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HomeMy WebLinkAbout026-1094-20-000 ST. CROIX COUNTY ZONING DEPAR 1 , AS BUILT SANITARY REPORT RECEIVED Owner TOhL h App 19 Property Address / 31 / OD S , 5 CF"x City /State ,.,L„� L iz— Sid 7 COU ZONING OFFICE Legal Description: Lot Block Subdivision/CSM # 06t1 '/a , 5 t, '/4, Sea da T 3 0 N -Rf - W, Town of PIN # C a L - y 9 a6 -- 60(-� SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: ,gyp � Tank manufacturer �' Lcd-� Size ST/PC /"" / Setback from: House /Q Well JZ PAL, 3.3' S Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: � Width wZ ! Length S `� Number of Trenches Setback from: House 4 A(v Well 4� PAL 12 t Vent to fresh air intake 70' _ ELEVATIONS Description of benchmark jO Elevation /0'6 Description of alternate benchmark Elevation Building Sewer 9 ST/HT Inlet ST Outlet 5t PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines () 22, 7 () ( ) Bottom of System Final Grade O 9 �• O ( ) Date of installation / /a 9 �Per 't number '3- 3°� 7 State plan number Plumber's signature License number aa S 3 7 Date /aD/ Inspector Complete plot plan � 4 NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW i A ) ,/. ki ;�X 1Z .o �3 b PEE IND CATE NORTH ARROW I Wisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: ST. CR IX Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 338827 Permit Holder's Name: ❑ City []Village ® Town of: State Plan ID No.: RICHTER, JOHN RICHMOND CST BM Elev.:- Insp. BM Elev.: 7�'� tion: P arcel Tax No.: /b ; ,�`l - 7v --gee 026- 1094 -20 -000 TANK INFORMATION ELEVATION DATA A9900091 TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septi 7 Benc ark Z. s Dosing Aeration Bldg. Sewer °!7 • C> 2� Holding ( )m Inlet 6.7 5' c l . O TANK SETBACK INFORMATION sot Outlet 'j . /S b TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake e �� ��'�" �� w NA Dt Bottom -�— Dosing NA Header / Man. Aeratio NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade 9 7 Manufacturer mand yu S, 97 3 Model Number GPM TDH i Lift Friction ystem TDH Ft Forcemain Length Dia. Dist. To well SOIL ABSORPTION SYSTEM ( Width / Length No. Of Trenches PIT No. Of Pits Inside Dia. Liqu' pth DrM ENSIONS DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Ma acturer: INFORMATION Type Of CHAMBER odel N er: System dyer/ 2 4100 r � OR UNIT DISTRIBUTION SYSTEM Header / Mani old Distribution Pipe(s) r x Hole Size x Hole Spacing Vent To Air Intake Length Dia Length I Dia. L , Spacing AF , - r kA 27 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 E] Yes [] No E] Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) <� LQ_C j ATION: RICHMOND 32.30.18.497B,NW,SW 1231 100TH STREET �� l�v � �.. way iti `i` �c�,.P�c►u.� � l � _ � ,� I Plan revision required? ❑ Yes [�]` Use other side for additional information. ZQ I v 7 SBD -6710 (R.3/97) Date Inspector's Signa re �tN ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ° E d j a ....a.,, °w.... 8 .., ma„° . v .. ee- a,,, ° k o d � d { g t E m . ,..... ._. }. _...... ..- a _ mm 8 j ..... P a i as � �.,.,,� ��® m�,® °® t d € � i } p { d 8 I E � # I � d i E E . ,w° F k Q a _ i F r M �r t E d 8 gg gg i p a s 3 € e f S 8 f � °..,.e....3 s a` g ° Safety and Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue 'Asconsin P O Box 7302 Code Ad m. 05 with ILHR 83 accord acc w., s. m. oe Department of Commerce In Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less Counter T than 8 vi x 11 inches in size. s ` OK • See reverse side for instructions for completing this application State Sanitary Permit Num er 338 1 2 � Personal information you provide may be used for secondary purposes ❑ Check it revision to previous application lPrivacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Propert Owner Name Property Location t ,, ) 114 ,cw 1/4, S N, R /8: E (or) W Property Owner's Mailing Address Lot Number Block Number Cit y, r�t , State� Zip Code Phone Number Subdivision Name or CSM Number� (+YtO S SS1 (Z15 ) 01 (o II. TYPE OF BUILDING: (check one) ❑ State Owned o it ge Nearest Road t "r Public 1 or 2 Family Dwelling - No. of bedroom ❑ Villa own OF C)O h 111. BUILDING USE (If building type is public, check all that apply) arcel Tax Number(s) :32 , - : ;5 �g . T9 -1 1 F1 Apartment/ Condo — 0 - - � 00 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church /School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) A) 1. ❑ New 2. W Replacement 3. ❑ Replacement of 4 E] Reconnection of 5. ❑ Repair of an System ------ ----- - - - - -- Tank Only xistin Existing stem Existin System ------------ - - - - - - --------- y -------------------- y---------------- - --- -- B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 E] Mound 30 E] Specify Type 41 Q Holding Tank 12 Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallo n %�ay 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation (,Sk 17 93. �, Feet 9 7I G Feet VII. TANKJ Ca achy in gallons Total # of Prefab. Site Fiber- Exper. INF MATION Gallons Tanks Manufacturers Name concrete Con- Steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank or Holding Tank Q'1,Sd ` ❑ ❑ ❑ 1 ❑ ❑ Lift Pump Tank /Siphon Chamberl I ❑ I ❑ I ❑ ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for in>UaLlation of the onsite sewage system shown on the attached plans. Plumber's Name: (Pri mps) MP /MPRSW No.: Business Phone Number: P OW +Q e-S PI tier's Sig ature: No 5t 3? 1 — 7 ! S Plumber's Address (Street, ity, State, Zip C de): \ d IX. COUNTY/ DEPARTMENT USE ON ❑ Disapproved Savn't ry Permit Fee (Includes Groundwater ate ssue Issuing A nt Sig aatuxe (No Approved Owner Given Initial urcharge Fee) ❑ Adverse Determination �� �'�/ TTO OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD- 6398 (R.1 1/97) DISTRIBUTION: Original to county, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS ` 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608- 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. 111. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to-the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. i C,"Kt- -ems Plot Qlo.r Tao S Y 0 7 R �C k m" s 1� �f o G �� �qr� iv4�k Llftvlle.z. �lco C' Ar 0e stay e. X�l ,5 e 1 D- 31 G�yvm01 - xk CA�� Plith Ail Int4t► And OL44rrotion flips Appro.ld Van1 Cap ►.Ilnlmwe 12' Above i • FInaI Clad, 20. 42' Above Ptpj 4" Cail Iron To float 01440 , Vanl PIp4 1 11ar Of S /nlMllo Ca.ulnq Lin 2� Apy/4p4U .. Or41 Ptpd 01111lOVIIOn • P1pa e e o --Tad 4 a 0041 Ptpa ° PutaUad Ptpo below o — 'Ca -01AI 70#00WIA1 At Oollom Of Sj►lam • tnr.� �r.c�t � 7 �, Icv•.�' ton � ��\\� SOIL FILL . DIS7R161dT10 PiPC A MOVEo ,SjvptETIC Covcn ,�. • "� J1 �'(��1Jet. OR 9" OF STRA 2" O F J\GGRE6AiE --�� r i' ^" OR JAAKS1a HA`j AG6RCGATE J:LEV. OF `Ej;T._ —' OISTRIDUTIOU PIPE TO 0C AT L.CNS .. _ IUC.ViES OCLOW ORIGIIJAL GRADE AQU AT LEAST LO IUCH_CS BUT 1.10 MOP C THAI) ` ?. IuCI {CS OELOW FIIJAL GI%AoE MM DaP -M OF EXCAVATIOP ROM oikIbWAL 6R?1ID= WILL DE IWC14cS 'tN9I1AVM pcEp OF EACAVAT100 f-ji 0i l(,0 rjR4 WILL ec _ IMCIiCS SIGIJCO: -� ! LIG EIJ SC LIUMBE R: _ ;Lao S �� DATE..___3 _� iq •. Ito _ . Wisconsin Department Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and �� C percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # o - / 09� - ao goo APPLICANT INFORMATION - Please print all information. Reviewed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 3 /3U /C9 Property Owner Property Location A Govt. Lot I VW 1/4 &J 1/4,S - 3a T 3 0 ,N,R If 8' ,fir) W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# o h ST = _� --- I City State Zip Code Phone Number ❑ City Village f Town Nearest Road PA UJ S o f l I ( '715 1 D '' ❑ New Construction Use: Residential / Number of bedrooms —3 Addition to existing building Replacement Public or commercial - Describe: Code derived daily flow Al so gpd Recommended design loading rate '7 bed, gpd /fi _ 18 trench, gpd /ft Absorption area required �3 bed, ft 5 &-3 trench, ft 2 Maximum design loading rate ' 7 bed, gpd /fie trench, gpd /ft Recommended infiltration surface elevation(s) / 3 It (as referred to site plan benchmark) Additional design /site considerations Parent material k Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure I AT -Grade System in Fill Holding Tank U = Unsuitable for system X S ❑ U S❑ U WS ❑ U ❑ S W U ❑ S X U ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft Consistence Boundary Roots Bed ,Trench in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. l a•ia 1 3 sb mfg �� m a l 2 /o yR 6 511 a A sb>;. r QL3 Ground 3 a. 7, 5 yk y , 1 C s, rn� c C O �S b elev. 77a ft. 7aft• Ya - 'W f Q _s)8 .5*5 OA Depth to limiting fa ctor Remarks: Boring # 5W a, a la:3o o� V61 sfl a sbK m fr C�J �'� ..S 0 '.5 0. Ground 3�_ y7 ID R / s ryl �v C� r �'y� IN Depth to limiting factor �in. Remarks: P CST ame (Please Pr Signature ZO No. Address 1 '9��A � � c ` �� � v --Q P' rno✓t W .1- s r 'a 7 9 ' 'A � J��n �►c�er SOIL DESCRIPTION REPORT PROPERTY OWNER Page o2 of ' PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-1 Q /o R 3 15bk r trY, ,5 a 3b �a R — SCI d Sbit r C YY X i , 5 Ground elev. 3 -5/9 S 'y3 ID Q �� S 1Y1 CvJ $ �o l Depth to limiting factor _ in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # i3 Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) A o, P IC i 0 V, cr. ,�I► B/ ?O aA4 , e-/ fm sca.�. � •� � a D C'�c t-!•r� ��.D537 i a o0 1 �r►VRa,agy� _ Qa�ag� �.lorne U Q i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ptc_'0 Mailing Address d 0 A'-- S l r Property Address a vQ— (Verification required from Planning Department for new construction) City /State - \ RA w\a Parcel Identification Number 101 y - a 0 - CX ) c7 LEGAL DESCRIPTION Property Location N UJ ' /4, sW '4, Sec. 3� T_7_N -R W, Town of ©fl Subdivision , Lot # Certified Survey Map # , Volume , Page # Warranty Deed 1 4 ag f Volume Page # LP O Spec house ❑ yes 19 no Lot lines identifiable 9� yes ❑ no i SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix 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. Uwe, 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 Zoning Office within 30 days of the three year expiration date. SI ATURE OF APPLICANT DATE OWNER CERTIFICATION 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 pr erty above, by virtue of a warranty deed recorded in Register of Deeds Office. SI ATURE OF APPLICANT DATE I * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed DOCUMEN NO it 'WARRANTY DEED I T SPA -E RESERVED FOR RECORD NG DATA !STATE BAR OF WISCONSIN FOB..i 2 -1982 - _ - REO tr R T oy M O FFICE .. Lois Bartlett a /k /a Lois A. Bartle a singl �y a \.r person Reed for Record MAYO 41992 conveys and warrants to John M. Richter a Valerie 8 . _ _.. - -- at • 30 A M F, Richter_, husband and wife .. .. _ $ " a= d Oeedt - .. .. ...... ..... ..... .. -. ..... . - -- �% Rt_t -IN TO River Falls State Bank -.. I'P.O. Box 89, River Falls, WI . -- the following; descrihed real "tate in St.. Croix C- jw:ty, State of Wi.,consin: Tax Parcel `o: -• -- -- --- --- -•------- I North 170 feet of South 528 feet of pest 214 feet of NWk of SW'k of Section 32- 30 -13. 17/.0 is 1:1 ,�- r easements, restrictions and rights -of -way of record, if any. Apr 92 K.\ I Lois Bartlett a /k /a Lois A. Bartlett AUTHENTICATION ACKNOWLELGMENT �,• Lois Bartlett a /k /a < r ,T_ t,F W1� +((��I_. Lois A. Bartlett z1pr_i1 Q2 1„ .� t 4�L � � Kristina Ogland TIT1,K: ' "E11i.EIt ST.1 fh: 1, �R "F { Kristina Ogland Attorney at Law •N;, ST. CROIX COUNTY WISCONSIN ZONING OFFICE p p e n n n ell X ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 April 27, 1999 First Federal Attn: Tammy 201 S. 2 nd Street Hudson, WI 54016 RE: Septic Inspection for John M. Richter located at 1231 100 Street, Town of Richmond, St. Croix County, Wisconsin Dear Tammy: A septic inspection of the above referenced property was conducted on April 20, 1999. This property is located in the NW'/ of the SW'/ of Section 32, T30N -R18W, Town of Richmond, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three (3) bedroom home. If you have any questions regarding this, please contact our office at (715) 386 -4680. Si rely, Rod Eshnger Assistant Zoning Administrator /sm �a r COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax Wisconsin n 54730 715- 962 -3121 800 - 962 - 5227 .;.. ST. CROIX ZONING REPORT NO.: 20174/01 PAGE I ST. CROIX COUNTY REPORT AATEt ' 3/30/92 HUDSON, , W WI 34016 CSON DATE RECEIVED: 3/26/92 ATTN: THOMAS C. NELSON i WtA -. � :::X r OWNER: A ' ':Lois Barttell LOCATION: '1231 - 100th, Now Richmond COLLECTOR: N. Jenki r DATE COLLECTED: 3 -25-92 TIME COLLECTED: 2 :00pm SOURCE OF SAMPLE: Kitchen faucet DATE ANALYZED :3 -26-92 TIME ANALYZED;2200pe COLIFORMI: 0 /100 m t INTERPRETATION: Racier iologically SAFE NITRATE -N: 7 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Colifore Racier ml -K- Nitrate- Nitrogen, mg/L 7 9 1Q 6 cfl 0, SG ' •. - �s U LAB TECHNICIANI Pae'Sane . . �T,f. r• 1 t,` WI Approved Lab Na. 19 < Means "LESS THAN" Detectable Level Approved by: ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 T. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse U� 911 4th Street Hudson WI 54016 5 � Telephone - (715)386 -4680 The S Croix County Zoning Office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING---------- ----------- - - - - -- -FEE: $ 25.00 X (For nitrates and coliform bacteria) WATER TESTING FEE: $127.00 (For VOC'S) SEPTIC SYSTEM INSPECTION----------------- FEE: $25.00 X (Determines if system is properly functioning at time of inspection) Property owner's name Lois Barttell Property owner's address 1231 100th St Legal Description SW 1/4 of the S 1/4 of Section 32 , T N -R Town of Richmond Lot Number Subdivision Name FIRE NUMBER LOCK BOX NUMBER Color of house Green Realty sign by house ? If so, list firm: ' Edina Realty - Brenda Poulin PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,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 C 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. J WINTER TESTING: Many times water lines are turned off, or sill / r cocks are turned off, making access to the home necessary. If , this is the case, please make proper arrangements with this �f office to ensure time when entry may be gained. Firm or individual requesting services: REALTY WORLD St. Croix Realty �{ ' Telephone Number 386 -9855, Corrine REPORT TO BE SENT TO: REALTY WORLD ST CROIX REALTY 509 2nd St. , Hudson Closing date, 4/30/92 T - " Signature RICHMOND ��► T.30 N: -R.18W 43 -� - � aI SEE PAGE 55 EE PAGE S7 '94 L g q � Fia C/lar' /es l �r f7ndto((� � y F n ' \ $ z° w� E. Ilk K 4 �u 65 '3 T ;�r o /a6. es e /man naves s tlJ ^ sa m z a, 0. 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WALKER Stillwater, Minnesota 55082 New Richmond 2 439 -5966 46 -3500 1225 North Knowles "NEW PATIENTS ALWAYS WELCOME" IN THE CREAMERY New Richmond, Wisconsin 54017 NEW RICHMOND '` 246 -2946 246 -2555 or 246 -4361 OFFICE HOURS BY APPOINTMENT y ST. CROIX COUNTY WISCONSIN ..,,,... r ZONING OFFICE ' ST. CROIX COUNTY COURTHOUSE �. 911 FOURTH STREET • HUDSON WI 54016 (715) 386 -4680 Mar. 30, 1992 Corrine Realty World St. Croix Realty 509 2nd St. Hudson, WI 54016 Dear Corrine: An inspection of the septic system on the property of Lois Barttel, located at 1231 100th St., New Richmond, WI was conducted on March 25, 1992. At the time of the inspection, a water sample was obtained for testing. The result of that test will be sent to you as soon as we receive it 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. Sin rely, P Mar enkins Assistant Zoning Administrator cj *NOTE: Septic seems to be functioning properly, however the house has been vacant for four months.