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020-1420-90-000
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)]. 'ermit Holder's Name: City Village X Township West Lake Builders Hudson, Town of :ST BM Elev: Insp. BM Elev: BM Description: ~ I^~1 i ~~ SANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ 3 ~-- a ~ Z 5~ Dosing ~~ /~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL NA- BLDG. Vent to Air Intake ROAD Septic y 25 = ~. 3~ r ~ ~ / _ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Nu TDH Lift Friction Loss System He TDH Ft Forcemain Dist. to Well SOIL ABSORPTION SYSTEM county: St. Croix Sanitary Permit No: 479273 W;S~ State Plan ID No: Parcel Tax No: 020-1420-90-000 SectioniTown/Range/Map No: 20.29.19.2677 ELEVATION DATA STATION BS HI FS ELEV. Benchmark D . ~ /00.5 / cro Alt. BM ~: d JP.` ~, .~ ~c~ ~ Z Bldg. Sewer Z St/Ht Inlet S •~ Ig ~' SUHt Outlet 5.5 9S Dt Inlet ~ ~ Dt Bottom i Header/Man. 5.$ ~y . ~ Dist. Pipe ~. / ~ • ~. ~~' Bot. System 7 ~ ~ 7 . Z 9-3. Final Grade Z . St Cover ~ ~~ J ~ ..~ c~.~ , I BED/TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pit= Inside Dia. Liquid Dept`' DIMENSIONS ~ ' j ~ ~ ~- SETBACK SYSTEM TO P/L BLDG WELL ~~. LAKE/STREAM LEACHING Manufacturer......- C ,., ~ INFORMATION CHAMBER OR ..1.. ~~ ~~ Type Of System: r ~ ~ ~~ ~ ~ / Z `t 7 r~ 1 ~~ ' )~ /v UNIT Model Number. ~ ~ ~ t a ~ evL N~ ` ` , DISTRIBUTION SYSTEM G.w~ 73'+'ZZ_ C,Iln,a...,.b,~~ Header/Manifold Distribution Pi e(s ~ x Hole Size ~ x Hole Spacing Vent to Ingt~ee 3 r ~-t~ p ) ~ Di S i L ~ Length Dia pac ng ength a SOIL COVER x Praccnra Svs4ams only YY Mnund Or At-Grade Systems OnIV Depth Over BedlTrench Center / ~ Depth Over Bed/Trench Edg xx Depth f Topsoil xx Seeded/Sodded ~ xx Mulched ~ i No Y i ~s ~ ;f No es ~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ / ~ / ~ ~ Inspection #2: / /_ Location: 447 Wren Lane Hudson, WI 54016 (SW 114 NE 1/4 20 T29N R19W) The Glen of 83 Parcel No: 20.29.19.2677 1.) Alt BM Description = ~~ 1 ~ ~J ~~ ~~~' i'~`-~ ~- - ~ 6 ~- 2.) Bldg sewer length = ~ ~ /r 3~ ~~~ ~p W (',~~G.. ~ - amount of cover = ~ J ` , n ; ~ ~Q~~ ~ ` ~ ^S~ cal -a¢_. 6 " Plan revision Required? I J Yes ~ --I--~---I -~, If ---- -- - - - -- _. I - - -`-~-- - Use other side for additional information ',-_% / _ ; ~~ `_~_/ _ I I ______ - -' ~ ~~~ -~~- Date Inse ors Si lure Cert. No. SBD-6710 (R.3/97) r-- ~- Safety and Buildings Division County _ rr . ~ ~ 2G( W. Washington Ave., P.O. Box 7I62 ~~ y ~~ k `,~f~ji~~sl~ Madison, WI 53 - '"-'~w'a tary ermit Number (to be filled in by Co.) Department of Commerce (~&) 2b6- 151 '~~'~ _ k ~ 5z73 Sanitary Permit ~lppli io _ sc~ce Pl LD. Number -- ~ ~. °~ , ~o In accord with Lamm 83.2.1, Wis. Adm. Code, personal information ~ 'vide' may be used for secondary purposes Privacy La 4 1)(m ~ act .4 dress of different dean nrailin address I. Application Information -Please Print AIi Information ~ ~-~ , /~,e~ ~Q ~r Property Owner's Na me L/ z~~ l'\ i '~ ~ Parcel # Lot Block # Property Owner's M atlmg Address / Property Location ~~- ~1~~J`' ~ s ~ e'_ LcJ ~l~ v'~~ s(/1~ ~,~-,~k.Sectiun ~D-- City~S/tate ~ ~ ~ Zip Cade Phone Number /~ J f ~~ d L ~ /~~L /~J ~ ` ~~Q (circle ) / Zto77 II. Type of Ruilding (check all that apply} ~ T ?~ N; R~E o~ ~D oC', ~i ar 2 fiamily Dwelling -Number of Bedrooms / ~ ~~_ Subdivision Name CSM Number ^ PubliGCommercial - Describt UsAe __ _1_ (_ T ^ I~~`~~ ~e ~._rJ Stale Owned -Describe Use Z i,1;5~^._~5 t,.~ ZZ~- C.In~a, ,M,~jR,c,(, v fI ~.1Ci`y ^Village ~wnship o~-~~~ II II. 'Cype of Permit_V (Check only ono box on line A. Complete ling R if applicable) _ /.r~~- 9 _ ~ A. New S stem '~~ Re lacemem S stem ^ TreatntentlHoldin ~~ - Y p y G Tank Replacement Only ^ Other Modification to Existing System ~ ~~_ List Previous Permit Number and Date Issued B. ^ Permit Renewal 'ermit Revision ^ Change of 7 Permit Transfer to New I Before Expiration ~I ` ----.. Plumber I Owner j I IV. Type of POWTS System: (Check ai! that a ~}_ __ _ -`~- ~~-~ 4~ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground C Ilading Tank C~ Peat Filter ^ Aerobic Treaunent Unit ^ Recirculating Sand Filte- ~ l~ Recirculating Synthetic Media Filter Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) ~[~ ~ ~ ~ ~ ~ j V, Dts rsal/Treatment Area Information: T~ ~ Design Flow (gpd) Design Soil Application Rate(gpdsf} ~ Dispersal Area Required sf) Dispersal Area Pro sad (st} System r^.levarion ~l' ~ VI. Tank Info Capa Ga etty in llons Total Gallons Number of Units Manufacturer I Prefab I Concrete Site Conswc[ed Steel Fiber Class (plastic f Septic or Holding Tank (-Aerobic Treaunent Unit New Tanks ~ Existing Tanks 7 !/ , ~!/ - ~ J ( T'yT _ ~ f ~ ~ e ~~~~~4 /~ r-"V -- ~ / ,/ '~"~ ~~ ~ ~ Dosing Chamber ' R - L_ _ ~ ___ _ ~__ It ~ _~ ' V ll. ~ BSponSibility Stateme nt- I, tltb undersigned , assume re spo_nslbility for ' tallation of the PO WTS shown on the attached plans. _~ Plumber's Na me (Print) Plumber's Si gnature MP MPRS Number Business Phone'v'umher i GrJ~~~~s_h=- ~,~t,,,, ~r Gc~ ~_~ 79~/O ~7~~ =3~G x/21 Plumber's Addre ss (Street, City, S tate, Zip Code} ~ ~ V= II~Count -/Iye artment Use Oni - ~ Approved ^ D Sanitary Permit Fee (includes Groundwater TDate Issued Issui g Agent Sig anrr o Surcharge Fee) ~ / ~ ,~` ~ /~ Lt J ~ Uwn en Reason for Denial ^ - J ~ _ ____ i ~ iX. Conditions of Approval/Reasons for Disapproval \ n r SYSTEM OWNER: .3 ~d.\~tc,`, MJb~' S~ a~aN~-. Vin. 2r~a,n-tSZ~ 1. Septic tank, effltlertt INter and _ I_ ,, ~.. '~'o ~e J ~' f~bw.a..b ~ via.` • . . .. . dispersal ceH must all be atsrtdcas / mrt(tthittd ~~-~-~` as per management plan provided by pkxttbM. 2. AIt setback recµtirements must be rrtairtgined 1 I ~ er a liaa6te / ~J ~2r od J ~ di d- ~e p pp . c a or tmtt»s. p.w~-- ~. s ~ Attach complete plans dto the County Daly) for the system on paper not less then 9Il2 x 11 Inches in size rot~t^ SBD-6398 (R. d1/03) p S~a,lc l 'r ~4 `~ ~ D~oy'~-s'~`ll ld4- ° ---.._.. `~,JY----~_ ~,~ b t ~~~ ~~ '~~ .°^,•, ,~ `-~ U ,~ i l ~ 82 ~~ ~ .23x4 r ,~~~;~9 ~~? ~' 2~ ~ ~`~ 2~ ~, ~ ~~ "tab .'i ~` 0~' ~ /~~~/DS _~.....-- ... r ~~ A ~~ ~. ~ ~~ Wisconsin OepaRment of l;omrnerce SOIL Ei~ALUATION RE ORT p ~ 3 Dwbion of Safety and Buildings age a _ . ~~,;=~, in accordance witfiComm 85. Wis. Adm. Code Attach complete site plan on paper not less then 81/2 x 11 s in size. Plan ~~tjtV f Y ~ C.--iZ~ ~ include, but not limited to: vertical and horizontal reference ~BAA Percent sbpe, scale or dimensions, nortl~ arrow and I arcel I.D. e DZD - )~i - `~ 6 - Please print` ap lnfonnatfop Revs by D~ Peraooei informetlon you arovide mey ee wed for aacondary purposes (privacy ~aur)1, f2 ~ P~~ OMmer Properly Location '~ ~ ~ i r ~ ~ ~ Govt. Lot ~ w 1/4 !(r ~ 1 /4 S T Z Q N R ` E (or)t>r~ Property Owners Mailing Address L ot # Block # Subd. N ame or CSM# City ~ .(~ State (_ P Code Phone l j - r/ ~7 ~ /~-~- - /~ ^ ~Y ^ Vllage Gown Nearest Road (~ ~`" ~~~ use: i,~ Residential / Number of bedrooms 3`Y Code derived design flow rate y.S'~ L'J GPD ^ Replacement ^ Pubflc or commercial -Describe: Parent material ~ ~-I-- ~ cti Flood Plain elevation if applicable /L / /~ ft General corrwnents 1 and recommendations: ~ ~7 P~ ~/~= U . vt d ~ t ''~` ~ ' f r &rrr , v.e o y ~ y -b P ( toJ ~` S N ~' ,~- ~" i~l~f , /1' I Z -~,> ,fir. , ( ~ ~ 5 ~-~. -; ~ ~ w . c Boring ~ ewtng # G d f ~ /~ / 2.5 (~q5 roun sur ace elev. . Pit ft. Depth to limi ng factor ~" in, Soil icatian Rate Horizon Depth Dominant Color Redox Description .Texture Sbvcture Consistence Boundary Roots GPD/fP in. MunseU Qu. Sz. t;AM. Color Gr. Sz Sh. •E[f#1 •Eff#2 I ~1 P 9 _ ~~ # t(V~~ aonng tCf Pit Ground surface elev. lv ~ ~~ R. Deer, to iimiHnn f~Mnr ``j C) / :.. Horizon Depth i Dominant M d Redox Description Texture Structure --- --r- Consistence -- .... Boundary Roots Sod •cation Rate GPD/fF n. unse Qu. Sz Cont. Color Gr. Sz Sh. •Eff#1 •Eff#2 l it I! Etfluertt #1 = BOD > 30 < 220 mgfL and TSS >30 < 150 mglL 'Effluent #2 = BOD < 30 CST Nsrne (Please Print) - S _ ~: and TSS ~ 30 mglL CST Number u ~ / / - /f ,~ / Date Evaluation Concluded Telephone Number ' ~ ~ U ~~Jfs /G~4J IfGr ~GI stn ~ n~,f, 1~//~ ,~~D/ ~ ~~- '~ --CAS 7i ~-_ ~/_ n -rtsrl .3 ~t Y O~ ~'G,~~ ~~ ~~ Parcel 1D # ~d~ ~ ~ / J Page Z ~ ~._ ^ Bonng t,y rn. D ~~ # ~ Pit Ground surtaceelev./~ • ~ ft. Depth W U~9 ~~ ~ Soil ication Rate Horimn Depth Dominant Redox Description Texture Stnxsure Consistence Boundary Roots GPDIfF in. MunseU Qu. Sz. Cont. Color Gr. Sz. Sh. •E1t#1 •Efi#2 ~_ ~ ~ ;>~ _.-- --~ ~ it Z Boring ~ LJ Boring PN G~nd surface elev. R Depth to IMiting factor in• Soil ication Rate i Texture Structure Consistence Boundary Roots GPD Horizon Depth in. o -~ Dominant Color Mansell /a .-y on Redox Descript Du. Sz. Cont. Cdor 5^ Gr. Sz Sh. a ~ r - - •E~ ~ ~7 ~~ /. ~1 (~ Boring BOnng ~ Ground surface elev. ft. Depth to gmmng racror • ~. .._J ^ Pit Horimn Depth Dominant Color Redox Description. Texture Strurdure Consisterx:e Boundary Roots in. MunseU Ru. Sz. Cont Cdor Gr. Sz. Sh. . ~ ~ GPD/fP •Eff#1 'Etf#2 • E1Auent ff1 = BOD` > 30 < 220 mglL and TSS >30 <_ 150 mglL • Etnuer~ ff2 = BODE ~ 30 m9A-and TSS'_ ~ ~ The Department of Commerce is an equal opportunity servrce provider acrd employer. If you need assistance to access services or need material in am alternate format, Please contact the department at 608-266-3151 or TTY 608-264-8777. ssoasxt~) p~pperty Owner Lj1~+L~ /l.~ ~ Parcel IQ # ~d~ ~ ~ / Page Z of ~.,. # [ J B°rmg ~~ ~ Pit Ground surface elev.' • ~ ft. Depth to ilmiting factor ~ in. Sdi ication Rate Horizon Depth Dominant Rsdox Oescription Texture Stnwture Consistence Boundary Roots GPD/fP m. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EtTif1 'E1f#2 ^ ~g # ~ Boring ^ Pit Ground surface elev. R DePlh m IimNing factor In• Shc ication Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GPDAF in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 Q Bonng # ^ Boring ~ .. ^ Pit Ground surface elev. ft. Depth m kmiting Sector in• ~ ication Rate i i t T Structure Consistence Boundary Roots GP D/fY: Horizon Depth in. Dominant Cd MunseA on. pt Redox Descr Qu. Sz. Cont. Cdor ure ex Gr. Sz. Sh. •EffiF1 'EfF#2 • Effluent #1 ~ BODE > 30 < 220 mgil. and TSS >30 :150 mglL • Eflluerd #2 = BADS c 30 rtrgll. and TSS _< 30 mglL 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 fom-at, please contact the department at 608.266-3151 or TTY 608-264877?. PAGE ~ OF~ NAME ~~~ ~aE ~- LOT# D ~ LEGAL DESCRIPTION ~/a ~/a,S T ,N,R E(OR)W SCALE: 1 ~~ _ ~ L~ BM 1 ELEVATION {~QO~V BM 1 DESCRIPTION .{~.,~ p~ ~~n,yo~'Li. (c:l. ~'u~~~ cle~~f BM 2 ELEVATION BM 2 DESCRIPTION ((~~ r a ,, SYSTEM ELEVATION ~O 1 L'~`-,OLAJ [:'ro `~'~~ SYSTEM TYPE Cpjy~'~2 Y~~~~c,~t~-~ -- h 9~~~~ q ~, ~; 1 ~' z SIGNATURE ~~-"'~~~ ~~ ~ DATE ~~ > ~ OS . ~-- --~--- __~-- -~-_ -_~ Safety and l3uildinga llivision -- Cuuut ~ ~ }` `l'~--- 2i)1,~~,, Washington Ave., P.O. &~x 71b2 ~ ~-}.. ~~~~~~i~f~ ~. ,' ;,t!'~ISOq, WI 3 7 - 7162 ~` ' ~ ~-~~ 1')(, Department of Commerce Sanitary Perrrut Number (to be filled in~ by Co.j~ _ l; ~, a) z NISI ~:.~ ~./r 79 Z 73 Sanitary Permit Ap~~~ ~ Smte Ian LD. Number --~~ j In accord with Comm 133.~I, Wis. Adm. Code, j ~5' be used for seconds persottel igfo o you prc~li' R` ty purposes Privacy Law, sIS.04 _ ((m~ ~= ~ ~ ~ _.__ ~ - 0; Proj •t Addt ., {if differtnt than malting address) !. Applieatian Information -Please Prin~ ~ A!f lSlfor ---- °---~._ 1/ ~~ )) ~ Property Owner' Na me h-2_ 4 r el M ~~1~•~ Lot ;r Block i1 ~ Property Owner's M ai Address ~ ` ~~' ~ Oelo~.•~ ~ z -] i ~ P `D ~ ~ © ~ Q3 ~ Property Location 'City, State - _ S i ZlpCode Phone Number ~ k•.~'^i>Secdat p~t•] II. Type of Tiuilding (check ail t t a I IS - 3 ~ b' ~ 7 $ , f ~~ tcircle e~ I pP Y) N; R Igo o~ I ~l or 2 Family Dwelling -Number of rooms V~!" 6~~ 45 e.,j1 ~" Pl av~ Subdivision Name CSM Number (~~ PubltcrCummercial -Describe ilse _ _ ~ ~ State Owned - Describe UsN ~~ ~ ~ -"" F; ___-_ _ ~._,_.__ 1__ r ---._.._..r~~ __ ~ ------..~...~_____,-----. ~ Z-~ - ~I.UU ~iity~UVillage~.17'ownship of_~~~~..--, I! _ J• T f a YPe Permlt. (Check onl oa ~ ~ ~• A. __~ Y e box an a A. Complete line 1P aAp!loable? _ ~ _ _ 9~ ~~ y~ New System ~ [] Replacement System TraatmenVl-lol g Tank Reptaceneeat Only lJ OUter Modification to Existing .System S~S1C`.J rg. -- --~__ ____- __ ~~ Permit RLnewal '' J Permit Revision L Ch e of 'List Previous Permit Number and Date Issued ~~ Before Bxpiratian ) Q Permit 77anst'cr to New ~1 Plumber gwna1~ _n'. Ty a of POW1 S S stem: Ch -~`-~ °- _( ~ _i . eck all that a~~_ __~.___..__ ~~ Non -Pressurized In-Ground ^ Mound ~ 23 ih. of suits sail i ound < 24 tn, of ~ - _,~_ - ~-~--~-T~~ - Suitable sail C~ Ar•Grade ~, Single Pass Sand Filter -' Canstructed Wetland ~ 1 Pressurized ln-Ground ^ li ir, g Tani. ^ t Filter ^ Aeiobil` Treatmmu Unit G Rri:irc`ttlating Sand Filter Q Recirculating Synthetic Media Filter Leacttirtg Chu r Drip Line Gravel-less Pipe ~ Other (explain) ~V. Dis real/Treatment Area Information; n ,- ~~.. Design Flaw (gpd} Design Sai! Application Rate( ~~ `~~'` JS - j ~ rsai Area Rc~uired (s Dispersal Area Proposed (s~ System Irlavation T'allk Info C _ _ 1 a pacuyin Total Numbcr~-~' Manufacturer Prefab Sit ~'~- uallons Galls ~ of Units e ~ Stcrl Fibe, PlsistlC ~I New Existing ~ ~ Concrete ~ Canstructec! ( Glass ~---- _ Tanks .'T'anks I ! ~ ( ~ ~ Septic or Holding Tank - ___._._ ~o ~--------~--- Aerobi~°u~ ~ T~eatnieni Unit ~Q~ _._'-i`---~--~-. i]using Chamber ~ l i VIl.ltes ...._.. _.._ _ nsibilit 5tatem ---~--- _~ Y ent- 1, uttdersigncd, aysu,tte reyporlsiDlUty Por iallatlon of the POW7'S show t this attached plans. Ylumher's Na me (Print) Plumber's Si gnaturc ~ PRS !Number ------~ 1'"Z %~~ 8usittess Phone Number ~ W ~ ~\ ~ ' dt/ '//may p Plumber's Addre ss (Street, City, S e, Zip Code) -""J -" ~~~<-~~ t ~`'3 ~ ~ 3 f a ~- t oZ o mac.. ~. `1 ~ ~.~9.sor yJ`~- s ~l 01 I V~__III^Cotutt /De rtment U On! ~` „"""------ _.+ j ~CApproved tsappr Sanitary Permit Fao (includes Groundwater Dat Issu - -" ` \ L7eruwl ItI Surcharge Fie) ~ i i Issuin Agen Sign cur tNa Sts ps) ~- -~ J n•et: Bea. _-._._.L_ ---~ Z7 IX. Conditions of Approval/Reasons for~Disapprova! ~ _°'-" --1• - -_~ I SY57EM OWNER: r1 - _..-.~. 3~ ~~ ; ~~ c(' tM..}5 ~-' Jl o w~n.4.c_ vyla,; ,n~-e.n~ v~.cSZ ' 1.~` Septic tank, eMuent tiger aid r'- ~ ~~' J' dispersal cell must all be services / trlairltairsed ~ac.~}C~"' ~ D~~~~ J as per management plan provided by plumber, 3. AN ttetback requirements must be maintained ~ P~ ap~kable code / ordittancas. I ~_ I Attach cotnpltte pions Ito the County Duty) tar tAe system on paper nat law than iii d2 x l i insbas in siae ~ -~"` - - " - ---"' , (rTT r'•snn i~ ~.. r~,... ' des l'~~/~'-~ ~u ' ~a ~y~ ,~ a 7 l "~S _~--- _r-- ~,- _- , 3i ~6G~ S '~ ~~ ~ ~~ G~o~~ ~ c ~ ~ ~'~' a~ t s ~w,~x ys Ct~PY ~~ /l~.d~/G /00. _.._-- . _~-- __--- ~i \ ~ a ~6G~ y '~ ~~~ 4~ ~ ao/~~ p ~ G~~~ ~ i ~~ti ~ ~ ~ ~ ~. _ ~~~~~~~N i' G~¢s ,5'c~w,c~- ~S • ~~ ~ ~~ ~~ ~~~~d~ ~~ /~idUG /04. Q ~~~.~~~- ~n~ ~ ~ ~ ~a ~ , Wisconsin Department of Commerce Division of Safety and Buildings 1111 SOIL EVALUATION REPORT Page 1 of 3 in accordance with Comm 85, Wis. Adm. Code Steel Sal Service County Attach complete site plan on paper not less than 8%: x 11 inches in size_ Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north aROw, and location and distance to nearest road. Parcel I.D. Pending Please print all infonnatian. _ viewed gy Date Personal information you provide may be used for secondary pu "` ~~ $"}5.04 (1~n)). ,Property Owner f~ Prope Location Sienna Corporation y ,~ ~~. Lot z SW 114 NE 1/4 S 20 T 29 N R 19 W Property Owner's Mailing Address `} y~i? "~ ~- ~ o't # ~'~ Block # Subd. Name or CSM# ~ 4940 Vilking Dr. Suite 608 83 r na The Glen City State Zip Code hone ('dprriber ;~-- Village Town Nearest Road ~~~ ~~ MN 55435 952 ~ 8t38""~ - Hudson Carmichael Rd. /1 New Construction Use: w'; Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement I Public or commercial -Describe: Parent material Pitted outwash Flood plain elevation, if applicable na General comments and recommendati ons: System Elevation 93.85ft, trenches spaced an d depth to code 3,,~0$below grade o.~c~ .~ Boring # . __ Boring { ~ Y! Pit Ground Surface elev. 97.30 ft. Depth to limiting factor in- Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlftz *Eff#1 *Eff#2 1 0-12 10yr3/3 none sil 2msbk mfr gw 1f .5 .8 2 12-20 10yr4/4 none sicl 2msbk mfr cs 1vf .4 .6 3 20-26 7.5yr4/4 none Is osg mvfr cs na .7 12 4 26-96 7.5yr4l6 none ms osg ml na na .7 12 a~ ~3•~ ~~ ~ ~~~ 1 Boring # __: Boring r Pit Ground Surface elev. 97.35 ft. pith to limiting factor 96 in. $~ Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlftz *Eff#1 *Eff#2 1 0-10 10yr3/3 none sil 2msbk mfr gw 1f .5 .8 2 10-26 10yr4/4 none sicl 2msbk mfr gw 1vf .4 .6 3 26-33 7.5yr4/4 none Is osg mvfr cs na .7 1.2 4 33-96 7.5yr4/6 none ms osg ml na na .7 1.2 `fz~4S' x tmuent ~~ = csw ~ 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS< 30 mg/L and TSS < 30 mg1L CST Name (Please Print) Signature: CST Number David J. Steel ~ ~ 248956 Address Steel Soil Service CCL--~~ Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 9/10/2002 715-246-5085 Property owner Sienna Corporation Parcel ID # Pending Page 2 of 3 Boring # Boring 94 95 ft Depth to limiting factor 95 i / Pit G . . round 5urtace elev. n. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz *Eff#1 *Eff#2 1 0-11 10yr3/3 none sil 2msbk mfr gw 1f .5 .8 2 11-27 10yr4/4 none sicl 2msbk mfr gw 1vf .4 .6 3 27-33 7.5yr4/4 none is osg mvFr cs na .7 1.2 4 33-96 r-- 7.5yr4/6 - none ms osg ml na na .7 1.2 4z/}g Borina # 'Boring _ .. _._ * Effluent #1 = BOD 5> 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 Borina # 'Boring Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel CST-POWTSM Lic. # 248956 Sienna Corporation SWl/4,NE1/4,S 20,T29,R19W Town of Hodson, St. Croix Co. The Glen lot 83 1564 Cty Rd GG New Richmond, WI 54017 (715}246-6200 (715} 246-5085 This soil evaluation was conducted to satisfy a caning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the soil test was conducted. Legend 1" = 40' Benchmark El, 100.00Ft ~Tpp of %2"pvc pipe • ~ Alt Benchmark EL99.35Ft op of/2" pvc pipe =Borings S', 3Sf7- ~Jr f~" ~~ ~OFt ~93.85F'r N .• s • - ~ - __ _ ~_ .. t , r _ ,t•, -' _. `\ Sri r ,; / ` ~•+ 7r• ~~ .' x s• Ij ! ~ ..~ ,~.e ~~. r ~' 417• ~'` A- a•.-, // 1Ar.... , ; ~ .f 1 ; r ., r /r ~ r ~~rr lam" I ~~{t////~~~ y 1 I ~ ~ ~ , ~ ~I ~ / ,_ >.. .~ " ` 1 I N , 1 ~ 0 ~ ` t + 1 ` ~ - t '~~ / ... ! A ~ y,~ .^ , 1 ~ ~ s 1 ~. / ,\ 3.~ HIV t ,- t - - ~ ~ 1 '~ - --- - ,- , y~_ ~.. ,. ._.... -' t i 161' - I a ~ ~ ~ I ~~1 t`• i _ i i _ ` \\1 , r Q~ t ~ :, ` ~~ , / ~~.. ~ ~ I .- _~ ~ ~ -, - r e.. , a ' 1 ~ . - ~_ .. tt ~ 1 _ / ' J ~. ~ b , ! ~ ''. 1' i 4~ \ ` ... a7 .j . - , - c - . , ~',.', - - 1 - 344 __.. a .• y ! \ ~1' _. , 1 -~ ( ~ ~~.`', ~~ a ~1~ '\ ~ yh~ Z~ i, -- _--n ~, _ a~-~ . , III-' .`_ S ~ , ,`I ~. -... , t 1 111 f\ f 1 '• \ •• l Sy ~_ ~. \ / ^A 'w M l/ . . . .. ... ... 208 ~ _ 1Y i 'V ~ (/ _ \ t _ \ ~~ ~. _ ~ .... .. VVV VVVii - _ `l l _ 1 t Y ~ l ' i / 7 , , 1 2+~ . _ ~ F r ,) - ii ~ '~ - _ '. , ~. ' ~ i "" i i ~ - .`~ 1 i \ `~ ~ ~ / ' ~~ : :~ 243 ~ ~ ...138- .. ' 1 _' ~/~i• ;~'I ~ ~1,. 1 III ,- / "i "i~hl ~ ~ I 4 t ~' r ~ - - ~ •t - 1 , , ~ ---- i - - -F41.~ f r ft I 1 e 11! F11:1 I: i ,\ i ~i Itl , ` .,( 1.1 ~t• ykl .111 'jr - ~-~ tl~ /~.' y; i ~''~ ` ! t11 II , It •., F JI'll.I,it';• - _.. --'rZ9L,,. A' 1 i `•~ t ~`' /'I '..~ , ` ~~1 '`~ '`, ~ ,1ii'~ ~ i 1 r :. '. ` / ~ ,, / / ~ . • 11,.,1, ~~( j N '~ • I 1.. ~ yf, ~.. •. 1 ~ II ~ 1 -- 1 ' ________ `, • i , . ~ 1 11.1 / i ~ I / 1 • t - \ ~\ , `~• ' 1 1i1 1` ~~, 1 ,~;, 1 +::111 ~~~( I II I ~ , .. N ~ \ I ! l i 1- r l i- 1 III - -.. .: :,. .: , ~$ ~\- ~ N I I , ~ 24 . I i7 ~,~'t. 1f', ST GROIX COUIV'i'~ SEPTIC TANK MAINTENANCE AGR~EIviENT AND QWNERSHIP ~EIt'CIFICATION FORIvI Owner/13tiyer ~~~ ~-~ ~ ~ ~~ ~.~, t ,r s Maiiiug Addrt:ss ___ t a f1 ~ ~~ ~x 7 ©~ ~cc ~so~ Gr/. `~olCo _,.._+. Properly Address _ ~` ~/ 7 ~~~ ~.~n. ~~ -~ .~,; (Verification required from Planning Department for new City/State ~rc-~ s _ l~~ Parcel Identification Number QED- /`~~ ~-- ~O - ~Q ~EGA~,~~'~SCRI TiOi~t I Property Location~~ '/,,~~~ '/., Scc.~'O , T ~~ N-R~tiV, Town oaf ~~~LF~~--~ Subdivision ?`~-Q_ _ ~ ~ ~~ ~ .Lot # ~ 3 - ,8 ~o~k~ 9 Cert`i>rcd Survey IvTap # ,, Volume ,Page # __ _ ~Varraety Ueed # ~77~1737 ,Volume .?l rte, Page # _ O~ ~-- - Spec house yes ^ no ~ Lot lines identifiabie,~ yes ^ no S"4'STlE;11~ 1V1AiN'~'~NANCE Improper use and maiatenance of your septic system could result in its premature failure to handle wastes. Proper martttenaoce consists of pumping out the septic tank every three years or sooner, if seeded by a licensed pumper. what you put Into the system can affect the fimction of the septic tank as a treaanent stage in the waste disposal system. Tlie property o:vrter agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a n~asterplumber, jourucyman plumber, restrictedplumberor alicensed pumper verifying that (1) the on-site wastewaterdispc~sai system is in proper operating condition and;'or (Z) after inspectioa and pumping (if necessary), the septic tank is less than 1/3 full of sbrdge, Uwe, the undersigned have read the above requirements and agree to mairttaim the private sewage disposal system with the starrdsrds set foitla; herein, as set by the Department of Cornmrrce sad the Departtrreat of Natural Resources, State of Wisconsin. Certification stating that your septic system has been mairttained must be completzd and returned to the St. Croix County Zoning Office within 30 y of he;tprepp yyear x it~~~t~oon da dye l.c~.C~.t ~ cpuC.b~c~vC ~~ i ~ G 9 SiGNAT'URE OF APFC.ICANT D~°` E OtiYNFR CEItTIF„~~'ATION I (we) certify that all statements on this form ate true to the best of my (ovr) Icno~vledge. the ro er~y d~~sCt}}bed a ve, by~:•irtue oC a :~~anan deed recorded it Register of Dce~is Office. SIGNATt_fIZE O.C APPLICANT 1 (we} am (arc} t}te o:~rer(s) of DATI? '**•"* Any information that is mis-represented may result in the sanitary permit bcin; revoked by the 7.oning Department. """ •• Iuchrdc w~ilh this application: a stamped warranty decd frou~ the Register o.f Deeds office a copy of the czrtified survey map if reference is made in fire warranty deed , PQWTS OWiVE~i"$ I~ANLJ~-~. & MANAGEMENT PLAN ~u~~lNi~oKMArioN ~-~~ L--Q`~~ oWnef ~ ~ ~ 1> Parma ~ DESK+TN PARAMETERS Number of 8edrooma y G l~IA Number of Public Facility Units, p CIA Estimsted fbw taverage) ~' Q-d sl a Design #Iow {peak), {Estimated x 1.5) is ~ ® aUd Soil Application Rate slider t1~ Standard InftusntlEffluent Quality Martthly avarapa" Fats, Oii ere Grease {FOG) 530 mgfi, Biochemical Oxyflen Demand 190Ds1 .5220 mglL Q NA Total &uapended Soi~da tT58) 51 b0 mpll, Pretreated Effluent O,uaiity Monthly ev9rppe Biochemical Oxygen Demand t8Gg41 530 mq/L Total 5uapended Sowda {TSS) 530 mg/L q NA Fecal Caliform {peometrlc means 510° cfu/10Qmi Maximum Effluent Particia Size Yg in die. q NA Oth.r: q NA °iValuer typical far darnestic wsstawatsr anc! septic tank 1ffluent. Page of S1r TSliil $PEGfICATIONIi $y(ltia Tank Capacity ,'1 !~ al DNA Septic Tar+k Manufacturer ~ c• ~, O NA Effluent Filter Manufscturer ~~ ~ ~ .Q O NA f fluent Filter Model d~' d NA Pump Tank Capschy ai O NA Pump Tank Mtnufacturer ~rB.Sv°v' ^ NA j Pump Manufscturer ~~,~/ - Q NA , Pump Model DNA Prat-eatmartt Unh C7 8a+td/Gravel Fllter t7 Maohanicai Aeration i~ pbinfectiort D Peat Fitter O Wetland O Other: DNA Dlap~rsai Califs) Q !n Ground t9ravityi Q At•Grade Q grip-Line DNA L:! irrCiround tpresaurized) D Mound D Other: ) DNA DNA 0 NA µ SCF160tJLS Service Even: 8srvia ¢raqusney Inspect condk'lon of tanktai At lelwt once every. 3 s! a lMaxtrnum 3 yesrsl Q NA Pump out cantenta of tank{a) When combined sludge and scum equals one-third tYs) of tank vah~me ©NA Inspect dispersal cell{a) At lean onoe wnrary; ~ rnon ~tel (fVlaxlmum 9 yeah) DNA Clean effluent fUtsr At least onoe every: ~~ ~ s) e) O NA inspect pump, pump controls b. alarm At leaf onoe WN'~!: --- inonthtsl d isl O NA Flesh latsrak and pressure twat At leaet onoe ovary:. •-- men ts1 ©saris) DNA Other: At lases ar-ce evarY: _._._ ~ mu~~ta) DNA Other: D NA MAINTF.tAIANCE MiBTRUCTIONS Inspsctlorta of tartka and dispersal cells shall be made ay art individual carrying one of the fci)owinp licenses or oerthEicatiorts: Master i'iumber; Master Plumber Restricted Sewer; t~C11IVTS inspector; PQWTS Msintadner; Septage ServicMg Operator. Tank inepectiona must include a visual inapectian of the tank{e) to identify stay e»isainp or broken hardwares identify arty cracks or teaks, measure the volume of combined sludge and scum slid to check-tor any back up or ponding of effluent on the ground surface. The dispersal coil{a} shell be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent an the Around surface. The ponding of effluent on the Around surface may irtdiaate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and serum in any tank equals one•third tY31 or more of the tank volume, the entire contents of the tank shall ba removed by a &eptaga Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Gode. AB other services, including but not limited to the servicing of effluent listen, mechanics) or pressurized components, pretreatment units, and any senricinp at intervals at 512 months. shall be performed by a certified IaOWTB Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. •aR~a anlteuslu~ulpy ulsuoaslM 'IBl R IZ-'It145•E8 Pu* i-IRipi.it?iq1 euoyd aweN ~oNinv ~ao~vmosa ~aoa~ ~a ~N ti8NM1NIVw StLNOd t~l~ilr.'~i8 411UO,'~ JBiG78y.7 yilm ~aunlwulva y~ p~~{s~yr s~rw-~~wwlwM ~!Ml auotld~ tfM fWA~I lfAftUfflJA f\flfflU~lM eu~ep e ~lf\lI~ J!lfll 10.707110! RIV.IY q~oV VnIJ17\0710 7VY a3"i'IVISNI S1MOd s.~NSwwoo wNaulaad '3'1gIESO~iN11 td0 i1flQtd~l1Q 89 AMW ~INVl d 90 !10!!l31N13N.L WOad NOS>~~d V dQ 3E1~S8li 'ilnS3a AdW N11f90 '830NV18WnOa1Q ANV >d~t1Ns'f llNtll. 1N8W1V3Sal !f~lit0 a0 dWnd 'OIid3S d aS1N3 .LON OQ 'NdE2AX0 1N8101ddnSN! a0lONb gBSSrlO '3bHl$'! Ni~-~.NOO AIfMY ~~NVl 1N~w1~T3a1 a~Hlp 4N < <ON NavM>$> •6wli isyi is laa}}a u} sole, oyi yi!M d}dWOa 3~hW awP;seta yens ;o euo!a~naisuooeb 'aasians on!isalll}u! e _ __ __.....,,..,.., ,.. ,nwAt11G, AlnnnouQt aoeld ui asioruis:uooo~ eq ~(ew Rw~isAs uo!idaosq>3 1!oe apea8-ie puff punolry S.LMOd u! seauenps Bu!aasg `S~pd pel!e} ~-yi eosldaa of tio!!ea 1!~sl a ss psllsisu! eq ,~sw ~usi bu!ploy a Abolouyooi suo!iBi!wM l!os ao~pue >foegias of anp plgellene iou sr aeae iuawaoeldea algei!ns y ~ '8uu41 ley; ie ioal3e u! selna eyi yilM Aldwao isnw swais~ts iuaweaaldea 'seas iueuReaeldea algei-,ns s ys~lgrkiso of uo!;ts~tno ai!s pus 1!os Mau a ~~ peso syl u- iJns9~ IIIM e0~e iuewaoeldes eyi loaiaad of aanlled 'slieM Pus sAUt1 10l 'eanianals ps$odoad pus Bulislx>I- uaoa} s~lasgies pea!nbea ~cq uadn pa8u},;u! eq iou plnoys Pus uoliaedwoo pus eyu!lglnis!p woe} poloaioad aq plnoys eons iuaweoeldea ay,~ •weistis uoiid~osge llos wawaas}daa a ;o uo!isaol vyi ao; pezlllin aq Agw pur psisnjene ueaq say seas iuewaooldea elgsilns d p :w6i8/~s iuewaoeldea lue!ldwoo apoo a ap!noad of 'ue~lei eq isnw ao 'ueaq eney seanssew ~u!MO;Ion Ayi pea!edea eq iouusa pus ells!` S1MOd eyi ll Nd`td RaN~ONI1Nt30 'leil838iL p!109 iaeul a8t~ou6 a0 lensib 'poe yilM pa!I!; easels p!on eyi p~ panowaa s~enoo a!eyi ao penaw®~ due paianeoXe eq Ileys si!d pus s~lusi lle `Buldwnd aei;d aoie,edp 8ulalneeS eBeidag a +tq }o pesods!p tilaedold pua pa~nocuoa sq !lays sill pus s~luei Ile }o siuaiuoo sy1• •pelses sbu!uodo ed!d pauopuege eyi pus pe3bauuoaslP ~1 Heys ei!d pus s~luei ox buld!d lid :epo0 an!isais!wwpy ulsuo~lM `tr$°~8 wwoQ ididrat~ yi!M aauel}dwoa u! pauopuege ~tlo~es pus ~laedoad s~ we2sAS eyi ley; eansu! of ua~lei eq !lays eels;s bu!rnollo; oyi edinaes ~b ino ue~}ei ~}iusuewaed s! ao/pus sl+s} S.1.MQd e41 ~yM • 1N3WNOONVBt/ •aulaq aouo~os J~11BM liua :suadwei :sul~deu tiellues :seplailsed :sionpoad buliwed :I!o :suo:•iea!Paw :sdsaas iesw :sap!algaey :esvsab :eurlasgb :sBu}lead elgeiaben pus llna; :JeisM (dwnd dwns} uie~p uoliepuno; :le¢ :siueiae}uls!p :saedelp :ssol; Isiuep :saesQOa6ap :sge~ns uoiido :swopuoo :sitnq guvse8!o :sedlM Agey :solioggliue :S1MOd ay; ;o z;!I eyi 6uoload pus aouswaa}~ad eyi enadw! stew we6ais aei~N-131seAn 9tli woe} BwMOpai eyl ;o uo!;eu!wlle ao uo!ionpea •t3Aae uo!idaasq~ {las 8pea8-iE ao punout ,(ue ;o edols uMOp iaa} g t u!yilM peas 6y1 'iosdwoo ao ganis!p es}M3ayia ao 'aano ~}aed ~o ens~p iou oQ •laflno ltzsaeds!p pus s~luei nano selo!uan ~laed ao en!ap iou oCl •~us; dwnd eyi ulyi!M slenal lewaou asoisaa 01 slaaiuoa duand eyi Bu!ie~edo ~llenusw uw islsse of ~BuIQiW~W SLMOd ~o ~ggwnid a 19eiuao ao dwnd loan!}le eyi of aeMOd $ul~oase.~ of ao!~d ~4ieaedp Bu!oln~aS Bi3eideg Q Aq penowea ~uei duand eyi ;o siueiuoa eyi eney uol;<enils sgyi pone of 'iuanlg~e ;o abaeyaslp eas~ns ao dn~loeq eyi u! ilnsaa Asw pus (sHigo eyi ~Iu!psb!aano °o~bp eB~el euo ui (slilea lss~eds!p eyi of pe6asyoslp eq IIIM 183gMe3S8M SS80%9 eyl p8J0158a et a9MOd U8y(H 'slensl .io3gMyb!4 feWaou anot}e gg!; ti8w s~luei dwnd sgBaino jeMOd 8uunp 'eos;ens enl~aail};u! sy~ i~ urax~a a~l~ sual!puoo l!os uey!~n anaoo lau }lays do iasis weistig ~ea9n of Ili}ad aCleaedo Bu-o!naas e8eides a Aq penowea tsl~lusi eyi ;o siuaiuoo eyi ans~; peioeiep sae suotlBaiueouoa yB!y ;I 'ts111~-P le~abdstp s41 st~guasp aajpus sseooad suawieeai eyi apedwt stew ieyi s!earweya ~eyio ao sianpo~d bu!au!ed ;o eouasead ae~3 ,o; gal;}ur#i iuauaiarih ~~yo S1MOd eyi }o esn of aolad 'uolionneuoo Mau ao~ NOI,tVa3d0 aNV do at~l1S d/r {o ~_ eEed + u4~ _v+ •T SEPTIC ':'f:NK E PUMP CHAMBER CRuSS SEC:;T iON P.iJD SPrCiF.~Cf:TIO:~'S~ . __~ -- - 4" CI` VENT PIPE 12" MIN. ABOVE GRADE ~ WEA7HERPRQpF > 25' FROM DOdR, WINDOW.QR JUNCTIdN BOX APPkOVED FRESf: AIR INTAKE WITH CONDUIT MANHGLE CG~'ER ~ FINISHED GRADE tar/ PhD LOCK ~ WARMING LABEL 4p' CI RISER " ± ~ t ~_, ~+ MIN . 18" 3N. 6" MAX. ~ ~' ~~~ I ~' ~ PdL;ET ~ _-- ---- ~ ' ~ 's ~ WATER TIGHT SEALS ~ GAS- ; ` s a'iGHT •. e /AAPROYED A i ~ SEAL , ~oIN7s wirK ~~p~ov~D --}-- i ; ALM APPR4YED P IAE 'IPE 3' ~ ~ ' dN 3' DHTO ?NTn St}LID ~ ~ SOLID SOIL iOll PUMP OFF ELEV . FT. C -~•-- ~ ' pFF, ~'~ RISER FXiT `~ D PERMITTED OhL'~' IF TAhK MANUFACTURER HAS APPROVAL: 3" APPROVEn BEDDING UND ER TANK CONCRETE FAD SPECIFICATIONS SE~'TI^ / D05E TANK MANUFACTURER : ~ e~:.~E.R_ TA!vK SIZES: SEPTIC `°~.~J ~1 GAL. .~..~ DOSE ~ GAL. ALARM MANUPACTtfRER: ~~,~,~.~~~-B;M MODEL NUMBER: ~1,~ SWITCH TYPE: t*cr~.,~~.. _. ~'t3MP MANUFACTURER : ~~ MODEL NUMBER : i' N9 SWITCH TYPE: _~.~5~ R.Et~U iRED DS SCFiARGE RATE ~ ~ GPM NUMBER DdSES PER DAY: T DOSE VOLUME IhGLUDNG F LOWBAC K : ~ ~ ~ GAL . CAPACITIES: A = ~~ INCHES = Y ~ GAL. $ ~ 2 INCHES = ~a GAL. G = 0 I NGHES = _~_~S _„~,.,,,GAL . D = ~p INCHES = GAL. PUMP ~ ALARM WIRING AS PER IrrLHR 16.23 WAC `IERTiCAL DIFFERENCE BETWEEN PUMP C F AND DISTRIBUTION PIPE /o+~ FEET + MINIMUM NETWORK SUPPLY PRESSURE . . ~.S FEET + ~~ FEET FORC'EMAIN X ~~~~FT/100 FT. FRICTION FACTOR . w~~~?FEET TOTAL AXNAMIC HEAD = FEET ihTSRNAL I7TMEN5T_ONS OF PUMP TANK: LENGTH ,,.,i- ; WIDTH •-~' DIAME7.'ER LIQUID ~ ~3g " ~~ C~-~.L pee la~- ~GN~D: .~.y~.~.-.~...~:.:_._- LICENSE NL1M6ER: 2a,~ qq ~ DATE: i/~e J ~GOULDS PUMPS Submersible EfNuerrt Pump 3871 E 05 Aa~clcaTloNs Specifically designed for the fOllowinq uSeS: • Effluent systems • liomeS • Farms • Heavy duty sump • Water transfer • 1)ewatering SPECIFtCATtONS • Solids handling capability: 3/~' maximum. • Capacities: up to b0 GPM. • Total heads: up to 31 feet. • Discharge size: t y:" NPT, • Mechanical seal: carbon- rotary/ceramic•stationary, BUrJA-N elastomers. • Temperature: 144°F {40°C} continuous t40•f {b0°f.7 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 Nz,1550 RPM, bulk in overload with automatic reset. • EP05 Singgle phase: 4.5 NP, 115 U, li0 Hz, 1554 RPM, 5udi in overload wtth automatic reset. • Power cord; l0 foot standard length, l fiC3 SJTOW with three prong grounding plug. Optional 20 foot length,15/3 S1TW with three prong ground'sng plug sstandard on EP05). ~ I000 Goulds Pumps Effectlr• February, 2000 83871 • Fully submerged fn high grade turbine oil for lubrrcation and efficient Heat trBnSfer. Avsil~ls for autamatit and maul aperatidn, Attta math models itulwck Mcdwracal Float Switch assembled and preset at the factory. FEATURES s EtaOe Impeuer: Thermoplas- tlc Semi-open design with pump out vanes for mechanical seal protectlcm. METEfiS I FEET ioi- z a v 9 a 7 6 ~' 5~ ~r ~~ z~ t cL ^ EPaS Impeller. Therrraplas- tic entlosftddesign for Improved performance. ^ Casing aid Base: Ru99~ thenrRop~istic design provides superior strength and corrosion resistants. ^ Moor Housing: Cast iron for rffldent heat transfer, strength, and durabiEty. 1f Mohr Cover. Themtopiasiic eager with kkegral handle and float swhdt attachment pdMs. ^ Powar Cable: Severe duty rated o~ and water resistant. ^ Bearings: Upper and lower heavy dory ball bearing COnstrudroR. AGENCY I,ISTIHG Gneditrrr Stattdafds btwatation (CSA listed model numi>en end Goulds t~trnps ~ ro s+oor . ___.,~ Ep05 40 50 GAM 0 2 4 6 8 10 t 2 m'/h GAPAGr1Y Gaufds Pumps ~~T ITT Industries 30.... ~. __ ._.. ...~-~- ~~1-sr ~, . ~~ _ zs Fr 25' _ _ _... _... .. _ ~,__ _ _ _-~ ,........ ......._. ._.__,...W..._. _... ___--. 20: ': L._ _ '• t5r _._«... . .. _. _..___._' ._._._,. ._ .., EPO4 5 .. , • : . _... 00,, 10 20 30 . ~ ,< ~.~r~. uick~~ STANDARD CHAM. BFR Quick4 Standard Chamber 51DE VIEW FRON7 VIEW Size(WxLxH) 34 x34 52"xi2"xi2' ` Effective i.ength 48" Invert Height ~ g° INFILTRATTT~_ Y EM~iN~ STANDARD LilyjTSD WARRANTY (a) Th i " lux I InJr IY ,!1 na t `. •,anttsr, t d pbte, werlytr a .~ Wnar i c' 6.tury rrttln `.-,~lurgli Uy I~ I t 3 t ('Urxts i. iM 1Eal rtl3tdkxl wKY OMfgrat6d ur a 1 .hfWi„ p( an n lr rpt f 6ystarn in o[ OrdalxA3 w9 hl:llydlor's its ,cl pt9, iS warYanlad Io tto Orrcjiry~, par I asst I"hlr.rlrY"( ayvtnst dMeglNe rn derrai5 alU wor4n ansllip N~r 4+x'Yadr kum the dak? Ihat the Septic (x?nyil' t~.,suad !cu the s^,ptie 5)Slam GiJniairid g `he UrN?s; pr7vifled. Iawe:ver; that R a saptK {~orml. s rat rocnrrec+ 5y appGgable taw, Uw wart arNV period v t bErlin uppn ttw Aaw Ihat ih",IallaiiWl or IiIB septic, system con+meru;es. ~r Pro rlsa es warranty rylNS, HWder must rxu,fy k~iltralor In wrilhy at N., C.pr; "xate Headrp„alert h Od SaytrcnN, !;gnrwcliCtA vdihh liryeen (151 '~ +7 ~ r t 1ho alk.tyxi nolHCt lnf tlrala wrll soppy re;>la+;emen Unit6 +ur Uni s volemungd tyr• lllfd!ratpr 1G be a,yorari try this iJmRwd Warranty. innltralorf NaUB+fy cpe~ d~ca+N ax.~k;das ti!o cost qt renlcmat and/or u,alaNarrn of the ! rni?s. lU HF L7h1' i FC' LVAHR'+NtY AN() RErtAF31FS NJ :iltf}IYif41GRA.PH [al Ar1L Ek(;LIJt.rlL 1ll:rlF_ ViE r'.n OI itiER WARRANT IES IN!7 H HESPECf TC IHE I IIw rS, W.!! VuUv'G NU INNtt.~EU WARRANTIES OF ;J$riC1HAMA81LIT1' OR fli NESc Ffiri A I'AHIV_1ULAF1 PURPp6£. (q li a t_ 7 ;red W?r _ qty ' haN dr vaM ! any part pf the ohm tlx cysts anbG,clwc 1 ~ u y ,r. olhor than hI1N alp: "rhs 1-im taU WanantY does n, 7 t. rill to me tle. Isl ny n n that spFS. 1 -r ind're..l <la a51 s Ir!ilt dto. hat not a 1snt,la rnt ;mnatlxla or nqudairxf damage nr;luding iUSa Gx prxit cli'.n antl rH I t5 tat or and malrray, pvar ~rwcl costs n ell rlr IpSSas w exlx:nsas incurred by Ifw HplJar or arty lnim 0&ty. SpP,a11iG7ily P" Nlgpd IIM ~ h rxl W ranlt (. ti . B era dWrraJr a •C Iha ljnaa OUP 10 prClntary Weai nnH tear, alters ICR a.:r%ide. 1 nt'.suso, aUJ$E IX rWrlleGt pr Ih as' t Iktil~ Iki ?g nbjwc sd to vehicle Iraek: or nlher Gx,Qitip?5 Whitt are riot tx;, mitred t:y ltxl 'n teflal'IW r i 131 unions'. rditJrC In maintain Ihe. mrcemum yro~nd covers set f;rrih in me insiallalipn xsatruGlrpns; the placsvpwt pr ;rnprc~fx+r rt~alerial5 irdp the system (xx»anrcxd the l1Nta: faiWre p? the I inns qY the SfapCIC System dlfB tp improper siting pr improper sizing, mste;g;v6 wale: tl5aye, ml{xGy)er g:AaSg dlbpOShc, W imp'Eper operation; a arty :;titer event rxt caused ty Vnfiltratw. Tltis Lrmilatl Warranty shall bo void .! the HWder rails IC iArtrpN with dl of 1.Re 1&TU Sat forth in this Limaerl 'W:uranty. Funhor, in rip wren! ,hall ,ntilirator he rcxp:.:ntible for any I[s$ a da•nage to the Helder, Ins U!>.?s, or amy tturd pally rasuXing Iran mslai4llan or snip n,eni. x rriXn any txpd:.rct (lability r~,?ims nl Hg11er N any third sk',ny. Fur This i.imi(ed WanarHy fo apply, ttte Vruts must be bista0ad in au'arzfanco wan a9 sits e(xtdilixta n:'.WClred by slate and loci ecdas; atl othor appueab~a laws; arttl kditlralor$ hstaNatkxi xts6uetions~ 11) Pdn r.~presentalwe pl hdUL,IJr ha. ?ne ; uthorAy to shanye or nalend this Linnlex+ Warranty. Vo warrant a 1Mpa IG ai nai Ho~dr;r. Y pr ry PaAy ofhor 6~,an 6Re oriy- irrE atrrea roots 1 he tan i- ~ L m led VJ~v,- - ty `leror, !ry NXdrrator A.'u'n1tf:U numl er nl >taltrs ar!d < rnrtnieS t ve U iierenl warranty raftuire- mam ~. arty pun.. a..n pf U m~, r>a >L:i a r,ta t I ttiliratur's Curp+xa.e Hmadluanere in Olp ' 'n•brpok, i;pnnaclwut, prior iq sur:!~. purchase, to phl.?in a '~~p! C! 1hH aopi'_a6M worra~rty : sM~s~id roluPy resit trier wsrran!y proor ;p ;ho Iwrpl,ese Ji lyli{E, s , . • SYSTEMS I N C Env7ronmerttal Onsfte Wastewater Solutions'" 6 Susin©ss Park Road • RO. Box 768 Old Saybrook, CT U6475 86U-577-7000 • FAX 850-577-7001 800-221-4436 ~'\. ~ ~ i ~) 1--=t ! ; ~~ ~~ c_ _ ~_~~~ slDe vlEw TOP VIEW `"~ ,x ~.~ ~~IttiP~ort~End Cap tJiiminall 5peciticatiorta . y '' y ~ ~` Siza(WxLxH~ 94'x16"x12" Invert Height 8' or 1.25" - oc ; o,vv v°r! ~ a.lvo,4dts: p,660,UT r; oAVt t `b, 5,4U1,4trir; 5.57 I.9C3'. 5.716,tfi3. 5,588,718; 5,839,844 Canadian patents t 329,9;'x9 2 OC4 5Bd r~thar pa~er•ts pending. hTfdtrator EgUnllze! and Sid9Wlnda. are rE~lstarr3d trademarks of IrUltrab)* Systems Int. Ur~i.tratvr is a rt:gisttstxl trtxielrlak an France. Infdtrata Systems Inc. is a rail la e.f ir~dernark ,~ Mexico Contour, Ca+tax SLNiyel CorrLac:on, MrotnLtact irlg, PoJyTuft, SnitpL•xk. Chamber5pac~, PosiLock, QelrkCu[, taulekFlay AECYCLED PAPEA ,,rtr{ nr x .Ira art Irarlr~marrc nr ;nsilt.o,nr C„rrun,c Inc ~ ': r'; l~ I.,/;lrrnr~. c„~+..,... .... 0.;.-.r..~ :., r c n J Ct" I iVIV VICW MuitiPort End Cap ~ I ~ '~~ , 1 ~ Z a ~ '~ '~ ., ~ ~ ~ ~ r ~ ~~ .1 I J ~_- , ~ I - - _-- _- ~ --~ - , , _ ~ -- _ - ~ , - - -- ~3OS6£605 - ` ~ ~ ~ -- ~ gZ --- 10' , ~ _~ - r- ,_ -- ~ ~ , ; ~ ~ ~ ~~ ~~ ~ ~ ; ~ ~ i p ~~ ~ I ~ v •~ ~~ v I ~ ~ ~ ' ' J / ~ -' r I I ~ ~ ~ ~ _~ _i ~ ~ ~M~~~L~~`5 ~'~/ ~ ~ \a~ ~ Z~ ~~ ~ ~ ~ ~c,9 ~ w ' ~ ~ ~ ~ ~~ ~~~ L- ,- ;~ ~ ~ , -~ w moo ~ \ I ~' ~ `~ ;. I ~ ~ I ,' ~1 ~~ ~. ~ ate- ~ I ~ / / / / / ~ ~ N tD I W ~ ,ice i ~ i i ~ ~ i ~ ~ ~ ~ , ~ ~ i ~ ~ - ~ ~y.S~S ~ ~3 ~ I ~~ ~ ~ ~ N ~~~ ~~~ ~ ~ ~ ~ : ~ ~~ r ~~ ~ w ~ w ~ ~~w ~ N D ~ m c i ~ . ~ o o ~ ~ ~ " '~~. ~~ ~ N ~ ~ ~ I ~ ~~ / ~ / ~ , _ i ~~ i SEE SHEET 6 U 2659P 060 Document No. II STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED SIENNA CORPORATION, a Minnesota corporation, conveys and warrants to WEST LAKE BUILDERS, INC., a Wisconsin corporation, the following described real estate in St. Croix County, State of Wisconsin. 7 7 4 7 3? KATHLEEN H. KALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 09/20/2004 10:30Al1 MARRA~ T ~ EED REC FEE: 11.00 TRAlIS FEE : 267.60 COPY FSfi CC FEE: PAGES : 1 Return to: Sienna Corporation Suite 608 4940 Viking Drive Minneapolis, MN 55435-5318 Tax Parcel No: 020-1420-90-000 Lat 83, Block 9, Plat of The Glen, in the Town of Hudson, St. Croix County, Wisconsin This is not homestead property. Exceptions to Warranties: Easements, reservations, and restrictions of record. Dated this ~_ day of ~ ~a `(~'~rhea~ ••_ , 20~~ (SEAL) SIENNA CORPORATIO(N~a Minnesota corporation ByCY~~~.~1r.c L•l~ 1 -Q (SEAL) Marsha A. Pierce Assistant Secretary AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF MINNESOTA } }ss. Hennepin County } authenticated this day of 20_ Personal) came before me this 1 ~ day of 20 the above named Marsha TITLE: MEMBER STATE BAR OF WISCONSIN A. Pie ce, the Assistant Secreta of Sienna Corporation, a Minnesota corporation, on behalf of the corporation, to me (If not, known to be the person who executed the foregoing authorized by § 706.06 Wis. Stats.) ins}nlument and acknow~ge t e samer , , This instrument was drafted by: Catherine M. Thorn ill, Not public Sienna Corporation 4940 Viking Drive, Suite 608 Notary Public of Hennepin County, Minnesota. Edina, MN 55435 My Commission expires January 31, 2005 Signatures may be authenticated or acknowledged. Both are not ,~_``~~! CATHERINE M. TMORNHfLL necessary. NOTARY PUBUC -MINNESOTA ,~,~~ My Commissloo Expires Jan. 91, 2005 ' Names of persons signing in any capacity should be typed or printe / ~ '~ / ~ Q ? / (// 50~. Z a U / 11 \ 2 Z ~~ • 1 \ w ~ CWWT v0 a ~~ ~ / / \ w aw Z3 c:iwO 1~1~ // \ \ m W N O d V) N~ ~~~ 1~ / \ \ N V ~O ~a a ' m 1~^J.// O p N~ Ow a ~~ O / S0~ \ \ Z p ~ ~ p ~ ~ \ w ~ Oa ~p(n w UF' a ~/ \ \ ~ U N ~ pZ p zQ41 \ \ ~Na ~ ``' bm aoo o `''~--- zZ a ~~ ~o ~ ~a^g \ \ ~~a°o °o w w x~ od'~ ~ i ~~+~~ \ \ cpo~ c'~ ~, N oNi ~Na ~ ~ z= aZ 0~ \ \ Z (n J w X o c~ \ ~~ p Z it~S Opm ~ a aZ ~a ~ "O \ o ;\ \ O.40 ~I w ~ ~ _ v' a c'\ \\ o m \ N 00 0 0 ~~n\\ \ o ~~ ~ \ \ \ ~ v \\ \a` \ \ \ ~i0 ~_ ., \ \ \ \ \ \~ \~ -,~~.. .~~~= :,r 1111 Wisconsin Department of Commence SOIL EVALUATION REPORT p~ 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 8h x 11 inches in sae. Plan must County St. Cron include, but not Innded to: vertic~ and txxaordal reference poird (BM), direaiai and percent slope, scale or dimemsbrrs, oath arrow, and location and distance to nearest road. Parcel I.D. Pend'mg Please print all rMonr-ation. Reviewed By Date Personal infomretion you provide may be used for secaMery purposes (Privaey taw, s. 15.04 (1) (m)): Property Owner property Location Sienna Corporation Govt. Lot SW 1/4 NE 1/4 S 20 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 4940 Vilking Dr. Suite-608 83 na The Glen Cily State Zip Code Phone Number City Village Town Nearest Road ~r.Q~rw MN 55435 952-835-2808 Hudson Carmichael Rd. New Constnrction Use: Residential !Number of bedroans 4 Code derived design flow rate 600 GPD Replacement Public or commercial -Describe: Parent material Pitted outwash Flood plain elevation, iF applicable na General commerrts and recommendations: System Elevation 93.85ft, trenches spaced and depth to code 3.50ft bebw grade a B~~ # Boring Pit Ground Sunfac:e elev. 97.30 ft. p~ ~ limiting factor 96 in. ~ App Rate Horaon Depth Dominant Color Redox Description Texture Stmcture ConsistParce Bourxlary Rood GPD/it~ 'Eff#1 "EtT#2 1 0-12 ~10yr3/3 none sii 2msbk .mfr gw 1f .5 .8 2 12-20 llhrr4/4 none sicl 2msbk mfr cs 1vf .4 .6 3 ZO-26 7.5yr4/4 none 1s osg mvfr cs na .7 1.2 4 26-96 7.5yr4/6 none ms osg ml na na .7 1.2 Boring # Boring Pit Ground Surface elev. 97.35 ft. pepfh to Itmi6rrg factor ~ in. Sod Application Rate Horizon Depth Dominant Cabr Redox Descn~ion Texture Stnrcture Consistence Boundary Roots GPDItt= "EtT#'I "Eff#F2 1 0-10 10yt3/3 none sil 2msbk mfr gw 1f .5 .8 2 10-26 10yr4/4 none sicl 2msbk mfr gw 1 of .4 .6 3 26-33 7.Syr4l4 none Is osg mvfr cs na .7 1.2 4 33-96 7.Syr4/6 none ms osg ml na na .7 1.2 - tmuerrc ~ = rsw ~ ~u < zzu mgn_ and TSS >30 < 150 mglL " Effluent #2 = BOD < 30 m9~ and TSS <~ mgfL CST Name (Please Print) Signature: CST Number David J: Steel 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, W154017 9/10/2002 715-246-5085 ' prey 0,~,,,~ Sienna Corporation ~~# B~ L_J Pd Ground 5urtaice elev. Horizon Depth Dominant Cdor Redox Descrip5 1 0-1 a 10yr3/3 none 2 t t-27 tl)yr4f4 none 3 27-33 7.5yr4f4 none 4 33-96 7.5yr4/fi none Parcel ID # Pending Page 2 of 3 94.95 ft. Depti~.to limiting factor 95 in. Sod Application Rate n Texturr Stnx~ure Consistence Boundary Roots GPDlft~ *Eff#1 *Eft#2 sil 2msbk mfr gw 1# .5 8 sict 2msbk mfr gw 1vf .4 .B is osg mvfr cs na .7 1.2 ms osg ml na na .7 1.2 ~~ # Boring Pit Ground Surtace elev. ft. Depth to limiting factor in. SoiApplicffiion Rate Horizon Depth Dominant Cdor Redox DESCriptioa Texture Stn~cture Donsistence Boundary Roots GPD/ft "Etf#1 *Efi#2 * Effluent #1 = BOD 30 < 220 m and TSS >30 < 150 m ~ _ 92 9~ * Effluent #2 = GODS a 30 mg/L and TSS <~0 mg/L T-he Departrnent of Commerce is. an equal opportunity service pmovider and~mployer. If you need assistance to access services or n Big # Boring _ ~ ... .. ... _ , Page 3 of 3 STEEL'S S+QIL SERVICE David J. Steel CST-POWTSM Lic. # 248956 Sienna Corporation SW1/4,NE1/4,S 20,T29,R19W Town of H~, St Croix Co. The Glen lot 83 1564 Cty Rd GG New Richmond, WI 54017 {715)246-6200 (?15)246-5085 This soil evaluation was conducted to satiety a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the soil test was conducted. Legend 1"=40' • = Beuchmarlc EL 100.OOFt Top of %Z"pvc Pipe • =Alt Beachmadc EL99.35Ft Top of %z" pvC Pipe a =Borings n,.-:.... t,a.,.,a,.~ 7.3ff'~' is surf c93,~r u .' !,_~'- _ - _ _ _",. -_:- _ f;: ;y-,~ ~..~;,~;~ - `'~ ,•, ~ `( 57,1' ; i.' .._...:~: 1 ca :i; ;i<46' ~ \a , / `r . # n ' 1 r "~. 1 417 ~ .p .. ,v\^ _ is!e.' .~. _. :T••-..r..`.a 1 ~ 'j I ~ ~''. - L' 'r I I s•: ~+._ _~ _ `, \a ti• \T- 'i .. itl .it 1•tstr~ ~ '~ ~- / 1 .~" 1 ; ,~ 1 ~~,, :~% ~~ ~! ` ~ , y a•s { X11 `rf j' , .~/.M / • `\`~a, v a~` •3 }'• ll. l~ - ~„/' '` ~~ t 11~t:( 't tt, 1 " ~ r ' Iii _ .~ ~ I., la • - } f ' ~ /JJ ~ j J~. a ~~~. ---. 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' / ' _:`~ .,.. 1 n •..a'•~~ `\~~ ~a~'~•i:;,:; iii ~3 ~ /' .~l!• ~,_~ .~,¢.. - ~ 9~ : /jl I r,, 7 •1.i ~ ~ r f ( ~ -_ `~ P~\ aa. p,..a~• 1 1 1 ! /yN• ~ . ; ~III1~ 11, a 1 1 .a. a 't 't 1~' ~ 7 ,..IIt cp•.,1"'b.:nl!rtlrr:' I `\•. IS S./,'~ +~'~~__ _ _ -_~ -~ r*!: 1 V t,.\r i. {.. .•Q Y 'll'.. /!/..•rl,.'::I/1 I:r \, .~4' ___ ~ l l 7 \\r ~1 i ~1''t'• a ! '7 ~t 111 t/ t1't ,t111ijft(it ' 1 . 11 i(tilf ; l•' 1f ! ~/.~..L".. 1 -iltij4t 1. t. 15 _ t. Ii 111 f ', - - __'-_~ '-• ~_c.~ ,,t;,; ,, it l ~' , r ~Ir;.l+:q 1 ;;d,..,.a,,. t. R4 hull' L---- ti. 1 , • t % > I t . •~ 1 ' , t . aJ 11 1 • at.r, .qa l „ _, ~1'' i 1 p/l /, .: ._~., .. P•~' , h ~~~ ~ ! (Ir} ''1'~.`` 1 I Il a~~a.a•4LyQ... a'il Fil(,!` ' i:~~`' -' 1 ( a i ( e ~ I i t '• 1 i 1 ~ 'pll: ~ - .i ...ti Ia p vtl(; . ..., t 1 j I _ / / ; . $. , Ilnllyltl t•.a1ac 3~s?' /PI h;l'll, r. IrI ~ ' t~lR 1 t ! 1 j ~Irll,~ t.. a~ .t>_•?: ~ - 1j' '{t41' 1 / I . ` `• ' . ~1 iii .'/ ?: 17 It: K \ f _ g. .a ;/t' I:r t'a ,' tit"rrl;, a. ~• . ~:• ^.`\.;\. ~\t. , 'S:a 111+. .•d 7i.~a`~ 7'ri;fl~ ~• ' i.:..t.:1 i a f /' !i i' ~ `;y 'X. a. • t ...\y:rl~il i:lf l•'. t,j \.°'~ .l: f I' ';~ rl ..7 VLO ~~~1 ` a ~ a . t• H A :tat','-'' ,~/'~:.'. ' ~;.'~;'~' I r .::. ,f It - - ; r ~ , r t a~:.ta•::n~ls2`wa t ;.: -~. ' •.: •+ 1 ( .rl •, i,.:. y1 '~ ~ lip i ~{t ~Il,:yli~(:I~~L '?,,.i•i_~_..~,' "~•;: ' 1 ~ ~ _ I 1 •h. rl. ;~ r r,~a}rlri' ,ir'1 ,•'Ir {' ~ ,l 1 I 'l~rr~l~~~71t 11.;1:1' t ! I. \ ( 1 .~ 1 f ' I') ( ~ n, 1111' 11. r:f ( ~~..` fr i! 1 .'411 ~ a: ~ ~ ~ ~ t _ ,r~: ,116== _ ,~ ~-%' - ;1 , , .,,. : 7 • `, r' ( -. ~ _ / , I Parcel #: ~2U-~ 420-90-~~0 06/27/2005 11:32 AM PAGE 1 OF 1 Alt. Parcel #: 20.29.19.2677 020 -TOWN OF HUDSON Current X,' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " =Current Owner * WEST LAKE BUILDERS INC WEST LAKE BUILDERS INC 1714 CRESTVIEW DR HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description ' 447 WREN LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.366 Plat: 1983-GLEN, THE 02 SEC 20 T29N R19W SW NE LOT 83 BLK 9 THE Block/Condo Bldg: 9 LOT 83 GLEN Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-29N-19W SW NE Notes: Parcel History: Date Doc # Vol/Page Type 09/20/2004 774737 2659/60 WD 12/21 /2001 666080 1797/613 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/09/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.366 61,800 0 61,800 NO Totals for 2005: General Property 1.366 61,800 0 61,800 Woodland 0.000 0 0 Totals for 2004: General Property 1.366 61,800 0 61,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00