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HomeMy WebLinkAbout040-1178-95-000 (L) C) °0 1 a : °vs 1 O Ito a) �n d h O� o *6 co a J (� O `V N m a) > W N - w c Ce) �j L ON 3 U L O l0 E Q Y N .7 C'O N C Q C N U O.O p E w ? .O•• O N > .> O p C N a a C .O p d B O. a c v J N N N N L 2 63 U C O N N a) C n O O a C N p aN CL S O O O 67 O 'O Z O C o O Z U 'V-,O C 0 c cLL rno�O6.E-@ L c6 c na c6 ° S `-°3 ,a 2 _ LL ° �s `6a) _y N E rn U C C O C y N (D o a) Q W= 8A fir' CD E Q oa os o .N C7 OQ. M a>i a N a E N Z :: °o ° E = °o D N V Z N y y M 6O a m L ° a m r> IN- vWi = a N y c cc o_ Z c_ �_ E c v c E C p L N N ? O p 2 L N > = v N O O 0 w N cn O (D p N 72 N 0) N O N • co a w O o of co a@ p 0 z z 1 °v z S z N Y 3: d E o o o 1 v 0 0 U d - L m a o a1 0 .0 a �i (D 'o 0 CL a aS 'c o a E E • O � N N N a = I 3 L • a a a a a a L)N v IL m v in J C ° ° � No a� O 0) z U tm * O waft- N W N �, 0 0 E v cp O W c c a @ m C otS N � Q n (J) 0 I otS Q z (%3 lot C) L N C O O O E O v L H C O a) O N P, O Z V (M V a f6 C r O P- c O C v N N Z co C E V 0 o N c N N G O 00 Z y w N m Iq , >- >- ;; Q v 1 - y . G1 e0 a Cl) N N C C C a) y N E ° r^xll m E N 0 O N T U N (D O y f6 O • O H LL in O Z N a' U) LL LO O Z 21 a Z r U d E w d y a y Q :: a A C d c d 1 0L2 oU) o (1) U c Wisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM St. Croix Safpty and BuVding Division I INSPECTION REPORT sanitary Permit No: 506384 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)]. Permit Holder`s Name: City Village X Township Parcel Tax No: Flesness, Nathan R. I Troy, Town of 040 - 1178 -95 -000 CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Range /Map No: / oc> b ►M t G.ST 24.28.20.707 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark o /oz- Alt. BM o �. '�/ Bldg. Sewer Holding ( St/Ht Inlet TANK SET IN FORMATION St/Ht Outlet 7.9Z 4y. ZI TANK TO P/L WELL BLDG. Vent to Air Intake ROAD t3�-frtfe't^ 27 7.73 �Y, Septic —' i Header /Man. 7 0 > /40 L' 7 5v �. 3 Aeration Dist. Pipe q' 3 .f Z 7 . V Holding Bot. System / Final Grade 97 PUM /SIP HON INFORMATION Manufacturer Demand St Cover to C r � c l GPM 7 ' Model Number TDH Lift Friction Loss System Ft �, — yZ P z Forcemain Length Dia. Dist. to Well 19(p 73, 0 J1 SOIL ABSORPTION SYSTEM BED /TRENCH Width I Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid DIMENSIONS 3 3 lle�C SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR C /Z F�o.Lj Type Of System: /b pq / ' �� UNIT Model Number: Go "..� T /� dl DISTRIBUTION SYSTEM UJU4_ x Hole Spacing Vent to Air I - Header /Manifold, ri Distribution \ x Hole Size ` n�aice Pro Pipe(s) /Q (�II� t Length 2� Dia Length ` Dia Spacing \ SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only e Depth Over / Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed Trench Center q Bed/Trench Edges Topsoil Yes No I,,! Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: ! ! Inspection #2: / ! Location: 246 Cove Lane Hudson, WI 54016 (SE 1/4 N 1/4 24 T28N R20W) St. Croix Cove #3 Lot 50 Parcel No: / 24.28.2 707 1.) Alt BM Description = � cr 2.) Bldg sewer length= - amount of cover Yes ''No Plan revision Required? 1 Use other side for additional information. Date Insep�tor's Signature Cert. No. SBD -6710 (R.3/97) tz l 1 S S eommerce.Wl.goV Safety and Buildings Division County 201 W. Washington Ave. O. Box 7162 f . 01 Madison, W1 537 162 Sanitary Permit Number (to be filled in by Co.) m � Connmerae 5 a �O 3 � Sanitary Permit Application r ate TransactionN nber In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate gove 1 unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWT'S are Project Address (ifdiRerentthanlnailingaddress) submitted to the Department of Commerce. Personal information you pr ovide may be used for secondary u 15,04(1 ses in accordance with the Privac Law, s. X!! Stats. .__ 1. Application Information - Please Print All Info tion -- L Property Owner's Name i Parcel # AJ l 4 C ,cif` i U f� d` J rrII D' - Property Owner's Mailing Address Property Location �� s c,:oiX G Jury'. j Govt. Lot b__ City, State Zip Code Phone Nu _ ra. Nt i ( /- i " A ,l /; ` / ? t,5 - - ✓ C �, _..!• /,, Section !� iG 1 ` l/ .� S yOl 4 - T o l 2'a.1- L (circle on 7 `� "r 11. N; R CJ E o W Type of Building (check all that apply) Lot # — — ` ^ �1 1 - 1 or 2 Family Dwelling - Number of bedrooms {5� � )`' Subdivision Name C/ ❑ Public /Commercial - Describe Use _ - ❑ City of ❑ State Owned - Describe Use r - CSM Number ❑ Village of Toan of Im Ill. Type of Permit: (Check only one Ith on line A. Complete line B if applicable) lBefore — System Replacement System 13 Treatment/ftolding Tank Replacement Only El Other Modification to Existing System (explain) B. it Renewal ermit Revis pn Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date IssuedC � / Expiration •/" S O%wrer ( p� IV. Type of P0W7'S System /Com onent /Device: Check all that apply K,Non- Pressurized In- Ground ❑ Pressurized In- Ground 11 At -Grade ❑ Mound ? 24 in. of suitable soil ❑ Mound < 24 in, of'suitable soil ❑ !folding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)_ V. Dispersal/Treat nt Area Information - Design Flow (gpd) Design Soil Application te(gpdsf) Dispersal Area Required (st Dispersal Area Proposed (st) System Elevation Vt. Ta RDA &I ✓ nk Info Capacity in Total # of Manufacturer CI ,a Ions Gallons Units New Tanks - Existing Tanks y u G c% Septic orrlolding' rank [losing Chamber ! -' ---y— Vll. Res o nsibility Statement- !, th e undersigned, ass respons ibility for installatio of the PO �YTS shown ..the attached plans. Plumber's Name (Print) Plu is `1-211 e _ MPlMPRS Number business Phone Number /'Ov Bsy Plumber's Address (Street, City, State. Zip ode) �y r T lc� gg0 s _ ff7 G t tc e �,( 1 40 z li V artment_( Onl >%Ipproved ❑ Di d $omit ^ Date IssCed '7 Issuing A Signature ❑ Ow v Re . for Denial [J v ' �� V D / IX. Conditio s f A roval/Reasons for isapproval YE OWNER: 1. Septic tank, effluent finer and dispersal cell must all be services / maintained as per management plan provided by plumber. 2. AN adback requirements must be main tained e ifsystcm and submit to the County only on paper not tens than S 1/2 z I I inches in size SB1)-6398 (R. 01/07) Valid thni 0 1x'09 P T � ' r OWNFR NATPAN P. FLF5NE5S E O40 1178 -95 Ott fi F 4 ` 4 i r � i I 1 � 9 7 910,0 _ A F SST I ILL _ _SY57 L 0407 640 c \ r JASTAI<flI 5101 VQILgifPOSS►8t� T�( S rgGt F►LtE2�N + Pa1r�t oKStS F�ItfR t F?c } toc)o rpL 5 JM E3077014 S;PIIi� a F a fi1PW_u T5 SldolL yj , -L.Lo qS Glg'1'f� I Et, 3;00 AT1 A _ _ A�rRt�c Pt OT P A N OWRFR �NA R. FLE'SNE scarf / ao' PARCEL 040- 1179 - 55.000 fi i IS o ' r 17 - ��c57 -I NL S YST L OCaTi 0►r7 n� \ s { INSTALL DrvFR uo�c itsaass�� j =N STgLI F►lTE2�N �Sr,Ef; + Po1�1 cK52,5 L- 'X1S7'�N4 1nC;� 5At 5EP7'tr � "G j 3e Err 8o�ryoM �►D1N� ° °m" i 1 1 j I g l: 3TWiCOES ` he# w 6 + FI W u 5 p SJJAA pp S Et, 3:00 VAT1 1n/-! Ll AL O�Ot3 p 1 �q�.� a i ct I Wisconsin Department of Commerce SOIL EVA REPORT Page J— of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 1 inche J X include, but not limited to: vertical and horizontal referencE point percent slope, scale or dimensions, north arrow, and local n and distance to nearest road. ! Parcel 1 84 -1) A - co O Please print all informati n, NOV 0 1 2 Q 7 Re vi ed by Date Personal information you provide may be used for secondary pur ses (Privacy Law, s. 15.04 (1) (m)). / 6 -&At I Property Owners [hcatio th - t 1/4 JVLJ 114 1,-2 9 T a g N R a E (or Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 24(� cove lo 5 0 S? r i C oGC Sk 3 City State Zip Code Phone Number ❑ City ❑ Village C Town Nearest Road Nu� I 1 4 L -T I S 40 /G 1 ( )3& - 2 3 1 T/0 Co Ve L tu ❑ New Construction Use: IX- Resident / Number of bedrooms . 3 Code derived design flow rate 4 GPD ® Replacement ❑ P ublic or commercial - Describe: Parent material c U 7 W a-sA Flood Plain'elevation if applicable N P ft. General comments h all and recommendations: 5 / C�� a a�, y► . n � -/ b� ����. �g `Ta-i ff- ©a:Ie `ff A C 93r D Boring # / + n Boring ® pit Ground surface elev. ft. Depth to limiting factor -� © 4 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 b -> U W 3 0 We S: ' 2 iq r Z-� �. 0 is -20 J o S mV+ r 01 W a 3 Z b -40 ) a Irly r w4 v 4 4a -52 9,5 Q� a r ~` 13,4 11 4 s z- os 9 /o I D A17 s 11 fs o A l S 8 b F 2-1 Boring # Boring p FA Pit Ground surface elev. / td ft. Depth to limiting factor } f in. 4 RoolsGP Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary DifF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2 0� 3 1Uorl;� S' r rnv4r f3 m u o d, /o v Y " - s 6s 1 — S o 3 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg& CST (Please Print) _ _ Signature CST Number ar first✓ Address Date Evaluation Conducted Telephone Number 1� 0 ��� �� � � alt � 6 a f'i3► -�1.�- X594 Property Owner ) V Q A n R. FI P<h es S Parcel ID # 0 12 F - 9.5' 0 0 d Page Z of F-31 Boring # ❑ Boring ® pit Ground surface elev. �.S ft. Depth to limiting factor f WO in. 4RootsGP Application Rate Horizon Depth Dominant Color _ Redox Description Texture Structure Consistence Boundary D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2 0' I v Y 3 z rV o� S y l 1x1 6° CS C) 9 2 I0 ', f a, 3 zi -44 t 5 1S os rn 1j G 44 : 1 00 1 IA � A o — — .5 i 0 a Borin # F1 Boring a g 11 pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Q Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting.factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 130 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SOD -8330 (R6/00) Property Owner V Q � a-n Parcel ID # 040 1 026 JS & d Page Z of Boring # F] Boring F3 1 ® Pit Ground surface elev. 4S ft. Depth to limiting factor �, © in. Soil Application Rate Horizon 'Depth Dominant Color _ Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff #2 04 1 0 Y K 3 7- o S 1 ill i�`�r CS Z rp O, - 3 24 5 1s os ## lo VW O's 1 ©. I F] Boring # Boring ❑ E] pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 U Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 QL6100) POT PLA N 94 - OWNER Nl RAN R. FLESNE5s PARCEL 040- 108-53-000 �5, 0 97 b t� a n, n o d3 0 ___CxISriNO loco GA4 }>•� s7 o a 3 U Wisconsin Department of Commerce ' PRIVATE SEWAGE SYSTEM County: St. Croix Safely and building Division INSPECTION REPORT Sanitary Permit No: 506215 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)]. Permit Holder's Name: City Village X Township Parcel Tax No: Flesness, Nathan R. I Troy, Town of 040 - 1178 -95 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: CST BM Elev: Insp. BM Elev: 7 24.28.20.707 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet I St/Ht OuUd TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Ve Air Intake ROAD Dt I, `t Se tic t Bottom P Dosing " Header /Man. Aeration Dist. Pipe Holding Bot. System PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand over GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. t ell SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS N f Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO I P/L JBLDG IWEL L LAKE /STREAM LEA ING Manufacturer: INFORMATION CHAMB OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold D x Hole Size x Hole Spa` Vent to Air Intake 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 Bed/Trench Edges Topsoil El Yes E] No ❑ Ye7��No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ! ! Inspection #2: / / Location: 246 Cove Lane Hudson, WI 54016 (SE 1/4 NW 1/4 24 T28N R20W) St. Croix Cove #3 Lot 50 Parcel No: 24.28.20.707 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? F_] Yes E] No T Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. .gOSafety and Buildings Division County 201 W. Washington Av O. Box 7162 St. Croi tlzc , Madison, WI -7162 Sanitary Permit Number (to be filled in by Co.) � comma 06 J,/ Sanitary Permit Application StateTransaction In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this fort to the appro ' e go tai Project Address (if ' fferent than mailing address) unit is required prior to obtaining a sanitary permit. Note: Application forms for state -own PO are submitted to the Department of Commerce. Personal information you provide may be used f econdary Salve ses in accordance with the Privacy Law s. 15.04(l)(!!!) Stats. L Application Information - Please Print All Information Property Owner's Name RECEIVED Parcel # Nathan R. Flesness 040 - 1178 -95 -000 Property Owner's Mailing Address Property Location (--76 246 Cove Lane ST. CROIX COUNTY Govt. Lot_ City, State Zip Code NW v., Section 24 (circle one) Hudson, WI 54016 (715 386 -7341 T 8 N R 20 w H. T of Building (check 1 that apply) LOt # or 2 Family Dwelling - Num f Bedrooms _ 3 50 ubdivision Name C S � PNT Black # St. Croix Cove S ub. #3 ❑ Public/Conunereial - Describe use Na ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of Na ❑ Town of Troy III. Type of Permit: (Check only one boa on line Complete line B if apps' e) A. ❑ New System WReplacement System ❑ cnt/Holding T eplacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑Change ❑Permit Transfer to New List Previous Permit Number and D Issued Before Expiration of R7l° IV. T of POWTS System/Component/Device: Check all tha 1A C on- Pressurized In- Ground ❑ Pressurized In- Ground At-G e 11 Mo 24 in. of su p l -oil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain ) Q - 7A � -= ff``aGnent Device (explain) V. Disp ersal/Treatment Area Information: 45 infiltrator clambers @ 20.0 sq. A / chamber + 3 pair end cos 5.9 EISA - 917.40 .8. Design Flow (gpd) Design Soil Application RaWgpdsf) Area Required (sf) Dispersal Area Proposed (sf) System Elevation 450 0.5 in -situ soil 900.00 s . ft. 17.40 s . ft. 90.50 VL Tank Info Capacity in Total # of ufacturer Gallons Gallons Units c� New Tanks Exi sting Ta U rn U vi ir; C7 P, Septic or H olding Tank 00 1,000 1 Unknown I q - X iiter canister J X Na 1 Wieser Concrete X VII. Responsibility Statement - 1, the undersig assume responsibility for in stio f the POWTS shown on th niched plans. Plumber's Name (Print) umber's Si MP/MPRS Num Business Phone Number James K. Thom son 30021 715 248 -7767 Plumber's Address (Street, City, State, Zip Code) 340 Paulson Lake Lane, OsceoliC WI 54020 -5413 VIII oun /De artment Use Onl Approved 11 Disapproved Per ' �it Fee £ , U Date Issued Iss g Agent S' 1 ` ❑ Owner Given Reason for Denial Q"q pJt?pproval/Reasons for Disapproval 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained 7��J y 4x-� � � l � ✓ as per management plan provided by plumber. Vi viJ `� c,7 2. All setback requirements must be maintained !! �J as per appl co ttach eomp plans for the system and submit to the County onty on payer nat less than g rrz : it inches in sin SBD -6399 (R. 01/07) Valid thru 01/09 q9�• - � Soy % edQ /u�'o� j5 Z \ , ,e l e Ja 6ro � It N Scale: 0' 1 \ U 17771 +77771 t , 63 , f r 's'� y0. 1 • � � -�, 1• �. a pit 1 ' � � • `` i n 5 {�!li d r {f+a'rSffi' C.onCrt�t St.�fi'c, ><s -��f' Plu.nb ��, a uew r,� 6u be /'c- can Af-&6<f( B G M °`rte /�;nvkt =73,7.5' 0 98.4 S id. �- - --_ TAssumed elcct - - I i � 3 r►, i d Lcit f 1 7 SEt�dio �� f f 7 i f f L.i ��► /:Sfiit� well 0 J 9� (',� de woe. er/Q /ua�on INN M. � EX.'su' Made 19 .5V 2- + eleYa ot2 5ca /e: 63 J, l• + + + , \� C3 o � • � EX�3�I / o 0o a.p � � acv �� ✓,�l�c f� it � r9 b �' j Ili {Qa'i'Sfi' C-,?c t sc,ob'c tih�f umiwnd a llow 1 6r) 6e /c connc& -6 ( � ESfr.�,a�Ecd a %v! ae� g�� 0 98 5rd: ,gssuMcd elc, =t/eva?' t ie �aoe- i� 3 6 �► i �tc i� fl d c4C � 1 f SEu.dio _� , L.• 0 W 9� . rp O or A h� ti ty N� n c Z a ro C m A —. r mom > Z AEMO — mom z E® �o is I Elan m C� Eno _ D < ■•�■ ■II�IA� r �b it • ■A�� n +h a' wow nom= t ~� 2013 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete ete site Ian County pl p on paper not less than 8' /: x i t inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction percent slope, scale or dimensions, north arrow, and location and distance to I I.D. 040-1 1 95- P/ease print all information. By Date Personal information you provide may be used for s. 15.04 (1) (m)), iz �z a Property Owner Property Location Nathan R. Flesness I I Govt. Lot SE 1/4 NW 1/4 S T 28 NR 20 W Property Owner's Mailing Address NOV 2 1 2006 Lot # Block # Subd. Name dr CSM# 246 Cove Lane I 50 I St. Croix Cove Sub #3 City Sta zip� J effi sgr _j City Village V1 Town Nearest Road Hudson I W 1 54016 7 Troy I Cove Lane J New Construction Use: 0 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD 0 Replacement _I Public or commercial - Describe: Parent material Glacial Outwash Flood plain elevation, if applicable Na General comments and recommendations: Site suitable for conventional dispersal cell at 0.5 g p d loading rate. Recommended trench elev. = 90.50' ' Boring # J Boring 16 Pit Ground Surface elev. 95.60 ft. Depth to limiting factor >104" in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft° in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *E 2 1 0 -10 10yr3/2 none sit 2fgr mvfr cs 2fmc 0.6 0.8 2 10 -23 10yr4 14 none sil 2fsbk mvfr gw 2fmc 0.6 0.8 3 23-40 1 10yr5/4 none sl 2fsbk mfr gi lfm 0.6 0.8 4 40 -52 7.5yr4/6 none sl 2csbk mfr gi 1fm 0.6 1.0 5 52 -72 7.5yr4/6 none s 0 sg dl cw if 0.7 1.6 6 72 -104 10yr5 /6 none fs 0 sg di - - 0.5 1.0 Z ) Boring # -I Boring 10 Pit Ground Surface elev. 95.05 ft. Depth to limiting factor >106 " in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Q PD/R� in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3 /2 none I 2fgr mvfr cs 2fmc 0.6 0.8 2 8 -20 10yr414 none Ifs 2fsbk mvfr gw 2fmc 0.5 1.0 3 20 -37 7.5yr4/6 none Is & gr 0 sg ml gw 1fm 0.7 1.6 4 37-46 10yr5/4 none Ivfs 0 sg ml ci 1 f 0.4 0.6 5 46-106 10yr5/6 none ft 0 sg dl - - 0.5 1.0 45 90. Z go , Y contains it u r and of 10yr4 /4 Ifs, 1/8" - 2" thick, spaced at 6" - 14 ". i2- L o * Effluent #1 = BOD 30 < 220 i / L and TSS >3 < 150 mg /L *Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si tu CST Number re: James K. Thompson 5 "" — 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 11/8/2006 715 -248 -7767 Property owner Nathan R. Flesness Parcel ID # 040- 117 8-95 -000 Page 2 of 3 F $ Boring # Boring Ground Surf e lev . 96 .74 ft. Depth to limiting factor >11 in. "; Pit ace 2" e � Sal Application Ppl ication Rate Horizon Depth Dominant Color Redox Description Texture swdure Consistence Boundary Roots lo. MW%d Qu. Sz. Cont. Color Gr. Sz. Sh, `Eff#1 *Eff #2 1 0-7 10yr3/2 none I 2fgr mvfr cs 2fmc 0.6 0.8 2 7 -25 10yr4/4 none Ifs 2fsbk mvfr gw 2fmc 0.5 1.0 3 25-37 10yr4/4 none sl 2msbk mfr gw Urn 0.6 1.0 4 37-60 10yr5/4 none sil 2msbk dsh cw Urn 0.4 0.6 5 60.112 10yr5/6 none ' fs is 0 sg dl - - 0.5 1.0 I�Dr contains irregular bands of 10yr4/4 Ifs, 1/8" - 2" thick, spaced at 6" -14 ". E I Boring # I Boring l _I Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Appi n Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Mursell Qu. Sz. Cont. Color Gr, Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # 1 Boring J Pit Ground Surface elev, ft. Depth to limiting factor in, Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Stneture Consistence Boundary Roots in. Munsdl Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = SOD? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mgA. and TSS <_30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. SOD -8330 (R.07 /00) A.C.E. 5oll $ Sft EvaluabM sa edQ�ua><.bn 9GSa' 1 � 36' FX ;s>a• grade C �o � � � � 1 2)tJaf�►o� 94(0 1 63 1 h 1 a � 1 d�S S� O � P Q 98./6 1 1 1 � j 3 bcd�m � �s cid�hGC 1 � f SEp.o�i0 ', 1 1 � i L.• E, AS.&Ilf We// --- e 9� �de ,LanL 3 ol3— ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerM400 /�Q C+rj r �� Mailing Address .2 SSG dodC Lake Property Address 64""e (Verification required from Planning & Zoning Department for new construction.) City /State kL4(s m Ld/. 5V /6 Parcel Identification Number 0 5 10 ' //71 95 LEGAL DESCRIPTION Property Location S 1 /a , 460 '/a , Sec. 9,L, T - N R aO W, Town of _7_r Subdivision Cro de —'S6 $ , Lot # 5� . Certified Survey Map # , Volume , Page # Warranty Deed # Yq o 7o p , Volume , Page # Spec house � no Lot lines identifiable yes SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms d SIGNATURE OF A LICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08105) ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the /�a'�- a h- F/tsness residence located at: '/4, 17 cJ ' /4, Section , Town 7-g N, Range ;2z W, Town of -tea„ St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of service Did flow back occur from absorption system? Yes No t/ (if no, skip next line.) a e r length of time: — gallons — minutes Capacity: 0 e Cons re a Concrete �_ Steel Other Manufacturer (if known): C ,,2eTank (if known): Licensed Plumber Signature) (Print Name) (Title) (License Number) MP /MPRS (Da Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ' of Z FILE INFORMATI N SYSTEM SPECIFICATIONS Owner N a a/1 Q S�Q ��' Septic Tank Capacity a- i-W Boa-0 ga l ❑ NA Permit # Septic Tank Manufacturer %ehk'nWzY� ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer zz ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity gal N Estimated flow (average)U gal /day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) gal /day Pump Manufacturer N Soil Application Rate gal / a t 2 Pump Model NA Standard Influent /Effluent Quality onthly average* Pretreatment Unit > CNA Fats, Oil & Grease (FOG) :_30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD :5220 mg /L A ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :_150 Mn / ❑ Disinfec 'on ❑ Other: Pretreated Effluent Quality Monthly average Disper Cell(s) ,�C 4L4n Q NA Biochemical Oxygen Demand (BODO :_30 mg /L - Ground (gravityK ❑ In -G4nd (pressurized) Total Suspended Solids (TSS) _ :30 mg/L 0 At -Grade ❑ Mound Fecal Coliform (geometric mean) 151 O 100m1 )p ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other. ❑ NA Other: ❑ NA * Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once ever ._� ❑ mo (s) (Maximum 3 ears) ❑ NA p Y' ar(s) y Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal c At least once every: 2 earls) ❑ m h(s) (Maximum 3 years) ❑ NA Clean effluent filter N At least once every: /3) on(s) ❑ NA ❑ year(s) uftS -`~ ❑ month(s) Ins p Zrp' p, pump controls & alarm At least once every: ❑ year(s) ❑ NA ' ❑ month(s) Flush laterals and pressure test At least once every: ❑ year(s) ❑ NA Other: At least once every: ❑ month(s) ❑ NA ❑ 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 Servicing 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 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 regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y 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 chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized 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 any service event. Page 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 up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above 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 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 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 chapter 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 filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot bS fepaired the following measures have been, or:must be taken, to provide a code compliant replacement system Al �,�fi C � d a S�S�jy �UJ luitable replacement an ev a te d 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 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 comply with the rules in effect at that time. ❑ 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. 1" T aluat' a o ing Cank be ' e ai e . FR D4415 rr5b, VbR- A/6% a" S7W(lC - 710 ❑ 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 POWTS INSTALLER POWTS MAINTAINER Name P__�C/ Name Phone l rj — (i� -76 Phone 1 1 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name 15 Ckb ( ouN 2o�It�cl Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Parcel #: 040 - 1178 -95 -000 06/01/2007 09:50 AM PAGE 1OF1 Alt. Parcel #: 13124.28.20.707 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - FLESNESS, NATHAN R NATHAN RFLESNESS 246 COVE LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 246 COVE LA SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.200 Plat: 2491 -ST CROIX COVE 2ND & 3RD SECS 13 & 24 T28N R20W LOT 50 ST CROIX Block/Condo Bldg: LOT 50 COVE SUB #3 Tract(s): (Sec- Twn -Rng 401/4 1601/4) Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 821/142 07/23/1997 433/300 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.200 85,000 201,400 286,400 NO Totals for 2007: General Property 2.200 85,000 201,400 286,400 Woodland 0.000 0 0 Totals for 2006: General Property 2.200 85,000 201,400 286,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 139 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 y ` ' 00 NO STATE BAR OF WISCONSIN FORM l — IPS2 T-S SPACE RESERVED FOR RECORDING DATA WARRANTY DEED 440905 REGISTER'S OFFICE This Deed, made hete,en _ _ ST. CROIX CO., WI Thomas J. Reid and Judy K. Reid, husband and Rec'd for Record wife Nathan R. Flesness and Jan L. Eldridge'; 41 1p, 2 9 1988 a Vusband and wife at 9:00 A � Grantee, Witnesseth, That the said Grantor, for a valuable cunsideration �� Re9.-:cr of i)oeds Thomas J. Reid and Judy K. Reid /� .once. • to Grantee the f.ri!o«�utg drscn St hed real estate in . Cr oix RETURN TO r ountN. State of VlsconJin! Lot 50, St. Croix Cove Subdivision #3 , Tax Parcel No: _. ....- _ . ........................ in the Town of Troy, St. Croix County, Wisconsin. FEE is lomestead property. ._ .3 ..•L 1 T:.• er � , lJa� r �i t e r�i.� a end ffe4dnances thereunto belonging; :rraut. t -.e t.t;r ;s Ror,d, :miereasiEe in fee simple and 'ree anoi clear of encumbran(es except easements, restrictions and rights -of -way of record, if any. and 'b. :i '.%ar:3. ark oo n•l the 3arnp. rlattd _r 4 da of August 1s 88 (SEAL) ,.ci � iSEAL, Thomas J. Reid Judy K. Reid i SEAL, i SEAL, AUTHENTICATION ACKNOWLEDGMENT Signature13) I _ _ - - -_ _ .... _ ... STATE OF WfSCONSIN ss. ...... _ __. St. Croix „ant authenticated this Play of _ 19 - ( <ona;lr name before me t; . <_ dac „f August 19 88 - tie ahove nani Thomas J. Reid and Judy K. Reid Tr.TLE: >1F.�iBER �T:1Tr; R: 1R OF R'( ?f'r)�;�rN ( f f not., Ruthnrized he , 70.5,11, R'i, ;. .it;tts.) r =tr rmt;:.t .ir :n•.1' �e Krist ina Ogland Lundeen Attorney at Law Alice J. F�,s llER r� •n3 rr.; i h� .i.irn' .,! .ri,r 1', �� r i r t _ � � , June i1�t� r J j 1L•n VTV I14Ftl ST%TV HAR OF \k 4y 'S' ye . Y .►. t z° rt '� eye P � oj• Thers are To oDjadtion is plat with respect to Secs: 236.15, _ Z 236 "7Q 234:20 an 36.11 d (2, _ Stwtutea" 42 Cert fad y of .. 43 r4 US y�a �`•h DEpa rtmant of R vourc -, ant � v_ z'? Unp(at tee T ' , �• e so ,00 zoo ,� a' J; B` � #eo.00 Op ..� r t yo co V v °• �- ve o -/► D 371 -10 � } ;•y Gp A i Zk0 # Pv 0 i z Z\ a 44 0 45 4.. D. i 101 k : R '�2 q np /n - 1 Utmd L_grLd rorve'ti_ -__. rse. oo o f �'t o 4\ � 46 S. d 9 �� • oer p 10 5 o E a\ r u 47 \ ?- \ Sr•90 ' 52 0' N O 5 it 50 51 Dtio 4g 53 I VC "A"' W 'f^" LANE COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715- 962 -3121 800 -962- 5227 FAX - 715 - 962 - 4030 ST. CROIX ZONING REPORT NO.: 42657/01 PAGE 1 ST. CROIX COUNTY REPORT DATE: 6/10/93 COURTHOUSE DATE RECEIVED; 6/04/93 HUDSON, WI 54016 ATTN: THOMAS C. NELSON OWNERS Nathan Flesnpss 6 Jan Eldridge LOCATIONS 246 Cove lane, Hudson COLLECTORS M. Jenkins DATE COLLECTED: 6 -02 -93 TIME COLLECTED: 30'04pe i SOURCE OF SAMPLE: Outside faucet DATE ANALYZED4 -04 -93 TIME ANALYZEDS11 *400ae COLIFORMii 0 /100 ml INTERPRETATIONS Bacteriologically SAFE NITRATE -NS 4 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform Bacteria /100 ml Nitrate - Nitrogen, mg/L LAB TECHNICIANS Pam Gane � �' /� I ' � WI Approved Lab No. 19 V { < Means "LESS THAN" Detectahle Level Approved by: 4 PROFESSIONAL LABORATORY SERVICES SINCE 1952 93 ST. ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse 911 4th Street .liudson, WI 54016 Telephone - (715)386 -4680 The St. Croix County Zoning Office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion pt this form jq essential , IQ that J UM pro e,rty can be pQ� located J� Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, t along with form to the above address. Testing will be done as soon as possible after fee and form are received.. WATER TESTING--------------------- - - - - -- -FEE: $ 35.00 (For nitrates and coliform bacteria) WATER TESTING FEE: $165.00 (For VOC'S) SEPTIC SYSTEM INSPECTION---------- - - - - -- -FEE: $25.00 (Determines if system is properly functioning at .. of inspection) PROPERTY OWNER'S NAME: Vl Hj�UI.QSS PROP. ADDRESS: � q u CzU_ L& .. CITY �&d SQ^ Legal Description 1/4 of the 1/4 of Section , ,J� , T -R Town of '5rO U Lot Number 50 Subdivision: FIRE NUMBER LOCK B_ Off? NUMBER Color of house Realty sign by house? V_ If so, list firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A HAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting se :. 1 0/ MCMIE Telephone Number !/ REPORT TO BE SENT TO: ' HIId�Oti1, CLOSING DATE: S -�� _� !_ Signatur to r ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 -- (715) 386 -4680 June 3, 1993 Michelle Dunckel MidAmerica Bank 600 - 2nd St. Hudson, WI 54016 Dear Ms. Dunckel: An inspection of the septic system on the property of Nathan Flesness & Jan Eldridge located at 246 Cove Lane, Hudson, WI was conducted on June 2, 1993. At the same time a water sample was obtained for testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Should you have any questions, please contact this office. Si cerely, a Mary J. Jenkins Assistant Zoning Administrator cj