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040-1032-70-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. .J[, _L Permit Holder's Name: City Village X Township Parcel Tax No: Woodruff, Matt Troy, Town of 040-1032- 0-000 CST BM Elev: Insp.BM Elev: BM Descrip n: IJ Sectionrrown/Range/Map No: t o `5,7 Q 0.5 r Ic i �1�c C ' �Cx�U r. I If 07.28.19.108 TANK INFORMATION ELEVATION DATA 'rn2 TYPE MANUFACTURER CAPACITY STATION BS HI ELEV. Septic J�C i ,2 �—� Benchmark Dosing Alt. B VV aeration Bldg.Sewer -iq-2 f C Z -3c, Holding f /Z� `�,� St/H Inlet; St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L, WELL BLDG. Ve t to Air Intake ROAD Dt Inlet _ Septio - - n C L r e 1 A) ( Yt Dt Bottom ) l <� Z r f Dosin tj %D'/ H��de/Man. /,7 Z Aeration Dist. Pipe i `7 Holding —. Bot.System �f , Fi al Grade PUMP/SIPHON INFORMATION I (,' �--��)- J)C, 'h D 4 ev- 31 110451 Manufacturer ttI';�� Demand St Cover I G ' K �' 4.)Imo. GPM Model Number ; _ 31L) , TDH Liitr—,'� Frictio«"Ljs System e d T , Ft Forcemain Leng h i Dia.2 Dist.to Well SOIL AbSbROTION SYSTEM ?2 C t t r •1 C L/1' BEDITRENCH Width Length / No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS qo SETBACK SYSTEM TO d P/L ; BLDG IWELL LAKE/STREAM "LEACHING Man tur INFORMATION CHAMBER ORS; Typo:Of System: dV , UNIT- Model Number: S DI TRIBUTION SYSTEM Header anifold L is rl utio t'' ( rp e x Hole Spacing Vent t0 it Intake /I Pipe's) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center It Bed/Trench Edges Topsoil T1 /! Yes No 0 Yes [] No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1` /�/ zO /`t Inspection#2: Location: 430 Cedar View Rd Hudson,WI 54016(NW 1/4 SE 1/4 7 T28N R19W) 40 acres Lot /� P rcel No: 07.28.19.108 ,. 1 v t� J Ct 1 i►tit n�u Ci^Z �L Y�►/t V`/ Q— O 34 1.)Alt BM Description= r 2.)Bldg sewer length �'►'�- -amount of cover= I �f 2 1> Ll it �. L� � G7/i.L/� r� �L• ✓Y�C 7L u��1 � Plan revision Re uired. Yes o Use other side for additionalin information. ��- SBD-6710(R.3/97) Date Insepctor's Signatu Cert.No. Imo— - PLOT PLAN PROJECT Matt Woodruff ADDRESS 1020 Saint Johns Bav Woodbury Mn 55129 NW 1/4 SE 1/4S 7 /T 28 N/R 19 W TOWN Troy COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE 3/27/14 BEDROOM 4 CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 IL BENCHMARK V.R.P. Top of 1 1/4" steel rod ASSUME ELEVATION 100' Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 101.0/100.4 4' below qrade All piping shall be SDR 30/34,within 10' of tank,piping shall be Schedule 40. Property Line -� _ Scale is 1" 40' unless otherwise noted Pro 4 Be room house 5 2-3' X 90' Cells with>3' spacing ^l Huffcutt Combo Tank ) B-1 25' 40' 25' 8% Slope Vents B.M. 160' 40' Vent 50 105' >6„ Quick4 Standard - Leaching Chamber B-4 08' of Cover with 20.0 ft2 of Area 10 n 5.6ft 2/pair of end caps a r4' Long 12 34" Grade at System Elevation rt To Cedar View Road 1320' Property Line f°D ,-W. LINE OF THE NWI/4 OF THE SEI/4 "m o a Cl o O r' I OF SECTION 7, TWP. 28 N. RNG. Iq W. m � .�-r m , a3 O 3 D - - - - - '- - - - - - - - -� a� -n m r o m m to w — � V - N" — — O o ° " --- COUNTY ROAD F-- m m z O ? z tea? X 0 � O o Z p o w o ry Z m Z T O O O Ln r r C O nav 3 C m m -' 1 0 3 A K a za A 061$ m� p m 10 J _ --- T - m - �- c - N an " � Z R' fZP tr 3a 3 v+ O \ T co - < � m z T Z 70 = � ::E c. z M x sum [,J 0� O Z T z m ZO N _� � N '' ,-E. LINE OF THE NWI/4 OF THE SEI/4 � Q i a ``\ n z �� OF SECTION 7, TWP. 28 N., RNG. Iq W. R' ow C zoo °� v �'I�j z3 — — /OD I- C) Z- m / D Z'° 1 ' ' °' PROPOSED EASEMENT ( A \ r �n _ ++ _ I i Z Z Om I z -W. LINE OF THE NEI/4 OF THE SE-1/4 n M o°y OF SECTION 7, TWP. 28 N., RNG. Iq W. X I — cn s tG m s = 5 0, D O s o O , y m o ,n -C, rn 70 m A 'Op __ I Z O m v, - N - v, J � Z I En " w s cx v o sv T_ _ R, AO Am nom' < N ;_ I - m r- r- s O r- 3 Z M m m v, m m r1 II� �, m i , q = LAC Irmo ;; 550,0 : °"' p -r, � � m r O � Z 3 � fA � � cps -. moo Ate. m -- �' Z �° COO I m a c o „ o � O o z to a s -„ 3 - -� z a, m x Z w m c 3 m r�o O 3 n s z 10 m II = I o ' -00 = mm z w tom -I 9') V) o w z � -», s� LAas "vs � eb su CL '" m m w m w s I m \ m o m A o in r 0 N 3 a m sm � s0 nH m ' am � mm •+ fDaSC * N n00 "e O m d 3 II 1 ✓yeti County Industry Services Division . C 1400 E Washington Ave Sanitary Permit Number(to be filled in by Co.) P.O. Box 7162 Madison,WI 53707-7162 �/� r4 `_ ((1 Sanitary Permit Application fate Transaction N mber In accordance with SPS 383.21(2).Wis.Adm.Code,submission of this form to th appro mmen 71 ' is required prior to obtaining a sanitary permit. Note:Application forms for state-o ed S ar itted to Project Address(if different than mailing address) the Department of Safety and Professional Servies. Personal information you prove do maybe used for secondary purposes in accordance with the Privacy Law,s.15.04(1 m.Stats. �/ P� I. Application-Information—Please Print All Information Property Owner's Narne Parcel# a-rc (kJVZ77Q- I-JJ4rb,, 7C/ -AO-3,,-� 7,9 ar 6 Property Owner's Mailing Address C Property Location ` /0 0'1- -3b /� Govt.Lot C` City,State Zip Code Phon J+pr ® � y, Section R 7 Q rcle on II.Type of Building(check that apply) .E" W . _ 2 Family Dwelling-Number of Bedrooms �ti Subdivision Name yQ ❑Public/Commercial-Describe Use Block# p M Z41�- ❑City of ❑State Owned-Describe Use CSM Number ❑Village of 04wnof III.Type of Permit: (Check only one box on line A. Complete line B if applicable) A. w System y ❑ Replacement System ❑Treatment(Holding Tank Replacement Only ❑Other Modification to Existing System(explain) B. ❑ Permit Renewal ❑Permit Revision hange of Plumber Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration wrier ,j 6p� (, �s f-� zo j IV.Type of POWTS S stem/Com onent/Device: . Chec a s I ``�� essurized In-Ground ❑ Pressurized In-Ground. ❑ de ❑Mound>24' .of su'tsoil ❑ ound<24 in.ofsuita�ble ss it y ��vY ❑ Holding Tank 11 Other Dispersal Component(explain) �� et Dev ice( I V.Dispersal/Treatment Area Information: y Design Flow(gpd) Design Soil Application Rate(gpdsf) DispersktrArea Required(sf) a ion 6 D s 9 VI.Tank Info_ Capacity in Total #of Manufacturer , Gallons Gallons Units a U o v New Tanks Existing Tanks � Q ��""' /T G Septic or Holding Tank a - Dosing Chamber 4 VII.Responsibility Statement-I,the undersigned,assuigeppponsibility for Installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber' lure MPIMPRS Number Business Phone Number Plumber's Address(Street,City,State;Zip Code VII. oun /De artment Use Only (proved ❑ Disapproved Permit Fee Date Issuued I uing Agent nat ❑Owner Given Reason.for Denial $U � 2 d / IX.Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1.Septic tank,effluent filter and [�` �Q G�-Yyrt dispersal cell must be serviced/maintained I �/ 0 as per management pllttaanc�provided teby plumber. AJ0 c h za ' t-h ,d -0 Afl setback Tart -,t hp maintained as per applicable COd6�Vf Ulfldl iLx J. plans for the system and bmit to the County gnly on paper not less than 8 rl2 11 inches imsh ��� 11 - SBD-6398(80313) Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Date: 3/27/14 Owner: Matt Woodruff Location: NW1/4 SE1/4 S7 T28 N,R19W 430 Cedar View Rd Troy System type: In-ground absorbtion system(conventional) Manuals Used: In-ground absorbtion system (version 2.0) Pressure Distribution Manual (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications Sheet 8. Dose Tank Cross Section 9. Pump Curve 10.-12. Soil Test f Signature f License numbe 226900 PLOT PLAN PROJECT Matt Woodruff ADDRESS 1020 Saint Johns Bav Woodbury Mn 55129 NW 1/4 SE 1/4S 7 /T 28 N/R 19 W TOWN Troy COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE 3/27/14 BEDROOM 4 CONVENTIONAL IN-GROUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 IL BENCHMARK V.R.P. Top of 1 1/4" steel rod ASSUME ELEVATION 100° Filter BEAR Filter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark S All piping shall be SDR 30/34,within 10' SYSTEM ELEVATION 101.0/100.4 4' below grade of tank,piping shall be Schedule 40. Property Line Scale is 1" = 40' unless otherwise noted Pro 4 Bedroom house 25' 2-3' X 90' Cells with>3' spacing Huffcutt Combo Tank 40' B-3 SO B-1 25' 40' 25' 8% Slope Vents IL B.M. 160' 40' Vent 50 105' >6" Quick4 Standard of Cover Leaching Chamber B-4 08' with 20.0 ft2 of Area 10 5.6ft^2/pair of end caps 4' Long 12" 34" Grade at System Elevation To Cedar View Road 1320' Property Line Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5.6ft^2 pair of end plates To be >1' above grade Finish grade elevation Typical Installation � V 9 5' _ �, 'Vent 3 — 10 70 Grade Vent 3' 4" t A�30/34 Septic Tank 3 r 5' Long 1 " 5' Aq 5' Long QQ 3 6," Grade at System Elevation Grade at System Elevation 10-G I Spacing 5' 2-3' X90 ' Cells Same on other end Observation tubeNent-r At end of cell A (q 22 chambers per cell B S elevati n elevations: +�B 90.4' r Se 'c-Dose Tank Cross Section And F=P Performance S1 cificad.ons Tank h�r'�' Modal Number Tank Model Number a " Alarm Maaufe � Totat Tank C ! ATM=mom Max.Bury Depth t Swhah Typo '� `G j Totald -Feet Filter MoA 147 Filter Model Numabe r I Head ' Distat P . ; Tiatv�rsdc Loos bod Force Main Loss ` '7 Minimum PumF '�R H Total outlet Manhole ,r Abe"Grade Binh a Min•4"Above Cnade Inlet With LOGIft Device OO(<i'Balaw 03 &SMW W &Sealed' ' wmeetheNp 1 . 7wmatton sox . vat� iraoim Above • With vat Cap .. '• r � A. Il surd Raarve r Wow Switch (�I `'� Hola Tank V a B .: Volume • A; O#Elevation C .ti starm B. 2 . . ,7 p Ft ` Botts® ,. , .,..;..,.,� .• .: � With the . Tjpliis The.eeptbc�d� .tsaic is bedded•� ����r�,not GF� mST�'�'i of bar'. . ions aav'rce(padloc�c) us prodmrt. m to Brad°t�1O�. • flitings, and mole cog to���with kg- be cxQ°oded T d OU&is q� w�' 4"Sid.gp p"�1C 1p ire the tank iald ' pig at the ► _ . ... ;od Came► laid on ab�bla to 8�ei1'a 'l°°a°®p1 vv'tibC.3Q0 �:�gve.i$aeeled. ' yr and p :of 021051.1 . , • ----- w I I I I I � q Z O Z � I � I � m 57' a I � 50' 7' d z 3' 47' -4 m m 0 f'1 r D o z LA UI N i m m= r Ln t1 D r- n D 10 m CJT-11 i W m Z rAilm i0� w �1 m L�,Lnc, �� � 20' 2' , I O--1; m w , L_______________________ D Z 7C r tz D D 0 �TI m D Z n x C3 1 11 2' C3 Y UI Z W 00 O n C1 J D r 0 4' < / m N N N O A Z c� O U Ll < O O UI Q' D O D D m C £ ED UI N n< r vA o 6.5' m ZA oc m t A CD DmZ C n m c o r �z n mI rzz na Dn m m tC3 - om <m o n am mr v m C c Am UI..-. frl Z to ;o 3 Ll� to A mA Dm C1 N m d u u D m -1 m£ yb r A m Dim DC C3 C3 C3 n 22 N� 48' < C 91 = m mo 45' A A mA �o d? n < o° w v ° cm m � A a m< r D O p N Z mp zZ D Q dN z D ` - PREJECTi 4154 123rd STREET CHIPPEWA FALLS, WI 54729 m l i N.P.C.A. CERTIFIED PLANT G 1,250/750 GALLON HUFFCUTT g s 5a i MEMBER OF: PUMP OR SEPTIC TANK I C 0 n C R E T E. In`i FAX((15)77237711 ■ wwwhuffcutt con Q? NATIONAL 8 WISCONSIN PRECAST CONCRETE ASSOCIATIONS SNOI1V100SSV 313MONOD 1SVORd NISNOOSIM V 1VNOIIVN g § wog-}}n:)jpqMMM I 111L-£2L (SIL) XVJ O UI •313 0 3 U 0 0 ANV1 JI1d3S 210 dwnd (U d0 2138W3W 9TS62Lt (008) ■ 944L-£2L (SID 11033JOH(R) NO-nV9 09L/092'I o 62L45 IM 'Slltl.� tlM3ddIH0 1NVld 031!11830 'V'3'd•N o 133diS PJC21 VGIV 1133radd 1311 no I I `n zo in 6£ •6£ AL n u� ti 3 ^ C o vii c ,. > ~ - avWi C- zZ apq CL o o Z a J � v m ,O) to I I I •89 I .8L 1O z z a o„ _ .J Q U A r. CL �r ao 3133V8 (U v 131N1 v, TOTAL DYNAMIC HEAD/CAPACITY w w HEAD CAPACITY CURVE PER MINUTE MODELS 53/55/57/59 EFFLUENT AND DEWATERING 25 Model 53/55/57/59 6 20 Ft. Meters Gal. Ltrs. < 5 1.5 43 163 15 10 3.1 34 129 a r 4 15 4.6 19 72 0 10 Shut–off Head 19.25 ft. (5.9m) 0 2 5 3 15/161--6 5/32 —I 4 5/8 1 1/2 -11 /2 NPT 0 U.S. GALLONS 10 20 30 40 50 3 15/16 LITERS O gp 160 FLOW PER MINUTE 009897 4 1/16 CONSULT FACTORY FOR SPECIAL PLIGATIO r T. * Variable level float switches available. *Variable level long cycle systems available. Available with special cord lengths of 15',25',35'and 50'. I Alarm systems available. 10 1/16 Duplex systems available. 3 3/32 SKe5e Single Seal Control selection ustlegs SELECTION GUIDE Model Volt Phase Mode Ph Mode Amps Simpler Duplex CSA UL 1. Integral float operated mechanical switch,no external control required. M53165&M57/59 115 1 Auto 9.7 1 — Y Y 2. Single piggybackwadable level float switch or double piggyback variable level N53/55&N57/59 11'5' —. 1 Non 9.7 2 3 or 4&5 Y Y float switch.Refer to FM0477. •BN53 115 1 Auto 9.7 - Y Y 3. Mechanical alternator"M-Pale 10-0072 or 10.0075. gN57 115 1 Auto 9.7 — N Y •BN53t57 230 1 Auto 4.8 — Y Y 4. See FMO712 for correct model of Electrical Alternator. D055&D57/59 230 1 Auto 4.8 1 –– Y Y 5. Variable level control switch 10-0225 used as a control activator,with Electrical E53/55&E57/59 230 1 Non 4.8 2 3 or 4&5 Y Y Alternator(3)or(4)float system. 'Single piggyback switch included. a off For information on additional Zoeller products referto catalog on Pi ggyback Variable Level Float Switches,FMO477; All irs':mtiation of controls;prosection devices and wiring should be acne by a qualified Electrical Alternator,FMO486;Mechanical Alternator,FMO495;Sump/Sewage Basins,NOW;and Single Phase licensed e!ectrician.Ail electrical and safety cedes should be f oiicwed h eluding the most Simplex Pump Control/Alarm Systems,FMO732. recant Nelonai Eieclr. Code(NEC)and the Occepaticnai Safety and i al:h Act(OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O.00�- =, Louisville,KY 40250 r =o Manufacturers of.. SHIP TO. 3649 Cane Run Road O ® Louisville,KY 40211.1961 Q y Pimps Swzr 1939 hnp;1Av .Z0e11 @f-o= PUMP !O. ( ) FAX(502)78743624 PUMP wr, -- –J----------- - 0 Copyright 2002 Zoeller Co.All rights reserved. � SOIL EVALUATION REPORT #1184 !' 4a p Department of Safety and Professional Services Page 1 of 3 s x Division of Safety and Buildings Keith E.Stoner in accordance with Comm 85,Wis.Adm.Code County Attach complete sit9Ih a4r than 8%:x 11 inches in size. Plan must St.Croix include,but no its and horizontal reference point(BM),direction and percent slope,mo r dimensi orth arrow,and location and distance to nearest road. Parcel I.D. 040-1 32-7 Please print all information. Rev Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). Date 1117 �� Property Owner Property Location _�� Matt Woodruff Govt.Lot NW1/ ,$E /4,ST,T N, Property Owner's Mailing Address Lot# Block# Subd.Nary4l or C 3}° 1020 Saint Johns Bay 0 City State Zip Code Phone Number ❑ City ❑Village ® Town Nearest Roa � Woodbury I MN 1 55129 161,2 309 04 cS Troy I Cedar View Rd. ®New Construction Use: ® Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD ❑Replacement ❑ Public or commercial-Describe: Parent material Glacial Outwash Flood plain elevation,if applicable Na ft. General comments Propose three 5'x70 dispersal cells using aggregate.Upsk)pe cell system Elev.=101.70',center cell S.E.=100.80 and the and recommendations: downslope cell S.E.=99.20'.Centerlines of cells are staked onsite.A lift pump will be required. F-11 Boring# E]Boring ®Pit Ground surface elev. 103.28 Depth to limiting factor >90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description re Structure Consistence Boundary Roots GPDft' in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Etf#1 'Eff#2 1 0-7 10YR3/3 I 2msbk mvfr Cs 3f-co 0.6 0.8 2 7-14 10YR4/4 Is Osg ml gs 3f-co 0.7 1.6 3 14-90 10YR5/4 s Osg ml --- 2f-co 1.6 �S 11 tr Borings taken!A an old terraced field with Juniper trees growing a Boring# Boring ®Pit Ground surface elev. 103.48 ft Depth to limiting factor >96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fts in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. •Eff#1 *Eff#2 1 0-9 10YR3/3 I 2msbk mvfr Cs 3f-co 0.6 0.8 2 9-16 10YR4/4 Is OSg ml gs 3f-co 0.7 1.6 3 16-96 10YR5/4 s Osg ml --- 2f-co 0.7 1.6 1 Borings take'fi in an old terraced field with Juniper trees growing *Effluent#1=BOD5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD5 130 mg/.and TSS s.30 mg/- CST Name(Please Print) Signature: CST Number Keith E. Stoner 224059 Address Keith E.Stoner Date Evaluation Conducted Telephone Number 23220 Wood Creek rd.Siren,W154872 10/2812013 715-653-2324 SBD-8330(R 11/11) Property owner Matt Woodruff Parcel ID# 040-1032-70-000 Page 2 of 3 F ❑Boring Boring# ®Pit Ground surface elev. 105.70 ft. Depth to limiting factor >94 in. Soil Application Rate Horizon Depth Dominant Color Redox Descriptio Text Structure Consistence Boundary Roots GPD/fF in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-8 10YR3/3 I 2msbk mvfr a 3f-w 0.6 0.8 2 8-16 10YR4/4 sil 2msbk mvfr gs 3f-co 0.6 0.8 3 16-25 10YR4/4 Is Osg ml gs 2f-oo 0.7 1.6 4 (25-9'4 10YR5/4 s Osg ml --- 2f-m 0.7 1.6 Borings taken in an old terraced field with Juniper trees growing 4] Boring# ❑ Boring ®Pit Ground surface elev. 102.40 ft. Depth to limiting factor >100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eft#1 *Eff#2 1 0-7 10YR3/3 I 2msbk mvfr a 3f-co 0.6 0.8 2 7-25 10YR4/4 I 2msbk mvfr gs 3f-m 0.6 0.8 3 25-29 10YR4/4 Is Osg ml gs 2f-co 0.7 1.6 4 29-100 10YR5/4 s Osg ml -- 2f-m 0.7 1.6 Borings taken in an old terraced field with Juniper trees growing F-sl Boring# Boring ®Pit Ground surface elev. 95.70 ft. Depth to limiting factor 40 in. ISoil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *0191 *Eff#2 1 0-6 10YR3/3 I 2msbk mvfr cs 3f-co 0.6 0.8 2 6-16 10YR4/4 I 2msbk mvfr gs 3f-co 0.6 0.8 3 16-27 10YR4/4 I 2msbk ml gs 2f-M 0.6 0.8 4 27-40 10YR4/6 Is Osg ml gs 2f-m 0.7 1.6 5 40-76 10YR4/6 s Osg ml --- if-m 0.7 1.6 Large inclusions of fractured bedrock encountered at 40 inches with a mass of bedrock starting at 76"Shallow bore downslope with bedrock @ 36" *Effluent#1=BODS>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BODS<30 mg/L and TSS<_30 mg/L The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,contact the department at 608-266-3151 or TTY through Relay. / 832323E �� k72222 � ' ■ MIA- > w w ■ wok -4 � be ® gg02 02 � ,f ƒ ƒ 8 A \ @ C § k � t . i ■ . z % / E / f J a � k � $ ` _ \ \ � � O ® $ { 0.9 D / \ m 00 k \ a a pol. k 2 ® ok \ f � O 2 i o 00 � k / . « � \ � g j I e ■ � i $ e # _ CD D \ ■ J $ / t � t 7 w ƒ 7 { O � � a � ® LTI- LTER ARTRIDGE INSTRUCTIONS 20os TM Installation i STEP f D fit the filter case onto the end of the outlet pipe to ensure it is Dry P P centered under the access opening. If not then either insert more pipe into the tank through the outlet or solvent weld (glue) additional pipe onto the outlet pipe. STEP 2 While the case is still dry fitted on the outlet pipe, measure the length of 3/4-inch pipe needed to brace the filter to the tank end wall if utilizing the optional supplemental side support. If side support method is not utilized, proceed to step four. STEP 3 For installations utilizing the optional supplemental side support: solvent weld the 3/4-inch pipe onto the filter case. If side support method is not utilized, proceed to step four. STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter cartridge into the case, pressing down until the filter locks into the bottom of the case. STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning clockwise 900. r Maintenance 1. The effluent filter should be cleaned every time the septic tank is serviced. ' ' s 2. Open the outlet access opening to inspect the tank and filter. g 3. Pump the septic tank completely, making sure to remove the sludge layer on the bottom of the tank and not just the scum and effluent. ` im 4. Once the effluent level has been lowered below the invert of the outlet pipe, firmly pull up on the filter handle to dislodge the cartridge from the case. 5. Slide the cartridge up and out of the case for cleaning. 6. If a VRS switch connected to an alarm is present, the switch x . should be removed by turning counterclockwise 901 and cleaned with water only. ` �e- 7. While holding the cartridge on its side (large flat surface facing 6� down) over the access opening, rinse off the cartridge with water only, making sure all septage material is rinsed back into the tank. 8. If VRS switch is utilized, replace by inserting into filter and s ` turning clockwise 900. 9. Insert the filter cartridge back into the case, pressing down until the filter locks into the bottom of the case. 10.Replace and secure the access opening on the tank. BEAR ONSITETM FILTER CARTRIDGE-FIVE-YEAR LIMITED WARRANTY Bear Onsite filter cartridges are warranted to be free of defects in material and workmanship for five(S)years from the date of consumer purchase. BEAR ONSITE-Filter Case-Lifetime Limited Warranty Bear Onsite warrants the filter case will be free of defects in material and workmanship during normal use for the period of time the original purchaser owns the product. If a defect is found in normal use,Bear Onsite will,at its election,repair,provide a replacement part or product,or make appropriate adjustment.Damage to a product caused by accident,misuse,or abuse is not covered by this warranty.Improper care or malfunctions resulting from units not installed,operated,or maintained in accordance with instructions provided will void the warranty.Proof of purchase(original sales receipt)must be provided to Bear Onsite with all warranty claims.Bear Onsite is not responsible for labor charges,removal charges,installation,or other incidental or consequential costs. In no event shall the liability of Bear Onsite exceed the purchase price of the product. ' ► lea Ct� 8 A IA POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS ICATIONS Owner Septic Tank Capacity _raj�❑ NA --- ❑ NA Permit# Septic Tank Manufacturer Effluent Filter Manufacturer— O,NA DESIGN PARAMETERS ❑ NA Effluent Filter Model Y r . ❑ Nk Number of Bedrooms — Number of Public Facility Units — NA Pump Tank Capacity - a� . .C]NA Pump Tank Manufacturer 0 NA e p Estimated flow(average) �p� gal/day P—_, Design flow(peak),(Estimated x 1.5) 60o gavday Pump Manufacturer ,�� =,', ❑ NA Soil Application Raise al/da /ftz Pump Model 11 NA Standard Influent/Effluent Quality Monthly average" Pretreatmont Unit; ?'N.' — NA Fats,Oil&Grease (FOG) _<30 mg/L ❑Sand/Gavel Filter CI Peat Filter Biochemical Oxygen Demand (BODs) <220 mg/L ❑NA ❑Mecharical Aeration ❑Wetland Total Suspended Solids (fSS) 5150 mg/L ❑Disinfection ❑Other: Pretreated Effluent Quality Monthly average Dispersal Gell(s) ❑ NA Biochemical Oxygen Demand (BODs) <30 mg4� 00 -Ground(gravity) , ❑in-Ground(pressurized) Total Suspended Solids (TSS) <_30 mg/1. ❑At-Grade O Mound Fecal Coiiform(geometric mean) 5104 efu/100' ❑Drip-Line — ❑Other: _ _ Other. 0 NA Maximum Effluent Particle Size )6 in dia, . y ❑NA Other: `— — ---- A Other. �,--�. ❑ NA 'Values typical for domestic wastewater and septic tank effluent. ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency ,. At least once eve 0 s) (Maximum 3 years) ❑ NA Inspect condition of tanks) every: � ears Pump out contents of tank(s) When combined sludge and scum equals one-third(Y)of tank volume _ ❑ NA -- _ ❑ month!s) Inspect dispersal cell(s) At least once every: year(s _ (Maximum 3 years) D NA Clean effluent filter At least once every: r, monthr s) ❑ NA ears,—_— _--— Inspect pump, pump controls&alarm At least once every: month(s) ❑ NA� pressure t least once every: _ 0 month{s) Flush laterals and test e ry� r NA P _ _ O yeas,_— — Other: ❑month{s) NA —_ At least once every: 13 year(s)— Other: NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber;Master Plumber Restricted Sewer;POWTS Inspector; POWTS Maintainer; Septage Servicng Operator, Tank inspections must include a visual inspection of the tank(s)to identify any missing or broken hardware,identify any cracks or leaks,measure the volume of combined sludge and scum and to check for any back up or ponding of effluent or the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to chect:for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third(6)or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordanc-3 with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mecharical or pressurzed components, pretreatment units, and any servicing at intervals of 512 months,shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of an!,service event. Page -_of START UP AND OPERATION p products or other chemicals that For new construction, prior to use of the POW1 S'check treatmen#tank(s) for the presence of painting p s ersal cell(s). ff high concentrations are detected have the contents of the or Barra a the di may impede the treatment process and! g P tank(s)removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill ab3ve normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s)in one large dose, overloading the cell(s)and may result in the backup or surface discharge oofefflou the To avoid this situation have the contents of the pump tank removed by a Septage Servicing Ooerator prior to restoring power effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the Bump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over,or otherwise disturb or compact,the area within IS feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; fio�ndationn dry' (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scrapf.; medications; oil; painting p pesticides;sanitary napkins;tampons;and waver softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is proper y and safely abandoned in compliance with chapti r Comm 83,33,Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filed with soil, gravel or another inert solid material CONTINGENCY PLAN if the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. T replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure,lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must i:amply with the rules in effect at that time. ❑ A suitable replacement area is not aviiilable due to setback and/or sod limitations. Bamng advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. if no replacement area is avaNible a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the htomat at the infiltrative surface. Reconstructions of such syshims must comply with the rules in effect at that time. «WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC,PUMP OR OTHER TREATiVIENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK FRAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Phone J G SEPTAGE SERVICING OPERATOR(PUMPER) LOCAL REGULATORY AUTHORITY Name Name =I x_j Phone ���� — c5 L�� Phone ��J= This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f)and 383.54(1),(2)&(3),Wisconsin Administrative Code. fl Illlilllllllll1111111i111f III 8206868 Tx:4170694 Document Number Document Title 991652 St. Croix County BETH PABST REGISTER OF DEEDS Occupancy Affidavit ST. CROIX CO., WI W DOdr� Larissa. � RECEIVED FOR RECORD 01/17/2014 3:41 PM Name- (Owner) Typed or printed EXEMPT #: being duly sworn , states, under oath, that: REC FEE: 30.00 PAGES: 1 He/she is the owner/part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume — Page -- Document Number 9,9114 Z St. Croix County Register of Deeds Office: Recording Area A parcel of land located in the Nw '/<of the SE%<of Section 7 , T ZS N Name and Retur Address –R W, Town of -rco St. Croix County, Wisconsin, being duly CO"''sta U�-0odru. described as follows(includd lot no. and subdivision/CSM or detailed legal 23`I CA^Y 0,1 Pa s s description): I t-fudta-el W 1 51401(" Lqb dc f�fj/ Ai Li of 5� o� Sc` 7 oyo- lo3 z- 7a-etSCo �ZgA) 9(J Parcel Identification Number(PIN) As owner of the above described property, I acknowledge that the private onsite wastewater treatment system (POWTS) serving this residence is sized for a 4 bedroom home or a design flow of 4060 gpd. Design wastewater flow(DWF) is calculated assuming 100 gpd for 2 individuals/bedroom. A maximum ooccupants are permitted based on the DWF; there are currently occupants living in this residence. Therefore the POWTS serving this residence is code-compliant at this time. However, I understand that if the number of finished bedrooms or the number of occupants exceeds the DWF, the POWTS may be subject to premature failure and/or will need to be modified to accommodate the increased wastewater flows and/or contaminant loads. I also acknowledge that I will make this information available to any future parties interested in purchasing this property. ated this_�day of et k i _2,614 . * Dod AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) � // St.Croix County. ) authenticated this day of �� ANS �0i Per onaIty came before me this�_—day of (G'n ` .rw....�O /� .�4/ � the above namryd L 5.5a, eKeK ee ft) * _ — IG •CO j me known to be the person(s)who executed the foregoing TITLE: MEMBER STATE BAR OF WISCONSIW_N S PU��` � Z Zstrument and acknowledge the same. (If not, y� authorized by§706.06,Wis.Stats.) ��� �, �� THIS INSTRUMENT WAS GRAFTED BY: ��/��O F Pamela Quinn, Land Use Specialist �1/►/1(1114 V�,0 C/ Community Development Department * A161t J Notary Public,State/of Wisconsin (Signatures may be authenticated or acknowledged. Both are not My Commission is permanent. If not,state expiration date. necessary.) Date: "THIS PAGE IS PART OF THIS LEGAL DOCUMENT—DO NOT REMOVE" i This information must be completed by submitter: document title.name&return address.and PIN(f required). Other informution such as the granting 6 es *eP�� utt � maybe pp ced on this first page of the document or may be placed on additional pages of the document Note. Use ojihts St. over P gte a s one pa ro5l U'bent and$1.00 to the recording fee. Wisconsin Slatutes,59.43. ST. CIWIX COUNTY SE-FI-IC TA-INK N All l L?vANCE AGGREEMENT AND O W?`TIE SH P CERTIFICATION FORA er /1.1111i,z Address .--_�0 S� vr.4, 1:::: (verification required from Planning& Zoning Department for new construction. � �& cei Idertiticatior..?�umc?er o yo;/0 3 - "70 - 600 M - ---� � u Sec. SK Nei -- -- I )� , To yrj of — - Taa - Lot Is Vo ume _, Page 1 r 7 °: ----/—�� `-- — — (before 2007)Volurne Page--- -- Spec house yes;Kn.o Lot lines identifiable Xyes❑no I%: I A :I ` ' . , 11� .E AND OWNER CERTIFICATION rl r ive yr �s7 r��a ni ear�.e of your septic cyst n could result in its premature failure to handle a a s Proper �t<uh,pta 011�, he s8�tIC•t-ntti eve tl] ✓ears Jr sooner,rf needed,by a IICCnseii plllny�f`r Fat'you put IIli-o the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance n, - t,� . .:ieo IL �a 3 � .�2(1) and i -ihupter 12-St. Croy amount»Sanitaru Qrdmanee, > j4r agrees to suLtr,it to St. Cron county Planning&Zor in.g Department a certification fern;,signed by the x ssFr t 1.ur vCr,ja :neyman plumber,restricted plumlaer or a licensed pumper verifying that(1)the on-site _,_r-o.sal ,y sitern is in proper operating condition and/or(2)after inspection and pumping(if necessary),the se-ptic tank is 1a.li of slodg,t- ae an r-sigIvi d tiav e read die,above requirements and agree to maintain the private sewage disposal system with the r� y_th,her u„ as set bs, the Department of Safely And Professional Services and the Department of Natural Resources, Cenifu t.ation stating that your septic system.has been maintained must be completed and returned to the St. Croix L-orwngg D�p;ir'tmeTlt w? in 30 days of the th2ee year expiration(late- e _�.ii?. ��l(�it all statements o-C f 'is forzr, are tra io tile,best of my-`our kaiotiviedge. Z/we azn/a e the owner(s)ofthe tbovc, by v.t-Luu Of a w .Taney deed recorded rn Register of Deeds Office. PKr�`� n 2 i 1 � . fir ? ; ? c. P":` 1CANT(S) DATE' t:na? is ndslepresente_'maN result i,the sanitary Ter i:.2t being revoked by the Planning&:Zornng Department. *** v.-'.111 this a reccrded vvarranty deed from the Rc isier of Deeds Office and a copy oft' certified stiry y map if -A v x. 'ill tile ware my dead �� IIIIIIIIIIIIINNI11111111N111 8194312 Tx:4161561 State Bar of Wisconsin Form 3-2003 QUIT CLAIM DEED 988942 BETH PABST Document Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI TEAS DEED,made between James T.Woodruff and Margaret S.Woodruff, 11/12/2013 1:34 PM husband and wife EXEMPT*: 8 REC FEE: 30.00 ("Grantor,"whether one or more),and Matthew J.Woodruff and Carissa R. PAGES: 1 Woodruff,husband and wife holding as survivorship marital property ("Grantee,"whether one or more). Grantor quit claims to Grantee the following described real estate,together with the rents,profits,fixtures and other appurtenant interests, in St.Croix Recording Area County,State of Wisconsin("Property")(if more space is needed,please attach addendum): Name and Kean,Address The Northwest Quarter(NW 114)of the Southeast Quarter(SE 114)of Section 7, Leo A.Beskar Township 28 North,Range 19 West,Town of Troy,St.Croix County,Wisconsin. Rodli,Beskar,Krueger&Pletcher,S.C. 219 N.Main Street TOGETHER WITH a perpetual easement for access and driveway purposes over River Falls,WI 54022 that part of the Northeast Quarter of the Southeast Quarter of Section 7, 040-1032-70-000 Township 28 North,Range 19 West,Town of Troy,St.Croix County,Wisconsin beginning at the northwest corner of Lot 7,Cedar Ridge;thence northerly parallel Parcel Identification Number(PIN) to the west line of said Northeast Quarter of the Southeast Quarter;thence This is not humestead properly. westerly along the north line of said Northeast Quarter of the Southeast Quarter; (is)(is nut) thence southerly along the west line of said Northeast Quarter of the Southeast Quarter;thence easterly along the south line of said Northeast Quarter of the Southeast Quarter to the point of beginning. Dated W �A (SEAL (SEAL) 0T.8 W ___ * 44—james T.Woodruff amj _ (SEAL) " //�4 1 (SEAL) i : *Margar S.Woodruff 1 AUTHENTICATION ACICNOWLEDCMENT SignatL ) James T.Woodruff and Margaret S. STATE OF ) Woodrud husband and wife )ss. authe icr ed on—t d COUNTY ) ersonally came before me on _ * Leo .Beskar the above-named - TITL :MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. §706.06) instrument and acknowledged the same. i THIS INSTRUMENT DRAFTED BY: Leo A.Beskar,Rodli Beskar, Krueger&Pletcher,S.C., Notary Public,State of 219 N.Main Street, River Falls,WI 54022 My commission(is permanent)(expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORD't SHOULD BE CLEARLY IDENTIFIED. QUITCLAIM DEED 02003 STATE BAR OF WISCONSIN FORM NO.3-21103 1 of,'IType name below signatures. INFO-PROr°Legal Forms•(800)655-2021•infoproforms.com Parcel #: 040-1032-70-000 12/11/2013 04:43 PAGE 1 OF F 1 1 Alt. Parcel#: 07.28.19.108 040-TOWN OF TROY Current ❑ ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner 0-WOODRUFF, MATTHEW J&CARISSA R MATTHEW J&CARISSA R WOODRUFF 1020 SAINT JOHN'S BAY ST PAUL MN 55129 Property Address(es): *=Primary Districts: SC=School SP=Special Type Dist# Description SC 2611 SCH DIST OF HUDSON SP 1700 WITC Notes: Legal Description: Acres: 40.000 SEC 7 T28N R1 9W 40 AC NW SE Parcel History: Date Doc# Vol/Page Type 11/12/2013 988942 QC 07/23/1997 1212/11 PR Plat: *=Primary Tract: (S-T-R 40%1601/4) Block/Condo Bldg: *N/A-NOT AVAILABLE 07-28N-19W NW SE 2013 SUMMARY Bill M Fair Market Value: Assessed with: 234572 Use Value Assessment Valuations: Last Changed: 11/09/2009 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 33.000 7,600 0 7,600 NO UNDEVELOPED G5 1.000 100 0 100 NO AGRICULTURAL FOREST G5M 6.000 19,500 0 19,500 NO Totals for 2013: General Property 40.000 27,200 0 27,200 Woodland 0.000 0 0 Totals for 2012: General Property 40.000 27,200 0 27,200 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 `a� vTa County C, 201 n O� Safety and Buildings Division xY 201 W.Washington Ave., P.O. Box 7162 Sanitary Permit Number(to be filled in by Co.) Madison,WI 53707-7162 S rLaRs. rmit Application State Transaction Number In accordance with SPS 383. e,submission of this form to the appropriate governmental unit is required prior to ob a e:Application forms for state-owned POWTS are submitted to Pro ect Address(if different than mailing address) the Department of Safe Personal information you provide )ed for secondary 14�O purposes in accordance wi a Privacy .04(1)(m),Stats. I. Application Information—Please Print All Informati ' Property Owner's Name Parcel# M 7'?' !� C'o p R UL F st 0y0—lo32-70 ° 000 c Property Owner's Mailing Address 14 COU&I Property Location o a.0 5 r At r ;T O 14 N S /7 7 Gov[.Lot 1 City,State 2 I,t Zip Code Phone Number 1 1/, 5£ 1/, Section�_ 6 �n J`�� oZ 9 to 1 2, �O 8 O�� � (circle one T N; R-1 E oW H.Type of Building(check all that apply) Lot# X1 or 2 Family Dwelling—Number of Bedrooms Subdivision Name Block# �116_Aam ❑Public/Commercial—Describe Use v Q^ ----- El city of El State Owned—Describe Use ` SM Number El Village of / I Town of Q; - S III.Type of Permit: (Check only one box on line A. Complete line B' pplicable) A. )Q New System ❑ Replacement System ❑ Tre olding T Replacement Only ❑ Other Modification to Existing System(explain) B. ❑Permit Renewal ❑ Permi evis n ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner pk_ d- IV.Type of POWTS S stem/Com one ck all that a 1 IX Non-Pressurized In-Ground ❑Press ' In, d ❑ At-Grade El Mound>24 in.of suitable soil 11 Mound<24 in.of suitable soil ❑ Holding Tank Other ispersal Compo nt(explain) ❑Pretreatment Device(explain) V.Dispersal/Treatpfent Area Informati Design Flow(gpd) Design Soil Application (gpdsf) Dispersal Area Requi (sf) Dispersal Area Propos (sf) System Elevation j4— {o l,'70 VI.Tank Info Capacity in Total #of Manufacturer Gallons Gallons Units U New Tanks Existm g Tanks U cn y v� w C7 a , Septic or Holding Tank r a O 0 L1411 E.-� Dosing Chamber fl A 0 S O VII.Responsibility Statement- I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber's Signature MP/NVRS Number Business Phone Number 1�11�L Al EC 14 VC/LF b) ;1.7 7710 7rS-7q 33a,2- Plumber's Address(Street,City,State,Zip Code) 4to7 d n 6 s kw VIII.Coun /De artment Use Only Approved rsapprove Permit Fee Date Issued Issuing nt Signature 1 $ /f even Reason for enial "f 75, 1 7 / IX.Condi easons for Disapproval Septic ank,effluent lifter and 3 dispersal cell-must all be servtco Maintained as per management plan provided by plumber. $, t eetr ap cable ode i must be mairiteinod 1�-- H per epee code/ordineilCes: 4' 6,.,u a r ✓t Attach to complete plans for the system and submit to the C4uunnty only n aper no(t)�lessJt/h a^n 8 1/1 a I inches in size A^ SBD-6398(R 11/11) lof 6 Index and Title Sheet Property Owner: Matt Woodruff Address: 1020 Saint Johns Bay Woodbury MN 55129 Legal Description: NWIA of the SE 1/4 Sec. 7 T28N-R19W Township: Troy County: St. Croix Subdivision Name: NA Block:Na Lot:Na Comp.#/ParcelID 040-1032-70-000 Property Address: xxxx Cedar View Rd. CONTENTS Page: 1 Index and Title Sheet Page: 2 Plot Plan and Plan View Page: 3 Cross Section of Cell#1,#2 and#3 Page: 4 Cross Section of Lift Tank Page: 5 Pump Specifications Page: 6 Management and Contingency Plan Attached: Soil and Site Evaluation Report. Copy of Map of Survey, Wieser Tank Approval,and Drop Box , I�A� S P-A-�j :5-r. C"C4 Q'0' M 0;-4 :10' .' In-Ground Soil Absorption Component Manual Used=SBD-10705-P(N.01/01) Plumber. Walter Nechville MPRS#227710 Signature: 6 Phone#(715)749-3322 Date November 9t',2013 N o � o+ y O O obi O � O l h d •� O � ivj O C O O b0 O a a A o a y ^ o 0. d 00 y J-01 N a Fr U _ "O o m U o� o ` o� .o oa O a+ � S � o tad t o M I� � � o w o M M II G 4t N 000- � 00 O V N C O O O iC �•ry �/ � O O M O O C4 O O N - U �1 II II II � N o ' M to d' 00 M lJ� //���� .. •c � � .y 5 :b NCl. hl re y fV v o �j a o O O O X 0 0 0 o 3mai° y i b an 'r�`` U •a M M V 'b •'� U Net ,� O en M S on t •a 3 00 ,: w o rA 2 � z � Page 4 of 6 Combination Tank Component Cross Section Approved Manhole Covers With Warning Labels and Locking Device/4"Min.Above Final Grade Weather Proof Junction Box Electric per NEC 300&SPS. 4" Vent 316.012 WAC >or r==to 12" Above Final Grade Disco Alternate Outlet Location W/Approved 4"Sleeve Inlet 96.60 Approved Force Main Diam.= 2 " Effluent Filter Baffle <or=to 1/8" Weep Hole or Anti Siphon Device Particle Size A WLP 1200/800-MR B Pump Off Elev. 94.02' Wieser C Tank Mfr. Concrete D r 93.10' Dose Tank Elev. Vertical Difference Between Pump Off and Distribution Pipe= 9.00' Minimum Required Supply Pressure = Na 56 FT.of Force Main x 1.94 Friction Factor/10017T. ...= 1.09 Note:5X Void Total Dynamic Head....................= 10.09' Volume=Na gals. 6 =102.07 Number of Doses...= Per Day Gal.Per Day/#of Doses Gal. Volume of Backflow....................................................................= 9.13 Gal. Total Dose Volume..................................................................... = 111.20 Gal. Pump Tank Capacity 800.64 Gallons Dimensions Inches Gallons Pump Tank Volune 22.24 Gal/Inch A 18.00 400.32 Zoeller B 2 44.48 Pump Mfr. C 5.00 111.2 Pump Model 57 D 11 244.64 Minimum Discharge Rate= Na GPM Alarm Mfr. S.J.Electro Total= 36 800.64 Alarm Model Tank Alert Bed Tank per SPS.383.45(5) Anchor Tank as necessary to negate buoyant forces per SPS.383.43(8)(g). Note: Pump Controls and Alarm Switch require separate circuits. M ULN Pag of — TOTAL DYNAMIC HEAD/FLOW w PER MINUTE LL PUMP PERFORMANCE CURVE EFFLUENTAND DEWATERING MODELS 57/1521153 MODEL 57 152 153 45 Feet Meters Gal. Liters Gel. I Liters Gal. I Liters 5 1.5 43 163 69 261 77 291 10 3.0 34 129 61 231 70 265 12 15 4.6 19 72 53 201 61 231 20 6.1 44 167 52 197 �` 25 7.6 34 129 42 159 10 30 9.1 23 67 33 125 30 35 10.7 — — _ _ P2 83 40 12.2 — — — — 11 42 X g Shut-0 1f Head: 19.2511 5.9 m 36 R 11 1.6 m 4411 13.4 m 25 016369 0 g 20 o " 15 4 3 716 6 3116 10 45/8 2 5 37/8 57 152 153 0 10 20 30 40 50 60 70 80 37/8 GALLONS LITERS 0 40 80 120 160 200 240 280 I I 110 NPT FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS r , These systems are not designed for Explosion Proof Environments. IT Please consult factory for special options and requirements. 101/,6 Maximum operating temperature range: Pump: 1300(540C) 33a2 I sK,o,s Switch: 170°(76°C) CHOOSE A PREPACKAGED SYSTEM: Includes Pump,10-1526 and 10-1528(see below) 940-0005 N57 Pump .3 HP 6114 940-0006 N152 Pump .4 HP 327/32 468 940-0047 N153 Pump .5 HP BUILD YOUR OWN SYSTEM: 3 27!32 N57 Pump .3 HP 4 N152 Pump .4 HP 31 N153 Pump .5 HP 1 I 10-1527 Oil Smart®Pump Switch-10 ft.cord with Relay. 10-1528 Oil Smart®Pump Switch-20 ft.cord with Relay. 1 10-1676 Oil Smart®Pump Switch-20 ft.cord without Relay(requires Control Panel). 10-1526 Oil Smart®Alarm System with Lights,Audible Alarms and Dry Contacts. l 12 tro A CAUTION 518 All installation of controls,protection devices and wiring should be done by qualified licensed electrician.All electrical and safety codes should be followed including the most recent National SK2064 Electric Code(NEC)and the Occupational Safety and Health Act(OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 0 Copyright 2005 Zoeller Co.All rights reserved. Page 6 of 6 1 POWTS OWNER'S MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS OWNER Matt Woodruff Septic Tank Capacity 1200 Gal. PERMIT# Septic Tank Manufacturer Wieser Concrete Effluent Filter Manufacturer Pol lok DESIGN PARAMETERS Effluent Filter Model PL-525 Number of Bedrooms 4 Pump Tank Capacity 800 al. Number of Commercial Units --- Pump Tank Manufacturer Wieser Concrete Estimated Daily Flow 400 gal/day Pump Manufacturer Zoeller Design Flow(Peak)(Est.x 1.5) 600 gal/day Pump Model 57 Soil Application Rate .58 al/da m Pretreatment Unit i n/a Influent/Effluent Quality Monthly Average ►Sand/Gravel Filter ► Peat Filter Fats,Oils&Grease(FOG) <30 mg/L ► Mechanical Aeration Wetland Biochemical Oxygen Demand(BOD5) <_220 mg/L ► Disinfection T Others: Total Suspended Solids(TSS) <_150 m Pretreated Effluent Quality i n/a Monthly Average Dispersal Cell(s) 3 with Lift Rock Cells Biochemical Oxygen Demand (BOD5) <30 mg/L X in-ground gravity In-ground(pressurized) Total Suspended Solids(TSS) <_30 mg/L i At-grade 1 Mound Fecal Coliform (geometric mean) <104&1/100m1 Drip-line Other: Maximum Effluent Particle Size I '/.inch diameter MAINTENANCE SCHEDULE SERVICE EVENT SERVICE FREQUENCY Inspect condition of tank(s) At least once every I months 3 year(s) (Maximum 3 ears Pump out contents of tanks When combined sludge and scum equals one-third('/3 of tank volume Inspect dispersal cell(s) At least once every I months 3 year(s) (Maximum 3 ears Clean effluent filter At least once every I monthsi,l year(s) or as needed Inspect pump,pump controls and alarm At least once every I months 1 year s) n/a Maintenance Instructions Inspections of tanks and dispersal cells shall be made by a individual carrying one of the following licenses or certifications: Master Plumber;Mater Plumber Restricted Sewer;POWTS Maintainer;Septage Servicing Operator. Tank inspection must include a visual inspection of the tank(s)to identify any missing or broken hardware,identify any cracks or leaks,measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s)shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local authority. When the combined accumulation of sludge and scum in any tank equals one-third(1/3)or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch.NR 113, Wisconsin Administrative Code. The servicing of effluent filters,mechanical or pressurized POWTS components,pretreatment components,and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction,prior to use of the POWTS check treatment tank(s)for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s)removed by a septage servicing operator prior to use. System start u P shall not occur when soil conditions are frozen at the infiltrative surface. Y i Page 6 of 6 2 During power outages pump tanks may fill above normal high water levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s)in one large dose,overloading the cell(s)and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over,or otherwise disturb or compact,the area within 15 feet of the down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics;baby wipes;cigarette butts;condoms;cotton swabs;degreasers;dental floss;diapers;disinfectants;fat; foundation drain(sump pump)water;fruit and vegetable peelings;gasoline;grease;herbicides;meat scraps;medications;oil; painting products;pesticides;sanitary napkins;tampons;and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with Ch.SPS 383.33,Wisconsin Administrative Code. • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping,all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil,gravel or another inert solid material. Contingency Plan If the POWTS fails and cannot be repaired the following measures have been,or must be taken,to provide a code compliant replacement system: o A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structures,lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with rules in effect at that time. o A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <Warning> Septic,pump and other treatment tanks may contain lethal gasses and/or insufficient oxygen. Do not enter a septic,pump or other treatment tank under any circumstances. Death may result. Rescue of a person from the interior of a tank may be difficult or impossible. Additional comments: he contingency plan could be to remove the bio-mat causing system failure and replace with Astm C 33 Sand,then replace the rock aggregate. This would require an individual site design and state plan approval. POWTS INSTALLER POWTS MAINTAINER Name Walter Nechville Name Phone 71 749-3322 Phone 7 t s- zYR-33;LX SEPTAGE SERVICING OPERATOR LOCAL REGULATORY AUTHORITY Name Ron's Septic Service Name St.Croix Co.Zoning Phone 715-749-0153 Phone 71 386-4680 i DETAIL 16A DROP BOX DIMENSIONS: HEIGHT. 16" O.D. LENGTH: 11 1/2" O.D. WIDTH: 11 1/2" O.D. BELOW INLET: 8 1/2" O.D. WEIGHT. 108 LBS. INLET AND OUTLET: 4" CAST—A—SEAL BOOT OR EQUAL TOP VIEW 2" 1 14" 04" 8 " I TYP. T- T T 2» 2" 2" � 1 ' i SIDE VIEW END VIEW \ � m DROP BOX MISER CAACAETE DRAWN Y. SWT SRS: 3" 1'-0" RE—POUR: ' SEPTIC MANUAL ,.,_„n im uwv in UeinrM Dnry w �d-7�n DATE JANUARY 2010 DATE: OST—POUR: I Plumbing Product Review e`i •� -- P.O.Box 2858 Madison,Wisconsin 53701-2658 Try:Contact Through Relay $ _}J N 2012 ? Scott Walker,Governor �'Rp xr. �sstor;ny �E.— Dave Ross,Secretary � June 15, 2012 WIESER CONCRETE PRODUCTS, INC. MARK WIESER 2815 RILEY RD. PORTAGE WI 53901 Re: Description: SEWAGE TANKS, CONCRETE Manufacturer: WIESER CONCRETE PRODUCTS, INC. Product Name: SEPTIC/SEPTIC,SEPTIC/PUMP, SEPTIC/SIPHON OR HOLDING Model Number(s): WLP 1200/800-P (361N. L.L. 33.46/22.24 GAUIN.,96 IN. MAX. DEPTH OF BURY, 960 G.P.D.WHEN USED AS.A SEPTIC/SEPTIC TANK OR DWF OF 600 G.P.D.WHEN USED AS A SEPTIC/PUMP OR SEPTIC/SIPHON TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER;TANK DIMENSIONS(OD)= 164 IN. L X 96 IN.W X 57 IN. H;TWO COMPARTMENT TANK) Product File No: 20120235 The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with chapters SPS 382 through 384,Wisconsin Administrative Code,and Chapters 145 and 160,Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of NOVEMBER 2017. This approval is contingent upon compliance with the following stipulations) • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department. • When this product has an effluent filter installed in an interior wail,the space between the top of the interior wall and bottom of the tank cover must be sealed with a material that will withstand the environment in the tank and in a manor that will prevent waste from passing over the interior wall. • When this product receives wastewater from dwellings and is used as a septic tank,it will produce an effluent quality with a maximum monthly average value for BOD5 of greater than 30 mg/L and less than or equal to 220 mg/L TSS,or greater than 30 mg/L or less than or equal to 150 mg/L TSS,and F.O.G.of less than 30 mg/L. • This product is approved to use the following: -Side opening for when product is used as a holding tank. - Department approved effluent filter designed to be installed in a four inch diameter tee with extension and installed in accordance with the product approval for the filter including a properly sized and located access opening for service and maintenance. -Four inch discharge opening in riser. - Bottom and side pipe openings for siphon, pump and holding tanks. -Six inch Inlet and outlet openings. -Two inch schedule 40 PVC cast in riser for electrical wiring. - Press Seal "Cast-A-Seal"and PSX Gasket System by Press Seal Gasket Corp., Polylok II High Pressure Pipe Seal by Polylok,and A-Lok X-Cel by A-Lok Products, Inc.. - Dual inlets at end of tank with one access opening above both inlets. aan-inrsd-F(M inin-A File Ref:12023501.130C WIESER CONCRETE PRODUCTS, INC. Page 2 June 15, 2012 Product File No:20120235 -Dual inlets at end of tank with one access opening above each Inlet. -Manhole riser and cover having a rectangular,round, or square shape with a minimum 24" inside dimension. -A slide-in dividing wall(Super Screen) in the septic tank or in the first septic compartment of a two compartment tank. The dividing wall has an 8"diameter hole that has its center located 12"above the bottom and is centered in the width of the dividing wall. The top of the dividing wall extends at least 4" above the liquid level and terminates at least 2"below the bottom of the tank cover. The location of the dividing wall in a single compartment tank is between 1/2 to 3/4 of the inside length of the tank when measured from the tank inlet. The location of the dividing wall is between 1/4 to 1/2 of the inside length of the first compartment of a two- compartment tank in relationship to the length of the compartment when measured from the tank inlet. • BEDDING: Bedding must be capable of bearing the weight of the tank. Bedding material must have the ability for 100%to pass through'Y•Inch screen.Bedding thickness must be 4 inches minimum compacted(thickness may vary due to soil conditions). • BACKFILL: Sidewalls of tanks must have dry backfiil materials that have the ability to pass 100% through a 2-inch screen. Provide a min.12 Inches on all sides from bottom to top,placed with a backhoe or concrete bucket to avoid impact loads on sidewall of tank. No compaction of backfill material is permitted on sidewalis;if more than 85%modified Proctor compaction Is required,then use 3/8-or 3/4-Inch washed gravel for backtill material This approval supersedes the approval issued on 11/192007 under product file number 20070488. This approval letter shall be incorporated with your previously approved plans and/or specifications approved under product file number 20070488. As of May 15,2008,a copy of a successful water tightness test report for this product must be AVAILABLE FOR INSPECTION AT THE MANUFACTURER'S PLANT prior to this product being used as a POWTS holding or treatment tank in Wisconsin. The department is in no way endorsing this product or any advertising,and is not responsible for any situation which may result from its use. Sincerely, J MacCubbin,CST Engineering Consultant--Plumbing Products Review DSPS WEST, Safety&Buildings Div. PO Box 2658 201 W Washington Ave. Madison W1 53703-2658 Phone: 608.266-0955; Fax: 608-283-7456 E-mail: Jean.MacCubbinGWI.GOV I I 1 f D . 53" AS in 41" READ 96" z 8 HA , r 3" 44 6" D a 36" rn > ( I t Ll a .w a U m 1 m ` p n N 39" a N ul rn m _ g �' � �g z Z � D rt fipofflq�q 7,- �� and ` m Q oC im lad in N �°:� ,yN " M o v 70 m ^Z m o C'7 CJ OD v O H S m z $ n � CI n z�. m Q ^ m -4 v Y (� a D (A .1 c r rn o Z 0 3 v wLQ,zoa/soo-P MIENER ®A�IETE DRAYYN BY: , 4_,_D- RE-POUR: m -i SEPTIC MANUAL DATE: JANUARY 2012 DAT>r. asr-POUR: YY371fi US HiMY,0 MAIDEN ROCK, WI 54750 \P REVISED JAN. 2012 800-325-8456 rite: 100-01' I I i Ii I -1 �Q w t11 f i U CL 3i ZD LIJ cZ O CD m i'.', 1 L..j u- w 1, ° f c}' Q \ \ c \ � \ - I r I ' ��R�� '�i'�1dl{ �g o- Is- r k � u„, � "�'�11 1� �1� , � 1 1 i�„Il� �I ;1I1 i� I "'”tl 1� >IRvI thl I m ( I rd .+F _9,� �gl�bd�� 1� 'llu� W. U y rU Lq C9 E d� U N ! Q e I� Iff UD CO CD yy ���, � �; � �,I j r-. E l ! r 11��' i �.� ��'� ',III ! I„ I"���1�1:1,it a�Id�q�di�� � �h)� � I �" •, �I it �P� �� I �' � ,• p,;,I� u? c�: ICI'. lit li,l���',�-IIi� I� I.,I,;�I �1�;���.I:P�1�1 111 IL.FII��ii�.:�� Ii .. h I.• �1� •, I � � i � �� it I � III ���i1l�y II�II II � I I' � II i j �N� f�1,1:�,�� , lil�l��l t�i ;PI � ,� I I•� i�' N � �il!� (I ����1�'i ���iii 11�',�Ili A�II�I;Ilil IIO,il�111�111���nliiyj� I ,;� ����•�I�,i �1"�� i (�-, ���G�I � II I' � ��19� �11, I��1'1��� �1� ���1�1 i�11�� I �I � III i t3 r"' cX1 f III \%(�kij/ ,\�• ��I(��a, \�' \ � � � � �/�.���/���{/ t't�) , o v U-1 u- cC/) W� w Fes-Z - _ -- 4 f , L O LL7 o r (� II IIIIII I� I I�I�II II� �I I 8194312 State Bar of Wisconsin Form 3-2003 Tx:4161561 QUIT CLAIM DEED 988942 BETH PABST Document Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED,made between James T.Woodruff and Margaret S.Woodruff, 11/12/2013 1:34 PM husband and wife EXEMPT*: 8 REC FEE: 30.00 ("Grantor,"whether one or more),and Matthew J.Woodruff and Carissa R. PAGES: 1 Woodruff,husband and wife holding as survivorship marital property ("Grantee,"whether one or more). Grantor quit claims to Grantee the following described real estate,together with the rents,profits,fixtures and other appurtenant interests, in St.Croix Recording Areu County,State of Wisconsin("Property")(if more space is needed,please attach addendum): Name and Rerum Address The Northwest Quarter(NW 114)of the Southeast Quarter(SE 1/4)of Section 7, Leo A.Beskar Township 28 North,Range 19 West,Town of Troy,St.Croix County,Wisconsin. Rodli,Beskar,Krueger&Pletcher,S.C. 219 N.Main Street TOGETHER WITH a perpetual easement for access and driveway purposes over River Falls,WI 54022 that part of the Northeast Quarter of the Southeast Quarter of Section 7, 040-1032-TO-000 Township 28 North,Range 19 West,Town of Troy,St.Croix County,Wisconsin beginning at the northwest corner of Lot 7,Cedar Ridge;thence northerly parallel Parcel Identification Number(PIN) to the west line of said Northeast Quarter of the Southeast Quarter;thence This is not homestead property. westerly along the north line of said Northeast Quarter of the Southeast Quarter; (is)(is not) thence southerly along the west line of said Northeast Quarter of the Southeast Quarter;thence easterly along the south line of said Northeast Quarter of the Southeast Quarter to the point of beginning. Dated (SEAL) _,(f/J *'I (SEAL) * *James T.Woodruff (SEAL) (SEAL) I * *Margar S..Woodruff I AUTHENTICATION ACKNOWLEDGMENT Signal ) James T.Woodruff and Margaret S. STATE OF ) Woodrud husband and wife )ss. authellic4ed on O COUNTY ) ersonally came before me on * Leo .,B`eskar the above-named TITL :MEMBER STATE BAR OF WISCONS[N — (If not, to me known to be the person(s) who executed the foregoing authorized by Wis.Stat. §706.06) instrument and acknowledged the same. THIS NSTRUMENT DRAFTED BY. Leo A.Beskar,Rodli,Beskar, Krueger&Pletcher,S.C., Notary Public State of 219 N.Main Street, River Falls,WI 54022 My commission(is permanent)(expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. QUITCLAIM DEED 02003 STATE BAR OF WISCONSIN FORA?NO.3-21103 1 of jType name below signatures. INFO-PROT'Legal Forms•(800)655.2021•infoproforms.com ?1101 SOIL EVALUATION REPORT ` w yf #1184 �` Page 1 of 3 J , artment of Safe and Professional Services 9 P �P Safety S rs ''h �ix Division of Safety and Buildings Keith E.Stoner � in accordance with Comm 85,Wis.Adm.Code Attach complete s' a�r than 8%x 11 inches in size. Plan must County St.Croix include,but no it t and horizontal reference point(BM),direction and percent slope, r dimensi orth arrow,and location and distance to nearest road. Parcel I.D. 040-1 32-7 1------- lease print all information. Ret By 14all Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). I 17 Property Owner Property Location J_,,,�, if Matt Woodruff Govt.Lot NW1/ , /4,SP, 1 N, Property Owner's Mailing Address Lot# Block# Subd.Na or y{ 1020 Saint Johns Bay oo City State Zip Code Phone Number ❑ City ❑Village ® Town Nearest Roa Woodbury MN 1 55129 161.2 3v9 oycS Troy I Cedar View Rd. ❑New Construction Use: ® Residential/Number of bedrooms 4 Code derived design flow rate 600 GPD ❑Replacement ❑ Public or commercial-Describe: Parent material Glacial Outwash Flood plain elevation,if applicable Na ft. General comments Propose three 5'x70 dispersal cells using aggregate.Upslope cell system Elev.=101.70',center cell S.E.=100.80 and the and recommendations: downslope cell S.E.=99.20'.Centerlines of cells are staked onsite.A lift pump will be required. a Boring# Boring ®Pit Ground surface elev. 103.28 ft. Depth to limiting factor >90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. 'Eff#1 '01#2 1 0-7 10YR3/3 I 2msbk mvfr Cs 3f-co 0.6 0.8 2 7-14 10YR4/4 Is Osg ml gs 3f-co 0.7 1.6 3 14-90 10YR5/4 s Osg ml --- 2f-co 0.7 1.6 It Borings taken!A an old terraced field with Juniper trees growing a Boring# Boring ®Pit Ground surface elev. 103.48 ft. Depth to limiting factor >96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 'Eff#2 1 0-9 10YR3/3 I 2msbk mvfr Cs 3f-co 0.6 0.8 2 9-16 10YR4/4 Is Osg ml gs 3f-co 0.7 1.6 3 16-96 10YR5/4 s Osg ml — 2f-co 0.7 1.6 /oo - I T l .�- Borings tak in an old terraced field with Juniper trees growing 'Effluent#1=BOD 5>30<220 mg/L and TSS>30<150 mg/L `Effluent#2=BODS S.30 mg/L and TSS<_30 mg/L CST Name(Please Print) Signature: _ CST Number Keith E.Stoner 224059 Address Keith E.Stoner Date Evaluation Conducted Telephone Number 23220 Wood Creek rd.Siren,WI 54872 10/28/2013 715-653-2324 SBD-8330(R.11/11) Property Owner Matt WOOdruff Parcel ID# 040-1032-70-000 Page 2 of 3 F ❑ Boring 3 Boring# ®Pit Ground surface elev. 105.70 ft. Depth to limiting factor >94 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-8 10YR3/3 I 2msbk mvfr a 3f-co 0.6 0.8 2 8-16 10YR4/4 SO 2msbk mvfr gs 3f-co 0.6 0.8 3 / s9 16-25 10YR4 4 Is 0 ml gs 2f-co 0.7 1.6 4 25-94 10YR5/4 s Osg ml -- 2f-m 0.7 1.6 Borings taken in an old ten-aced field with Juniper trees growing F ❑Boring 4 Boring# Pit Ground surface elev. 102.40 ft. Depth to limiting factor >100 in. ® Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 "Eff#2 1 0-7 10YR3/3 I 2msbk mvfr a 3f-co 0.6 0.8 2 7-25 10YR4/4 I 2msbk mvfr gs 3f-co 0.6 0.8 3 25-29 10YR4/4 Is Osg ml gs 2f-co 0.7 1.6 4 29-100 10YR5/4 s Osg ml --- 2f-m 0.7 1.6 Borings taken in an old terraced field with Juniper trees growing ❑Boring F Boring# Pit Ground surface elev. 95.70 ft. Depth to limiting factor 40 in. ® Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#t *002 1 0-6 10YR3/3 I 2msbk mvfr cs 3f-co 0.6 0.8 2 6-16 10YR4/4 I 2msbk mvfr gs 3f-co 0.6 0.8 3 16-27 10YR4/4 I 2msbk ml gs 2f-o0 0.6 0.8 4 27-40 10YR4/6 Is Osg ml gs 2f-m 0.7 1.6 5 40-76 10YR4/6 s Osg ml — if-m 0.7 1.6 Large inclusions of fractured bedrock encountered at 40 inches with a mass of bedrock starting at 76"Shallow bone downslope with bedrock @ 36" Effluent#1=BOD?30<220 mg/L and TSS>30<150 mg/L `Effluent#2=B005<30 mg/L and TSS<_30 mg/L The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,contact the department at 60 8-266-3131 or TTY through Relay. y -` G323 � 3 � R q 02 » ■ , CD ` 6 / s A M § j E i i ■ _/ \ $ i , $ R � ) § 2 � % 6 E % f P & Pr ± _ - � \ 1.9 D � � c � to 2f � \ © 0 § i 04 a � M | ! m . � . . k4 � # \ ■ f � / ■ o � } �