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1V /1J /ou rKl 14:JU rAA 114 JOV 9V0V Ji j✓AA -J V 4W11VV 4G1 VVL
1 , -�►., ST. CROIX COUNTY
WISCONSIN
- ` " ° -`— -�' RECEIVED - '`� ZONING OFFICE
x `` "' '•• . ST. CROtX COUNTY GOVERNMENT CENTER
- 'CLI 1tot Carmichael Road
Hudson, W15401&7710
Sr cpax
COONTv (715) 386 -4680
\
Z01401 OFFICE
SEPTIC INSPECTION./ WATER TEST QUEST FORM
Please specify desired test(s) & remit appropriate fee with
application_ Outside water lines are often turned off during
winter months, making access to the home necessary. Please make
arrangements with this office to insure that entry can be gained.
O Water (VOC's) $200.00 1 )eSeptic $125.00 t4=
*g Water (Nitrate & Bacteria) $55.0(A O Nitrate & Bacteria
Water (Lead Concentration) $21.01?�: retest $15.
Owner: Requested byy: L r ♦ Lance I ?ld1q JOS
Address: r Address: 3d50
14u&&^ 6u'r ZIP J& 2 1P ) 3
Telephone W; (3j5_) 3 6 - IN Telephone W-. ( )
Property address (Fire M & S ,,eet) 99 q W dL0 W R lc�
Location: %, k, Sec. , T j N, R & , Town h
. �S Sff -
Realty firm Lock Box Combo: NIA Closing Date
Lod la, w j, %1aw Ridge /4dAAb
To BE COMPLETED BY PROPERTY OWNER
*PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM*
Water sample tap location: 0 k'slde
Is the dwelling currently occupie ? ❑ Yes No
If vacant, date last o p
Age of septic system:
Septic tank last pumpe y: Date:
Previous Owner's Name(s).
Have any of the following been observed?
OY AN Slow drainage from house.
OY On Sewage Back -up into dwelling.
OY sewage discharge to ground surface or road ditch.
❑Y Foul odors.
Other comments relative to system operation:
I certify that the above information is compl and true to the
best of my knowledge. 4 )
OWNERS SIGNATU DATE: I0 • I �i
1/94
V
r
IV AO/ OD fnl LY.JI 1 I1J JVV YVVV J1 Vi \A VV LVl \ll \V
OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION
IN
r1or1'�► -r
610s
o Frw ,S� i�t
TO BE COMPLETED BY INSPECTION AGENCY
System design & /or permit on file? OYes ONo
Soil series per SCS Soil Survey: sheet #
Tyne of soil absorption system [)Below grd OAt -Grd [)Mound
Approx. size 'X DGravity ODose OPressurized
[]Bed [)Trench ODry well
[)Holding Tank ElOutfall pipe
OBSERVED DEFICIENCIES [)Other [)Unknown
Septic tank
Setbacks: OHouse [)Well [)Prop. line [)Other
Dose tank
Setbacks: Mouse Elwell OProp. line [)other
[)Locking cover Owarning label [)Pump /Floats
[)Alarm DElec. wiring
Soil Absorvt�.on System
Setbacks: [)House Dwell OProp. line [)Other
OPonding: [)Discharge:
General comments
INSPECTORS SKETCH OF SYSTEM LOCATION
N
Inspector
Title
hat&-)
COMMERCIAL TESTING LABORATORY INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730 k6j
715- 962 -3121
800 - 962 - 5227
FAX - 715 - 962 - 4030
ST. CROIX ZONING REPORT NO 41511/01 PAGE 1
ST. CROIX COUNTY REPORT DATE: 5 /20/93
COURTHOUSE DATE RECEIVED; 5/18/93
HUDSON, WI 54016
ATTN*# THOMAS C. NELSON
OWNER*# Kay Robens
LOCATION: 899 Willow Ridge i Hudson
COLLECTOR! M. Jenains
DATE COLLECTED*# 5-17-93
TIME COLLECTED*# 2 *#34pm
SOURCE OF SAMPLE'# Outside faucet
DATE ANALYZED:5 -18 -93
TIME ANALYZED:2 *#00pm
COLIFORM: 0 /100 mi
INTERPRETATION'# Bacteriologically SAFE
NITRATE -N: 4 ppm
Above 10 ppm exceeds the recommended Public
Drinking Water Standard.
Coliform Bacteria /100 ml •
Nitrate- Nitrogen, mg /L
10
II I 9 �1
00
� s
r �
=`OF .,NCE C tNOE H4s LAB TECHNICIAN. Pam Cane. � + `' ,
V fi
WI Approved Lab No. 19 c ;$ 1
< Means "LESS THAN" Detectable Level >pprov Y
® PROFESSIONAL LABORATORY SERVICES SINCE 1952
ST. CROIX COUNTY
s ..
m RECEIVED WISCONSIN
MAY 0 4 1 .993 N ZONING OFFICE
CROIX COUNTY COURTHOUSE
�° ST CROIx
COUNTY OURTH STREET • HUDSON, WI 54016
_ ZONINGOPFICE (715) 386 -4680
(j 9 5
J SEPTIC INSPECTION / WA EST REQUEST FORM
Specify desired test(s) & remit appropriate fee with application.
Outside water lines are often turned off during winter months,
making access to the home necessary. Please make arrangements with
this office to insure a time when entry can be gained.
❑ Water (VOC's) $185.00 )9: Septic $25.00
Water (Nitrate & Bacteria) $35.00 (Visual inspection)
�� C Q)-
Owner: ,e ooS� Requested by: _)IM jqr njlzy
Address: 20(nt w /�t,ocv rz Address: "7c)o - ?_ j , 7 ,aP St
City & State: tiy ,DSO,a , L,> City & St. 14vnfQc�A� , w/
Zip Code: / V Zip Code: 5y0 /Lo
Telephone N (715) Telephone N 4 : (
Property address (Fire NO & St et) : GU /LLO S
Location: 1 , ;, Sec. , T N, R W, Town of j : �rjnSnrLJ
St. Croix Co., WI. Tax ID N° arcel ID N°
House color: n /Realty firm: r -fjlUA Lock Box Combo: JL'�,H
Water sample tap location:
TO BE COMPLETED BY PROPERTY OWNER
* PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM*
Is the dwelling currently occupied? Yes 0 No
If vacant, date last occupied:
Septic system installed by: 3 Year: ? lql�2
Septic tank last serviced by: - tki' OUA3r SAID AM0 Date:
Previous Owner's Name(s) bl�f��. K) M
Have any of the following been observed?
OY oil Slow drainage from house.
OY KN Sewage Back -up into dwelling.
OY N Sewage discharge to ground surface,
road ditch or body of water.
OY KIN Slow drainage from the dwelling.
OY N Foul odors.
Other comments relative to system operation:
I certify that the above information i complete lete and true to the
best of my knowledge.
OWNERS SIGNATU DATE
4/93
OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION
t
N
TO BE COMPLETED BY INSPECTIO�N�GENCY
System design & /or permit on file? ❑Yes PNo
Soil series per SCS Soil Survey: sheet #
Type of soil absorption system ❑Below grd ❑At -Grd ❑Mound
Approx. size 'X ❑Gravity ❑Dose ❑Pressurized
Ft.' ❑Bed ❑Trench ❑Dry Well
❑Holding Tank ❑Outfall pipe
OBSERVED DEFICIENCIES ❑Other ❑Unknown
Septic tank
Setbacks: ❑House ❑Well ❑Prop. line ❑Other
Dose tank
Setbacks: ❑House ❑Well ❑Prop. line ❑other
❑Locking cover ❑Warning label ❑Pump /Floats
❑Alarm ❑Elec. wiring
Soil Absorption System
Setbacks: ❑House ❑Well ❑Prop. line ❑Other
❑Ponding: _ R Z 7 — ❑Discharge :
General comments : d ,�� k_
INSPECTORS SKETCH OF SYSTEM LOCATION
Inspecto �
Title
ST. CROIX COUNTY
` WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
_ - - (715) 386 -4680
May 18, 1993
Jim Henry
700 Second Street
Hudson, WI 54016
Dear Mr. Henry:
An inspection of the septic system on the property of Kay Robens,
located at 899 Willow Ridge 1, Hudson, WI was conducted on May 17,
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.
I also notice the cover missing from the vult pipe and should be
replace.
Should you have any questions, please contact his office.
S' cerely,
+r.
Mary J. Jenkins
Assistant Zoning Administrator
js
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Parcel #: 020- 1116-80-000 10/23/2007 11:37 AM
PAGE 1 OF 1
Alt. Parcel M 19.29.19.485B 020 - TOWN OF HUDSON
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - THOEMKE, CATHERINE A
CATHERINE A THOEMKE C - ANDERSON, KEITH J
KEITH J ANDERSON
899 WILLOW RIDGE I
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: 03- 091 - WILLOW RIDGE ADDN
SEC 19 T29N R19W WILLOW RIDGE ADDITION Block/Condo Bldg: LOT 10
THAT PART OF LOT 10 WILLOW RIDGE ADD AS
DESC IN VOL 555 P 627 ASSESSED WITH Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
P485A 19- 29N -19W
Notes: Parcel History:
Date Doc # Vol /Page Type
11/30/2004 781168 2704/572 QC
06/10/2004 765519 2593/425 WD
11/08/1999 613443 1469/090 WD
07/23/1997 1044/626 PR
more
2007 SUMMARY Bill M Fair Market Value: Assessed with:
0 020- 1116 -70 -000
Valuations: Last Changed: 08/19/1993
Description Class Acres Land Improve Total State Reason
Totals for 2007:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2006:
General Property 0.000 0 0 0
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