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020-1418-50-000
Jisconsin Department of Commerce ~ . PRIVATE SEWAGE SYSTEM Safety and Building Division ' INSPECTION REPORT GENERAL INFORMATION (ATTACH TO {?ERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Sienna Cor Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: ~ ~~ . < \ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~~ / ~~ F 'Z~..~SZ. I~-l~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic '~ 0 ~ ~/ ~ , / Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Friction Loss System d H Ft Forcemain Dist. to well SOIL ABSORPTION SYSTEM ELEVATION DATA-~ county: St. Croix Sanitary Permit No: 453436 0 State Plan ID No: Parcel Tax No: 020-1418-50-000 Section/Town/Range/Map No: 20.29.19.2653 STATION BS HI FS ELEV. Benchmark F ~a inn a~ S +dlt 3 ~ ~ ~ /Q3 ~- /~ Alt. BM 5 "~ ~~~ lai~Z5 Bldg. Sew r 3•~ ~'~ St/Ht Inlet ~.g ~Q / /~~ SVHtOutlet ~,' ~q` ~~ f/ Dt Inlet \ ~ Dt Bottom ~~ Header/Man. y.~ 4~ ~3s Dist. Pipe , ~ ~ ` Bot. System 5 ,, ~7 '~~ Final Grade Z9 /a6.~.S St Cover / ~ / Zc J BED/TRENCH Width j Length o No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Depth Liquid DIMENSIONS ~ ~d`'qZ - ~-•~ ~~ ~ ~ ` `. SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: ,` INFORMATION CHAMBER OR ~~ ~ t• Type Of System: ~~ ~ 1 y Z ~ ~ ~ ~ UNIT ' Model Number: ~ ~ v~J D V DISTRIBUTION SYSTEM ~~,~ 7~ s ~ ~=45 nd-A D Header/Manifold ~~ ~ Distribution Pi x Hole Size x Hole Spacing Vent to A' In ke ~ (- Length -1 Dia ~ pe(s) \ Length ` Dia ` Spacing ~ ~ a f~ `3r SOIL COVER x Pressure Svstems Only xx Mound Or At-Grade Svstems Onlv Depth Over i Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ~ y ~ Bed/Trench Edges ~ Topsoil ` Yes (] No ~~ '"' Yes [ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Location: 468 Wren Ln Unknown (SW 1/4 NE 1/4 20 T29N R19W) The Glen Lot 59 1.) Alt BM Description = ~~ G6 Jew. ~~` ~~ ~ ~ ~' 2.) Bldg sewer length = Zt~<F-mid - amount of cover = ~ i 9 't Use otherlside for additional in Yes ~ '_, No v1 formation. ~-~ ~~ ~- -- -- -- _ ___ SBD-6710 (R.3/97) Date Insepctor's Sig ature Inspection #2: / /_ Parcel No: 20.29.19.2653 C ~, ~~~~~s i Cert. No. • r a ----~ vtsw`~ Safety and Buitdulgs B "~~ 201 Vv'. Washi ton Ave., P 7162 >vtadi 3707 ~S~`~Ol'IS~in Departme_____ ~t °f _.._- tl ~ Sanitary Permit Applica In accord with Cornet 83.21. Wis. Adm. Code, personal infortnatian you p ovt may be used for secondary purposes Privacy Law. s15.04(1)(tn) ,.....,:..~.;..., lrrformation -Please Print All Information ti 'x Ca ~ 5anitarY Pet 't Number (,ta be filled , I , y53`f~l ~,~'~ rar . ian I .Number CROIX C UNTY )NING 0 ess (if different than mailing address) ,~_~- _. ._~~_-- ".~`.. Parcel /f Lot A Property Owner's Na me / p _ /~ ~ ~ i Z l0 S 3 , ~- j , rC'/1/./li~~ t~c:-~~ Property Location ~Property Owner's M ailing Address / `!J~ S'u .tom ~^ r~~ v ~~ ~/ ~>~ ~~,L~GC-'k,Ser;tion ~d ~ ~ f .,. City, State Zip Code Phone Number _ i (circ l~e I rr '~ y~J ^ t ply) heck all that a ( f B ildi ' ' ber 1 C5M N p c ng u ype o T II. of Bedrooms J ~ 6~' b N lli um Subdivision Name ,___ er um ng - ^ 1 ar 2 Family Dwe / - --~-~ 1 ^ PublidCommercial -Describe Use __~ ----~-- ^Village Township of ~~~ ^City ^ State Owned -Describe Use _ , _ _ TII. Type of Permit: (Check only one box on line A. Complete line B if applicable) C OZ.a - / $ ~ ~j _ A. ~ New System ^ Replacement System ~ ^ TreatmendHolding Tank Replacement Only ^ Other Modification to Existing System it Number and Date Issued P P i Li ~~ erm rev ous s[ ^ Change of ' ' p f ~ B. ^ Permit Renewal Permit Revision ~ ermit Trans.er to New Before Expiration ~ Plumber Owner L~rJ 3 T 3 ! _ `f' - ~ ~ _? ~-fe,+~el.~.d~' IV. T e of POWTS S stem: {Check all that apply) ~ ~ ~i'-Non -Pressurized In-Ground ^ Mound ? 24 in. of suitable soil ^ Mo 24 in. stable soil ^ At-Grade ^ Single Pass Sand Filter ~ ^ Constructed Weiland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic 'Preatment Unit ^ Recirculating Sand Filter ~i ^ Recirculatin Synthetic Media Filte _ I ea~jpp ~~ ~~~ ~ ^ Drip Line ^ Gravel-less Pipe ^ Odher {explain) ~ V. Dis rsal/Treatment Area Information: Design Flow (gpd) __ Design Soil Application Rate(gpdsfl Dispersal Area Required (sf) Dispersal Area Pr sed {sf)~, _ System Elevation ~5? ~s~ ~a~~ ~ la 3 `~~~6~~ ~o~~~« r r VI. Tank Info Capacity ir. Total Number _ Manufacturer Prefab Site Steel Fiber Pldsti^C Gallons Gallons of Units ~ Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank ~J'tt ~ - __ ~- A Unit r~ ' ; Dosing Chamber _ ~ i i ~ __ __ VIL Responsibility Statement- [, the urtdersigned, assume responsibility for allatian of the POWTS shown on the attached plate. T Plwnber's Na me (Print) Plumber's Si gnature P PRS Number Bustness Phone Number l ` S'C~'ca.Lr+-~~r ~-- v?a 7~~~' ~ 7f 9PG-3f~ l 5 Plumber/'/s ,A{ddre ss (Street, City, State, Zip Code) ~~//((~~ ~i /1 _. / (/ ~ ~~ ~~ dr-~~ .~ W / C 'SST ~~~ ~..-~.__~_ _~_ VIII. ount /De artment Use Onl _ Approved ^ ~ Sanitary Permit Fee (includes Groundwater Date Tssued Issui Agent Si at tamps) Surcharge Fee) ^ ner ven Reason or Denia9 ~~ • ~ __ // D L~. Conditions of Approval/Reasons for Disapproval ~ 5 ~^" ~e`~" ~- ~ ~' ~ ~s ~ ~ 5a ~ SYSTEM OWNER: ffl 1 S ti k t fil ~ ~ t . ep an , e c uent ter and I ,~, O t~- dispersal cell must ail tie services / rrairttairtted r~V ~ ~ ~`~'~ as per management plan provided by pturrtber. ~t 2. AN setback regttiremsMs must be rrtaitltairgd ~ may, t 01n ~ per appMcsbkcode / orders. Attach Complete plans (to the County only) for the system on paper not less than 8112 x 11 inches in sire \` ~ ~~ ~' ~' D !- ~ b • - ~.. , U ~ C~li/~p Wisoonaln Depsfiment of Comme-cs SOIL EVA UA'TII~pQ ~ t)iviaion o/Sateryand Buildings ~CUU~ ~ .1 ~ in aecorilence with Comm 85, s. ~p~g ~Ittach complete site plan an '~KU Paper not less than 81/2 x 11 inches in Slz rp~}i1J1fVG C ~ , K,, , Y inGude, but not dmited to: vertkal and horizon 0 tai reference Percent slope, scale or dimensions, north arrow a Point (r3Mj, direction an ndt ovation an d distan oe to nearest road. ~~ ~ ~ L~(~ $ _. Sd _ Please print all Information. . ,,,,~ by Personal information yon Provide Date n+sY be uaod for secondary purposq (privaey Law, a. f 5.04 (1) (m)). 5 J l d,rj ~~~~~ Pmperty Location isroAe-t)'t7wner's Mailing Address d V Govt, l.ot 1/4~ 14 S ~Q T ~ N R E (orlapl~ - Lot # 81ock # Subd.lJarne or CSM# state P Phohe ~ T '~ ~ ~~ •~~ ~' .~., w.2 ~ ^ ~Y ^ V(Ilage (~ Town ~ Nearest Road y'3 ~ ~ mss- ~' ~~~ tJse: ~ Residential / Number of bedrooms ~_ Code derived design flow rate L/ Sa /G ~ t3PD ^ Ret>~mern ^ Public or cornfneMal - Desrxibe: anent ~ tedal _ ~'> ~ r'` Flood Plai n elevation It applicable -- - /~-- L l~ R. General oonxrlerps ~ / C~ and rotrotttrnendations: sys{~ ~• ~ /. / ~ . O ~ ^ Boring Bain9 !l au Ground Aurfs~a nl.a. //Y~ . v « n_..u. ~ ~~....~.~-- •-f-- J~ C`. Horizon .Depth Dominant Cdor . -- -_,.... ~ ..... w.r, ......... _. ... Redox Description Texture SWr~we Consistence Botuidary Roots Sod iceticn Rate. G in. Munsed Qu. Sz. Cont. Coin tar. Sz. Sh. 'Etfltl 'Etf#2 [ d -1/s k> ill --- ~, 5 - ~, i3 P(t Ground surface elev. ill Z ~ ft. Depth to grrriting factor 1 /(o in. e n~ ~~ Sod Rate Horizon Depth Dom~rant Color Redox Destxiption Texture Structure Consistence 6ourtdary Roots GPDIIE int. Murrseq Glu. Sz. Cont. Cobr Cx. Sz. Sh. 'fit ~~ Effluent #1 = BOD ~ 30 ~ 220 rrrglL and TSS >30 ~ 15 0 mglL 'Effluent 1V2 . BOD _ 30 mplL and 73S <_ 30 mgR. CST Name (Please ~ ..•-~ CST Numbx __ ~ ~''~ z 53 30 s p-/ / / .I //// - Date. Eva~/lju'stlon Cctxfucted Telephone Nut'nber'7 Il I ~ G ~7 ~ S~/ /7 tom/ ; s /i!~ G~G1 /nC.'49 W , ~ ~~~ ~' ° ~ ~ ' ~.,~ ~ ~~ ~~ ~ ~~ ~ AZT ~p-r-op-e-r~ty Owner _~4 v~ C{'yyt,Cc r ~/ _ Parcel 10 # ~ 1 1 rlerineit ^ Boling ;~,, Gn i ~ ~ Page ~_ at,~ ~J ~ Pit Ground surtace elev. /~~ ~ u n. uepm to iunrtwp raczor , r ~- . ~"' Horizon Depth Dominant Redox Oescripdon Texture Structure Consistence Boundary Roots Soil ICetion Rate GPDifF in. Munsed Qu. Sz. CorK. Cotes Gr. Sz. Sh. `Elf#1 •Efflf2 ^ Pit Ground Sutiaa~ elev. ft. l7epth to limidny factor in. ~~ # ^ ~~ Sal cation Rate fiorizon Depth Oomk~ant Redox Desalption Texture .Stricture Ca~sistenoe Boundary Roots GP O/ff in. Munaeq Qu. Sz. Cont. Color tar. Sz. Sh. •Eif#1 •Eff#2 n 'ru'es 7i # ^ -'""" "o s.~..-~ _..J__- ~~~.. r n-._u- a_ u..._:•:-- ~..__ SoA lion Bete Hodson Depth Dominant Col Redox Destxipfion. Taxture Stricture Consistence Boundary Roots GP OIfP in. MunseN Qu: Sz. Cont. Cobr Gr. Sz. Sh. •E1f#1 'EfF#2 • Ef Iluent #! ^ 80Di > 30 ~ 220 mall. and TSS >30 <_ ! 50 mgll. ' Effluent #2 s BOD, _< 30 mgr. and TSS _< 30 mplL 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 coatact the department at 608-266-31 S 1 or 7TY 608-264-8771. sew~ota.~rool , Pwo t: 3 or-~ NAME %~-+d•yn,~T' ~ LOT# LEOAL DE8CRtPTiON -~/s ~/~,S 7 iN,R E~OR)W 'SCALD i " _~ (~ BM 1 Et~EVATION jGG. ~' ®M ~ DE$CRti~'1"!ON b~r~--~-3 0 ~ S,`r~.`~ e~, BM 2 Et.EVATtON -- BM 2 DEBCRtPTiON --- ' SYSTEM ELEVATION ~~ - ~ ~ SYSTEM TYPIx (`°jRV~-/~~~~/~~~~ _r~ s ~-- 1 ~00 ,,''.~ {~ i $iZiNATURE \~ V~- ,:y ~ ~ c 1° ~~-~J 1 ~' ~ .~~ v ~,. 0 `~ I~ ~ ~/ ~, Dwrs 5.S • Safety and Buildings Division County ~ ,,,, ` ' 201 W. Washington Ave., P.O. Box 7162 ~~ ~ ls ~ ~~SI~ Madiscn, WI 53707 - 7162 Sanitary Permit Num b er (to be filled in by Co.) pe artment of Commerce (~) 266-3151 2 / '7-.53~~ Sanitary Permit Application State flan ].D• Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide sta be used f + y or secondary purposes Privacy Law, s15.04(i}(m) i_.,~ -- -~~"'---- Project Address (if different than mailing address) I. Application Information -Please Print Ali Inf ~ ? ~ ~~'-'`-' :""~ ; ,L ' /, (; ~ /~ ~ ' ^ ~ ~ ~ ~ q , vu Property Owner's i\Ta me '~. I ~+ ~ ; ~ ; ~~ Parcel #' of # Block /l Property Owner's 11t ailing Address ! V ~~ J ~ Property ion . .; Cactty, State Zip Code Phone Number - w \ ae `~ ~ 1 y ~ `~ . Section ~ ~'~ _ ~ ~ (circle one) II. Type of Buildin g (check all aPPly) ~ r _ 5 ~''~t I'~1 T ~- ~ N: R I~___B or~ qr 2 Fatuity Dwelling -Number of ooms ~ ( Subdivision Name CSM N b I ^ P b um er u lic/Commercial -Describe Use _~ ____ I ^ ~ (~~ ~ ~ I State Owned -Describe Use , ~ - T` y` ~ I (III [jCity-^Village`~Township of - _~~ IiI< Type of Permit: (Check o l a n y one box on tin .Complete tine B if ap eable) O Z.D - ~i' - sa - OtiD , 26 53 . .New System ^ Replacement System eatmenUHolding Ta Replacement Only . ^ Other Modification to Existing System ~• ^ Permit Renewal ^ Permit Revision ~ Before Expiration + __ ^ Chan _T List Previous Permit Number and Date Issued g -~ Permit Transfer to New , Plumber Owner IV. T une of PnWTR cv~row,. rrti,,,.t. ,.~, .~_d . he---° _ i~Non -Pressurized tn-Ground ^ Mouttd > 24 in. of suitable sot ^ Mo d < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground '^ Haldin ank ^ Peat 'ter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter I ^ Recirculating Synthetic Media Filter ^ Leaching Chambe ^ Drip Line ^ vel-less Pipe [I Other (explain) V• Dispersal/Treatment Area Information: __ _~ -' Design Flow (gpd) Design Soil A hcation Rate PP ~ (gpdst) Disperse! Area Required (sf1 rsal roposed (s System Elevation + (~' te'e' ~~ ~'~ 7 _ _ ~ 7 ~(• t p ' y~ , 9S' VI. Tank Info Capacity in Total umber ~ 1`4anufacturer Pre Site Steel Fiber Plastic Gallons Gallotts of Units t~ n ancrete Constructed I Glass New fixisting ~'e~,txJ~ # ~~ Tanks Tanks .~~ Septic or Holding Tank ~ ~ ~ ` - - f 1 ~ .fZ I ~,-- ' Aerobic Treattnent Unit "" - •-T ..r DOSFIlg C-_ tlalnt7Cf --'-~- - _ VIL Responsihihty Statement- I, the dersigrted, assume responsibility for installation of the POWTS shown on the ached plans. r Plumber's Na me (Print) tuber's Sf gnature i PM !MiFRS Number Busi Phone Number f Plumber's Addre ss (Street, City, State ip Cade) , i ~ ~~~0 SCCt~ ~ fi't' ~ ~5~ti ~~ S~allo VIII. Count /De artment Use nl ~ - --- i ~ Approved ^ Di ve Sanitary Permit Fee ('nciucies Groundwater Datt: Issued Issuin Ag nt Signa re ( Stamps) Surcharge Fee) _ _ ^ Ow rven Reason for Denial ~~~" V- V ~z IX. Conditions of Approval/Reasons for Disapproval - ~) ~ ~.e,t,t.~~ks lets.--¢- /oc~o.~0 ~- U~ SYSTEM OWNER: ~ ,, ~ I ! --, , 1 Septic tank, effluent filter and ~J~-~-~ s r ti~x~cx~1~~+~t .~ dispersal cell must all be sal maims 1 as per management plan provided by plumber.. 2, All setback requirements must be maintained f as per applicable code/ordinances. Attach complete plans tlo the County only) Por the system on paper not less than 81/2 x 11 Inches in size SAD-6398 (R. OI/03) '~ "~~ U . Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County 1128 Page 1 of 3 Steel Sa{ Service Attach complete sde plan on paper not less than 8%: x 11 inches rn s¢e_ Plan must St. Crooc include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. pending Please print all information. _ _ _ Personal informatron u rovide m be used for rid ~_~ 6~u s. (1) (t) ~ Date ~i ` D Yo P eY erY P ~daC1E Ts. , ~ `r @ '@ p.. '~.t ,..~ e.,. Property Owner Property ovation Sienna Corporation Govt. lot 3 SW 1/4 NE 1/4 S 20 T 29 N R 19 W r.~ ~ ~~ ~~ ~ ~ s Property Owner's Mailing Address `" '~' `d f3 ~ C~ # Block # Subd. Name or CSM# 4940 Vilking Dr. Suite 608 S , ,,59 ~ na The Glen City ~~""'`'~ State Zip Gode hone rtun-t?~er ~_ ~ Ci~r Village Tarim Nearest Road MN 55435 -835-2808 Hudson Dorwin Rd. I New Construction Use: ii/' Residential /Number of bedrooms 4 Code derived design fk~uv rate 600 GPD Replacement Public or commercial -Describe: Parent material Pitted outwash Flood plain elevation, if applicable na General comments and recarrmenda dons: Sy st el evation 95.95ft nd depth to code 3.50ft be grade em , trenches spac ed a low / n ~ - / ~,, ~ ~, / L , me 1~~.~~-~/ Vy (M. , (7 ~ ~ .S•d ~[ S ~Il~r..J 57~U ~ ~ / 7/.~6LC~ !~ i {~P C! Boring # _ .Boring 96 in. r Pit Ground Surface elev. 99.45 ft. Depth to limiting factor Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfftz *Eff#1 "Eff#2 1 0-12 10yr3/3 none sil 2msbk mfr cs 2f .5 .8 2 12-22 7.5yr4/4 none Is osg mvfr cs na ~J 12 3 22-96 7.5yr4/6 none ms osg ml na na U 12 ~- ~ ~~/(~ ~ y - ,a~ Zt~h1L S->~ d~-cC Cyr-lvl~ir.~h/ G~/1J7.~.Q~ 1-+.2 vk. ~ SGtrc.l j/,ytpi+! SQ.n.~ ~~~/~~o ~ Boring # ' Boring ~ / Pit Ground Surface elev. 99.45 ft. Depth to limiting factor in• Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIftp *Eff#1 *Eff#2 1 0-10 10yr3/3 none sil 2msbk mfr cs 1f .5 .8 2 10-18 7.5yr4/4 none Is osg mvlr cs na .7 1.2 3 18-96 7.5yr4/6 none- ms osg ml na na ~ 1.2 ~~~/~ Dy ~v`/G ~y tmuent ~~ = ssvu ~ 3U < ZzU mg/L antl 155 >30 < 150 mg/t_ * Effluent #2 = BODS< 30 mg/L and TSS < 30 mg/L CST Name (Pl~se Print) Signature: CST Number David J. Steel ~ 248956 Address Steel Sal Service </ c9~ Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 9/13/2002 715-246-5085 Property owner Sienna Corporation Parcel ID # Pending Page 2 of 3 Boring # !Boring 95 45 Depth to limiting factor ft 96 i /' Pit Gr . ound Surface elev. . n. ~~ Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlftz *Eff#1 *Eff#2 1 0-13 10yr3/3 none sil 2msbk mfr gw 1f .5 .8 2 13-28 10yr4/4 none sicl 2msbk mfr cs na .4 .6 3 2~6 7.5yr4/4 none fs osg mvFr cs na~7' 1.2 4 36-96 7.5yr4/6 none ms osg ml na na ~ 1.2 .'!^ ~' 7~0 j _ /~// ~GGZ ~~' D i 7 SDi7s' (SIOk ~QU t/i'~S ~h lOlvf'+2~/S~tycf!S~ / /~ /~/~/ h 7 rO ' BOfing R~rin~# * Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS <30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Boring # Boring Page 3 of 3 STEEL'S SOIL. SERVICE David J. Steel i 564 Cty Rd GG CST-PO~'SM Sienna Corporation ~Tew Riclunond, WI 54017 Lic. # 24$955 SWl/4,I~1EU4,S 20,T29,R19w {715) 245-5200 Town o€Hudson, fit. Croix Co. {715) 24G-5D$5 The Glen lot 59 This soil evalaation was cegducted to satisfy a zoning requirement, it may er nay not be snitahle for your use. The location of the Pest may or may not be as shown as permanent lof lines were not established at the time the soil test was cendacte~. Legend 1" = 40' • =Benchmark El. l0©.OOFt Top of '/2" pvc pipE • =Alt Benchmark E1.99.75Ft Top of/2" pvc }pipe fl =Borings Boring Elevations Bl =94.45Ft B2 =99.45Ft B3 =95.45Ft B4 =00.t~Ft 7G.G5~ ~~S ~ ~-~"~' C 1 i ' I I~j • i it ~ i~ ! ~ ~~I ~ , ~, I I I __ _~ IL- ~~ ilI II i /~~~ ,,,,,. ,... I ill . -. _ I, I 'I ' ; I II l,,-' ~ ~ ~ _~ ~~- 53 ,,,:.;>9~~~~ 56 ,i~' l~ LJ~ `:ii ii -- _ _ _ .. , - ~` _`_ _ -' 52 _.. . .. ~ r _ - _ - ---- - ;: S ' , ~ , ~ ~'- .~ 57- , pit, " L ~i ~ 1~~ a ta`~ r~~ 1 ~ ` .~ r ~ -~-~1 417-• ~'' i~~;.! ~1I I t i ,~ %~ ~a i 2 ~/ ~ Q r r( / 1 t ./ - s _- :.~~ .g 8~ 't ~ 1 ~~ r 1 . _ n ~ j 1~' ~~. ~/ J t ` ` ~ a - G7~1 - r .J tea. r t .. - .. p:p • j. : , ~~ ~ .~ , -^ r ,. :: . ~': r 1 ~ r li ~ -~ ,.', + ~ ~ 1 ., ~ - .:: ~ _ t _ Y. .-t ~ a -. 1t 11 ' r 1 ' 1 `/L~ 1 ~ I 5~ ~ 1 ~ J '~ sJ. 79 r 7V ri .<L r ; ' i 1 ~ °~° rJ /'I~1•.' ~ ~ rr -- N -~ ~ ~ `. ,, NJ 1 11 ~.' ~- ~ i' 1 J '. ~ ~ 1 , 1 1 r ~ I J ~... ~- .O -r~ ~ ~ ~ _ ._.. - ~ , - ^.. ~,. r ,, , i At 1 ~ _ ~ f n, ~ rJ ~~ t_ a .,.~ I 1 ,1. ,~ ,. ~ 1 4 65• , •'`' • / \••' _ , 1 1 .- _ ~ 1 l _ ~' ''...~„ ~ X5:8 -~ y ,1 .' n R~ _ , a _- 1. . ~ .. .a 111 /tl f[~, J ~ %t a ~ ~~- y' 344 - _ t. *~ ..... a ~' ~ 2 ;ii 1!r ii "~~xM1~a >>-` .... trk-i L~ i} .ni .... .. 1 : _ •~, , - 5' it 1 _ J ,¢~ \ - _._ ~ ;: =' ~~ ~,: ! , ; ~ ~. ' / , 111: ~~ as , - ~ 1w , it N R 1 rv ' , ,.. r r 1, a as \ q ~ ..;. _.' ^ - - ~.. ^~-~ ,. ~ Lei ~__._a _..C *-+1 >• ~ ~ t -was-Yar - .._..~... ._ _ ._..__..__.- ~' -. • , • 1 \ I l , _ - 1 . 1 7 .-. , :a • 1 VJ - - • 1 / _. 'I _ ` \+r, r.^ r ,`~ a ' ~ ~ `a ~t` ~, 1 ~ '~ ..':a'. 243 ~ i r _ i3B - ..332 ^^• i I r J~ ~1 ~ • a a., a 1 I ~~ J ~ I J •1^r 111...... ~ la •\ \ \ ..a a 1 r 1 ' ~ Pir ~*. ' ; .. ,_ J.. :~' 1 ~;' rr ', al a 1\..1 f - ~ t ~ I r ~ .r. ''-P •Si:. ~^i' ' I ^` J. ~ ,~ J ~ 1 I 1 II11 11 a ~~ I I j I 1' / ~J~ 11 1 1 t ~J `aa' 1 •` ~ . I I I I •, ~. t N. ~ 1:~`t _1•~.. ~ 1 ,a r ;r''/ -~~ a ~ ~a. :}a,i 'la i' 1 :Ir, ____..__.. __~~ I ' ~ ~ ' ~ :~ ,, ;'• ~~' ~ :Il.~, ~t' `'1 \_ - Ili '.`It a I I I ~ 3b, 1 /iJ r 'rr , all I Ij I ~~',"~ _,`a - g `,q r: jai; tit ,yI{li N tt' 1..~ '. .i,; 1u 1~= =_______~~_~..=~q I i a t V I r 1' 11l ,~ ,r " 1 . n'a s ~S. . ... tli: ~ 'ry . 2fi0.- ~ ~ as ~ . ~ as ~..:`. t . a .'at. - i . ~ O `'" ~.~ ~~1VT FI'g''E` a?" MIN, ABrr,?VC. CsZAt"7E ~ ~ t5' FROM DOt7R~ W~ti~CW 0R FRESH AIR INTAKE FI~'ISHED GRADE ~ ~~~ , ++" C I RISER ---W~~ ,~ i A' LE 2'' ~,,,,,, e'er ! ._J t _ ~rvAlwl~ TJ10~3:, S~RLti ~ t -~ ~:PPROV8~3 ,,,,,,~ ( A ~IP~ S~ ~ i B .pro s,~t ro ~ R ...~,... }4it, i ~ C '~D ~_ ~'P?IC r' DOSE fiANK MAN'JFACT'J1~ER: DOSE ~-~Ai'~±BRPRQQf J~'NC~T20ti 8vX '+~Y :`H CONDUIT ~, s , ~ ,S ~ ~ f n i ' Txcxr , ~. I SEAL .4 , r , F ,~ r, ~ " APPR vd Eta $EDD i NG J A'DER TA?~'K SP~CXF:CATZvti'S ~ 'ryY,...~~ dv Gr~.M. '.LAR?~ ~SANUFAC'1VRER: "~` MODEL lVtJM$,~R : _ ~'~ ~. SW:TCH TYPE ,~--,1$Z~rC~..,........ i~ANUFAC~"tJRER ; MODEL 1~tiM~ER : ~,o~t .~.s' __.~ Swr TC K TYPE : "`~ .~.~~... ~~J.~RED Di5CHARGE R,AT r w (~ :~P., A P PR tJ'~ ED I -i!'N~~ V L ~ L. V ~Y Tr W s PADLOCK 6 wA~xr~r~ r~a£~ ?+" Mtn, an ~ ~ JOIIVZ'S ~IiTs~ AhM APPIt~YE~ P rP~ + ~~ ON ' SOt,I~SQI~ OFFi~ p~ RISER FX~T I RMYI'TED C~tLY ?F TANi~ ~ ~sA~ruFACra~ER ,+,,, NAS APPROVAL OONOREI'E PAD h°JM3ER DOSES PER DAY: ~0'~Jw ~V~Jo""iE xNC~DYNG FLQ~$ACK: 159 ~ GAL.. CAPA^ ~ :'I E5 : A ~' i.'vC3?ES * ,,,,,,,,,~ zA 1.. C a INCHES ~ t,,,,~'.~........~A;~. pL'I'4P E A;,,,An -~ W.*. R i 1vG AS ER I LHic 16.23' WA C ~RI`CAL DIFFr"IRD~tO£ BE. ~!INIMUM NETWCRX SUPPLY PRESS-~REO F SAND .:%i STR? BJTI GN Pi PF ~ ~~? . ~~~~,~ .,..,,,i'~ ~'T/ 13 p F~ , MFR. ,. T. ON FACxOR F.~ET .~O..AL L'YUAMIC KEAA : FE~T '`~"'ERNAL DIM£NSIO~;S CF PLMP "'A!r'}~:: ~ ~ V~ . ~ a/r r c.. LE!~t~s,y -.~..~ rA~r . _ ~ • 4 ~~.p~r ~GOULDS PUMPS Submergible Effluent Pump ~~ 3871 EP05 APPLICATIONS 5pecif~cally designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: /+" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: l'/i' NPT. • Mechanical seal: carbon- rotarykeramic-stationary, BUNA-N efastomers. • Temperature: 104°F (40gC) continuous 140°F (60QC) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. •EP05 Singgle phase: 0.5 HP, 115 V, 60 Hz, i 550 RPM, built in overload with automatic reset. • Power card: l0 foot standard length, 1613 S1TOW with three prong grounding plug. Optional 20 foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer, Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the fadory. FEATURES ^ EP041mpNler: Thermoplas- tic Semi-open design with pump out vanes for mechanical seal protection. ^ EP05 impeller. Thermoplas- ticenclosed design far improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron far efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and wafer resistant. METERS FEET _ .. .,. 30' -----_- s 0 0 ^ bearings: Upper and lower heavy duty ball bearing construction. AGENCY' LISTING ~' Canadian Standards lrssociation (CSA listed model numbers end in "f" or "C".) Goulds Pumps is ISO 90U1 Ragistared. ~, 25i ... .. __ ' __.......__. ... zs Fr 1 ~ ~ ~ ~ ' . i ,___ ___...__. _-~ ___ _._ ._r _'__ r._.._____.' fi 20,_ . _ _ _ 5 __ _ t S~ . --~_ ' __W _ ..._ ._._._ _ __._ 0 2 4 ti 8 f 0 12 m'/h cAPACiTr Goulds Pumps ®zoooGouldsPumps ~ ITTlndustries Effective February, 20ot] WWW 8387! Qu%ck~.~ STANIJARn l.'NQMRFR Quick4 Standard Chamber su>E vlEw JCL,IIVIY VIt:W FRON i VIEW Quick4 Standafd chamber Namina! Specificatiastis ~ ~` Size ~~W x L x H~ 34" x 52" x S 2' ~ Effective Length 48" Invert Height ~ 8^ Ir~FF~T~3ATOR S,yS~'~lW$. INC. ~TANDAR L1M17~~ RAC .=q Tn N.;crural nle:lr ty of ,,ach chamber; and plate, wedge and Diller Cc,PSS r} ma uki `ured Ly 4 Nvaim I'Jnrts1 v nen Installed and nperaletl ,n a I aenf e1r1 a( an crate septic system in acrxxdanee with INlIIralCr'S in tra r'ms, s warranted ,o I. 0 on(Jrnal truer r „a,ar i`Hrlder"( p 1ainSt Ueleclive mate gals and worFrnan$np fo- uta year Iran !ha dale (lkd tf:e sq]IV: parent r..65rrod for the reply: system cxnttir ura~ [he Unhs; prwciad, hoW6Y91, Iha. a 5ep:ir, permN rs rra¢ reyuir,~ hY appACaWe law, the warrarnY tree ~ vvi;l Logan ryxl-, thu tlata ttMf InstallaNn Ci Ina Septrc system wmmerrces. 7o e. m„9 its wa ranry rphts. YolCer nlusl noGly Intllira!p r wrl:,ny et !te c".Orpnrate ligaCkh,art us In Gld ~aytr7uk RlnneCtkut wrihua GReen (!5! (ka1's ul the allcgen ietec!. {nGla al • will supldy 'eWaairt,anl Units IUr Unit.; detmm~ed t y InGaralor to ne cC'rt'.re,i by reels LnlitrxJ Wdnanly ,ntdva4CrW 6aAility spet5NCelry ex I idea !rs curl u( remove! arrcuor instaelaliCrr qi the Units. ;1:. I 'E !IAAiTF(1 WARRANT'r ANC RFMl=1NE5 ,N S! iHRAHAGRAPH (a; ARF [XCU1SNh, 1 r1l=1ii1 Ahn NO .)1 FlFH. WAHF{AhlTlt' Wll:i SCSPECT `U l:F ,lNfrS, INCLIif]Ir.IG NO tnnrLlL=D WAWagMiES OF MEf7CHANTA8IUTY pR F,TNLS;,: F<_7hi A I?Vil l ;ilrAH PUF?PfISE G=i t s LrtilBU J 1.'ly IINU lxt upld it any p0.. r IhP :'.nr.,mlkrr [:yslOrl ' malSUlilCirllH] t Y ,~nyWlo OIYPI 1'atl '.•,IiII 1IO .The ~ u lai'+M~. miv does r~l ' IE Ild [O vll JeMal YY1gayUen71a1, 91>r%;ra O, rldir9..1 d :Ydges. MtNraIU shall !k,l Cle IIAUe [Ur TAP' ill P5 f.r IVjUldale(1 Ctan194je5. I ..IUdnx, loss nl ur~,:.nxvon and proN;3, latwr and materials, overlwad Cnstg, or other I~ses tv :xtwnaas Nu:uner; ht'' me Holder pr any Inird party Sprri6r:a®y e,c ,dad Iron Lnnted N arra:rt/ cgvaaye are tlan><ige to Itta Unit: duo to pdinary woar and tear; all6 a,igr., accident m'sl,'se, abuse or neglect o 1hP U 1 I ', the Urt Is Wry su^px;lad tD vehicle tr.fMC p Ctr"3r corxillions wtrich ere not permillrxi Gy that inslallalinn ins, IY,t"]n5; 'arklrT+ l0 rnaint3llt the mir rr+un grountl crnre. s .;et forth rn !ha instailatron InstrvCNons; the placement r! imprnper materials iC!q tM 5ystem cmiaining the Units: failure of the U:uls or the septic systr+n due tc; improper riling or imuroper sr2lny, exrassNe wa!er usage, ialprctser g~rra3e disposal, p irti{]Npar operatipn: p any other event not caused by Infilhabr. This Limited Warranty shall l,e void iF the Hdkier taN31o Comply with ai! of the Ierms SsY forth in this Limitetl VYananty Fun11Hr. kn ne event shall Inlpl2ior be rospOrsible for any ICSS er damage to Iho Holder. IPI¢ Un4s, or arty tnlrU party resulting from Nlstai{ayipn or ship- roeia, or trCrr. any nn]duc• listtility Claims of Hddar Or ;Nay ;herd party. Fry this Limned Wananty to apply, the Units mus: b[ installed ;r, accgrdan6¢ w.+n all Site ;,ondkrons ;aqukad aY stab and local co-d~; all otner appllsable laws; acrd Int'rhratp5 irutailation ins7nlUlaaS. (d; Nn rp{NgsP.ntalive of NV"traior has the au:honty lu clwrgn or extrr+d Ih,s Ln,i1,xJ Warranty No w.arranly appligs to any party other lildn 1ha n7i9~ roil ho!r1ar. l ne abcvo rePre3aNS the S!andvd l~m9ed Warranty cJfwW by In!Ilnalor A NrniNxl numnar of -,laces en!I cqurnlas 1 eve dalatent wanarrry rr>ytrir~ n Mnls. Airy p~rcnasor of Unitg steroid 7~rlacl Inrilrretor's -^artxuale Headquarters in Old Sayhralk, Cnxrtk)cticul, txror tc wch (klrche5e, to obtain a copy of the aaplicahla waumty. and shout' Carefulty read Iha' wanarty p!ior to the ptnchase e: Units. I I C U~fnnac~ .! ~cn c ~ ~ . r SYSTEMS I NC E-wiroR.mentat onsJte wastewater SotuNons'" 6 Business Park Road • P.O. Box 768 Old Saybrook, CT 06475 860-577-7000 • FAX $60-577-7001 8Q0-229 -4436 ~~~~~ - ~,, ~~-~,,i t.-_,i_ -~----- SIDE VIEW TOP VIEW Size tW x 1_ x H~` - : ,` 34" x 16` x 12" invert Het h9 t 8' or 1.25' ,.,, ~,~~,,~~~, ~,u r ,,x,+,>; :,, r I o, s ar a.;]tw.! yt1: b,t139.84A Caf:adian PaEents; 1,329,959; 2A94,564 Other patemts pending. IMtltrafor, Equalizer and Si;7aWinder are registered trademarks of Irdiflrator Systems Ir,C. inf+itra(or iS a regiSierr3d Uademark in France. ir~llydlOr Systems tlx. la a registered trademark in tdiezico. Gcxltorx. Contour Swivel Cr>nneation, NlicrOLaachirg, Polyiut?, SnapLxk, Cham6erSpacer. PosiLocY., QuickCut, C,luickPiay NECYCCEOYAPER and Juick4 are hadamarKS of inldtrator Systems Inc. ~ 20Q intiltrator Systems inc. Printed in is S.A. ,,,,, ,.,,,,,. „ , Multipart End Cap .s POWTS t?WNER'S MANUAL & MANAGEMENT' PLAN P,ae ar FILE INPCFtMATiON Owner ,.;r-~ ~ . 'V ~,,;, Permit r s-3 ~ 3 uCatyTN i'IIRAMETERB Number of Bedrooms e-/'' DNA Number of Public Fac(iity llniis I'~SNA Estimated fbw taverage) oD afJda Design flow (peak), tEst'smated x t .bi D ~ al/d Soil AppNoatbn Rate el/da Jftp Standard Mfluant/Effluent Quality Monthly average' Fate, Oil ~ drsase {FOG1 S30 mg/I. Bioohemical Oxygen Demand IBOD~) 5220 rng/L ^ NA Total Susperufed Sotida (TSSi 5160 mg/L Pretreated Effluent tluaNty Monthly average Biochemical Oxygen demand (330Ds) 530 mgJL Tatai Suspended SoEda tTSS} 530 mg/t ^ NA Feoal Caliform tgsometric mean) 510` ctftt/100m1 Maximum Effluent Particle Size Yi in die. DNA Other: ^ NA aVsiuss tygioal for domrstic wastewater end septic tank effluent. SY$TEM $PECIFICATION$ Septic Tank Capacity ,~ ~ at DNA Septic Tank Manufact>.rrer O NA Effluent Filter Manufacturer ° ~ ,~ ^ Nq Effluent Filter Model elf d NA Pump Tank Capacity al O NA Pump Tsnk Manufacturer ies,~ p Nq ~ Pump Manufacturer ~.,~,~ / DNA Pump Modal ~ p NA Pretreatment Unit D Sand/Gravel Filter ^ Peat Fitter O Msohanical Aeration ^ Wetland ^ Diafnfection ^ Other; Dtspereal Cel!(si DNA n-Ground tgravity} ^ in-Ground (pressurized) i7 At•6rade ^ Maund D Drip-Line ^ Other; Others A Othen A ~~= a MAMItpYANCE SCC!IEOULE Service Event Service frequency lrurpect candition of rankle) At leant once every: 3 ~, s) 11Ytaxb>turrt 3 year:? O NA Pump out contents cf tankts) When combined a)udge and scum equals one-third iY,) of tank volumo t7 NA tnspeat disperaai cNl(sl At least once very: ~ ear GIs) tMaxinwrn 3 ysaRa) DNA Clean effluent filter At least once every: ~e ~~ sl ~ aria) d NA Inspect pump, pump contrats & alarm At least onoe every: ~ ~~) s) ^ NA Flush tatuais and pressure trot At least anon every: -- rnott ts) Q ear(s) DNA At least once every: ,...._ O morttitis) O sr{s) ^ NA Other: O NA MAMlT1ENANCE INSTi4UCT10fYS Inspections of tanks and dlapersal aeiis shah be made by an individual carrying one of the following lioonses or csrtffioations: Mash Plumber; Master Plumber Restricted Sewer, pOWTS inspector; POWtS MaintaMer; Septage Servicing Operator. Tank inspectione must inolude a visual inspection of the tank(s) to identify any min:ing ar broken hardware, identify any cranks or leaks, measure the volume of combined sludge and scum and to check for any back up or pondinq of effluent an the ground surface. The diapsrsal cellla} shall be vfauaify inspocted to cheek the effluent levels in the observatbn pipes and to cheek for any ponding of ef#tuent on the ground surface. The ponding of effluent an the ground turtace may MdiCate a failMg condFtion and raga}res the imrrsediate notification of the local regulatory authority. When the combined sCCUmuletion of sludge and scum in any tank equals one-third (Yy) or more of the tank volume, the entire contsnta of the tank shall be removed by a Septage Servicing Operator and d)aposad of in accordance with chapter NR '313, Wlaaanain Adminlat-etive Coda. All other services, including but not Dimited to the servicing of effluent filters, mechanical or pressurized Components, pretreatment units, and any servicing at intervals of s! 2 months, shalt bs performed by a certified POWT8 Maintainer. A service repots she!( be provided to tl~e Mcal regulatory authority within 10 days of cornpfetbn of any service event .s •apa~ antte,istututp~ utsuoosltH '!t:) R {Z) '1l}4q'E$ Pus (}},g(pltl?ig1iZ?tZ'£8 wwo~,aideya yi!n+ aaust{dams u! pai}Bap iuaumoop s!yl auoyd (vlNo~ ~..1N1~S,~ x~a~ "~ etu¢ty t ~ euoyd 1 au~¢N JLLI~iOH1t1V JW01V•1t103b l1~'a01 t~13dWf1df kJO1VaSdQ ONialAlISS ~f,1V.L.d3S auoyd ewsN aaN~vaNlaw slnnod a~l-roistrn sin!-od S1N3WWQQ '1YN0 '3'181$SOdWi !!Q 11n0lddlG 38 JlifW RNVI V d0 a01~131N! 3H.L WO>~ NOS!!3d d ~Q 3Et~S~k! 'l1ftS31;i AVW Hl~/30 'S3QNd1SWt10dl~ ANV a3QNt1 ~Nb~.1N~WtV3>dl >;[8H1Q dQ dWfld 'Qij.d3S d tdS1N$ .iQN DO 'N~flAXO 1N~iQIddtlSNl k0/C1NV ~33SVD 1VH.t3l Nt11J.N0~ AVW S?INVl 1N3W1113a1 lfHH10 GN < <~NINd M 8' •awli ieyi la iaQ;;a u! s®1^a ayi yi!M ,~Idwoa isnw su,ais,ts vans ;o suo!ian,isuoaaa •eas;,ns antie,ii!}u! ayi le ieu,o!q ®yi }o {snow®, 6u!nnotlo} eaeld ui peian,isuoaw eq Asw su~aiscs uopd,osge i!os apsi6-ia pus punotry ~ Sul ei4~ S.LM9a u! saouenps 9u!„eg 'S1AAOd Peps} eyi aaeida, of i,asa, ass! s se Patteisut aq ~Bw ~luiti t3u!ploy s Ado{ouyaei •suotiai,wt) ttos ,o~pue ~aegias of enp eige!lene iou sl sa,e iuawaaetda, etgB;!ns d p •ew!i ieyi la ;ae}}a ut setn, ayi yitnn ntdwaa isnw swais~cs iuawaaetdaa •aa,s luauseaetde, etgei!ns a yspgeise of uotienlsna ails pus pos ,Hsu a ,o} peeu eyi u! i{ns®, lll^^ ee,e iueu,ooetde, ayi iaeio,d of •,npe~ •sllenn pus sau!t lo{ 'sinlona~s pssodaxi pu¢ Bulls4xe wo,} sitasglas pe.slnbe, ,cq uodn pa6u},}ul aq iou psnoys pus uo{laedcuoa pus aoueq~nistp tuoj~ pelopioad aq pinoys seas lusu~vo¢Ide,r ayl •tua3sAs UofidJOSge {I06 3uaweos~daJ E ~o Uoil¢ool ayi JO{ pezll!in aQ ~Bw PUB paiBnlEnB asap ssy ¢a3B iuewaa¢ldei algeilns d :ueais/ts iuewaoelde, iue!tdwoa apoo a ap!no,d of 'ua~{si aq isms, ,o 'asap aney se,nseaw Ou!nnopo; ayi pe,tede, aq iouuea pus s11sf S1MOd eyi 11 NVId A~N3!•7NIlNt3~ • tet,eiew p}!os i,su! ,ayloue ,o tons,9 `!!os yi!nn Pall!} aaeds plan gyi pus penou,a, s,enoa ,ieyi ,o panowe, pus paisnsaxa eq pays si!d pus s~{uai Pe •t3utd,,und aei;d • ,ole,adp t3ula!n,e$ at3aldag a Aq }o pestydsip Alladad pus panowa, aq !teys slid pus s~{uei !IB }o siuaiuoo 8y~, • pa~Bas sBuiuado edtd pauapuege ayi pus petoeuuoas!p aQ {I¢ys si)d pu¢ s~uei of 8u{d!d pt/ :epos anne,is!ulwp~ u!suoaslM '£tw•£8 wwo~ ,aidaya yi!nn eouepdwoa u! pauopuega ,tla;ss pus ~ll,ado,d s! wais/+s eyi ieya a,nsu! ai ua~ei aq flays sdeis Bu!MOtto} eyi aa!n,as ;b ino ua~te2 ,cliueuew,ad s! ,orpue efts; S.LMOd a4i ueyM 1NSWNOONVBtJ •auuq,auei}os ,aisM pus :suodwei :sut~ideu /uei!ues :saptatlsad :sianpo,d t3u!iu!ad :po :suo!iQa!pew :sde~as ;saw :sapiatgaay :assa,A :auposet3 :s6u!{sad a{geYaBan pus i!n,} :,aisnn (dwnd dwns) u!¢ip uoti¢puno} :ie} :swsiaa;utsip :s,ede!p :ssol; tsiuap :s,as¢aaeap :sgenns uoiioa :swopuoa :sung a>~1a,efi!a :sedlnn ,tgeq :sa!lotglius :S.LMt7d ay; ;0 2;{{ ayi t3uo{o,d pus aouswio},ad ayi eno,dwi slew wee,is jaiBnnaisenn ayi woi} Bu!nnapa; ay; }o uoRieu!wi{e ,o uo!ianpad •ea,r: uo!idaosga llos ape,B-ie ,o punaw Aue }o edots unnop ia9; g f, u!yi!nn ee,e ayi 'ioedwoa ,o q,nis!p esrnn~oyio ,a ',ano ,t,ad ,a en!,p iou oQ •sjyaa les,eds!p pus s„ugi ,ano satatyvn ,{,ed ,o an!,p iou op •~tuei dwnd ayi u!yisnn s!enat lew,ou 6,oisa, of sto,wo;, dwnd ayi @ulis,edo Altenuaw u! is{sss of ,au!eiutetry S1Mpd ,o ,agwnid g iaeiuoa ,o dwnd iuenl};e eyi of ,annod Buuoisa, of ,a!,d ,aie,adp 8ulo!n,ag eseidag ¢ Ilq penowa, atusi dwnd ayi ;o s;uaiuoa ayi aney uo!ieni!s slyi plon¢ oZ •iuanl}}e ;a ab,eyas!p aae},ns ,o dn~{asq eyi u! itnsa, ~c¢w pus (s)t!ga eyi Du!peo(,eno 'asap aD,¢l auo u! (s){!sa tss,eds!p sy} of paB,eyaslp 8q pcM Ja38Maisenn ssaaxa ayi pe,oisa, s! taMOd ueyM •slanat aBisnnyd!y lea„ou snaps p,t Aew s~luei duand se8eino ,an++od 8uunp •eas~ns anRg,ilt;ut ay} 1E uaxa,; a,s sua!i!puoa 1!os uaynn ,naao iou pays do Leis wais.~g •asn of ~as,d ,oie,ado Bu!o!n,as eEsidas a ,tq panouuo, tsl,{uai eyi }o s~uaiuoa ayi aney peiaa;ep e,e suo!;e,iueauoo y8!y ;{ •!syflaa les,adssp eyi a8ewep ,o/pus s~o,d luaw;ea,i ayi epedun ,t¢ua ieyi stea!waya ,ayia ~o slanpo,d buriu!ed ;o aauase,d eyi ,o; {s),l uei iuawisa,i ,taaya SJ.MOd 84i ;o asn of ,olld 'uo!lon,lsuoa Mau ,off NQildti3d0 aNd dtl J.!lb.l.S to ._-._._ e6ad d/r ST CROIX CO ~ Ci+RBBIvffiNT SP.P'I'iC TAI1K MAINI'SNAN AND O~g~~ OBgTiPi(;ATION FORM ownedBuycr ,Sr~1~A Co.ePa~-n o --~ Mailing Address 2~ V t K r t.) b 2: Su t i~ to ~6 D n~ /"1 /~-~ ~f 3 S Pmpotty Address ~ ~ Y~'~ ~" ~ (ycfj$catiou required from Plaruung Dopattiaeat for new enattnutionJ Lytj,/Staty f-/(/I~Son~ lc/~ Parcel Tdentificatioa Number LTGAL~ESt~TI4L`t ~/•, .~ %, Soc. Z~ . T 2~ N-~t.._w• Town of {~(/DSU Property i,ocation Subdivisiaa Ccrtificd Survry Map # ~-_ Volume _ ~ Page # Decd # _ Co Co ••- D.~O ~ Volume ~ page # ~ 3 Warranty Spx house ~ yes Q no T.,ot tines identifiable ~ yes ^ no TE ntet: failure to haadle.vistes. Propu zas~=~aaee Imprope[ rue sad maintc~aace of your septic eys~eta could result us its p~ ~}~ you yut iato the ~m ~~ of pumping out tha tcptie tank every threx y~ or twooct, it ~~ by a licoascd Ptuapcs- an atFect the fitnctioa of tiro rep~lic task as a er~atment ataQe in the"kaste disposal ayi~ t a cati5cation forts. cip~-od by ttu; owns sad tsy a The ptvpcrty owaa agsta to rnbtait to St CYoi~ ?.roaiag D~P+ ~~ ttut (1) the an~site a-d~watordisposal rysxm ma~oCrptumber~ jourpeymanplutnha, resttietodplumba or a tiwa:erl p~ ~ tic tank it less thorn 1/3 frJl of rsludga it la Proper ~at~ copdidon aruilor (Z) ^ue,c~nspertioa sad PumP~ (if~s'ry). sep Vv~. tbo vndorsiy~ed have Rad lhatrbove te4uitzmotsCs t:et foct2t ~~. u ect by the Department of Coatme ~~ the kpnz ryskm }s~bocn cna d..reef three Y4~ c~ita date. rate txwag~ ditpos~l h°tC°a *nth tbs s~~ ~} ^gr+x tc maintain the Dri and the jkpattmcnt of Natural Ruouices. State of WiscoaaOf~ce~~a30 be cntaq~lctcd sad retu~od b the Sc. (~pix Cotmty ?ioniug ~/ ATE 'il.AFavi~ that all t nts o this form ate true to Os~ txst o[ etyof Deeds Of'Seee, ;abov a aarranty dad rocotdcd in A,ogjst I (we) stn (ere) tho oyvaet(c) of ~ ~ ~ DATE •••••• Any iaformati..U is sus-represented may result In the taaiCuYPeS~tbotag tevok~Cdby-tbt:Tiaatag D~p~- s.~.. •• Iactude w~itl7 this appticaUoO: a stataped wamatY dead fraw the ~guK~ of D~ o~icc a copy of tha ccrt{ftnd cruvcy trap if t~cfct~ it trade itt the waz~ry decd TOTAL P.02 .~ -«,-tax .., ~~ ...".. ....,., l a STATF; BAR OF WISCONSIN FORM I - 1998 • WARRANTX DEED , NuMer Vnt, ~ 797PA,i 613 This Deed, made betwocn Bane Corporation, „"_- a Hittneaota corporatioa • _.... ..,..... -.._.. _ ---~ Grantor, and _Sienna Corporation. a Minn~ggta corporation __-,,, ._.,_ ..- --. . _.. ...- ---.. ....-.. Grantee. Grantor. for a val,able conslderadon, ranvcys to Grantee the fallowing ~ described real extate in SC . Croix _ County. Sate of Wtscotuln (tlu "Property ): See Attached Exhibit A 20-1048-30-000 Parcel IdkMtiotafion N,mber (PP.A -O,~ is not homestead property (is) (lx nal) 20-1048-60-000 20-1048-90-000 20-1049-90-000 20-1050-00-000 20-1050-80-000 20-1052-20-000 20-1052-70-000 TogeUur with aii appurtenant rights. Utle and interests. Granta• warrants that the title to the Property Is good. IndcleasuAe in lee simple arrd /ree and clea- of axwnbrarxri except See Attached Exhibit B. Dated rtes 20th - _ day ~ December - 2001 , Bane rporation (SEAL) by Jo M. Nassef ~~~ Its of Executiv¢ Offi (SEAL) Sli;nsture(s) authenticated tats AUTHENTICATION clay of _ ... (SEAL) ~r 666050 KATHLEEN N. WALSH FEGISTEk OF DEEDS ST. CROIx CD., WI RECETUED FOR RECORD 12-21-200! 3:10 PN 4pRftlWTY HEED CERT COPY FEE: caPr FEE: TRANSFER FEE: %63.10 kECORDIN6 FEE: 17.00 PAGES: 1 Recrxm}g ANA, Nome orW RpWn Address Glni~r~.L ic~-I~ 57~ 5 me+ar~i ~~ ~ ~uit~. 'poi ~divtne-Eo~nka, U11U553'~ 01) ACKNOWLEDGMENT (SEAL) Mina¢sota States ofiNftrvtalD- ss. Persorulty carne before me this ' ++~+ day of December _.__ 2001 , ~ abp„e r,y,,,~ John M. Nasaeff, Chief Executiv_e,Officer -of Bane Corporation, a_Minnesota _ corporation -_ TITLE: MEMBER STATE BAR OF WISCONSIN __ '~ ~ .. ,.. __ to (I(ml, _ me k,aawn to be _ e' De~ __ w)x, executed the loregol,tg auttrorized by §706.06. Wls. StatsJ irulntment and -~ .same. - llAfipY E. GALW~ER TH,S INSTRUM[NT WAS DRAFTED OY _\ Lockridge Grindal Law T'irln '^t°0""m10Np~N1°0j 1f1f1 Wach._~!•AS,py,ith- ' ~ -. Minneapolis, MN 55401 Na• ubltc,StsleotWlscotuin y commitdnn is pe,7nrulenl. (1f not. sore a%pirocitrn dau' (SlYnatwros pray be authmrieated or acknowledged. Both are nut January 31 _ -, 2005 .) necessary) .., , ..-..---~_~r----.,_ ..~.... . --_.__... __, . - --- 7J.mn w perae nAmnx ut ~„y apexy ,rxn, ur rypx a ,voa..r 4eluw ,A..r :gtwuar. WA~API'CY DEED ST,tTF. YAN Of WISCONSIN wheoestn ~aesi teat Co.. tnc. POAM N•. 1 - l99a ,,,w,e,a,p, wk. r37• Gl Yn;. 1 79?PArf ~1 A File No: es-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, lunge 19 West, Town of Hudson, St. Croix County, Wisconsin, more fully described as follows: Commencing at the west Quarter Corner of said Section 20; thence North 89 degrees 25 minutes 02 seconds Easc, assumed bearing along the East-West Quarter line, a distance of 1319.52 feet to the point of beginning also being the southwesC 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 NortheasC Quarter of the Northwest Quarter, a distance Of 1325.15 feet to the southerly right-of-way line of the Chicago-Northwestern Railroad; thence North 79 degrees 56 minutes 29 seconds East, along said southerly right-of•way, a distance of 451.00 feet; thence northeasterly a distance of 807.03 feet, along said southerly right•of-way, along a tangential curve, concave to the northwest, having a central angle of 09 degrees 54 minutes 03 seconds and a radius of 4670.25 feet; thence North 70 degrees 02 minutes 26 seconds East, along said southerly right-of-way, a distance of 429.04 feet; thence northeasterly a distance of 445.52 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 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 the south line of said Certified Survey Map in volume 12, Paqe 3302; thence East, along said south line, a distance of 593.00 feet to the east line of the Southwest Quaztar of the Northeast Quarter; thence South 00 degrees 26 minutes 06 seconds East, along said east line, a distance of 11.27.21 feet to the southeast corner of said Southwest Quarter of the Northeast Quarter; thence South 00 degrees 26 minutes 55 seconds East, along the ease line of said Northwest Quarter of the southeast Quarter, a distance of 191.71 feeC 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 15, Paqe 4172, and Certified Survey Map in Volume 15, Paqe 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 08 degreQS 43 minutes 31 seconds East a distance of 229.88 feet to the north line of Certified Survey Map in volume 11, Page 3126; 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, Page 3292, a distance of 682.86 feet to the northwest coiner of Certified Survey Map in Yo1.1797PAf,E 6~ Volume 12, Page 3242; 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 the easterly extension of the north line of parcel recorded in Volume 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, Paqe 163 and the north line of Certified Survey Map in Volume 3, Paqe 776, a distance of 508.92 feat; thence North 00 degreQS 07 minutes 56 seconds East a distance of 1003.47 feet; thence North 89 degrees 54 minutes 15 seconds west a distance of 270.16 feet to the west line of Certified Survey Map in Volume 5, Page 1317; thence South 00 degrees 27 minutes S3 seconds East, along said west line, a distance of 193.97 feet; thence South 89 degrees 16 minutes 33 seconds West, 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. Exhibit B to :i ~~ '' Y a; ` . 1 ~- - i ~~ i . ~ ~. i ~ -"~~' ~~ ~ ~ i ~ ~ r ~ ~ ~ ~ ~~ i I ~~ i f / J ~ \ / ; ~ ~ o f ~ ~ ~ w~`' ~'~ 1 ~ ~ C 1 ~ i. ~ / ` ` / // ` jA ` ! 1 1 `~i`• P~/ / \ \ S~ ~ ~~~ / t v {~ ss ~~ C \ ` ~ l t ~ \ ~' ~ ~ ` \ \ 1,~.,~ ti 1 t ~' \ ~ N~ r /- \ \z,~ .,, .- - \ - ti .. ,. . , ..,.. ~, . .. ~ :. _ c~ vN -~ ~ \ ~ ` I 1 1 ~ \ ~ ~ o ~ ~ \ ~ q \ i 1 ,.., . ~ \ ~ \ \ \ \ ~ ~ 1 ~ 1 \~ ~ • 1 \ \ 64.77 qt: R. \ \ 176.65 .~ ~r i .6ZZ +r ~~ -'w _. 4 -. ~/ '` r ~ ~ ~~Z3x S.F. (1.015 AC.) - _ ~, r ,~ ,~ .. ~! ~ O~i3i~i~rr~rr ~ ..~ .~rl r fir' r `~~I~r rI I I .r ,-- ~ ~ ~s ~ '-~ ~~ ~~ ~~ ~ ~ ~~ f ~~~,. 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