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020-1417-70-000
Wisconsin 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 SST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION E ATION DATA TYPE MANUFACTURER CAPACITY Septic °p ~ o~e:~ 60 Dosing ~ , lj Aeration Holding TANK SETBACK INFORMATION TANK TO ~ P/L ~ ~ G~,~'' WEL BLDG. Vent to Air Intake -- ROAD Septic 3p ,,, f ~ ~! - Dosing b~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ---___.___.__ Demand GPM Model Numb r -~'"`~ TDH Lift/ 'ction Loss System Head TDH Ft For main Length Di Dist. to well SOIL ABSORPTION SYSTEM I `f' CiLU,liz, /,..//)/d ('~ !~ U county: St. Croix Sanitary Permit No: 430456 0 State Plan ID No: Parcel Tax No: 020-1417-70-000 Sectionll'own/Range/Map No: 20.29.19.2645 STATION BS HI FS ELEV. Benc_ hmark ~~~ • Z O/~ ~ D D . Alt. BM ?- C~1/ Bldg. ewer a3 5~3 i" loci, S~ 9~•-/ St/ Inlet Q Ht Outlet 9. ~'6.3~ Dt Inlet -~'' ---- Dt Bottom / ~_ Header/Man. ~~ ~ ~^- ~~ I n Q•S ~r-. Dist. Pipe •. ~~ 5 Bot. Syste G~ Final Grad S: • ~~ St Cover ~ / ~,~ ~ /UO. BED/TRENCH Width / ~ Length f No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STR AM LEACHING anufactur INFORMATION CHAMBER OR ~ .}- ~ Typ Of System: ! ~~ , , ~ Model Number: ~ ~ ~ ~ ~ ~~ DISTRIBUTION SYSTEM N~'c~- -~.dZ Header/M ifgld L.~ Distribution ~J, x Hole Size x Hole Spacing Vent Air Intake Len th Dia Len th Dia acin SOIL COVER 1 x Pressure Systems Only xx Mound Or At-Grade Systems Only ~ tom. ~.~eo1~,., ~2 r i' ~ Depth Over ~ ~ Bed/Trench Center Depth Over Bed/Trench Edges xx Depth of Topsoil xx Seeded/Sodded xx Mulched N ' J [] Yes U No o I ;j Yes ; COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ ° / a°/- p~ Inspection #2: / / Location: 446 Wren LaLne~H.udson, WI 54016 (NE 1/4 NW 1/4 20 T29N R19W) The Glen L t 51 ~ Parcel No: 20.29.19.2645 1.) Alt BM Description =, I ' ~V~~`""- ~ ~f~~2~(,(.J~--'~ ~' 2.) Bldg sewer length = ~7 f / ~ ~ . ~~~. <r~.. ~ . T,,/2~~ - amount of cover =~ (0 t ~~ ~ / _ '~.~Jt-~ ff~-P~I.G~/ ~-_~~ ~.~QL~-'a'"h~ -- ,---- ----,a~ - 3, -- ---- - ----_ _ - Plan revision Re uired . i Yes No ~ ! /_ Use other side for additional mformation. (-__ _ _ ' _ 6~- (xt!~yt/1'L_ ,_ -. -- ~~ ~~~~"' c~ ~~~ Insepctor's Si nature n~~• ~~~ ~G SBD-6710 (R.3t97) (y~ - ____ _ RECEIVED - ._. __a __ `____.. __-~_-_~ Safety a tSuiltfin~s Div;sion ,~~~~~ ~QV 2 ?~1~ ashi ton Ave„ I'.O, Box 71b2 Madiso , WI 537Q7 - 7162 _ Department of Commer e ST. C OIX COUNTY' ( S) 266-3151 Salni ° Lion T _ ___ i Iu accord with Cotton 83.11, Wis. Adm. Code, personal information you provide may be used for sdcondary purposes Fnvacy [,aw, S15.U4(1)(mj --~ _. npput:suoq mtormatian -please print All Infarmatlon Property Owncr's Na me ,- r County .Sl Cy/d r~~_ Sanitary pertttit Number (to he Rued in by Cv ) ~ S Stara Ftatt I.D. umber _-___ -.--~'^ Project Address (if different than mailing addrrss) Partxel N Lo/t N block ~~l I v .-_-___- ___ Property Location y~ va /,/, h'-',vg ,fir Ctry, State .Zip Ce.9e ;Phone Number ~.= - u •..~~ '~.Sectian ,2 C~ ~ ~ ~. ~ ~ ~•~T ~~ I ~ 3~ ~- ~(~ a (circle o ) Il. Type of BnlidinE (check all that apply) ~~'~-° T ?~, N: R /~ S or ~/L or 2 Family Dwelling Number of Bedrooms Subdivision Nance GSM Number 4 u Public/Conttnereial -Describe Use __ __ _^ ~~ -mm -e_ ~~ g~ ,1111 :.~ State awned -Describe 4Jse 2 ' k ~--~ t;Q,~~~ t ^Ciry ^Village ~'ownship of f!a "~ f III, T ~2.$' ._ ??-s ( Yr pe of Pet'tnit: (Check only arts box on line A. Complete line ~ iP applic ble} Oho -~ I ~- (gyp -w~p ~! Plew system ~j Replacement System ^ TreatmenrlHolding TanA Replacement Only ~^ Other Modification to Existing System _ i B• ^ Permit Renewal ~Petmit Ttevisicn ^ Change or ~_ Perm¢ Transfer to New List Previous Permit Number and Date Sesued BefarE Expiration I Plumber I owner ~O TV. Type of POWTS System; (Check a!i that apply) ~ _ I~ Nan -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ~- Mounc} < 24 in. nF suitable soil ^ At-Grade ^ Single Pass Sand Fittt~ 'J Canstrueteil Weiland ^ Pressurized lr.-Ground L; }lold;r:g Tank ^ Peat Pilter {] Aerobic 'Treatment l'nit ^ Recirculating Ssnd Filter I ,_.{{,,,,.. LJ Recirculating Synthetic Media_Piltrr l~I,eaching Ch_a_tnber ^ Dry Line _^ Cir_a~el-less Pipe ^ Other (explain) __ ~V. Dis tsar/'T'reatment Area lnformatton: _ _ "~ `~ y„t _ - I?estgn Flow (gpd} Resign Soil Application Rate(gpdst) Uispersapl area Required (st) Dtspersat At'ea Proposed (st} S stem E evasion VI. Tank Info Capacity in I Total ;T u b r - ` Mantttacturer Prefab ~• Situ Stez! Fiber Plastic Gallons Gallons ~ of !,'nits ! ~ Concrete Constructed Glass New I:xistinh ~___~___~~_ ranks Tanks I ~ Sept'tf c or Holding Tank r 1/ . _ ~ .. .`~` -- _`. •#- ---~---- ,..- ', VII. ReSpanSibi,litY SCatemeat- 1, the undereigited, assume resprtttsibility far , Uation of the 1'OWTS shown on the attached plans. , r Plumber's Na the (print} Plumber's Si gnature ___. 1P P12S i'.'umber --r_. Business Phone bomber ~,~ l fr a r.~ ~Cltc d>Ll~ .- .~ - ~ .2.?? rr q~ ?/ 5--.3P,c ~- Plumber's Addre ss (Street, City. Stara, Zip r_oday ~ J --~/~ / VIII. Gaunt /iDe artment Use Onl _ ~- ~Approved 0 Disapproved Sanitary permit Fee (includes Groutuiwattr Date issued Issui g Agent Signature (No Stamps) Surchargts Fee} _ 0 Owner Given }reason for Denial ~ ~ -- a~ ` IX. Conditions of Apprava}lReasons far llisapproval '~ 1V SYSTEM OWNER: 3~ j~~ Sa~, "~~~ ~~ ~~ OZ.~ 7 Septic tank, effluent filter and ~ .. dispersal cell must all be serviced / maintr9ineui °"~~ . 5`~ o~~ as per management plan provided by plumber. ~, ~ v-~ t t~,•. ~, ~ t ~ ~ ~ haw ~~-~-_~}- n ~~ 2. All setback requli~ments must be maintained ~~uo~ as per applicable code/ordinances. ~ ~ . ~ ~ ~~ Attach complete pleas tto ttre C ounty ,>nty~or nc~ system pot not leas ~C ~ I V\~ ttTatt 1/2 x her In e SBD-6398 (R. O1/03} .~`~.v..r/i1- C'D J/'P ~ oT ,~''/ 7,~ -e.- ~ ~.,,t~ T`u1,c~4 ~ ~~Sa'.•/ ., ~ - ~~ ~~ ~,~ W ~ ~~ a i a ti- ~, 7 0~ ~i~._ ~~ vD-r ~ ~ ~.~ ~,sl .~~~ ~" B~ ' 92.9 ,l/l~.r/ ~~s~ s<< t-G ~w~ 0~ ~ a we. COPT ~-y,~ ~,c ~A/6a s~,s-~-~. 3~ ' ~~ /~ ~~ ~/ ~ ~ ~ ~- `yam o?a ?~Q~ /C~z f/s.~ - - ~~~',K.t//.t- C'G'~ ~P /.O~ ~~ fil 'e- ~//• -o~i~ ~~GGf ~o ~ ~cL~~..j O'./ e F~ s~~~J~ ~. l `-- 5'r1 ~ ~ ''~~ ~, wa ~~ ti~ ~~ ~~ A~ ~~~ gl `i2.9~ L/txlt/ ~~s ~ o~ 7 ki ~ r-.t zab ~ ,~ F~/GO .~J,~ 3 J 0~ ~ ~, lve a-----~ ' RECEIVE® _. EVA UATION REPORT Page ~ of ' Wisconsin DepartmentotCgmmerce N(1V ~~o~~Q n:. ..f e..td.. ~n.i C.ulriinna in acconfarrce mm pUNTY County ~r ~~RR(('' ~; Attach complete site plan on paper not ffraFi~ 1/Y'~ (p'I size. n must include, but not limited to: vertical and ho ' ntal r~ +rection and parcel tD. Wort n location and distance to nearest road. scale or dimensions lo e t , p , percen s Please print all lnformatton. a ed 6y Date ~~ zy Personal in/orrnalion you prorido maybe used for secondary purposes (Privacy Law. s. 15.04 (i) (m)). Property Owner f ~ ~ •~e,~ Property Location Govt, Lot ,>L~ 114 yr/il4 S,r1Q T;j~' N R /p E(or r Prop/e~rtyvOwnet s Mating Address Lot #// Block # 5ubd. Name or CSM# '' // City State Zip Code hone Number [] City ^ vilage (~ 7own ° Nearest Road I9 l~ ~ S'~Y ( -) 3 - Q S o /1 ucf Giv e ~ New Construction Use: [~ Residential /Number of bedrooms _~ ~~ Code derived design flow rate y 5a~~ o ~ GPD ^ Replacement ^ Public or commercial - Describe: _ - -Flood Plain elevation r~ appi'tcabie _-____ _.- _~y'~'u>~- S ~ _ Parentmaterial ~!~~- ft• _- // ~j Genera! comments 5"yS.~P ~ e r'e ~ ~ 7 Z' p and recommendations: I ~ Boring Boring # Q ~ ~ 3 ~ r rn. ~ ft. Depth to timitin factor (~ pi( Ground surface elev. _ g Horizon Depth Dominant Color Redox Description Texture Structure Consistence I Boundary Roots in. Mansell Qu. Sz. Cont. Cobr Gr. Sz. Sh. o ~ ~- 0 3/ 3 _ ~ ~ ~ rn ~~ ~ -~-, G S ~ v -~ Sod lication Rate GPDftf 'Eff#1 'Effia~2 r ~ s ~ 2 ~~--75' o r`~/ _ Sr'( Zmstilc vv,~(-y- ~ S - ..sue r 3 S , ~`~ ~s yr L j - I g2.4t' ~ ~ I ~t [~ goring ~-~ r Boring # p pi( Ground surface elev. ~_[_'Qv _ ft. Depth to limiting factar.~._- in. Sod A flan Rate Horizon Depth Dominant Color Redox Description Texture StruGure Consistence ~ Boundary Roots GPDi'fP in. Mansell Qu. 5z. Cont. Cobr Gr. Sz. Sh. ~ 'E~~ 'B~2 ~ -s o Lly ~. s',' Zm~k ~r - - ~l2 ~. r yl(~ - .S s i -- ~ ~ ' ~- ~, ~~ S. ' Effluent ffi = BOD > 30 < 220 mg/L and TSS >30 < i50 mg/L ' tmuent ru = auu, ! av mgrs ana r as ~ .xr myrL CST Name (Please Print) lure CST Number - _ ~-~~-- 2 ~ 33a . ~ .~- Address Date Evaluation Conducted Telephone Number 2-93 8'y~ ~~ • ~,~ r.~ ~ ~~I , S~yr~ZS l._,.=-G --03 7is- ~~o -v~~q (~ Parcel tO # ! d ~ ~ / Page ~- of Property owner ~ A rtol W\.~r''K-____ ^ Boring # ~ Poi ng o ~ ft, Depth to Gmiturg factor / 2 O in. 4~- Grotmd surface ele+-. ~1L1-- Sol lion Ra GPDtIF Horizon Depth Dominant Color Redox Description Texture G ~~S Consistence Boundary R~~ ,Eff#1 'Etf#2 in. htunsell Qu. Sz. Cont. Cobr C- , ~ ~ r Z I6~ 3i ~ S,'/ ~msb k ry~ ~ C S ~ u~~ c.~ 2/ to ^ Boring # U Boring ^ Pit Ground surface elev. ________ ft• Depth to limiting boor in. Sort A otication Rate Hori¢on Depth Dominant Color Redox Description 'Texture StructtJre Consistence Boundary Roots GPD-!tr Gr. Sz. Sh. •Etf#1 'Etf#2 fn. Mansell t1u. Sz. Cont Cobr I I I U Boring Boring # Ground surface elev. ft. Depth to timi6ng factor ~ in. ^ Pit Soii Application Raie Horizon Depth Dominant Color Redox Description Texture Struciun: Consistence Boundary Roots •E~GP~ E~2 in. Mansell Ou. Sz. Cont Cobr Gr. Sz Sh, i I I I I i I i I I I i ~ I I I i ~ 1 I I I I ! 1 i I ~ l I ~ I I + I _-~ ' Eiifuent #1 = BOOS> 3Q < 220 mglt and TSS >3t7 < 1 VO mglL ` Eiiluent #2 =SODS < 3Q mgiL and TSS < 34 mgiL The Department of Commerce is an equal opportunity service. provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-26b-3151 or TI'Y 608-264-8777. 580.8370 IR.07/0~) 6 a PAGE~,4P~ NAME;,~,~LOT#,~„"LEGAL DESCRIPTION:,~I/4 1/4,S T_,,N,R,~E(or)W r SCALE: I"= .a:, t, is YY1~ ELEVATION:` OC) ~ O - ~~~~ BM I DESCRIPTION: ~n ~ ~=7~~'-~a7~~n ~~ BM 2 ELEVATION: '`~~ ,~, ___ BM 2 DESCRIPTION: SYSTEM ELEVATION: CCU ~ ~U SYSTEM TYPE: (G ~ U ~ n ~~ ~/La.I ejq~S' ~~ ~ d ~~ '``~~ sy~,~ ~~t~~~ ~~„ _~ L ___~....._ W~ ~~ ~~ a-~-Z ~ ~' ~ ~- T Safety artd Buildings Division 20 y ~ County at I I W. Washington Ave., P.O. Box 7162 di W rscons~n M ~CYd ~• a son, I 53707 - 7162 De artment of Commerce (608) 266-3151 Sanitary Permit Number {to be filled in by Co.) 3D ~ i Sanitary Permit Application State Plan I.D. Pumber In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privac L 15 y aw, s .04(1)(rn) Project Address (if different than mailing address) I. Application Information -Please Print All Inform ~~- 4 5 G.~.. R .a , ~ k Properly Owner's Na me .~ L° iTl1 Y ,,i r, ; r sa ~ ,~.; ~ ~ ~ Parcel ;y Lot M Block ~ Ste' ~/ j Property Owner's M ailing Address - , ~P ~`~ ~~ ` ~ ti T S r ~~ Property Location City, State Zip Code °"` t~u..~# ~ `~, ~~,Secdan ~_ ~_ aD ~II. Type of Buildin (check all th t l "1' ~~ N; R lQ E otC~ g a app y) ~ S ~t ~1 or 2 Family Dwelling -Number of Bedrooms Subdivision Name CSM Number j -^ Public:iCommercial -Describe Use ~_ ~~~ ~~~ ^ State Owned -Describe Use 2~ 3 t X ~ T- jj~ ^City_^Villag Township of t~/Ce~.~j,~(/ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) o Zn, 1 l~ ^ ~ ~ t~ ~ `fS A. - New System ^ Replacement System ^ TreatmenUHolding Tank Replacement Only ~ ^ Other Modification to Existing System j B~ ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued I( Before 8xpiration ~ Plumber ~ FJwner I iV. Type of POWTS S~+stem• {Check all that apply) Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter (' ~j Constructed Wetland ^ pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand F" f _C Recirculating Synthetic Media Filter Leaching Chamber ^ Drip Line ^ Gravel-less Pipe Other (exp • 'n -~- q~o r V. Dis ersal/Treatment Area Information: _ ~ i Design Flow (gpd) Design Soil Application Rate(gpdsf? Dispersal Area Required (sf) Dispersal Area Pro f) System Elevat' 9~• Zo ~5 ' L'G . ~ ~~ ~ •~ 90 ~ y l ._. i VT. Tank Info Capacity in Total Number Manufacturer Gallons Gallons of Ltnits Site Steel Fiber Plastic ~ IVew Existing Concrete Constructed Glass Tanks Tanks rS i ept c or Hatding Tank //,~yt ~/, / ~r p f~ /~ ero bic Treatment Unit -- I A - ~- Dosin~ g Chamber ~~~ , ' e.S -P Y VII. Responsibility Statement- I, the undersigned, asstune responsibility for ' Ration of the POWTS shown on the attached plans. ' Plumber s Na me {print) Plumber's Si gnature P! PRS Number Business Phane Number ~ li~.'T~~~,s-1 .S'cLjrGytscz'/~'v ~ ~ o?~~~Y'~J ' 7 ~. ,~~•G,- Pfumber s Addre ss (Street, Cit y,S tate, Zip Code) "-- ~ ~ ~~7d -~~ Gtr` ~` ~,~.~'o.~/ l ), ` ~~6l6r , VIII. Count /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuin Agent Signature No Stamps) Surcharge l=ee) Z~ ^ Owner Given Reason for Denial , ~j IX. Conditions of Approval/Reasons far Disapproval 3\ 5.---~` ~~ ~ -jar ~~~ 1 SYSTEM OWNER: J `~ 1 Septic tank, effluent filter and ~ `~. Zt~ ~- ~ ~ ,t o r,,,~--) ~ l Cam "" - -I dispersal cell must all be serviced /maintained _ ' a - n _ ~ _ ',"1-- _ _ / s per management plan provided by plumber. ~> ~ ~ ~~ ~~(,tot t 2 _ _ L.- = . All setback requirements must be maintained --- I as per applicable code/ordinances. 1 e u~..~ ,..,.._..,_. SBD-b398 (R. QIl03) r•a••" v„ ...~ ~......, ....,~, ,~. ,.,c sysacm ua yaNer noc less wan ai/L X 11 lneneS IA size -cam ~r~Cti.~G~ ~i9 f/!J ~Q ~ 6`t ?1i ~ „~~/~~~ ~O®fi,.Pl 4 ~ ~a~c~.(J ~~ COPY 69 S'<`~~ ~ ~aZ' 6~ . ~~ ~l ~/ ~.ai~c /6D~ O ~- SQiL E\IALUA~K2N f~EPQRT IN>scxansiri i~parhnentafGorfunerce Division of Safety and Buildings in ar~ordarrce with Comm t35, Wis. Adrn. Code Attach complete site plan on paper not less than 8%: x 11 inches in s¢e. Plan must Caxtty include, huCnot#imited to: verticaCand horizontatreference point(BMr direction and percentslope, scale a dimemsionsr aorthaaoa~, and location anddistance to nean~t wad_ Parcel l.D. Please prirttaM information. R Personal information you provide may be used for secondary purposes .04 j1) jm)). `'-' 1153 Page 1 a 3 Steel Sal Service St, Ctrioc ~ Date 1 /~/ Property Owner ~ ~~;, tr r~etiy Location I S~nna Garparation .Lot i~iE 1/4 N1t1t1/4 S 20 T 29 N R 19 W Property Ownefs Tg~ctdress < ~ Block # Subd. Name or CSM# 4940 vx~ing Dr, Suurte sos S ~P 2 6 20~`l_ 51 na The Glert ..City / State Z' Cafe ;I~t,r;;~ "% f~ City Village ~ Town Nearest Road ~`~~/ha It~Ist 3~~r~^~3~'~- hlt~dson Gam~tichael Rd. New Construction Use: Residential / Number ~ bedrooms. - 4 Code. derived design Clow rate 699 GPD Reptacernent Public or cartmercial -Describe: Parent material Pitted outwash Flood ph3irrelevation, 'rf applicable na General comments and recommendations: System elevation 93.54ft, trenches spaced-and depth to code 6# below-grade I~~fNr:cE.ss'!r/zy -ta ~ ~ ~ $ 1 05 P~ Ground Surfaeeelev. L~J -99,20 ft. i--. .Depth #o limiting factor . Sod Appication-Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 •Eff#2 1 0-10 1Oyr3/4 none sil 2msbk mfr gw 1# .5 .8 2 'h(k28 1€~rr4/4 sicl 2msbk mfr es na .4 .6 3 28-96 ~~yr4/6 none ms -asg mi na na ~ ~ .7) 1.2 ,~y Qa , ~~ 9~~~ _ ~o: 8 '% ~ 7~O P 2^ Bcmng # 1f Pit Grour-d Surface elev. 99.20 ft. Depth to limiting factor 't05 -n- Soil Rppliration Rate Horizon Depth Dominant Color Redox Description Texture Structure Cor~~terxe Bouundary Rotas - GPD/ft2 'Eff#1 "Eff#2 1 D-10 1Dyr3/3 none sil 2msbk -mfr cs 2# .5 .8 2 't~8 10yr4t4 sl 2msbk mfr gw na .5 .9 3 18-31 7:5yr4/4 none cos asg mvfr cs na 7 ~ 1.6 4 31-1 U5 7.5yr4/6 -none ~ osg ml na na~ 1.2 s `~ ~ ~C~- t~ ~f . ~~ I 7 ~O ~ W ~~,2, D„~ql~ N " trrxueni yFf = ErVU ~ 3tF <~mglt ana TSS>3f7 < 1~ mgtL ~Effiuent ~ = BODS<~ mg/L andTSS"<30 mg/L CST Name (P~ase Prim S~nature: CST Number Davin J._ Sleet r~'~~~-- 24895x; Addmss 3teet Sal Servlee X~``J Flame Evalu~ion Conducted Telephone Number 1564 CR GG, New Richmond, W 1 540tt 9/19/2Q02 715-Z46-5085 M1 ProperipOwner Sienna Corporation Q Baring # Barrng /' P~ Ground Surtaae el Hor¢on Dominant Coke Redox [3esa 1 0-3~ 1Oyr3/t none 2 ~ t0yr4/4 none 3 56-111.5 7.~yr4lti none -Bodna # Boring Parcel ID # pending ~i.40 ft. Depth to limiting fiactor 105 irt. rR Texture Structure Consistence Boundary sit 2msbk mfir gw sict 2msbk dfr es osg mi na Page 2 of 3 ' Sotl Appl~ation Rate toots G('D/fP *Eft#1 *Efif#2 2~ .5 .8 1 f .4 .6 na ~ 12 *~## =$oD ~ 3t#<2~'T~ >3o<_~p thg/L "fifluent'#`i =BOD5c3Q mg/L-and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you nced assistance to access services or Boring # ~~9' R~ Ground SurFaceel~r: ft. Depth to limiting factor in. Sal Application Rate ttor¢orr Depth Dominant Color Redox DescriPtiorr Texture Structure Consistence Bocndary Roots GPD/ftZ *Eff#1 *Efi#2 Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM Sienna Corporation New Richmond, WI 54017 Lic. # 248956 NE114,IWV1/4,S ZO,T29,R19W (715) 246-6200 Town of Hudson, St. Croix Co. (715) 246-5085 The Glen lot # 51 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 dme the soil test was conduc Legend 1"=40' • =Benchmark El, 100.00Ft (p0 Tap of %2" pvc pipe . • =Alt Benchmark E1.10~ .~~t Top of/2" pvc pipe o =Borings Baring Elevations ~ B 1 =9920Ft B3 = 96.40Ft B4= OO.OOFt y.ig-av u /V I { -~' ~- _ :~ ~, / ~ .., ' / ~ •~; ~ ,-lam -~:'_rw 1`- - : ~.. r ' ~~,;;:J' ~~I ..:. _- - - ~,~ r.,_ .. ~- , t 417•• ~ ' t. ~~ •• ~~ \\ ~ irk r~s~L~ ` .. ... I \ ~~~~ ~' 1 \I 1 !~ ~ _ •.; g~! ~ ~.ci \ = i~,' \ __ \ it ? .. . _~ _~ . _ _ • ; - • ;,~;. ~ gig; ~A; T•~ . ,,, r ; : z;: ~.ss~•. .~ 5 --- .~ -- ,. , i • i ~~ -~ :. A ~ 1 _ _ a +~ \ . \ 6 i ! ~ _ `` • a • '• y 11 "_, ~ 1 .._ ~.a k~L _ 7r..... _ _ .~ ~ \ - l~' - `m'1- - '+a~•.\, ~~ l rJ ~ Ili ~ ; .i " , ,1 E • : i * -- _.. •- . - - / 1 .i - ,.• _ .` 1 . _np \- \ --_ ~ :. :;_: a ,a~~~ - ~ ~ ;~ ~ - :, :\, \,, \~ '~: °~ ~ ~• • .- . - --- il~: ~. :.f .' _ i < '•, ~ .' i _ \i` yri ~ •~ Ic. ;~\'. 293 , ;. ,1: - ::1,1,1,.,::.1: ,,1::,~ . ' I '7 r tS\, 1. ,/ .i _ l ---- ~`' : , ~~ ,1, :• '~.1 ; ., 11 ! ri ;, ~ :. i,l l ' R• ~, ~ ` 1 1 •'\ ~ `l ~ ..: ~ ali ~\. \ t 'i`Ia :•: R i A l . i . L _ _ - f. ,~; •: N: ` ~ 1 ! ~• ~ 1 _`~~t: \ ~ `i Il~t 1 'ills `.} " /A 1 ~' ,-_ >nZ9L '. w7~ ~ ~ ~ ~ i• ~.~ \t , i~` •i ~ '• ,~ r/ a .~`. \ _ ~ i 1 i :. r _ •~J rr ,. 71 , • ,,, 1,. __ __ i ' ...\r v'~. . , 1 ~. III ~~ r \\ .,\ • + ~\ ` a~ -~' , \ 1 y b ' 1 ,. ~ •: :y.f I ~i?t r` ''TT T' \~. •14:~a1t~.. .•r:'.i .__, _ .. `1•.`. C ~~ ~~ tt~; L~ ~N i ~~ ~s s ~~ r~ ;! ~" _~ r~ !~ y ~~ ~~ i r} 1; $~ ~S s s i r C A QT ~:' 0 5~ ~ CI `yY MMM O j f x ,K ~~ ~ ~~~f ~ ~~~~ ~ ~~~ T! m ~ ~ _ ~- ~ ~ ~ I"Yil ~~ w =~ r ~ a '~ ~ a 4 c~ o .~ ~ ~ ~~ • ~ ~ ~ ~ ~ a 1`1°il a ~~ H ~ ~ ~~ VI VJ ~ ~ ~ ~ -' ~ O ~j- ~ N m .-. _ ~so~, ~ tQ '~ ~ fQ ° G •-• ~ :~ ~O ~ ~. p ~ ~ n f C7 ~~ ~ ~ CD ~ x .o ~' ~. ~ ~ `~. . cn ~, a ~ c~ ~- m ~ ~ ~ ~ ~ ~ ~ p v ~g o ~ ~ _. ° ~ _. o ~ ~ r~w~ ~ . ~ _ ~ ~ ~ ' C7T ~v ~ ':' ~ (°) ~ Q ~ ~ a ~ ~ - m k ~ ~ ~ ~. ~ -+ ~~, ~ c w ~ C :: ~ a ~ ~ ~ C5 ti ~ ~ ~ N 1 j ~ ~ ,. LC} ~• s Invert 1 i "-} C .i ~.:.. • ~ .r: -~--..~..-,.d~..~. - - -----....~-...~. -"r-.--.~..+........ 4" CI ~l£NT~ FZP£ l2" MIN. f~BQVF, G:~ADE b 25' FRpM Dt}pR, WT~iDpW 4R FRESH A2R INTAKE - ..,_.._..,, F'~3~SH£D GRAD£ ~ _ ...~~ +~`" CI RISER ' ~ I ~P~~av~~ 'IP£ 3' ~IYTO Sit It? .O.L A:ER TI;riT SEALS PJ?r!P v^FF I;LEV . ~~FT. ...~."` A B ~~ ~ ~C ~~ D +~~Al'N~R3~RQC~ JL'NC2'IQN BCX KITH CC}NDL'IT ~• ~A i GAS- ~ ' , T1GHT~ ", SEAL r } t r : , i " 3" APFRaV EA BEDDING UNDER TANx ~PECIF?GAT:ltS A PPR 4'~ Ei? `iA.'VNQLE CGV ER W ~ PAD 1~OC K ~ WARNING LABEL 1h A `~AP~'~OVE~ 1i 1 CONCRETE PAD JOI~Ff S ~tIT~! ALM ~ AF'PRUV~fl PIPS pN f ~ s' o~ta ~ SDl.20, SflI~ flF: r~>~ RISER EX: fi , ~~ ° ~ FERMIiTED ONLY IF TAhK ~ 'dANUFACTut~ER ~ HAfi APFRQVAL iEPTIC r' DOSE "AtiK MAN~FACT'JRER: l~_c,~r 1v*uM~ER DaS£S PER DAx: ~~ "AN3~ Si2ES: SEPTIC ~ GAL. DOSr VGLUM£ II~'CwJDING DOSE Ov ~ GAI», FLgWBACK: !~~ G,4;,. -L~ MANU2'ACTIlRER: ~./ /~,ia,..,..! MODEL NUMBER: .....1z~...~..w. SWITCH TYPE: Iritr~ 'Ut P MANUFACTURER ; MODEL NUMBER: SWITCH TYPE: EQUiREA Di SCHARGE RAT ~p^aP:4 CAPAC2TIES: A : ,`~a_ i2dC~:ES ~ ~M~~ a/+~L. ..~. 9 = ~., IN'CHES ~ ....Y~~..... GAi... C r ~ INCHES = IGAL. PUMP ~ ALARM krIRZhG AS iR 2LHR 26.23' WAG ER'I'2CA1. DiFFF.RE~I~CE BE:~E~N~- t~F !` AND C?STP,IBUTI.~N PIPE ~a2 FEE? MTNIMVM NETWpR~ SUFPLY PRESSURE . ~ F£iT ~,~~ PEET fpRCEMAiN X ~ L!J FT12J~ F~', fRICT:t3N FACTOR FEE'!^ T.C'::4L DYNAMIC I"IEAA = r r E«.« ;t;'EItNAL D7MEN~IOh'S GF" Fi~M? :Ahk: LE'~G,y ~------` ; WTDTH ~" ~ ~T ,TER ~"~ a ~~~ ~~ ~~ ~~ #a~ ~ ~ + H01ff6S + FarrnS ~~ • Gea~erinq gl~CiN'tC11 .,.,.,~..... + Sands h8rtdtinq t6gityr; }h' m~clmum. * ~ up tee 55 Gf'iN. " ~~ tt~ds: ~ to ;~A feet, • ©teoharpe elm; ~'h" NPT, • NiechaniCa! aeal: r~c+n- rata lcwamk-etetlorrs~ry, Sil1~-tt al8~ttorrKlrs. .~ 1{~4 ~+) sinuous ~4tt'~ AO°Ci itlt~rCptter~t. Fassunars: 3110 serres ` dry~Mtirtt~o~ut ~ t0 tapCli~Qilerlt8, P'urilp: t + Sstlfde hi3ndfinq capability: Ali' iY1a~fV9tIITt. i~h~s: uu~ ~ 8 ~ • GisoharQB aire:l ~` Nl'T. * MeahlrrlCtd eea{: carborr- l~ratn{c~a~ttonaty, et*stomers. + 1 ~ S~S s~zttiswous 14{~ i 'rent. a) Q teas Qadd~ Pun~pa, fna. + Fas~nera; 3U0 series s~eei~ + Cap~le oi' running dry witrio~t dsmapa tc components, Ma'Dor; + EP04 $I ~ hose: 0.4 HP, 115 or V, 6Q ttz,1550 RPM, built In uvertaoatf with automalio reset F.P05 Single phase: a.a FiP, ~ i 5 v, ~o ~ ~ sea RPM, built In ouerload with Pouts' Cord: 0 ft~at statuinrd ienpth,1613 S,~'C ~tti tl~ea Rsan4 pround!nn plug. Optional 217 foM ler~th, ifi13 SJTW with three prong pro riding plug ;standard OR EFUS), ~ , ~~ 1(}~ ia~.:Li'i1~~. PgCaL ~~ oc m Submersible Effluent Pump ~~~~~C~ 3871 Ego * lily submerged in hlph grad®titrblr~e d! for luon ltd efi9cdent heat transfer. ~vai{:l,ia for autCmaiic end m~onbe{ operat{oa. Nnteau~e modek loalode IV~nnisel hoot 8wbcl, eprmbled and praaat at the h~1f• ss EP~O intpe{Mr: Thermo- plasf~C Serni~+pen design with pump opt u~ for mechanical seal proiedian, ^ EPC6l+~nilers Therm+r plastic artcfoeed desi{ln for improved performance. ^ Cu{aq tzid hone: ~Rttgged thermaplastfc design provides superior strength end cuTa~on~r~ista~ce, • Motor ~utngp; Cast iron h~ \Y ~, end durabUlay. t i~r`Cewr: Therr~aplas- rav8r with Integral handle ~i ~chment p • Power Coble: Severe duty noted oe and t+rodter resls~r+t ^ Be~ per and lower heavy d bearlaq oonatru on. A8~10Y ASS ~i 1N1t1Ma Stegd~tla Ilan ! m A~` ~ umber s ~ t i ~„_, i ~ ~, r'r ~ i ` ~~ t ~ I 6 ~ E 6 ~ o ~ i s , o Q 4 ,~ 1 ma!!1 Y1~1'RW ` ` ~ ~ N ~~K';'>'' ,, ~ l~MBV, tf~6 POWTS OWNER'5 MANUAL & }MANAGEMENT Pi.AN Pa$e ~ of Z- FILE INFORMATION ' Owner Permit ~ O OESIQN PAlRAM15TERS Number of bedrooms *-~ {~ NA Numbsr of Pubec Facility Unite DNA Estimated flow (average) ~ ~}''~ elide Design flow (peak), (Estimated x 1.5! ,G~ D el/d Soil Applicatbn Rata ailda !ft' Standard infiusnt/t'sfftuent Quality Monthly average" Fate, Oil & Y3reass (FOG} 530 mgli. Biochemical Oxygen Demand (BODg} 5220 mg/L ^ NA Total Suspended Solids tTSBi 51150 mg/L Pretreated Effluent ®uality Monthly average Biachem#oal Oxygen Demand (BOD,# 530 rng/L Total Suspended 5olida iTSS) 530 mg/t DNA Feoal Coliform (geometric mean) Si0` cfuJlCiOml Maximum Effluent Partiote Sise Ys in die. C] NA ~~' DNA "Yatues typical for domestic wastewater and septic tank effkusnt. SYSTEM »PECIFICATION$ Septic lank Capacity ,~ ~J al O NA Sspt#c Tank Manufacturer ~ O NA Eff#uent Filter Manufactwer ~ ~ ~ i3 NA Ef#luant Filter Mode( ~~' d NA Pump Tsnk Capacity C? al O NA Pump Tank Manufacturer r s,~,~,. ^ NA Purnp Manufacturer ~,.,~/ DNA Pump Model DNA Pretreatment Unit 8andit3ravsi Fitter O Mechanical Aeration © Disi<efection O Psat Flfter D wetland D Other: DNA Dispersal Ceills) D #n-Ground (gravityi 0 At•Grade D Drip-Lana O NA D tn-Ground ipressurized) D Mound D Other; D~f9 DNA ~~ ^ NA ~~~ O NA MMNTLNA,N~GI: ti;CF1Ep1JLB Service Evert San-ics Frequency Inspect condition of tsnkts} At least once svary: 3 ear ai a tMaxbtwrn 3 yaara! DNA Pump out aontsnta of rankle} Whoa comb#ned stodge and scum equals one-third tYyi of Lank volume ^ NA inspect diaperaai celt(a) At least onoe every: ~' ~~tai (NAanttnutn 3 Years) DNA Clean effluent fiksr At least ones every: . ~ mornhle) ,'$' earte} DNA inspect pump, pump controls ik alarm At least once svary: ,.-- menth(e) Q aria) DNA Flush laterada end pressure test At least onoe every: ''~ men (si O ser(e) ^ NA (?(hers At least once ovary: ~- month{s} ~ arts} DNA Other: ~ LI NA MAINT~tANCE INSTfiUC~TiONS lnspsctions of tanks and dispersal Celia shag bs made by an individual carrying ens of the following poensas or oertificatlons: Master Plumber; Master Plumber Restricted Sswsr; POVIOTS inspector; POWTS Meintalner~ Septags Servicing Opsrater. Tank inspections must #nclude a visas! inspection of the tank#ai to idnntif y any missing or broken hardware, identify any cracks er leaks, rreasurs the volume of oombinsd atudge and edam and to chock for any back up or pending of effluent on the ground surface. 'The diapersai cab(s) shall be v#suaily 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 affluent on the ground surface may #ndicat®a tai#ing condition and requirsa the immediate notifioation of the Iocal requtstory authority. When the oombined accumulation of sludge and scum in any tank equals one-third (Y3} or morn of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operater and disposed of in acoordsnoe with chapter NR 113, Wiaoonain Administrative Cods. Alf other services, including but not #imitad to the servicing of effluent filters, mechanical cr prosaurixed oompenenis, pretreatment units, and ,~,y servicing at intervals of St 2 months, shell be performed by a certified POWTS Maintainer. A servioa report shall be p-ovidsd to the local regulatory authority within 10 days of completion of any sarvios event. •apoa inltBJtslulutpd ulsuooslM '!¢) ~ iZl '{ 1149'£8 Pus 1~}JBIPltbllgitZl~Z'S8 tuuJO~ Jaideya ypm aauslldu~oa ul pe>lsJp sRN+,wswnaoP 81511. • "~ •uoyd ._ au0yd jvl N ~~~ 71/ Oa '~ awsly , '^ . , .. aweN l11lidQHlilb Aa01rnn03a lo'a0'i ra~dwndl ao a~ao ONlalna~s 3av.id~s suayd swap x° S' °~ '~ ' ~' ~ a5,ayd .~ ayi ~..~ "•'l>,' aweN l13NIV1N11fW S1MOd a$'11V1SN1 S1JNOd siN~lwwoo rrNOlllaav '~91$$OdWI !IO 11n01ddlp d8 JLVW ~INVJ. d d0 a01a31N1 3N1 WOad NOSa~d ti ~0 an~S~a •11ns3a AVw HiV$o '$30N~f1SWnaal~ J1Ml a30Nn SNdI 1N3Wlv3al aaK,to au dwnd 'Olld~$ d a31N~ lON Oa •N3flJiX0 1N3101ddflsN[ tld/aNV g3SSVF? 7VH1$"I NII1INOD A1IW S$NVl 1N$wiV3a1 >3~Hlo 4N < <oNINadM>s> •awii isyi ip iaa;;a ul ss{nJ ay; yiiM Aldwoo isnw swais,cs µons ;o suolianusuoae>:l •aas;Jns •nlisJil!-u! aµ1 le leu~o{q aµl ~a IsnawaJ buiMOpo; aaeld u! psionJisuoo•J aq ~sw swaisAs uolidJOSgs {loe epeJ6»ie pus punow p dust a e;{s qa 1 ~ r 'S1.NiOd PBNsd ayi aoeldeJ ai 3JOSe, issl a se pspeisu! aq Asw ~lugi Bulplay a ABolouyoai 51MOd u! seauenpg SulJJSg •suolisilwll Ilos Jo/pug ~losgias of anp a{gepens iou sl aaJB iuaWaaeldaJ olgayns y CI •owli 2syi is iae};a u! salnJ ayi yilN- Aldwoa lsnw swaisAs lueuJeas{dat~ •eaJS iuawaasld•J s{geilns a ysl{geisa of uolisn{ens ails pus {{os Mau a Ja; peso ayi u{ i)nsaJ {{IM a8te 3U9Waae{deJ ayl lOaloJd Oi aJft{lei 'sl{BM pus SaUll lol 'AJnIOnJiB PasadaJd pue bUliBlXa WOJ; S~OI-gj8s PeynbeJ I~q uadn paButJ;ut aq ;ou p~noµs Pus uor3~edwoa pue aauegJnis~P woJ; paioeioJd aq p)noµs aaJe iuawaasld9J ayl •wa;sAs uolldJOSge {los lu®weos{deJ s ~o uo{lsao{ aµl Jo; paz{{nn aq stew pue pelen{ene ueaq seµ eaJS luswaas1dsl algeilns y '~ :waisAs iu•uwosnlaJ iue!idwva apoa a aplnoJd o3 'uv~si eq isnuJ Jo 'ueaq ensy sa,nsseus Bu~MOlio; ayi paJledeJ aq iouuso pus sllel S1MOd a5µ ;I NV1d J1QN30NilNl~O yslJSiew pl{os iJSUI Jayious Ja {aneJB 'poa yl!M Pa{;!; soeds pion ayi pue psnou~aJ sJanoo Jlayi Jo panowaJ pue palsneaxa eq pays sl-d pue s~lusi Ile `Bulduand Jai;d • •JOieJedp BuratnJOg eBsldag a Aq ;a pasodsrp A~JOdoJd pue panoweJ e4 {{tags si2d pue s~{ue3 Ilg ~m siuaiuo~ eµ1 • •pn~aas s6ultJado adld pauopuege ayl pue peioauuooslp aq {{eys sl{d pus s~}usi of 9uldld II'd • :epos enlisJislulwpy u!suoaslM `E£'£8 wwoa Jaideyo yilM aauel{dwoa ul pauopuege Ala;ss pus AiJedoJd sl weisns ®41 leyi amsul of ue~ls3 aq l{eys sdeis Bulnnopo; syi aa{nJes ;o ino ua~lei AliueuewJad sl Jotpue s1!¢3 S.LMOd ®yi ueyM 1N3WNOaNV81f 'euuq JaUei}OS J83BM pue :suodwei :sul>ydeU AJeilues :saplallsad :aianpOJd BtJllulad :~io :suoilatoipacu :sdsJOS isew :sap{o{gJay :astaaJl3 :ouposab :s6u{tead 6{g8labsan pue i{nJ} :J81sM (dwnd duJns) utt3lp uo{lapuno; ;isl :siueioe;u{slp :sJedelp :sso{; lsiuap :sJassaJBep :sgt?MS uolioo :swopuoo :rung euaJpB{a :sad{M AgeR :so!la{q{lue :SJ.MOd 8µl ;o a;ll ayl 6uo{aJd pue aaueuuo}Jad eµi anoJdwl Asut tsJSaJZS Jel@MalseM at;l woJ; i3ulMOpo; ayl ;a uollRUlwpe Jo uaianpaa -8816 UOild108g6 i90s opeJB-yx JO pLnOW AUt3 ;0 sdols UMOp 1aR; g t iJ1yi1M pe,e eyl •iasdwoo Jo gJnislp eslMJOyio Jo •Jano ~lJSd Ja snup iou oa •sllso IssJedslp pug s~}usi Jana saialysn ~{JSd Jo anlJp iou oti •~luei dwnd ayl ulyi!M s{enal iswaou eJOisaJ of slaJiuoo dwnd ayi BulieJ•do Apenusw ul islsse of Jaulelucay~{ S1Mpd Jo ,agwn{d a iosluoa Jo dwnd loan{;;e ey3 of JeMOd Bu{JOisaJ of JaiJd JvieJadq BuiolnJeg e6sidag s xq penowa, ~1u81 dutnd ayi ;o s;uaiuoa ayi ensy uolienils slµi pions o j •iuan{ya ;o abJeyds~p eae~ns Jo dn~{~sq eµi u{ 1{RSeJ Asw pus (s}{{ao eyl 8ulpeo{,eno 'asap aBJel auo ul (s-ilao {esJedslp ay; of PaBJSyoslp aq l{lM JeisMaisgM ssaaxe ayi peJOlsaJ st JeMOd ueyM •s{enel Jsis+Nyb!y IeWJOU anoge lp; Aew s~Iuei dwnd sAl3sino JsMOd BulmO •eae;Jns enlieJill;ul syJ is uexoJ; oJit suolilpuoa llos ueyM Jnaao iau pays do 1JIIis weisJ{$ •asn of JolJd JoiBJedo Bula!nJas st3sides s Aq penouJOJ Cs)~lusi ayi;o slueluoa ayi anaµ paioelaP aJS suoligJiuaauoa yBlu ;l •ls}ilea IssJedslp ayi eBewep Jo/pus ssoaaJd iue~uieeJi ayi apadwl Aew lsyi also{weyd Jeµla Jo slanpoJd 13ulluled;o eauasa,d ayi Jo; {sl~lusi luewisaJi ~laaya SJ.MOd ayi;o asn of JolJd 'uaionJisuoa Mau Joj N0111Id3d0 (1NV dtl 1~id1S lo~j`"- aged sT cROUC co (v ~rriAaRaat~+~rrr SP,P'I'IC TANK AND OWNBRSF~ ~~CATION FORM OwaaBuycr ,5! ~J,~JA ~o ~ PQ ~-n a . ~ Mailing Address Proporty Address ,~ Gl~e,t1 ~ (Vcdficatioa requirrd from Ptsrsssiag Dopardaaent for aea ~3 S t~tylStats hl UDSo^J 1.c/Z Parcel Identifi~tioa Number T.,TGAL ]~F.SC~tI~'T~ N ~ µ - , 20 2~ N-K l mow. Iowa of /~(~D~SU^~ property Location '/., /,, Sec. . T Subdivisiara _ ~} s~ to ..,•••+ ;•+ the privau ecwt8~ aY°t`a't#nth and tho Dcpartmsnt of Nstual licavurces, Stste of WiscooaOfficc~~w'na30 bt eousplcted sad retutn~ed to tbo St ('~+oix CaemtY 7Ania8 Volume _____,-_-~ Page # Certified Survey Map # _, Volume ~~--~ Page # t 3 wr-:ttrnty Deca # _ (~ Cv~•..0..80 T_.ot lines ideuti6able ~ yes ^ no Spot house ~ yes Q no TE curt: failurc.t° handle wastes. Psopcs marnit~aacc Impropu rue and snaia of yoiu Kppc cy~tem weld resolt is its pmtssa W}sat You ptR into the ~m cot~ista of pumping out tlu~ septic tank Ducey three yesm or soooer. ~ ~~ by a licensed pump~• da affret the ttsactioa of chc eeptic tsssk as a t:catmeat st:Qe in tyc t+raste ditpoaal-systrm The propcrry owner ag~cs to tnbmit to St. (~rou Z-aauu ~pa~at a cedi5cation fotia, ci,gnod by ~% owner and by a tumba or a lscensod pamper venfYm$ that (1) the ors-sift wattowatoc disposal crxm mastCrp~s, jo~°ymanpl°~` restrictodp if,o~rY). the septic tank is less thus 1!3 ftr11 of sludge. ~.:ln p~ opcating eoadidoe and/or (2) alter~aspa~o~a and puaspiag the eeandisdt I/we, tbo uad,ersigaed Gave rt:ad flue ibrn tc4uls~~ set forth. 6creia. u ecr by ~~ Dcpsstsueat of Cooamc ~~ ~ septic system My~bocn tsa d,vs.of tbrtx Y~ ~~~/dar~. that all wny inferrnatio p~ihic torn ste true (o t}uu best °f uyof Deeds O ue. a warranty dad recorded in Regist Lot # l; ~ l~ O.~ D ~ 1(we) nm (are) tho owner(s) of r ,~ d3 D TB -eepresented may rtavlt in the ttssil><r7+P'errnit bou-g rovokedby-tbtZaaing p'=P~°L •••••• •• Include tvitb this sppGeallon: a stamped warrsary decd"fsvm the AeSretet °f D~ office a copy of the ccrei5od cruvc7- +maP if [rfat~ u tstade is the wazssnry dud TOTAL P.02 STATE BAR OF WISCONSIN FORM 1 - 1998 - ~ WAR1Rr/yA~lN1,T7Y DEED Dactnwnl -L.roar ~ Vnl. J 1 cJ I v(f,t 6~,~ This Deed. made between Bane CorEoration. _ ,, __ a Minnesota corporation .,... _.- ,..- -.._.. _ ___. Grantor, and _Sienna Corporation, a Minng@Ql:a corpozation ___.,, .~. .._ _.. . _.. ..._ _._.. ....... Grantee. Grantor. for a valuable cortsideratlon, wnvcys w Cnntee the followlrtp described rral eyta[a !r, St . Croix County. Stale of Wisconsin (the 'Property'): See Attached Exhibit A 6660$Q KgTHLEEN N. WALSH REGISTEk OF DEEDS 3T. GRDIx CO., WI RECEIVER FDR RECORD 12-21-2001 3:10 PM YARfWNTT DEED EXFJWT R CERT COPY FEE: COPY FEE: TRWSFER FEE: 9!63.10 S.IN6 fEE: y7.00 1r Racrx+tln~g Arc+~ NynO and Rattan AtkYasa Uni~r~l ~~ 5`1Qo 5 m¢.+r~r~'i 'jai ~.. ~i,~.it~ SDI 20-1048-30-000 0 1 Parse! Idaroiacalion NuriDar (PB[ry Thts is not homestead property (is) (!s not) 20-1048-fi0-000 ZO-1048-90-000 20-1049-90-000 20-1050-00-000 20-1050-80-000 zo-losz-20-o00 20-1052-)0-000 'i Together with all aplwrtenant rights, title and interests Grama• warrants that the title to the Property !s good, ltnicfeaslble in fee simple and free and clear of uuwnbrttnces except See Attached Exhibit B. Deed mis 20th - _ day ~ Decamber 2001 , Bane rporation~ (SEAL) _• -- (SEAL) by Jo M. Nassef ICs of Executiv¢ Offi (SEAL) __ ..._ ._. ., (SEAL) AUTHENTICATION ACKNOWLEDGMENT Slgnatura(s) ..._ aurtxnricatcd this __ , tfay of TITLE: MEMBER STATE BAR OF WISCONSIN (1f mt' authorized by §T(ffi.06. Wls. Stats.) Minnesota State oC1N!'leettet<t- as. {~.~.r..~.c -1 Count. Personally canna bafora me this ' +"+ day of December -•-_ 2001 , ~ ~„s „~,,,a,t John M. Nasaeff, Chief Executive Officer _of Bane Corporation, a Minnesota T corporation +•~- ._ _.. ~ •~ .. _..-_ _ Io mr Ivuiwn to be ~ie per3. wl%r a%aYUred the forogolty; inslntment and of l T1~uS INSTRUMENT WAS DRAFTED D`r_~ Lockridge Grindal Law i'irm ~ nn pA c1--~ =~==- Av~aue-Sou th- HAAg1f E. CaALLAFtER waeatoaowuvatra s~asr Minneapolis, MN 55401 No' Pubhc,$tateofWtsconstn y committlnn Is penntulcnl. (If not. gate expirnion dap' ($/pia[w'es nwy be auurngcated of ,tclcnowlM(;ed. Both an: not January 31 - 2005 .) necessary.) ... . ' N..era W prvns opnvyt ~ ,ny eapYCSy ~«st a ryP.A « pranw heA.w their sypwuirr. WAItAANTY DEED STATE. HAIi OF WISCONSIN wnconun ~aayi pb,y d,,, yK, PORM Na. 1 - 199a MIIwaWYa, W/.. 5tr-~-~~~ ey: el Y~I. ~ v r f~.14 F~~e No: es-o49o0 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 B9 degrees 25 minutes 02 seconds Basc, 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 distance of 451.00 feet; thence northeasterly a distance of 607.03 feet, along said southerly right•of-way, along a tangential curve, concave to the northwest, having a central angle of 09 degrees 54 minutes 03 seconds and a radius of 4670.25 feeC; thence North 70 degrees 02 minutes 26 seconds East, along said southerly right-of-way, a distance of 429.Oa feet; thence northeasterly a distance of 445.52 feeC, along said southerly right-of-way, along a tangential curve, concave to the sautheast, having a central angle of 14 degrees 30 minutes Z1 seconds and a radius of 1759.75 feet; thence North B4 degrees 32 minutes 47 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 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 Quareer, a distance of 192.71 feet to the north line of Certified Survey Map in Volume 1S, Page 4172; thence South 89 degrees 37 minutes 27 seconds West, along the north lines of Certified Survey Map in volume Z5, 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 11 seconds East a distance of 413.63 feet; thence South OS degrees 43 minutes 31 seconds East a distance of 229.98 feet to the north line of Certified Survey Map in volume il, Page 31?8; 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 68?.86 feet to the northwest corner of Certified Survey Map in 5tF'-~-~F~ b7~~1 SltrWVH ~rmr YDt. 7 7+~~PAf,E U~ 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 voiumc 1390, page 163; then south 89 degrees 30 minutes 27 seconds West, along the easterly extension and the north line of parcel recorded in Volume 1390, Page 163 and the north line of Certified Survey Map in Volume 3, Page 776, a distance of 508.92 feet; thence North 00 dQgrQQg 07 minutQS 56 seconds East a distance of 1003.47 feet; thence North 89 degrees 54 minutes 15 seconds West a distance of 270.16 feeC to the west line of Certified Survey Map in Volume 5, Page 1317; thence South 00 degrees 27 minutes 53 seconds East, along said west line, a distance of 193.97 feet; thence South 89 degrees 16 minutes 33 seconds West, a distancQ of 533.93 feet to the west line of the Northeast Quarter of the southwest Quarter; thence Borth 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 09 21 SIENNH l;lmh' • +~ ... von 17~17~~vt 6:16 Exhibit ~ to Warranty Deed dated December 24, 2001 by and between Bane Corporation ("Grantor") and Sienna Corporation ("Grantee") y~e tia~ r ~ r . e~ 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. L-ncroachment of Qwest Communications, Inc. fiber optic cable along the northerly property Iine; 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 Nasement Agreement by and between Bane Corporation and Wisconsin Be111'elephone Company a/k/a Ameritech Wisconsin dated December 10, 2001. TOTf~ P.05 ~~ ~.~ ~~~szG .. ~.... ~~ ~ rt I i ~ ,,w 9 1 ~..r" 5 ' ~ ,p } ,, Y^' ~ ~ ' ~ i yy~y ~.s~ .R ./""M l' ~ „ r ,r <. ~a a x w ~"""` i kR~.°e.w s A 1 ~ N"""om 4: 1 ~~ ~ (`.,~ r~ u,. ~ ai ~ 1 1 '' ~ A P ~i ~ 2 ti ~ x fr } ~ ~y l~ K 1 ~T a 1 M p111YM1 t. is Y ~ i f y f ~,w.+~ ~ t ~ ~ > ~k i ~ sr."" ~ ,,,,~. y /^ ~ ~ i !~9 ~ .. ~ ~ 4 ~ 'µ"H t,F , 1 }} i 1 ~~ qq~ to .«r'^"y~T~ i F~r 11 ~ ~ i ~ r t~~ ~ m^'~ .cr w '1 „i. i .,~`.--° ., ~~ r r + .. i ".~...e.~~. •- S ,f ~ ~' ~; i '1 +~ ~ ^ ~ ~ l j i ...... i 1 ~ ~ ~ 1 ~ _ a2 ~ - ,. ,. „~ ~\ ~ r, ~~ ~ ~~ .F I . tl? ~~ 1 28~. . ~ . ~, c~ ~ _ -_ - ~ °~ ~ ~ ~ ~~ ~~ ~. ~ ~ \ ~ 1 ,, .~ 1 `~ _.. _ '~ ~ .._ ~F _ ~ .- I , ~ / ' ~ \ 1 11 '~ O \ \ ~ ~ ~ 1 ', ~ ~ ~ ~ t ~~ ~ ~ III--_ -.. .. `~ i I, ~ i ow 1 ,, ~ ~ ,,. ~, , f, ,-- ~ ~._ ,2;3 1 -