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HomeMy WebLinkAbout020-1395-32-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and B~.{ilding Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Carria a Homes Inc. Hudson Townshi CST BM Elev: Insp. BM Elev: BM Descri lion: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic c'a-~~b Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO ~ ~P~/L ItJV~s WELLL "I BLDG. Vent to Air Intake ROAD Septic ~~ ~d~Q ~ ~ / Dosing Aeration Holding SOIL ABSORPTION SYSTEM , '% ~ /'Itd~,.;~ivi ~~ ni_cTRIRIITICIN SYSTEM County: St. CrOiX Sanitary Permit No: 404959 0 State Plan ID No: Parcel Tax No: 020-1395-32-000 ,~Sys~, STATION BS HI FS ELEV. Benchmark /t)• iia. 3 00 . o Alt. BM ~,r Bldg. Sewer ~ ~ ,/ b St/Ht Inlet ~ - v SUHt Outlet Q J f~/ Dt Inlet Dt Bottom He r/Man. ~ ~ o~P~^ r 3• ~ G/ 7 d4 Dist. Pipe f~ /~~ / 3 0'7 '7.3 Bot. System 2 / 6•! Final Grade O `~ ~~ ~ ~~ Cover .. n_ _ i. _ Header/Manifold Distribution ~ b" ' x Hole Size /- x Hole Spacing Vent to Air Intake ' ~ G ~ Pipe(s) ~ i / / / .` '~S _ Length Dia ng Dia Length SOII COVER v-Drnccnre Rvefnme flnhi YY Mnnnd nr At-Grade $VStemS OnIV Depth Over Depth Over xx Depth of xx SeededlSodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~<;.: Yes I No ! Yes ] No ?~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_~/ '~_/ Vy Inspection #2: / / Location: 834 Highlander Tra/i~l "Hudson, WI 54016 (SW 1/4 NW 1/4 2rr5 T29N R19W) Scenic Hills Lot 32 Parpcel No: 25.29.19.2426 1.) Alt BM Description = S~ WV`eY ~6~L~ ~-R.~~'~h t v~~a ~fi/ ~''''~" ~ f ,~ ~~~~ 2.) Bldg sewer length = ?j d ' r ~,~,,,_ ~(~-~o S. ~• S - amount of cover = ~ /y T~' u •„ J ~- T -T- Plan revision Required? =._! Yes ~ ~~ o ~ ~ ~ - n p,, I~ j~p ~~ Use other side for additional information. ~ ~ ~ ~ "~ ~ `~""' __r!%I -- -J ~` ~~--- - --_ , --- Date Insepctor's S' nature Cert. No. SBD-6710 (R.3/97) PUMP/SIPHON INFORMATION ,) ~ II ~ i t.1 i'r ,. 66'tA.a. ~ ti, /.I.S.Q,tNjt,, ~ ~ /' 1 ~ j Q~ L X6+1.5 ~uacSa Complete .Ilia Q'.a .4tr ~tnrnty on'y) k?ar thr syst=zrn to is,aty~r not less t a t/2 x 11 in:fiet is Size • _ __ T Satc+y anti l~ttildings 1Divisio~t ?EJ l W. ~ ashington Avc., P.O. Sox 715'2, County /~ ~~ ~, ~~~'1 ®~co~~a~~ j h4adi.~n, WI 537U7 -- 7ib'7. I _ __Department of Commerce _~IZ jam Y ©~rz~o , _ Site Address -- 8_3 _ _ r Sanitary P~~~ r~~t ~~.~~~cati.o~~ Salutary Permit Number ~a~~ In aecorti with Comm 83.21, Wis. F dun. t"+xiY, lx:rsottal infonnatinn you provide ~ Check if evision may br used for set:nt~ary,~?xTos=s P.-ivac~ l.;aw_ sIS. ' _ _ I. Application Information -Please print :9.11 Inf'i~ trtaation RECEIVED S e Plan [. D. Numtr_r Property Owner's Name G ~/'~. ~ f Gi (~ ~ Pa el Number Z,5 ;Z. . Z MAR 1 8 ~n ~cz r . _ ~ _ _ ~2 _ z.o - ~s -- o z-~ Property Owner's ailing Address !~ ~ ST. CROIX COUNTY ~w~~~' ~/ ~ ~~~ S~ Pr perry Location l aI ~ ~ l / ZONING OFFICE. - ~ -- T E N, [t r't '~; ~ _ City, State 7,ip ('cite - Phone Num r Nu77mber Block Number ..~~~~~~t~~f" SLhdivision Natrte CSM Number lI. Type of Building (Cheek sli that appiy) ~jat2. CA'rl t ~ aKC 1 or ? i~atttiiy Dwelling - Numl,er of Hedrot;n+~ Y ~ .._ _._ __ .. C'1 Ci tYv-"~ ^ Village _ ~ --- . O Publie7~onunercial -Describe Use r.-.___q__...~.r-. ___ ~_._._- -------- _- _- --- --- --- -- t~'ownship ~~~a~ -_ ~ ' O State paned -,% q f ~ 1[ ~T• s ~ hdearest Raac1 ~~~ ~ S ) ~ 9 ~ L ..-- - -------------- - ----- III. Type of rermtt:: (~.nectc only one box tin Iir~e 7. iNttmites~ita~ is fot° intert>t.31 use.) fCoz:tpE -._--___ __~_. ete line B, if appiic e.) r~, 1 Ci New 7 C7 llrf u ~ men of fi t] Addition rn For Count t 2 ^ Replacement System _ Y nt: 5~s'ern _, ~ T tnk ° tol y, .- _ ~ hxtsun~S~stc-m T._ _ B' dCheck if Sanitary Permit Previously lsst>eKi ~ P:ernit Nuniher Date Issued I E _~_~_.~ IV. Type of POWT System: (Check ali tit tt lpi ~ '~ft.trrtLerinh is for irxtet nal *AVe.) 4~~IVoa --Pressurized [n-Ground 21 J7 Mc,unl 't7 ~ Sixl I rifer SO lO Constructed Wetland 22 CJ 1'ress;arized In-U'round 41 ~ .Flotciiit" i,attt~ ~ti ~ tiina;lc P:ics Sl ~ Drip Line 45 ^ Ai-Grade 46 C1prrE+u~ " t -trtu7t T1,vY do Q Rrr4rc~)anng 3{} iJOther _ ---_._____~ rr~ ._ _~}- _ _ (~y~ S~~~~ rztatiol c--~e~ ~" V Dis tarsal/Treatmenk Area Infor _~, __ , llestgn Flow (gpd} Di.§persat Area 7"?s ~~ .I : resi rnl App + at<on ~ Pcr~ai ar ors mate ~sy. tam Ela t ~ . Required }'rs, utif ~! ~ date!Gal !I)aisl~y.Ft. j tA7in.llrr,h) ~ &frvarort V I, 'I'tnk Info Capacity in Tel ti ;v u-ttitc.r lvianu ar_ntrer Prefab Site Steel Fitter plastic ~~ i'amcrete Constructed Glass Gallnt>, Gallons ~ tt I..ittic~ New kxisting I 'rMi:S ~~.11LC5 - ~ _ Selxic or Halaing'fank ' ~t)aeing Chanher ~ VII. Responsibility Statement- I, the ustdersu~r g.tl, '~ cmF. t estN rsibllity tc+r instaPlatiara at the Pl7W d'9 alspwn on the attsuhed plats. Fltamber"s [Name (Print} Piumlx- ~x.c ° hIP.MPI2S Numlx;r ~ Busmesr Phone Number _~. Plumber's Address (Street, Ci:,~, State, 2.ip Crxle) VIIL_ _Cotut~/IDe artment Use_ Only _._ ..__ _.__. _~~.~--_-~._ :_ ._ _. _ Disapproved ~ ~ , I)atN Issued ~ Issuing t Signature N~ tamps) t ~ I ear rr! 1 ern it t ee (includes <.irot~water ~Apluruvcx! Owner Given Initial Adverse ,, ~~~ ~ Dete i cttcc et } ;c,` ~ '~ ' ~~ ~ _f~ _ ._ ~ -_ - _1__._. - lY. Copllitiottr9 o A prov° easo S #or 1)tsztl:ir,r '.°~ti - ~ ~ 3 C (n/ ~~ ~~~ /f~V"(~ ~__ ~~~ ~,~~ ~ y.Zs~ y \ ~ ~ ~., - ,- ~ ~ ~ Q; ~ ,. ~ L~ ~o~ .3~ ~~e~~~ ~~ it ~~~r~ ~~5~ ,~ ~,~ = ? ,~ - . ~ ~~ ~~ `~ /U ~, '~ ~ ~ k~~ f~1 ~~v ~ 1 ~Y" ~ / ~~~ ~r~' ~M ~~~~ sue'"' ox I- ~~ ~~ ~. ~~ ~' ~~. ~ c, r ~ ~( ~ ~ ~-- Ir-~~v~-~- ~.h~~%ic~. ~c~~- ~- -~ ~~~ ~i~~d ~lfe (1~~~ ._~- ~~ 3 o ~, ~~~' fr / ~~ ~_ wsconsintDeparbment of Commerce ~ ' SOIL EVALUATION REPORT Division of Safety and Buildings Page I of ~, m acooraanoe wrm ~ornm ~, vws. rwm. t.ooe ~~ 5 -f - ~ 81/2 t i . C o c Attach complete sibs plan on paper not bees than nq ~ n n inducts, but not limited bo: vertical and horizontal . b' nd hE~ p~ ~D. percent slope, scale or dimensions, north arrow, I anctdistanoe to' rem road. ~ p~Dt` P/e~ase alll ~ ~~ ~~ll'~~ ±1 R by Date . .. PersonN irdormation you provide mey be used for ry purposes (Privacy Law, s. 15.04 ( (m)). . . Property owner - ~ ~~] ~ i`a ~ ~? 2Q rope _ ovation - ~ ~. ..:\ S7 CROix ~ ~1 1/4NW1/4 SZS TZR N R /Q E(or)+~U er's Maikr+g Address ••_. ar Property OM z +NGUFF+CE. L ~ Bbdc # Subd. Name or CSMff / _ '; tv ~ Z. O S-~ i ~ ~ WCJ~'~"e ~''`. . c , S ' G ~ ~ JV, _ City Stabs Zp Code , City ^ Village [~ Town Nearest Road - . ~ ® New Construction -Use: ® Residential / Number of bedrooms 3 _ `~ Code derived design flaw rate ~Sd ~(o O O GPD ^ Replacement ^ Public or commercial - Descnbe: Parent material OU {-c~JO.s (~ Flood Plain elevation if applicable General comments S ~ S ~ rrl t l e J 0.f . b n - ~~ • (y D and recommendations: ~ L,~ 2, l ~e.J a ~-.`o r` - -~'(~ •~ o ~~ # ° Borv+g I I _ Pit Ground surface elev. ~~ ~U ft. Depth to limiting factor ~ in. Sod icsJ6ion Rate Horizon Depth Dominant Cob Redox Description Texture Stnrdure Consistienoe Boundary Roots GP D/ff° , in. Mansell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Effl~'t 'Eff#2 Z i2-z~t ~t~~ ~~1~1 ~i~-1 2~-~ bk -~ cS - - ~ Z~-ii ID ~yj~ - . m5 ~5~ f - ~ -~~ I, 2 a~. ~ 3 ~~~o.$ Boring # ^ Bonng / P~o• 3d ® Pit Ground surface elev. ft. Depth to limiting factor ~ ~ ~o in. ~ Rate Horizon Depth Dominant Cob Redox Description Texture Structure Consistence Boundary Roots GP DIffa in. Mansell (h+. Sz. Cont. Color Gr. Sz. Sh. - 'Eff#1 *Eff#2 ~ b - icy '~b r31~ ~`~~ I 2~hk . ~ ~s ~ „~ , 5 , ~ 2 l~b'Z~ ~~~ .~~~~ giCl ~Zr~; ~~7 YY~-~r c-5 ~ `--f . (n 3 23-i~ ib~ ~-i)cp r~5 m ~ _ - , -~ l , 2 g~", Z * EtAuent #1 = BOD_ ~ 30 < 220 mall and TSS >30 < 1 50 ma/L ' Effluent #2 = BOD. < 30 mglL and TSS < 30 mglL CST Name (Please Pr~+t) Signature CST Nurr~er ~r^ ~.--~ -- 25 33~c1 Address Date Evacuation Conducted Telephone Number 2113 gO~ `' ~ + ~~ -e-1 ~~ ~IbZ~S ~--/-o~ 1~5-2211-LIO(~~j f • ~ Property Owner I~r ~~ t Parcel 1D # . Page z of _~. ' a Boring # U Boring ® Pit Ground surface elev: 9~! zU ft. Depth to limiting factor I ~ .p in. Soil lication Rafie D th nt Color D i Redox Description Texture Structure Consistence Boundary Roots GP D/f>? Hor¢on ep in. om na Mussel{ Qu. Sz. Cost Cobr Gr. Sz. Sfi: "Etf#1 "Eif#2 1 o-I I i~ ~~ ~r313 ----~ ~~ I Z -m~=,~' e~s 1 v ~ ~ ~~ , ~ Z t I - ZZ ~ ~ ~ r ~-4~~I = Si ~I ZmS.blz m-~r cs - . ~-E . (~ ~~ # U Boring - ^ pit Ground surface elev. ff. Depth to limiting facbr in. ~~ ication ~~ Horizon De th Dominant Cobr Redox Descriptbn Texture Struchme Consistence Boundary Roots GP D/ff p in. Munseil Qu. Sz Cont Color Gr. Sz Sh. 'Etf#1 'Eff#2 Boring # ^ Boring ^ Pit Ground surface elev. _..-ff- .Depth to limiting iador in. Soil lication Rate Horizon De th Domm~ant Cobr Redox Descxiption Texture Strudure Consistence Boundary Roots GP D/fP p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *EtffF2 ' Effluent #1 = BODS > 30 _< 220 mg/l. and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mgiL 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 format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBp.8330 (RO7l00) PAGE ~ OF_~ NAME 14 r K~-~ 1 LOT# 3 Z LEGAL DESCRIPTIONSw '/4Nw'/,,SZsTZa N,R 14 E (or~ SCALE: 1"= yd BM 1 ELEVATION /UO • D BM 1 DESCRIPTION~p v •~ ~ci~l- l1 ~ ~ ~ {~ ~~ !~ BM 2 ELEVATION ~j9 ~ ~ BM 2 DESCRIPTION~~~' L..0.`I- ~ ~ ~~ ~~'~ti SYSTEM ELEVATION ~(~• C9 O ALTERNATE ELEVATION q ~ CONTOUR ELEVATION x'30, /DU. ~ ~. -I- - ~-~, u-1 L1o + t~ ~ a s~q Pte. 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N Ut Q ~ Q C V7 (1) ~. rp g ~ wwwN • ~ Ci Cp C7 ~} (~ ~., w a, cr -~ G. ,,.~ ~ ~' o Ut d (Jt Ut Cn t J, a rn ?~ ~- ~ ~ r • . ~ h ~ ~ ~ ~ ti v: w ti W Cn a ~ h % ~-- ~ N W W N N N O C N - . 7 LT `G (D "'~ ~ tcncnocv, 4 ~ 1 v ~ W ~ O ~r ( .) O O ~)~ wwN ~ ~' :~J N O ~ N ^1 © - C7 O O (~ Cy. ~ • i ~J ~ ~' a ~. ) v.Y s ~ « ~~ ~ C} ~~ ~ .~,o.. .' . j s§ ~ ~- n CJ7 ti (D iLy ~ o ~'- n. . r 7 ,. ..,, ~ ~ _' (b L~; Gl t R N C~1 Ci ca ,.,,a ~.. J 1 (.n (.~ ca < l1 O t7 ;.f.) `.) • .~ ~ c]. ___ ~ ~• ? n r ~ o •J C7J CU Q3 tYY (Ll ~ ~ ~ ~ ~ 1 _ ~' ~ _ ~ ~ ~' 4 w rn u w :.~ ~~ ~.> C7 CD -J m cD m c:rr ' ~ a• O Ul rci V r.,} -~ C- w la ^. -~ ~ CL W W w t: Y: -J N • ...J .,.a ~ ~ ~ cn U, (.~ ct, rJt cr ~ ..,, m ~, • r~ ~ < . ° ~ ~ n ~ m S ~ ~ rn o ~ h N N ~~ i ~ C ~ th cn cn cat c. , v- ~„~ I v ` N rv ct) , ~ p rn r, ~)ww~ ... ~ N N '~.) ~ J 1\) '~ (ncncncn<n (n ~~ . ~.) ~; n~ Ca O 4`Y rJ 4:T r ~~ ~ `~ N W ~~ tl7 G') ! ~ ; flJ ~~ I ~ ;.~ ~.~ C:~ _~ :.3 23F R t)% i~ :) O :.:i v C"":) .. Lj, J, "J U: C:1 P.L. ~ ~ m ~, ra- ci. ~: •a t .' tQ Ctt °~? U1 v, rC to i-O CS N ~ CJ C ~ ti. . Ji O C70 "~ C:i ( t:!~ CS ra ~'; J 4T, u) :: r.,) ,{ :15 W CX) C~ C~ r •. ,~ i ~~ 8 ~` a •~ ~:, ,,, ~, ~ ~. s ~ =T c. iv (, ~ tti I ~: 6 t~ ~_ ;.' n ~ _- ~ A i W ~ -J :O CO @~) ~; o t tD f1f CA ro r>, w .~' O) (.~ N cry n• a ~a ( = ` ry ~ ~ 6~ (n ~ tJ c7s --• ~ n CU (A (p - ) tJ n ~ J N ^J ~ .y O• °~C Cl9 . (JY 4'1 U, Cif CT Ctt ..~ ~.Z ~. :~ a = C~7 L. j r~ ~~ ~ <it w rn co - • p, C r-) -.) N h) tV ''~ '~ N ~ O ~ • ~ c3O.O0 00 w~ - y A -~ ( ~wk.in ~ a w • 3 to ~ 'b ~ O ~ A N ~.~ C? U O O ~ ~ ~ ~ ~ ~ hJ ~ CT O ~ ~ v tQ -, b C7t -ta W G} f~' fti y n c1 N to ca Cr. ~ ~ -~occwWC~ c ->, C~ V. W W CJ ~ t. (a ~t w w U Q, ~• ~ (n W N N N ~ (~ CJ' CJt 0 0 (J~ • ~ I ~ ~ ~ _ _ ~ m , ~ • ~ n z ~ s ~ t~ 'J N ~ ..a. ~ A oni w LT ~ ~ 1 ~ ~ ~ ~D o cD P W N ~ -` O ~ 'J A 4't CO CD V : ~ • C 1 ~_ 4 r.) -~ ~• .J ^3 N N N V ~ :71 Lt Jt Ut 47 C.n ~ ~ ' ? t ~ < • ~ ' m a W •D S 'Y (a _.. ... ~ -. cp cYt.:Ut pr ~ l1 r. ~ rn d) Oo Cn W :: rs :r CIt CJ1 N cn (.t, d (~ ~ at -~ -- o N p C) CT Co Ga w N :^J N •J V V ~ Ch .h Ch (T. CJ1 U, Private O~nsite Wastewater 'Treatment system IlAanagement Pfan .$eptlc Tank And ~rarrfty In~rot~nd Soil A.~sorptfon Component Pursuant to Comm.8~3.5~ 1~is. Adm. Code each Private Cfn:~ite Wastewater Treatment System (POWYS) shall include infc~rrrzation and procedures for madntaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent9 or governmental unit. The approved plans and permits fear system are on file at the county zoning or health department. This management plan complies writh Comm 83.54, aVUis. Adm. Code, and the to-Ground Soil Absorption Componei'rt Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). 'rd1,Da 1. ~v~$ar,~n t~eaalney Cr~au~rfi,c9t~erss ~ Sanitary P®rmi~ i~a~rrri-er ~~~ ~_~ .__ __~ ___~~ Number of B~lriaa~tr~ . ~ ___ Desi n Flow -Peak (~i?~$ _..~.~ ,...~'~~. 6 a~ Estimated Flow - Areer~g~~ {gpdj ~~eb Septic Tank Capaci q;~al~ ~~' /~-_,z• e~ Soil Absorption Comp€~nent Size (ft`'-) ~ J?/ ~ •o Type of Wastewate~~ ___ Domes c __ TwM~w 9. Cwil Nil~w~wflmaaro ~raaaAUaalreanf _ B rR7rf'A Af R~~~glyle anersNon J 4cptic Tanf~ Comp~n+~nt Soil Absorption ~onent Desi n Flow -peak { ~..ct'. r Maximum influent Particle ~,~z~sti~i~jp ~,-.~.-..~ `.. l2~ _ - r_.. ~/.~.~ _- ~ 1/8 Maximum BODa {rngll~j~ .~_..,~_ M~acimum TSS {mg/h)~._~._ _ _ ~ _ __~~ 220 150 - -- "rr;3^,i.e.'~~ LAA~Mire4a;rrs~t~7~A Fil'_r1L4Crllr~! Septic Tank Outlet Filter ~ ~ InspPCt and/or service once every 3 years T erect once a yr'ar and clean at least once every 3 years i Soil Absorption Compar~f.~~t_ - Ir~sp~r~t once every ;:t years ~_~~ ~~ti~: ~'~nk The septic tank shall be sa~4rsr~t~in~si by an inctivitiual cx3rtifit~d tc~ service septic tanks under s. 281.48, Stets. The cc1nt~:~~;ts oY the septic tank shall. tae disposesi of in accorclance with NR 113, Wis. Adni, Gode (S~~r+~'s~~~°r.g t:~~rptic car Molding Tanks. Pumpi;~g Chambers, Grease Interceptors, Seepage Beds„ Seepage 0"`its, Seepage branches, pr~i~vies„ or portable Restrooms~. The opQrating condition or the se tic tank r5d otntlet fitc~r small tae assessed at least once every 3 years key inspractiorr. Tt~3 o~.~tlet filt~: ah~° I lne cleaned as neeessa to ensure roper op_eratiort,. The filter t~rtri•~~T shoal not a rerr;taved un es;~ prcavisicans are made to retain soiid~ in the tank that may ~~9cau~.~ls rs the filt~ar ~~rhon! rerrroved fror;~ ifs enctosure. if the Management l~iar~ #c-r a optic Tank and foil Absorption Component filter is equipped with an alarm., the filter shall be serviced €f the alarm is activated continuously. Intermittent filter alam~ ma~±~ lndir..atu~ sure flaws car an impending aorrtinuous alarm. The septic tank shall have its ce~ntents rc~rnoveet when the volun~ of scum and sludge in the tank exceeds 113 the liquid volume of th~a tar-1~: If the tr3ntents of the tank are not removed at the time of an assessment, mainterance personnel sl~.all advise tl'e oti~mer of when the next service needs to b® per•formQd to rrdaintaira less ,are maximum scorn and sludge accumtriation in the tank. Manhole risers, access risers and covers should be inspected for watertightness and soundness. Access openinti~s used 'for servis~e and assessment shall be sealed watertight upon the completion of service. Any op+sning deemed unsound, defective, or subject to tailors must be replaced. Exposed amass c~p~nina~s greater ti~an tfainGhc~s in d9ameter shah be secured by an effective locking device tsa ~~ret:rent ac~:~ental dr unauthori~t::ti er~td y into the tank. No one sPtould enter' ~a sep~t'Ic or offier fr+~atntent or Ftolding tank for any reason wltlt~m~rt xlrtg itr full compolan~~ w'~~tlt 0~~1<IA standard's for entering a conl"rrred ~p~a ~"lae atrnexsplte+re a~rltltist fire septic or otter Ereafinent of Ir~fdln~ ns~ rney contain [silts! ;gase:r, an,d rescue of a person. fmrn tare irzfericr of tfre tank rrray be dlffOcu9t or !m~-osslblet. TanKabandonment ~xhali be in accordance with rorr~m 83.3, Wis. A.dm. Cede when the tank is na longer used as a pC7~'Yfv component. ,a~ib has r iis~r~ ~amt-oryent The soil absorption ~;~~lr~ cane-~t ~ervi?~g this structure is desir~r-ed to accept domestic wastewater from a residenti~ai fac3itt~. 'l"he. limits of oper~ativn of fhi.~ component are shown in Table 2. The longevity pf a soil c~bsr,~rlatian c~arrrponent dep~:nd~ gr~tiy vn proper and timely maintenance, and system dse s,~at:i-iirt or br:9ow the liinlts of relialaie operation. water conservation practices by all ~ac+,~,~parlt„and th~+ irtstaliaticn of wat~:r conserving plumbing fixtures are key factors in e:~;tendinq the useful life of thi component. The soli absorption ~wE•-prrc;e~rt@~ ~,per~tion m?,~st be aase~:s~~l ~y insp~sctior~ at least once every three yeai^s. Tta~ ir~~l~~ifi~~~ *~hail in~trde re~;e~rd~~acf the levels of ponding, it any. in the obserUation pipes, and a ~ria~~al 1'nafa~;LLtlon fvr ar-y evidence Est ~:~ar1'acc~ seepage or discharge from the component. C7n stc~etsl~ ~ic~uir~g altos, areas of c~rcasi~an sh~~did be id+~nti~ed and reported to the owner for rspair`. ""hc~ ~~,~rt:~ce clisrharge of dt~n~stic ~*astewater or sewage from the system is prahibitec~ ar~d ~~~~ic~~red a hurr~an healtl`- h~~~arci. Traffic art~und or o~r~~r tt3e cxil alrsr,~rption ~ampt~nant should tze avoided particularly daring winter months, Tfse r~~t~•ipactii:~~ car removal of snow ccaver over the c;onrrponent may lead to hydraulsc failure by free~i~~g. `l'eis t:~pe; Est' faiiure~ is us~aatly gyn°~p~,rary, but is difficult or impossible to repair until wee#li~sr t:or~ditid~r~s irnpro~re. lrr c~aneral, s~vil compaction over this component wilt reduce difr~~=•:30~ t v-° ~:~xx~gce 4 6s^,to i:hw; soil rind disF:ers~i u:pl1, which may lead to more intense, anal earlier, o,°agar~i~ ~„I;~gw~inE,~ of rte s~~li. 2 ` ~ ~ M~~3ag~l~t!fi~ ~~~n $~;~ d ~~pt~c ~ dr~k ~r~d Sail Abs~orpii~n Go~ponent Plantings of deep-roa'tettl tts and shrubs d~rectiy over ar w9th~re ten feet,off the component should be avcidrd since rcxat it+tru~ion 6ntr~ the corraRc~~~t ~'y obstruct wastewater flow. ~~ CONTINGEtdCY >a>mAN !f the P~1WTS fa+ls xrtt Ganr+f~t be Pe~~4red the E:a~il~av~r~~ measures have i>eer, Ar' racust b2 takcri~ tp pravldt ~ to4e eompllant rtAlaictment system; ~, *.uitlbSe f~ep4~~erner:t zre;°~ P~a> ~ ~+ ~,~u,ls~e;;e~f and tna' ~ artHlaec: acN t.+re lc~sa~tlcsn of a repl~ancnt soil absa~rptlon system. The r~eplacErrstnt .~_~~ ~E;na, ~! Le ~=rt~~'l~td ~ dlst~~ratt Brad ~trrrs~sat't'~,n ar4d s~uMd rat br. In{r{nQed upon Ay regccirtd srstracks From exise~~~~~ ~r:i rar~rpospd ftre~t~+ar'`, !ot #€r>as arrcS w'rEiF, Failbrre to pmtart tt~e nplaeertxnt ~«a will resvit En the r:et:d for a hewj soli ar:~l s9te e~~l~.~atlan tsa ~tscal»~sh ~ auitabCv r~~yrt,~•:emerat areas tteplacem4nt systems rnu:t caar~piy with rise ruins In eff~ea=c to ti';at txrrae, CJ A sultatsie replacement area Es ~t ~valfabte dts: to srtbaEk and/or xn€I llerrBtatlcs!~s. gai'ttnK a~vartCes In POWTS technology a holding tank may be lnseal~rtl as a ~€~~ rea~^t ~~ rep~aoe ~ failed p~~TS~o L7 The site ius root bren cvalc~ated tea Iderifil~ a suf.e reK~laeetrwisie ucmr lIp"on fallurie of tfie P01rYT3 a sell sad site evafuxtlon must be periormer5 so I~'ac: a ~~Pt~bta retrlaCe*ner1~ alts. If no r+eplacemeat ,xea Is available a hel~nt tank may be Gutalled as a last resart to re~a::e tier Fail~6 I~'faSA~T'S. E] Mound and ae•grade sot! aks~7rpt~r;~ systems max ~ rtcor+.struct~!d In place f®Ilowant reemovat caf the biomat at the lrt>'luatlve sur>•ace. pe<onsu~ettrns raf s~cl~ s Wst+ssras rrwsc carnp6y w'sth tea rules ~- ef(est at ttut date. < < 1rfl~NliJG ~ > SEr'fIC, I~UIM!- /eNEI OTHER. i'Rl~.~!°I"~l~,~l~' T~Ai~IICS ?'$s4Y GO?uT'AiFD l.li;`Ft~l~ 4"r,A1:SSES J~'Nl~lOR IAdSE[FFIGlENT OXYGEN. ®O N4T ENTER, A xEPTtt::, F't:i?yli' t?R OTHG>R T,d-TM~~T T~ihi~ t11d11ErR ~~ C/RCUMS~ANCES. pEATH MAY. RE5~1tT, RESCUE OI~ ~ Pl',i~3i?M FIt4~M Tl~lis IN'1`ERiO~+ Csf A 7'e~AlIC 3"1~`Y IIE DiFFICIJLT OR 1ltptliifFii f. ACiC11TIC)N~-L COT?D~IENTS .,~..~.,,......w.,,..,...m,.~.~..._......., ,...~....~. POdWT;i INSTALLER .. Phone ~~s-- ~~' -- I -~~ ._ ....~,~., ~.,,...y rfil"TeEGE SERiJIGIMCs OFER11T~t?1t, ~~t~~bialr~„~.. 1Pt~'MtTS i~1~.1'~t~'AiNER 3.O+w~L RE~$i~T®ItY ~~~0 ~~~ r~[tu~x c~t~N~{'~~ St'.P"{'!~ `{/~1~t~C ~iS,'~4t~T1C~Nt~N~C~ AGP.~~MI:M' P.h[U ~~a'?{t:.Sfi~I' C;1'.FtTii'iGl~Tlf)N I'~YILM Mlditing ~ddress .: ~ ~-~'~-/ ~._.-`~~`r"• ~a~--.,_..~'~'~ r ~ ~~cf ~-. 8~ ~~~~~~'.~~ ~~~, ~,~~~ ~_ i h (a -~ Try i Pratpaty Address _.._.- _ - ---- -: -~- (Yceaficaliot~ ccgsa~;eCC! ~risr:z. I~ N<uttis~~ 1"_)e~zactc:xatt (ur flew co~~trearti,sn}._.~._.._--..--- Z,FG I. ~.SCRII~QN Property Lorataoa ~.~iv'f,~!{lc~i! e/,, ~~a:. ~.~..~ `~.°''~ I1-Kr.~a "C'c~ ~f •d'o~ Sttlxtivisia~u ~~~--_-.-,•.._.__..!`~!'~!`~__r..~..e_..__...~ ..._.~...,.~.~-a I,ot [t .~ 2 - C".tst{Gcd Satvcp Mxp # ~ ___.._..._.. t/nF:nrnc ........~._.~_~.._~ pagc # ~--~--Z-• ~°'u¢cr ~Ynty Y3cce1 # •~___,-....,3'.'_~,._.....,___._.. ~labctrrt~ .~._~~~ .___, ~ ~~ ft _ L____-• C. 3~~~ S~xx ht~auc ~ y~; ~ ^o T.ot barns idt~ct~ablc f";~yt~ C] ne ~''ST~18 MA~["F.~I~I1G~. Impcvpia ts~ tad ~ of ; :~~r',~{:, ?sy:~t~sxa r,~~rld x~uit i~ i~ ~- E~i{esrt to baadle wastes. Prop``r e~sists of pmm~ag ot:t t{a~ sc~ic txuk: sexy tf~r y ~ ~o~nc^r, ii't~nodzd by a tiaxrese+d p+tzgpK. W[ut you prt into the ~ era a2Teot the iemrtirr,,n of the septic taalc a ;tx~u rat : in ~ aaau~e d~oaal ~ ~ y ~ w ~ ~a. ~.~aiX raa;~, tx~t~t ~ e~.t{oa scram. ~~ ~ '~ ~' aaase~xPltt~bu'.3~~ t+tx~°ssrt~rV~+[,~e4s~so+ra.~ieesev^~d[+a'vcsifY-nP>~hut(1)tf:caa-sice~rasts~aterdispo~sY'~ is ~- pro~x opcratia~; caaditiart tadC~~ (~~ s °';r r ~~~rtxt ±sanq (~ r~erri~asyj, t+a4~ ceP=i~ tantc aP [~ rhea 4!3 full of stadg~e. [lwc. duc tcw6eaod have read t5e a{r~~: ~,~,~: h+~~ts r~ ~ t~ m~,~a~era the txia~s tc se~n};e dEspnss{ s]rrieta av{~ the stsndatsts set facEtc. , as art by ~c C3~a:r~a~ o(` ~,o~~.•z~cxc'e d~c eat ~f N~o.°z~r,{ ~:wse~xs. State of 11Jistieasis+- Ooti~icatioo etatxag that y'om' ~ less Cxxat sx;~Yi~tai:~c~~;d ~~t br: ~:e"m,~?r~xa~ a`.~i xe:tcrah~ ~ dac S~. mix t`.r~xcaty T oaita~ C1~a n 30 days of the t~ y~intzen date:: ~ "_,~_ l (~ r f ~' i (awe) rx~.fy id{i stster~setits c+r. ~tE.is f~strat s.:r tnnt; tee Cbe best oaf roy {oar) t<r<o~vledre. E (winee} aces (~) the ormet(s) o[ qLe y vc, !ry riitue of o ~~~.s~~narY ;:~~^~:~ xacr,rtlx~ ic- ~tx^~isier of iv~cctts t7~cc.. ~ l~~( ~_._. ---~---- -- ~An I3C t~~~.a.ss• sear ~• ~y it-fotvsstiran that is roia9r~gyctte~ sc~.y r~eSt t~ iye ~tsfi,W pc:+~u4 becce~ aeuctced by the 1.' x+duG p •• [ndu4e wild this tPplics4{an: a rtaet<4 wrer.~-rty d1cr~ ta~atn tt~e {ic~xte~r a( ~cecS:s afire t taay of t£er. rextiC~et9 e~trYe'f reap if st~teern~s is nude is .the vramc-c7l deed ~•. U 1.855P 172 ' 673752 • KATHLEEN H. MALSH REGISTER OF DEEDS Mortgage ST. CROIR CO. , MI RECEIVED FOR RECORD Document Number Document Title LAND TfTLE, INC. 03-18-2002 9:45 AM l'IT? 2co ' MORTGAGE 11URTC,A6E l:lEhlpT # Merv c.:¢: ~ iC:;l, ~rN ssu2 ~t Ci i RLE tiU. Z 01 REC FEE: 25.00 ~ THIS MORTGAGE ("Mortgage") is made this ~~ TRANS FEE: COPY FEE: day of February, 2002 between Carriage Homes XXI fnc. a CERT CDPY FEE: , , Minnesota corporation ("Mortgagor"), 6750 Stillwater Blvd. PAGES: 8 North, Stillwater, MN 55082, and Construction Mortgage Investors Co., a Minnesota catporation ("Mortgagee"), 300 Morse Avenue, P.O. Box 40, Excelsior, Minnesota 55331. WHEREAS, on February ~, 2002, Mortgagor Recording Area executed a Guaranty in which IVlortgagor, as Guarantor Name and Return Address guaranteed the prompt repayment of all sums due to Mortgagee from. Carriage Homes XXII, Inc. ("Borrower") which Guaranty Construcrion ~t age lnvescors Co. is secured by this Mortgage in the sum of One Million and P•O.Box 4U Morse Ave. 00/l00 Dollars ($1,000,000.00); and Excelsior. 55331 0~10~-7U-OD0,0~-dQ6~a00 WHEREAS, Borrower is indebted to Mortgagee D20-10Efl-80-OOO,OaJ-30'R}~G~OOD ' accordin to the terms and conditions of a Second Mort a e g g g ~107C;-lb'OOD,O~'1t~7C>-` C'OD Parcel ldentiticatian Number (PIN) Note of even date herewith ("Note") associated with a development loan on property located in Pine Island. Minnesota. Mortgagor, to secure the payment of principal and interest under the Guaranty and any increases, extensions, modifications and renewals thereof, and the payment and performance of all other obligations of Mortgagor under this Mortgage, hereby mortgages to Mortgagee the tract of~ land lying in St. Croix County, Wisconsin, legally described in Exhibit "A" attached hereto ("Land"), together with all building materials or supplies now or hereafter located on the Land which are intended to be incorporated in any structure or other improvement located or to be erected on the Land, all fixtures now or hereafter attached to the Land, all heating, water heating, refrigerating, cooling, air conditioning, ventilating, incinerating, lighting and plumbing equipment and systems, and ail hereditaments, easements, appurtenances, rents, issues, profits, royalties, mintral, oil and gas rights, water rights, condemnation awards and any other rights or interests now or hereafter belonging to or in any way pertaining to the Land oc to any building or improvement now or hereafter located thereon, all of which, including replacements and additions thereto shall be deemed to be and remain a part of the property covered by this Mortgage (all the foregoing together with the Land are hereinafter referred to as the "Property"}. Mortgagor, for itself and its successors and assigns, covenants with Mortgagee as follows: Section 1. Indebtedness. Mortgagor shall promptly pay when due the indebtedness secured by this Mortgage, including without limitation, the Guaranty. ~~~ ~_~ ---_ 1~---- - ~ w ~b ~~ ~w ,~.5 II ~ Z~) 1 ~Q --~ ~3 '~ t ~t~, ~, S ~i v S . ~~~ P. ~~~ `, ." ~~~~ ""~ _117-M-Corporation ---- . _ ,~'~ STATE OF MINNESOTA COUNTY OF _ _ .. ~ _ Minnesota Uniform Convc aucing Blanks (1978) Miller/Dews Co. ° St. Paul, MN 651-642.1988 y __ ---------- -~------ _..__._ ss. Affidavit Regarding Corporation and being first duly sworn, on oath says(s) that: l . ('they are) (_ _ he is) the _ and the __ .. _ __- _. _ _- -_-._ .- -__._ _-- ---.- -------. __ - __ respectively, of __ _ __ - ---- - - Carrlage_HomesXXl,_Inc;..----- - . ----- --------- - --- __ a _ __-__1Vlinnesota_ __ _ ___ __-- _- __ corporation, the corporation ---- named az ------- -- ----~-- --_ . . in the document dated _ __ - -- - , and filed for record -_-_ _----- ---- as Document No. _- --- - - --- (or in Book ----- of ---- --------- ------ ----- . ------ Page __ ---__-_-_ -- -. _ - -----. _ _ ____--- _-__-) in the Office of the (County Recorder) (~~c~~i _ __. __ of __._ __ _ St. Croix-__ __ _.-- _ -_ County, Minnesota. 2. Said corporation's principal place of business is at ___ - and said corporation's previous principal place(s) of business during the past ten years (has) (have) been at: 3. There have been no: a. Bankruptcy or dissolution proceedings involving said corporation during the time said corporation has had any interest in the premises described in the above document ("Premises"); b. Unsatisfied judgments of record against said corporation nor any actions pending in any courts which affect the Premises; c. Tax liens filed against said corporation; except as herein stated: 4. Any bankruptcy or dissolution proceedings of record against corporations with the same or similar names, during the time period in which the above named corporation had any interest in the Premises, are not against the above named corporation. . 5. Any judgments or tax liens of record against corporations with the same or similar names are not against the above named corporation. 6. There has been no labor or materials furnished to the Premises for which payment has not been made. 7. There are no unrecorded contracts, leases, easements or other agreements or interests relating to the Premises except as stated herein: 1~ g. There aze no persons in possession of any portion of the Premises other than pursuant to a recorded document except as stated herein: 9. There are no encroachments or boundary line questions affecting the Premises for which Affiant(s) (has) (have) knowledge. Affiant(s) know(s) the matters herein stated are true and make(s) this Affidavit for the purpose of inducing the passing of title to the Premises. ~,~ 7 1.~ ~- ~ . Carriage_Homes. ' .. ~~ .--- ._. -..__ .._..__ _ _. _ ___ I~ ri d sworn to before me this ... Subsc _ _. _.. ' day of -- - --u-`~ - _ _ _ .2001.. T.:.~ j ! ~ ~ .DOCUMENT NQ. ~ (~ ~ ~Q / r. .JJJ L• I ____~__.: . _.. THIS INDENTiJRE, Made b RICHARD N. PEARSON and JEAN M. PEAR.,ON, husband and ~ife, ....._.. ........................................................._..._... grantor. S.. of....st:.. Croix.......-..--• ...........................................County, Wisconsin, h~reb conveys and warrants to....CARRIAGE HC)ME.S XXI, INC. - a ...... . M~.ruz sota corporation, ,_._„ . ~. _._ ..._---..__.......---• .......................................... . . rautee........ of ~ ~a56ing~on - Count or the sum of ~ y, ~~~~ ~Q/r'l~„~Q_(7~/g~Ol}l~a}r..--/a'~nd,- no1100.,--01:00)--.and--other---good--and--valuable--, WAririANTY DEIDD STATE OF WISCONSIN-FORM 9 TNI• iPAGL RLYLRV[D 1'OR RLCORDINO DATA RETURN TO the following tract of land in._..St.....C1=.qlx .................... . _.._.._.-.............County, Wisconsin: .A1.1..9.~...~h~...N..4?r.t.k~W.~S.t,..Q4~s~r.t<~.r._„~~~t^r';;;~,_.G~nd...N~zth.Hal.f (N~) of the Southwest Quarter (SW~4) of Section `I4~enty-Five (25i , `T'ownship 'I~,ve~nty-Nine (29) North, Range Nineteen (19) West, St. Croix County, Wisconsin, except I.pt One of Certified Survey Map filed June 29, 199.4, recorded in volume 10, Page 2782, St. Croix County Register of Deeds, as Doctunent No. 518444. In Witness Whereof the said grantor. S.. haVe...... hereunto set:......_their_-•...•.,.• hand 5... and seals.... this ... day of... ~?y------------------•---........---....., A. D., Y~..2QI)~. .-....._ ................ (SEAL) BiCiNIDD AND REALED IN PRESENCE OF .......(SEAL) `, , M': SO1V (SEAL) Minnesota . ~~.w.~~ ~~~ t.C/~ ~~ a i i ~ _ ILNLr •~` p `\ ~ 4 9'1 rM~Nes 110A7Y~Q ST ~+~ zwwr~ • ~ ~ Nw~ M1iq.W C ~~ 4 f /'~ f. ~ •• / ~ !A ,,/mar ~. t ~s ~ f 'j !s ~~~ f! J rM,M4r NII ///// ~~ .~ S F ~~~~ ao ~~ ,~,~.w.~ ,. s! +~ , - as • i ,,,.,~a,oR - • - ,.,,:,~ x ~~,~' ss w ~ V _~ ~ f~, ; j sa ~ ~~/ ,s~.r ~ ss saros•X.rtwx ~. SEE $HE,E9. 8 a.r.wrrRar..u.nwuww,.e ®~e,~N wc~ssm~ ~ownw+ Zd Wki~b:TT Z00Z ~S 'a~W ~ZZS9~bZS9: 'ON Xti.~ F w w I, ~~ ss i s-~ ~ G~ s sHE~rs Sal JOH-S~.t1S~d I ~ : W0~ ~. 3 FROM f7: lL I FESTYLE~iOMES FRX NO. :6514365113 Mar. 13 2~2 11: 43AM P1 ~ T1yTW i ' ,y.N l , ' ~ ! / Mwl. MAe f ' .~.' oM J/ ~"~~ ; ,1 , ;.~ .ass~wcnw ti' ~ `` i i' ~ ~ ' ~ ~ ~. ~ i ~ i• ~ i4 r ~ ~.~,~ eyf ~~ i \`` .. ~. • 1~ ;, x . ~ ~~ is ~ yz ~ j ~~ aq i m~aa~ .~ w~IW ' y ~~ ~ ~ W ~1 ..: ~~~ ~ ~~~~ ~~ ~ ~ / ~ ';;- ~cN' ~ ~ ~ ~ ~ ~ ~Jt~ 1 j "57 4~1, + 'IJ ~ rarer ,~1 i Y7 1 j tt~ ~ ~ D Wramwlr~a 1 ~p . R9 n~aro I ~ 34 ~roor"'4p`~ 1 a~.en~~ ~. ~~ r~ j. ;. ~,..,,M.u.,... ~ ., . _ ~~N.; IrwOl ~ r ~ Ymaa~h~/w I ... '.~ ~ ~ ~ ~ I ~,~~R rY~W~~M ai70MFfi ~ ~y• IWIIM ; in2~~ .~ ~ ~ ~ rA~111AWwAM .t • ~ ~~ i , ~ ~ ~ ~- _. ~dHlww~wnwrrfW~M ~ ~ r+~~4ti~ .~eww~~~• 1 ,/ ~~~ ~ ~ I I y~ir~n~iveniwaa. ~ ~' ~/ ,.. ... • ~ ~t i ~wrur I ~" -~.., . - - - , .. . .~ !w , ~ ~.: ~ P ~~ ~ . I.: .-.~ ~'~ ~ ~. ~ ~ ,e+.awe.~w.e..l~wr w.uaar[ a~eerw o.1fi:~..s, ~.m~ sI+~ES, of b sr1~T; ~~ ~. ~' ~~ ~~C~1 ~ ~ ~c ~ S .