HomeMy WebLinkAbout020-1164-50-000 (2)St. ing and Zoning
Count 1 Plann Croix'kill
111'e(1nesdaY, October 24, 20017 at 8:04:22 AM
Of
Detail Sanitary Informatioti
- C 0 rn v/' u ? c-� 020-1164-50-000 Sub/Plat: Edgewood Estates Section- 7
Parcel 4: 07.29.19.974 977 Lot: 44-47 TN/RNG, T29N R19W
Municipality: Hudson, Town of CSIVI: 1141141- NE 1/4 NW 1/4
Owner: B & H Development 2945 Harshman Drive Hudson, WI 54016 New
State Permit: 75044 Issued: 04/15/1986 POWTS Dispersal: Non -Pressurized In -ground Permit:
County Permit: 0 Installed: 12/03/1986 POWTS Detail: Bed- Seepage Bedrooms: 3 W1 Fund:
POWTS Pretreatment: NA
i :4 r . tes
lssugLflnspecto_r As Built
Harold Barber Yes
'
Tom Nelson , - Yes
Plumber Other Reqwire l'TK_'nk
Schumaker, William
pull this permit and file with 1992 replacement for
Rick Stoner - no longer in '86 archives
Owner: Stoner, Rick 2945 Harshman Drive Hudson, Wi 54016
State Permit- 175665 Issued: 09/02/1992 POWTS Dispersal: Non -Pressurized In -ground Permit: Replacement
County Permit: 0 Installed: 09/05/1992 POWTS Detail: Trench - Seepage Bedrooms: 4 W1 Fund:
POWTS Pretreatment: NA
Issuer/Inspector As. Built
Tom Nelson Yes
Mary Jenkins Yes
Scheduled Purr] Pate Purnped
9/5/1995 10/3/2005
10/3/2008 5/7/2006
5/7/2009
Money Owed
$0.00
Additional Notes M o n ��y QAiq d
PlUmbe� Other Rgqu L
�i Et,
.... . .... Permit is for one POWTS, but owner has 4 lots $0.00
ui e
Ulbricht, Robert permits missing f 1992 folder locate
? under this same parcel & Computer number in real
ASAP data e e in Dec. 200 properties. Original permit placed with all files
together in replacement folder. Added another
800 gallon tank to provide 1800 gallons capacity.
''t to
Notification
04/20/2006
quo
2-2000 15:42 Corporate Security
Or
— — — — — — — — — —
612 729 e352 1,P.03
�i. I
CrOIX NSUN I ywIscoIN
ZONING OFFICE
ST. CROIX WUNTY GOVEFtNMENT CENTER
I I ()I Carrnlrhael Roi3d
Hudson, W1 54016.7710
(715) 366-4680
SEPTIC INSPECTIOV / W�TER TEST REQUEST FORH
fee with
it appropriatc
ease spcclfy desired test(s) & remit turned off (iuring
-n itside water line*; are often
plicatio OL
Please make
nter Taonths, making access to the home necessary-
rangements whiz thi.4; Office to in
that entry be gained,
(?IS ept i C $125, 00
$200400
Water (VOC S ) T -
Water (Nitrate & Bactarla) or55-00 0 Nitrate & Bacteria
retest $15000
$21"00
Water (14ead Conccntrati0n)_____
Requested bY.'' �.o q
Wner; A kddress:
t
Y--- 7 13 1 VV Z
zlp.�
F�zip ire lephone-K, �3
e I ephone 6
roporty address (Fire W Street) 0 f
�Onz T Nr R W Town %WAN&~
Cat
Seca
ooq:� I r~�
closing Date,,
east 412,doz)
Eck Box conho
y f Loc
ED BY..
P F ET-Y
S E 1'-',-T I C SYSTEM ON REVERSE OF THIS FORM*
PROVIDE A SKETCH OF HOUSE
ater sample tap location:
S the dwelling currently occupied? Yes 0 No
` { f vacant,, date last occupied o.
C)
C y
L
C je of septic systeln: ZA51
Date
Sept', c tank last pumped by,- MTOVAt
.A. 9 - -,
revious owner's Nave (s)* .....
-R I& ..
lave any of the following been cab:-, erved?
Cy %N Slow drainage from house.
%q Sewage BacX"up into dwelling,.
h,
0 Y ;W Sewage discharge to ground surfacc or road dit(.
Dy Xjq Foul odors.
1J.1
0
c, m L) 1) C r a t i o n 11.0her oomli)onts relativQ to zy!;t
A
IN, oMplete ancl
uik certify teat the above information is C
Zest of my knowledgeM
OWNERS SIGNATURE
true to the
L, :�/ a 0
DATE: W
04--10-00 12 : 40 P . 01
Y ARDLEY 6 i-423-497'�
u 4 / 1 u , : ;! n PAX •! 1 b 3bb 4 686 ST CRX CO ZONING
_ r
- ST_ CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST, CROIX COUNTY GOVERNMENT CENTER
1 1ol carmIcnaoi Road
Hudson, WI 54016-7710
(715) 386-4680
SEPTXC INSPECTION / NAT9R 'IESW REQUFST FORM
Pleaso speci.f'y desired test(s) & remit appropriate fee with
guts ide water` 1 fines are often turned of f during
application, winter months, making acress to the home necessary, Please make
arrangements with this office to insure that entry can be gained.
Water ( V
oc" s) _. _ _ $200 * 0❑ eSeptl,c $1*25* Uv
C�
( Water (Nitrate & Bacteria $55-00 ❑ Nitrate & Bacteria
13 Water' ( Lead Concentration $ 21 .0 Q retest
K
b�e?aLlev
owner: JQ � � �, � � � w .._ Requested Y ��'
Address : � �� Address: _ _.
WX
SIP S a�� f_a zIPI4
Telephone N'4; �.� ..�.- `3 �" ,.. Telephone `5 } �,7-7
t address (Fire & Street)1 //00
Proper l R
Locat on: r See . T N . FZ W if Town of
e5
if 4,4ort
Realty f 1rm: LocX Box Combo : Closing Data:
)9rr n� Joh�6n Q ale
_71-5 - 6--�a17
iPROVIVE A S"TC:H OF HOUSE & SEPTIC SYSTEM ON -REVERSE of THIS FORM
Hater sample tap location
Is the dwelling currently accu] ied? ❑ Yes 0 No
If vacant, date last occupied: �.
Age of septic System:
Septic: tank last pumped by; � Date:-, �,...�
Previous owner' s Name (s) :
+w+aur+.—�n--r • — r.. -err
Iiave any of the following beeii ob;*;erved?
OY ON Slow drainage from }you se .
OY ON 5ewa5e Backup into dwelling..
❑Y ON Sewage discharge to ground surface or road ditch.
11Y ON Foul odors.
Other cunimont,t 1-C4.latiVe 1,0 sy8L-om operation
1 certify Lbat the above i.nforluaL'on is complete and true to the
best Or My knout l edge ,
OWNERS SIGNATURE: DATE z
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