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Home My WebLink About030-1009-80-000 \ � 2 @ � \ p j \ k & c % { � 7 � � 0) � R / � ] / E[ C $a) 0 t \ z o ) ��c \\0 f \ � n � \ \ E z r § ; z 7 \ ( 2 ! n § / \ a m � . z \ :!t 2 . � . k k k ( D E ( \ E � \ \ E ± � $ o ƒ � 2 / j \ k - m t � k \ . ƒ ; c CL ( \ § k 2 ) Q) m _% 2 E \ - \ \ E 2 2 k ) \ § \ \ \ z \ n \ Z: £ 2 T § § _ © E ) / \ J § % k z / ; 2 c % = E \ k k/ o t @ e o \ / \ Z \ E / ) \ \ j \ � \ s c) g - . a § } \ / e / \ 2 7 } / g G _ 3( z{ f z// I — , f " a » ° - ° • / \ IL \ k k / 1 ��►�� ST. CROIX COUNTY WISCONSIN ZONIN ICE 1 r r IM p r R Noun i ST. CROIX CO CENTER _ 1 9�(}atch - A�d, _ Y &;X-77 :, X71 ' SEPTIC INSPECTION / WATER TEST RE U ST "g'OR h 4f 17 7ti C__-,01X ;&ui ilk' 4 ' OFF , Please specify desired test(s) & remit ap r°cipr=A`�� fe ith application. Outside water lines are often ur)ec - - ring winter months, making access to the home necessa 1 1�4 a make arrangements with this office to insure that entry can be gained. ❑ inter (VOC's) $185.00 ❑ Septic _ $50.00 "'Ater (Nitrate & Bacteria) 45.00 qAO Nitrate & Bacteria Water (Lead Concentration) 21.00 lilt retest $15.00 Owner: - z- ° �►z 3 by: /' \rte. l _rrr Qr Address i 1�� c cO Address: - &3 i '1v 1 W; ZIP 5"� O / E, c�i� ZIP` ,/ Telephone W: ( ( ) 3k� _� �� Telephone W: Property address ( Fire W & Street) R(Vt f" eF a C Location: ;, ;, Sec. , T R_ 6 W, Town of CiT Realty firm: Lock Box Combo: Closing Date: 030. 1009 -- 80 OVV ?. a 9. /q. 4 7- c TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE O'F - TWE6 FORM* Water sample tap location: 4 ekVer o -CQ Is the dwelling currently occupied? 2 Yes 0 No If vacant, date last occupied: Age of septic system: ,Z7 Septic tank last pumped by. Date: Previous Owner's Name(s): /) v �r� ✓r cis v �t rl e Have any of the following been observed? ❑Y pia` Slow drainage from house. ❑Y 9W Sewage Back - up into dwelling. ❑Y f- Sewage discharge to ground surface or road ditch. ❑Y � Foul odors. Other comments relative to system operation: I certify that the above information is complete and true to the best of my knowledge. OWNERS SIGNATURE : &Cle 'C� DATE: 16 ' 31 - c 1 1/94 OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION 1N w n TO BE COMPLETED BY INSPECTIO System design & /or permit on file? ❑Yes CWo Soil series per SCS Soil Survey: p CZ- 2Kd -Pr 11± f n, 6 sheet # Type of soil absorption system ❑Below grd ❑At -Grd ❑Mound Approx. size ' X ❑Gravity ❑Dos ❑Pressurized Ft .2 ❑Bed ❑Trench gry Wells L2N Molding Tank OOutfall pipe OBSERVED DEFICIENCIES ❑Other nknown Septic tank Setbacks: /House dP 411 4 E(Prop. line_ ❑Other Dose tank Setbacks: ❑House ❑Well ❑Prop, line ❑Other ❑Locking cover ❑Warning label ❑Pump /Floats ❑Alarm ❑Elec. wiring Soil Absorption Rystem Setbacks: House 13W *t Drop, line Lt ❑Other ❑Ponding: ❑Discharge: General commen ,rof o1 SLd { 4e .G(154t +fA 1'770,0N INSPECTORS SKETCH OF SYSTEM LOCATION 5'451cm N churl art 1(>4 S1 cpG ''- / Inspector Title nr 1 � � - - -- 0` t V C✓ ��U G r' l ST. CROIX COUNTY WISCONSIN ZONING OFFICE M A N vivo ST. CROIX COUNTY GOVERNMENT CENTER ��.. 1101 Carmichael Road Hudson, WI 54016 -7710 -� (715) 386 -4680 December 1, 1997 Elmer & Catherine Ganz 634 River Road Hudson, WI 54016 RE: Water Test Results Dear Mr. and Mrs. Ganz: Enclosed are the original water test results from Commercial Testing Laboratory for water samples that were taken at your property. If you have any questions regarding this, please call our office at (715) 386 -4680. Sincerely, Rod Eslinge Assistant Zoning Administrator Enclosure sm COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715- 962 -3121 800- 962 -5227 FAX 715- 962 -4030 0 ST. CROIX COUNTY ZONING OFFICE REPORT NO.: 52591/01 PAGE i ST.CROIX CTY GOV.CTK REPORT DATE: 11/25/97 1101 CARMICHAEL ROAD DATE RECEIVED: 11/13/97 HUDSON, WI 54016 ATTN:.iIM THOMPSON WI DNR LAD CERTIF4617013960 41 Method MDL/LOG Date Outside Faucet Code Analyzed 11 -12 Owner: Elmer & Catherine Ganz Lead, Uq/L 3 200.9 1/3; 11 -19 -97 The maximum contaminant level (MCL) for lead in drinking water systems is 15 ug/L. ( Means "LESS THAN" Detectable Level Approved by# �� COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715- 962 -3121 j 800 - 962 -5227 FAX - 715- 962 -4030 ST: CROIX COUNTY ZONING OFFICE REPORT NO.: 52121/01 PAGE i ST,CROIX CTY uOV,CTR REPORT DATE: 11/17/97 1101 CARMICHAEL ROAD DATE RECEIVED: 11/13/97 HUDSON, WI 54016 ATTNS JIM THOMPSON i OWNERS Elmer & Catherine Ganz I LOCATION: 634 River Road, Hudson COLLECTORS Rod Esli"er DATE COLLECTED*# 11 -12 -97 DIME COLLECTED: 9 1 008m SOURCE OF SAMPLES Outside faucet DATE ANALYZEDS11 -13-97 TIME ANALYZED*# 2S0OPm t COLIFORM,MFCCS 0 /100 mt INTERPRETATIONS Bacteriologically SAFE: NITRATE -NS t 0.1 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform Bacteria /100 ml Nitrate - Nitrogen, mg /L LAB TECHNICIANS Pam Gane WI approved Latin No. 19 { Means "LESS THAN" Detectable Level Approved by!