
ne
r's M ailing Address Property Location
y
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~
~
/
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City
State ~
~,
,Section 1aZQ
, Zip Code Phone Number
•' y a~ .t/ S,~ y3 9S a-d' -.?~' d' ~(ctrcle o
~ ~
~
II. T e of Buildln b
yp g (che all that apply) oe der S w ~• T
N; R
I E or
~.l or 2 Family Dwelling -Number of Bedrooms ~ S . Subdivision Name
CSM Number
^ Public/Commercial - Desenbe Use /
`j~ ~,C ~~
f ^ State Owned -Describe Use 2~ 3 k ~-1~ -~
S ~ ~
(_...City_OVillage Township of ~ ,~SD~r/
III.
r Type of Permit: (Check only one box on line A. Complete litre B if applicable) d2o _ 16 _ _ ~ , 263
A' ~ New System ~ ^ Replacement System ^ TreatmenUHolding Tank Replacement Only ^ Other Modification to Existing System
~ B• ^ Fermit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
_IV. T of POWTS S stem: (Check all that a ly) ~
-/oU
_
_
Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filler
^ Constructed Wetland ^i Pressuriztd In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic
^ R
i
l
i
S Treatment ltnit ^ Recirculating Sand Filter
ec
rcu
at
ng
ynthetic Media Filter Leaching Ch' ^ Drip Line ^ Gravel-loss Pipe ^ Other (explain)
V. DispersallTreatm nt Area Informadon: ~c ,v ~ ~ Y ,r ¢-a
~
Design Flow (gpd) esign Soil Application Rate(gpds spersal Area Required (sfl Dispersal Area
s yseem Elevat~ n
~~e' o, ~ ~.~ 8~.g ~7•~
4I. Tank Info Capacity in Total Number Manufacturer / Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
New Exisrng i
Tanks Tanks
Septic or Voiding Tank ~
' eS ~ /
Aerobic Treaunent Unit
i
Dosing Chamber
~--
~ -~ b
! 'VILA Responsibility Statement- I, the tinderslgned, assume responsibility for ' !lotion of the POWT5 shown on the attached plans.
Plumber s Na me (Print) Plumber's Si gnature 'MFRS Number Business Phone Number
- ` ~` ~ u 4 ~ ate? ~ 4
' ~ ~ s- ~~al
Plumber
s Addre ss (Street, City, State, Zip Code)
~ / ,l
VIII. Count /De artment Use Onl
roved ^ Disapproved Sanitary Permit Fee (i dudes Groundwater Date Issued sui Agent Signatur (No Stamps)
Surcharge Fee) ~ ~ r
^ Owner Given Reason for Denial
I
IX. Conditions of Approval/Reasons for Disapproval
SYSTEM OWNER:
1 Septic tank, effluent filter and
dispersal cell must all be serviced /maintained
as per management plan provided by plumber.
2. All setback requirements must be maintained
as per applicable code/ordinances.
i
Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size
~iBD-6398 (R. 01!03)
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1100
r 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 site plan on paper not less than 8%: x 11 inches in size- Plan must St_ Crooc
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parce11.D.
ending
Please print all information Revfeweri B~ Date
Personal information 1'W provide maybe used for nda~r purpo~ (Pliyel~l tai~~ 15.04 (1 (m)). ~ ~ O_
Properly Owner Pr Location
Sienna Corporation ,..•-~ ~~ ~y Govt. t NE 1/4 SW1/4 S 20 T 29 NR 19 W
Property Owner's Mailing Address ~ t' .r ~ ~C ~ of # Block # Subd. Name or CSM#
4940 Viking Dr, Suite 608 , ,~ ;, . -, 3 na The Glen
City State Zip C te~ Phor~YPluFnb~(~ ~ , ~; _- dY Village Town Nearest Road
~cQcl2~( MN 55435 Y5~ =~3,~ Zak i Hudson Carmichael Rd_
i!j New Construction Use: i/ Residential /Number of bedrooms 4 Code derived design flow rate b00 GPD
Replacement Public or commercial -Describe:
Parent material Pitted oufinrash Flood plain elevation, ff applicable na
General comments
and recommendations: System elevation 97.80ft, trenches spaced
and depth to code 3.50ft below grade
~ ~,°~
p~L ~
~~~
~•P.V. ~~a. ~ ~~d~ 6/t~ 1(.b• 7 `
- ~ `.
a Boring # Boring
! 96
/
Pit Ground Surface elev. 101.30 ft. Depth to limiting factor in• Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfRL
*Eff#1 "Eff#2
1 0-8 10yr3/3 none sil 2msbk mfr cs 1 f .5 .8
2 8-20 10yr4/4 none s_ic~ 2msbk mfr cs 1vf .4 .6
3 0-96 7.5yr4/6 none ms osg ml na na ~ 1.2
Boring # Boring
!
96
V
Pit Ground Surtace elev. 101.30 ft. Depth to limiting factor in• Soil Applicat~n Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ
"Eff#1 "Eff#2
1 0-8 10yr3/3 none sil 2msbk mfr cs 1f .5 .8
2 8-20 10yr4/4 none sicl 2msbk mfr cs 1vf .4 .6
3 20-96 7.5yr4/6 none CsJ osg ml na na ~ 12
~ /7~- ~,
- r=nruem ~~ = rsvu ~ su < <ru mgn_ and t ss >30 < t 50 mglL `Effluent #2 = BODS<30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature- 7~ ;~ CST Number
David J. Steel ~ N~'~~_'"v 248956
Address Steel Sal Service Date Evaluation Conducted Telephone Number
1564 CR GG, New Richmond, WI 54 7 9/6/2002 715-246-5085
~~ J
pr~rty pyyn~ Sienna Corporation Parcel ID #
Boring # Boring
Pit Ground Surface elev. 99.10 Pending
ft. Depth to limiting factor
Horizon Depth Dominant Color Redox Description Texture Structure Consistenc<
1 0-10 10yr3/3 none sil 2msbk mfr
2 10-26 10yr4/4 none ~ 2msbk mfr
3 26-96 7.5yr4/6 none ms osg ml
• ~ /~ G/~~~C ` -i ~ ~/~~ ri
~S.I ~ ~~" ~.yh
Boring # Boring
Page 2 of 3
96 in. Sod Application Rate
undary Roots GPD/ft2
*Eff#1 *EtT#2
cs 1f .5 .8
cs 1 of .4 .6
na na ~ 1.2
* Effluent #1 = BOD $> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mgR. 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
I 1 Boring # _ ;Boring _ .. ... _
Page 3 of 3
STEEL'S SOIL SERVICE
N
David J. Steel 1564 Cty Rd GG
CST-POWTSM Sienna Corporation New Richmond, WI 54017
Lic. # 248956 NE1/4,SW1/4,S 20,T29,R19W (715) 246-6200
Town of Hudson, St. Croix Co. (715) 246-5085
The Glen lot # 37
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.
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4" CI VENT PIPE ~,?" MIN, A8OVE G:~ADE ~
Z ~s' ~RO* Dona, wah~aw oR J£Ai'~!ERPROflF
FRESH A7R INTAKE 1L'hCZ'Ir~N SCX APPROV~,~
w22'Fi CQN}?UIT .tANM4~,E CG'J~~
F; IdISHED ;RAt~E W~ PADLOC.K 8
'~'~ CZ RISER ~---.r.j~ ~ -~»WARNING «ABEI
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MOREL NUMBER
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FUMP $ A:,.ARM k'TRING AS : i R i i,I3eZ 26.23 cr'A~
MINTMVM NETWORK SUPPLY PRESSUREGF F.~,,~L ~ISTF.IHU"'TQN P`P
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and in'P" or •AC`.}
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~'RY
• PQWTS C}WNER'S MANUAL. & lIAANAGEMENT PLAN
Owner S- ~ ~~,r/ G
Permit /~ /~3 D (p S ,~---
Septic Tank Capacity
Septic Tank Manufacturer
~,
Effluent Filter Manufacturer
, .
Number of Bedrooms Y DNA
Number of PubAc Facility Unite
NA
Estimated fbw lavsragei
Design flaw tpeakJ, (Estimated x 1.b) al/da
~~ ~
Soq Appiicsibn Rate slide
Stande-d (nffuent/tcffluent t2uatit
Y eitda /ftt
M
onthly average
Fate, Oil ~ Grease tFCiG) S30 ma/L
Biochemical Oxygen Remand Il30DB} x220 mg/L ^ NA ',
Totsl Suspended Solids ITSS) 5160 mg/L
Pretreated Effluent oualitty Manthiy average
8iochemicai Oxygen Demand (80D6} ~0 mg/!.
Total Suspended Solids ITSS) s30 mg/L ^ NA
Feoal Coli#orm lgsometrlc mean} S10` cfullQOm!
Maximum Effluent Particle Size Ya in die. ^ NA
Other:
__ _ DNA
"Vetoes typical for dorrrestic westewster and aaptic tank effluent.
Page o{
~~.- gat !~ N.
"~.~~~,. D N.
~~d,e QN~
Effttrent Fitter Model ~~ 0 N~
Pump Tank Capacity ~'~~ D N~
gaf
Pump Tanis Manufacturor r`cs tv~ d N~
Pump Manufacturer ~,,,,~ ~ Q N~
Pump Model ~ O NA
Pretreatment Unit Q NA
^ Sand/Gravel Fitter tR Peat Fltter
O Machankal Aeration D Wetland
D DleMfsction D Other:
Dlapersal Csilts} DNA
O tn-Ground (gravity) Q In-Ground Ipresaurizedi
D At-farads O Mound
^ Drip-Line 4 Other:
__~.. O NA
Other: n NA
DNA
MAIN SCHEDULE
Serrlee Evert Service Rrequenoy
Jsspect condition of tankta) At least once every: s (Maximum 3 years)
3 ^ NA
,
sat a
Pump out oontente of tanklsi When combined sludge and scum aquets ens-thkd tYsi of tank volume ^ NA
inspect dispersal cell{s) At least once every: 3 m~~ls} iMa~dmuln 3 years} ^ NA
Clean effluent f~ter At least once every: nanth{~}
~~ ,'~ earls} O NA
inspect pump pump controls &. alarm At least once every: ~~{s1 DNA
Flush laterab and pressure lost At lest once every: --- q sarfa! a} DNA
Dt~'
At Jeaat once every: monthtal
--- p earls)
^ NA
Other.
Q NA
-- - -__-_
I:NANCE INSTAUCTlON&
inspections of tanks and dlaperaal cells shall b® made by an individual carrying one of the folbwing licansae ar certifications:
Master Plumber; Master Plumber Restricted Sewer; POWTS inspector; POW7'S Maintsiner• Septage Servicing Operator. Tank
inspections moat include s visual inspection of the tsnklal to identify any rrtissing er broken hardware, identify any cracks or leaks,
measure the volume of combined sludge and scum and to check for any back up or pending of effluent on the ground surface.
The disperael ostilsi shah be visually inspected to check the effluent levels In the observation pipes and to check for any pending
of effluent on the ground surface. The pending of effluent on the around surface may indkats a failing condhion and requires the
immediate notification of the local requtatary authority,
When the combined accumulation of sludge and scum in any tank equals one-third tY~t or more of the tank volume, the entire
cantente of the tank shsN be removed by a Soptage Servicing Operator and disposed of in aocardanoe with cheptar NR 113,
Wisoonedn Adminietrativa Code.
A{I other eerviess, inokMing but not limited to the servicing of affluent ftiters, mechanical or pressurized compansnts, pretreatment
units, and any servicing at intervak of 512 months, ahal! ba performed by a certified POWTS Maintainer.
A service report shaft be provided to the local regulatory authority within 10 days of completion of any service event
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ayi ie lewotq ayi ;o {snows/ Bu(MO{{off eae)d u3 pelon/isuooo/ aq Asw swalsAs uo)id/osge )!oe apea8-ie pus puno{ry C]
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isnw swaisAs iuawaosida~ •sa~e iuauiaos{de/ a{gei{ns a yspgsisa o3 uo{1an{eno •1{s pue {(as Mau a /o; peau 9yi u} 1{nse~
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Aq uodn pa8u(/;u! aq iou p{Hoye pus uor~edwoa pus eouegmistp wa} paioaiad aq p{Hoye ~ta/e 1ueuJAOe)daJ eyl •waisAs
uotid/osge {{os luau/aas{da/ a ~o uo{isoo{ ayl 10; paxsi(3n eq ABW pus pa3eR{ena ueaq say 8e/@ iueweoe(de/ e{geilns t/
:wgsAs 3ueuisoe{dai
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'/ole,edp 8u{a(n/ag at3•idag a Aq;o posods(p A{/adad pus panowaa aq {{eye s3{d pus s~{uei {{e }o slualuoo ayx •
•paieas s8u)uado ad(d pauopuege ayi pus peioauuoos(p aq ){eye sl(d pue s~{usi of 9u)d-d pd •
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•esn of /o(/d /oie/ado Ewa}r,/as e~eidas a Aq panowel (s}~(ue; ayl ~o
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~0 0aed NOixr-a3dQ aNV do laVlxS
ST CROIX C NCB AOR'BBMEI`1T
gPp'I'IC TANK rd,aII1'I'BAIA
AND
OWNBRSH~ ~~CATION FORM
owuaBuycr ,SI ~~A ~o ~ Pa 2~4-n o
-- --
Mailing Address
~ Q:. s~
~3 S
S'L/< ic' C. i''c~
Pmporty Address
(yorlficatioa required from Plstvaia6 Doparbo~teat for new eenctntction)
020- lylb- 3~~wa C 2b~3I)
G~ty/Stato NU~O^-~ lN~ Parcel Identification Number
LEGAL AFSf'ItIP'ITA `L1
%, Soc. Zo . T Z~ N~~~~1, Town of Nv~sU
property '(,ovation '~•, .
Subdivision ^ ~~~
# ~_•
~- , Volume ~_.~---~ Pie #
Certified Survey Map # ,
page # l ~
Warranty Decd # ,_ (v (0~~..0.80 ~!~ Volume
cs O no I_.ot lines idcutifiable ~ yes ^ Ao
Spec house ~ y
Improper tue end maintt~~ of your ycptic eystem could result in its pretsszcute failure to ham ~~. proper muaLexaace
tb~tu yearn or eooocr. if ~~ by • liGOCSad Pumper. Wlsat You put into tite eyettm
oo~iab of pumping out the teptie tank every ~~ ~v ~
as a$ect the function of the eeptic tank as a ereatrnont atege im the:
t a cati5catioa forte, tap~cd by tlu: owns +~ hY a
The pt+opaty owner agzca to tabmit to St_ CYaix Z-oaing ~ that (1) t?se oa~ite wt~ttoaratocdisposil ayaxm
maskrPlvmber, jotrzpeymanplutnbu, res~triuodplumba oc et licen:e.+dP ,fseeecsarY). the septic talc is lt~s t~haa 1!3 full of eludbe-
~,~ proper operating condition tadlot (2) a~~ ~ pt°~`~ (
'th 11-a sa~~
l/v~. tbo uadotsiy~ed !save toad theabovr: ~
cd forth, bc~in, u cct by the Dcpsi~t of Coosmc
cvdtiag tha tspac system #s~b°c° ra'ittca/ine~aus
.t..,e of thrac Y4ar expua date.
~ ~ .....n in the priVlte feW~~ ~ ~ tlOa
i~ nt oiNatural B eaources, State of Wiscoo$uL ~+~'
~~ ~~ to tlso St_ C~oiz CamtY Zoning Office srithin 30
b,c cnmplctcd and sctu:nod
.xllxi~r-.t'av-. our knowkdgo,
certify that all r ats o thu Poem m true to Qu: txst of my ( )
cr.il~abov a aarranty dad recorded is A.egist~s of Deeds Office.
DA
Z (we) am (are) rho owaer(c) of
~~
Jaunn ~
s~~•~•
•••••• I1Dy ir3formatiW is mis-represented racy rcault in the tanitarypo[n4st b°rn$ revokedby-ib~~a6 D°p~~'
•• IAClude ~vit6 thls sppticaUoa: a stamped wamtary decd fsvw ~ ~5~~ of 1~ °i~oe
a copy of the ccrdfind ctuvey aup if t~cfaoaee is tt~ iA the wrt~aty decd
TOTAL P.02
,,,~
1
STATE; BAR OF WISCONSIN FORM I - IS98
` WARRANTX DEED
oncianeni NuMer yet. ~ 797p651613
Thu deed, made between Bane CorEoration. _ __
a Minnesota cozporacioa ~ ~~~
_.... _ .,..._. _.._.. _ ---~ frantor,
and _Sienna Corporation, a MinnN,tiQta coroorat{on ___,,, ,_,_,
..- --. .
.... .... _._.. ......, Crantea
Grantor. for a valwbie conslderarton, conveys w Grantee the following
duaibcd real orate in St . CYOix Crnrnry. State of Wlscomin
(the 'Property ):
See Attached Exhibit A
Together with all appurtenant ttahts. Utle and buerests
Grantor warrautc chat the ude to the Property u good. Indefeasible in fee simple and fra and clear o(axwnWarxcs r:xcept
See Attached Lxhiblt B.
Dated this 20th _ _ day ~ December 2001 .
Base rporatljon (SEAL)
by - _~
Jo M. Nassef T
Its of Executive Offi (SEAL]
AUTHENTICATION
Slgruttue(s)
auttxrtticatcd this . ,day of
TITLE: MEMBER STATE BAR OF WISCONSIN
(If ml, _
suthortzed by §7(1G.06. W[s. StatsJ
Ea660SiU
KATHLEEN H. WALSH
REGISTEk DF DEE;D5
3T. GRDIX CD., MI
RECEIVED FOR RECORD
12-21-2001 3:10 PM
YARRRI{IY DEED
CE~RT lT'OOVY FEE:
c~Pr FEE:
TRNISFER FEE• 9663.+0
RECORDING FEE: 17.00
PA6ES: 1
l'
Recrn+Oo}g At(~~
~'~ Name and RxWn Atldrass
Uni~r~ i~~~
5~~ 5 me+l~rxi ~ ~ ~.
~.I.i~. ~'Dl
~.livtne~o~nka ~1u553'~
20-104$-30-000 ~ ~i
Parcel tdorYiltmitrn Number p~6~g ...___ ~I
This is not homestead property
(ts) (ls not)
20-1048-60-000
20-1048-90-000
20-1049-90-000
20-1050-00-000
20-1050-80-000
zo-los2-2o-000
20-1052-10-000
ACKNOWLEDGMENT
(SEAL)
(SEAL)
Minnesota
State oCiNtiCVT[>aA-
ss.
~..~.~ti< ~ Crnrnt .
Personally carne before nle this ~~ day of
December .-_ 2001 . nc~ above Armed
Joha M. Nasseff, Chief Executiv_e,OffiCer
of Sane Corporation, a Minnesota
corporation
me krwwn to be
irulntttxnt and at~
r
TtuS INSTRUM[NT WAS DRAFTED 0v _`
Lockrfdge Grindal Law T'irm
~ n n Wa ~ I,_~~ Auc_n.u~Sou th-
wtw exaruted the ioregoLy;
HARRY E. GALLAl1ER
wtaarraowttatetu erase
Minneapolis, MN 55401 NoyryPubltc,StsteocWtsconsm
y commixunn is perYrruscnl. (If cwt, xrare expiratitm dau:
(Slaoatw•es nwy be authenileAted or xknowlsdged. Both art: not January 31 02 05 ,)
necessaryt) _ _
' N.u.e. w pvaorw srAmry, H ~y tsprcey mwt sr qpW a yrhrtal tMuw Ih.~ ypW~ut. ... .. _......,_ ..... .... ......... _. .. ..-.:•-
WAiRANTY DEED STATE. lAii OF WISCONSIN WheonuA t~yy ar,„y ~„ yK,
PORM Ne. 1 - 199a M,,,~e ,~
5th'-~-~F~~ b7 ~ G 1 5 i tiwvH ~ur<r
Y~i, ~ / 9~pA~E ~1 4 File No: 85-04900
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
de,cribed as follows:
Commencing at the west Quarter Corner of said Section 20; thence North 89
degrees 25 minutes 02 seconds East, assumed bearing along the East west Quarter
line, a distance of 1319.52 feet to the point of beginning also being the
3outhwesC 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 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 S4 minutes 03 seconds and a radius of 4670.25 feet;
thence North 70 degrees OZ minutes 26 seconds East, along said southerly
right-of-way, a distance of 429.04 feet; thence northeasterly a distance of
445.52 feet, along said southerly right-of-way, along a tangential curve,
concave to the southeast, having a central angle of l4 degrees 30 minutes 21
seconds and a radius of 1759.75 feet; thence North B9 degrees 32 minutes 47
seconds $ast, 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 thQ south line of said Certified
Survey Map in Volume 12, Page 3302; thence East, along said south line, a
distance of 593.00 feet to the east line of the Southwest Quarter of the
Northeast Quarter; thence South 00 degrees 26 minutes 06 seconds East, along
said east line, a distance of 1127.21 feet to 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, Paqe 4172; thence South B9 degrees 37 minutes 27 seconds
west, along the north sines of Certified Survey Map in volume 15, Paqe
4172, and Certified Survey Map in volume 15, Paqe 4173, a distance of 1113.42
feet to the west line of Certified Survey Map in volume 15, Page 4173; thence
South 32 degrees 43 minutes 57 seconds East, along said west line and its
southerly extension, a distance of 591.64 feet; thence south 07 degrees 13
minutes 19 seconds East a distance of 323.01 Feet; thence South 08 degrees 41
minutes 11 seconds East a distance of 413.63 feet; thence South 08 degroes 43
minutes 31 seconds East a distance of 229.88 feet to the north line of
Certified Survey Map in volume 11, Page 3128; thence North 89 degrees 52
minutes 10 seconds West, along the north lines of Certified Survey Map in
Volume il, Page 3128 and of Certified Survey Map in volume 12, Pdye 3292, d
distance of 682.86 feet to the northwest corner of Certified Survey Map in
5tF'-~-G~J!'J~ IOy ~ ~ 1 51 tIWVM IANCI" ~x u.,., ~ cxx, ~ . w
vo~.17.97oar,E 6~ 5
Volume 12, Page 3292; thence North O1 degree 24 minutes 30 seconds East, along
the northerly extension of the west line of certified Survey Map in Volume 12,
Page 3292, a distance of 5.66 feet to 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 the easterly extension and the north sine of parcel
recorded in Volume 1390, Paqe 163 and the north line of Certified Survey Map in
Volume 3, Page 776, a distance of 508.92 feat; thence North 00 degrQQS 07
n+inutQS 56 seconds East a distance of 1003.47 feeC; 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, Page 1317; thence South 00 degreees 27 minutes 53
seconds East, along said wcst sine, tl distance of 193.97 feet; thence South 89
degrees 16 minutes 33 seconds Weat, a distance of 533.93 feet to the west line
of the Northeast Quarter of the Southwest Quarter; thence North 00 degrees 36
minutes 14 seconds west, along said west line, a distance of 820.23 feet to the
point of beginning.
SEP-20-2002 ~ ~ 21 5 ~ tNNH ux~r
~o~ 17~7~~~ti fi:I 6
Exhibit B
to
Warranty Deed dated December 20, 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. Gncroachtnent of Qwest Communications, Inc. fiber optic cable along the northerly
property line;
6. Agreement between Bane Corporation and John and Pearl Gies dated August 22, 1997
to exchange property following final determination of the location for Carmichael
Road; and
7. Ameritech General Non-Exclusive ?casement Agreement by and between Bane
Corporation and Wisconsin Bell Telephone Company a/k/a Ameritech Wisconsin dated
December 10, 2001.
TOTAL P.05
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