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Home My WebLink About020-1300-20-000 (2)STATEMENT Bird Plumbing, Inc. Shaun Bird kl&6�'k MPRS#226900 CSTM#226900 DNR#7640 1432 120th Street • New Richmond, WI 54017 Phone 715-246-4516 • Fax 715-246-8906 sbird@frontlernet.net Deposit required on all jobs. Full payment due upon completion. FINANCE CHARGES OF 1-1/2% per month (which is 18 % per year) are applied to amounts 15 days past due, Liens filed on all balances 45 days past due. Price does not include charges for bedrock, ground water or acts of God. Owner responsible for locating all underground lines and electrical hookups to house. Not responsible for damage to utilities. Owner responsible for cleaning effluent filter once a year. 1 year warranty on all parts and material (labor not included). Not responsible for ground settling, freeze ups, or backups caused by filter. Warranty void If water conditioner discharge is disposed of in system. Septic System and Well Inspection Report Bird Plumbing Inc 1432 12Oth St. New Richmond Wi 54017 715-246-4516 sbird@frontiernet.net Shaun Bird, certify that on 5/31/22 1 XXX Inspected the Septic System (POWTS) XXX MV404 Inspected the Well Obtained a drinking water sample Property Owner/Buyer Cameron Sexe As a result of my inspecton, I certify that: Site Address 434 Brookwood Dr. Hudson XXX In my opinion, the septic system was, on the date of my inspection, in working order and in compliance with the standards set forth by the Department of Safety and Proffesional Services. Any exceptions or needed repairs will be listed below. Date of last pumping Due to be pumped System appears to be sized for 3_ Bedrooms XXX In my opinion, the well at the date of my inspection, is in good condition and complies with all WDNR standards. Water sample sent to Quality Water Testing Lab Somerset Wisconsin. See attached Property Transfer Wells form. Any exceptions or needed repairs will be listed below. In my opinion, the septic system or the well is not working or not in compliance with the Departmet of Safety and Public Services or WDNR. See attached Property Transfer Wells Inspection form. The conduit is broken at the well head. The pressure gauge is bad at the pressure tank. The septic tank needs a 1' riser added and a vent cap added to the drainfield. Septic System maintance information: Pump tank every 3 years and clean effluent filter if installed once a year. For further information, contact your local zoning office. Disclosure: This test is not a guarantee of future perform different owners. This is not a warranty of this system. I cerfication. Past problems with this system,( if any) neA Shaun Bird MPRS/CSTM #226900 DNR# 7640 but a proffesional opinion. Usage can change from laim all liabilty for any loss caused by reliance on this be disclosed"bv the seller. Date__ 5/31/22__ 1; I I State of Wisconsin Property Transfer Well(s) and Pressure System(s) Inspection Department of Natural Resources dnr.wi.gov Form 3300-221 (R 10/14) Notice: Pursuant to ch. 280, Wis. Stats., and ch. NR 812, Wis. Adm. Code, this form shall be used to document any well and pressure system inspection conducted as part of a property transfer. Inspections are voluntary, and well owners are not required to bring systems into compliance as a result of the inspection. Inspectors must provide the completed form to the requester of the inspection. Do not send forms to DNR. Inspection Requested By Telephone Number Mailing Address City I State IZIP Code Owner's Name ITelephone Number Mailing Address City State ZIP Code Property Location County of Water System Location Gria or Street Address or Road Name and Numb (if available) Icity a ZIP Code zZ ay-.) Township Gov't Lot# 1 '/4 /,1 Section TTown IRange E/W Unique Well Number of the N Identified noncomplying features are noted below with a check mark. 1. ❑ Unused Well Should be Filled and Sealed 14. [-]Hand Pump 2. ❑Stovepipe or Thin -Walled Casing 15. ❑Offset Pump or Piping Height < 12" Above Floor 3. ❑ Dug Well 16. ❑Yard Hydrant 4. ❑Unprotected Buried Suction Line 17. ❑Materials for Pump and Supply Piping 5. ❑Alcove (Subsurface Pumproom) or Pit 18. ❑Flowing Well Installation 6. ❑ Non -Walkout Basement or Below -Grade Crawl Space Well 7. ❑Poor Casing Condition (Badly Corroded or Cracked) 19. ❑Check Valve Location 8 ❑Contaminant Source less than minimum separation distance 20. ❑Well Cap or Seal from well: 21. ❑Casing Height 9. ❑Well in Floodway or Flood Fringe 10. ❑Well at Risk from Localized Flooding 11. ❑Cross -Connection 12 ❑Driven Point Well (installed after 1-31-1991) without construction report 22:'<Electrical Wires Not Properly Enclosed in Conduit 23. ❑Sample Faucet is Missing or Incorrect 24 ❑Casing less than 6" in diameter for a well in limestone, dolomite, shale, quartz or granite 13. ❑ Nonpressure Conduit 25. ❑ Health/Safety Hazard ❑ Pre-1991 Driven Point Pipe Depth < 25 feet ❑ Inaccessible or Difficult Location for Future Well Work ❑Well Construction Report Not on File or Unlocatable ❑Inaccessible or Difficult Location for Future Pump Work ❑Well Located in Special Well Casing Depth Area ❑Non -Vermin -Proof Well Cap or Well Seal ❑ Pre-1979 Two -Wire Submersible Pump ❑ Other: ❑ Evidence of Some Corrosion on Well Casing Pipe Based on m personal inspection of the real property, the wells and pressure s stems : Complies with Wis. Adm. Code. my p p p Y, O p Y O ❑ boes not comply ❑ More comprehensive or additional research is needed regarding: ❑ an unused well ❑ floodways/floodplains ❑ contaminant sources ❑ other: This form lists the visible conditions of the well(s) and pressure system(s) on the property at the time of inspection and does not imply or give any gup�ar�be. Signatur icensed Water Well Driller or Pump Installer Individual License # Date �� Telephone Nurno r Marko Septic LLC 1092 120th Street Roberts, WI 54023 US (715)749-3404 MarkoSeptic@att.net INVOICE BILL TO Barbara Suick 434 Brookwood Dr Hudson, Wi 54016-0000 ACTIVITY 1 Septic Tank Pumped - WI 1 tank pumped Riser or Cover Installed new riser with lock & chains/vent cap Thank you for your business, Matt QTY BALANCE DUE INVOICE # 005953 DATE 07/18/2022 DUE DATE 08/17/2022 TERMS Net 30 RATE 215.00 215.00 305.00 305.00 $520.00