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HomeMy WebLinkAbout030-2035-50-110 S , N 00 I ti O oy ~ I o o ~ I 0 j y I M O ~ O ZS > ~ U E" a ~ I c m ~ I Z 3 3 co LL O 0) N D Q N t I V N M ~i Z y E N Z o z a) d 0 a m 't CY) N I- N O C z O U O 2 d c O 141) C: fn F- r O N Z E '2 v M CL a aa) m :3 a) N (n N I 1~ c a~ • o wrl t 76 c C 0 v O O N Q w Z f- Z z N 0 I d E Cl) E y "Its N N a+ l6 1 6) M M a7 r C (O IL °C) N N y L a) a) 2 O O a0 0 o a C N_ y _ O o^/V1 Z > N 0 0 d d Z 0 4i 0 a O O N N V = rn rn } LO ~J o o Q o C) 0 N O O L ~ d O N N cu N ~ as I 3 7 N p - 0 N ~j o N c m 0 m o o 0 E co :3 0) o 0 0 - 0 N N u a CD N Ln _ a CL C `r' o a c E E o c w o N ai co r 0 am rn r -Z: - Li N O - a) O O 41 0) 0 (n O ~ I y m a 3 *t a a • ~ CL C; V a) Y C i E u C C 10 0 3" o '0WIsc6APn Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT St. Croix Safety and Buildings Division SE a,NW4jS`~~Z~', 17P 1ys . 6435 Sanitary149106 GENERAL INFORMATION Permit Holder's Name: ❑ Cit ❑ Village R] Town of: State Plan ID No.: William F. Powers Joseph CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 6,d - -J TANK INFORMATION ELEVATION DATA 9 ®y Fj ,'-~O A , TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic e.. Benchmark / . $3 03 ~ Dosing- [ .1 /,Z, 3S Z 1054?Z Aeration Bldg. Sewer Holding St/ K Inlet TANK SETBACK INFORMATION St/ I6utlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dos' - NA Header / M . lD B Aeration NA Dist. Pipe I 7.°~~~ 99d.Z' ~ .z Holding Bot. Sy stem 0;7- PUMP/ ~9 ; 99a ' SIPHON INFORMATION Final Graded 5'-91Q 2-1~ Ma acturer Demand D~ ( o(k& 86' 97' Model Number GPM TDH Lift Friction stem TDH t Loss Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length i No. Of 7 enches PIT .Of Pits Inside Dia7---~ Liquid Depth DIMENSIONS ~ IMEN 1 N LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION Type O Ti CHAMBER f Model Nu ti System: Cont/,1-0ZL " OR UNIT S DISTRIBUTION SYSTEM Header/ Man 4641 „ Distribution Pipe(s) , Ix Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length ~Z Dia. Spacing /o? 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 .3z - 7,) Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) -7 Z) Plan revision required? ❑ Yes 2-19-0 q Use other side for additional information. 9 O SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. SANITARY PERMIT APPLICATION i [:7EDiLHA In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than / q f tJ 8% x 11 inches in size. ❑ Cheok if revision to ~vious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION W r L L o n-M P, Pow E- A -S 5 IV01/4, S-,2, T 3®, N, R c2 O E (or , PROPERTY OWNER'S MAILING AD RESS LOT # BLOCK # C;,C) 9 0 U 11 /C- bP ! t'.0 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER ,6&2 er y7-S10 II. TYPE OF BUILDING: (Check one) CITY NEA EST )AD ❑ State Owned 7 4OWW E ST c7SL/ ~j -6 3<S OF: ❑ Public X 1 or 2 Fam. Dwelling-# of bedrooms 3 PARCEL A u sn-`ld 6 a- 043 111. BUILDING USE: (If building type is public, check all that apply) ~O -S-0/A7) 1 ❑ Apt/Condo / J 2 ❑ Assembly Hall i 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 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ~n New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 ❑ Mound 300 Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 430 Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE ~ SY.STE ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ~~ELEV TII~ON 7_5°`Q ~C~ .6 7- 3 9 Feet W,,&:- Feet. VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank ~~f© Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): PI tuber' S' nature: (No m MP/MPRSW No.: Business Phone Number: I, Jls- )ST- 3c(: Plumber's Address (S reet, City, State, Zip C J. _ IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e ssue I ng Agent Signature (No Stamps) Surcharge Fee) Approved ❑ Owner Given Initial Adverse D terminate n X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber " APPLICATION FOR SANITARY PERMIT STC-100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property d"ll A'07w4es in a.. i.n.~www Location of property ~~1/9 A)W` 1/4, Section a T~_.N-R _4Q_4C C- Township 5 -'-MF~P(+ Mailing address oZa~ C1cx~i~Ed2. ~p~tjE Address of site Subdivision name lA- w Lot number f Previous owner of property S~ F_c1 L SGoC,x,JA Total size of parcel A e&x 1-31 AM" j I Date parcel was created Are all corners and lot lines identifiable? as _____No Is this property being developed for resale (spec house)? an 0 Volume 8 and Page Number cPYN as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. ----------------------,----------------------------------7--------------------- PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty d~~eeed recorded in the Office of the County Register of Deeds as Document No. `~70 7 (a 3 ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the constructio of said system, and the same has been duly recorded in the Office of t e ty Register of Deeds, as Document No. U:2A7/"':Z . Signature of-Owner Signature of Co-Owner (If Applicable) Date of Signature Date of Signature WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2 - 19821, REGISTERS OFFICE 47iO9S jt 'I ST. CROIX 00., wi Recd for Record __._Vernel-1_-A.-,.Skoglund..and Stephen L, JUL 411991 - Skoglund.... at 11:00 AA a conveys and warrants to William F Powers.. and..... I.......... Register of Deed$ Fame.1a, _.J..._. P_owers.,...husband.._and..wife _.as suhvi.V.azshi.p_.mar.it-al...prop.ert-y Ij I R[TURN TO III _ _ . the following described real estate in .......►S. C•Q1X.__-_•,----County, - - State of Wisconsin: Tax Parcel No: Part of Northeast Quarter of Northwest Quarter and Part of Southeast Quarter of Northwest Quarter of Section 24-30-20 described as follows: Lot 1 of Certified Survey Map filed June 25, 1991, in Volume "W', page 2374, Document No. 470763. TOGETHER WITH an easement for ingress and egress over Outlot "1" of said Certified Survey Map. y: 600 o 001 This 9i...nQ.t......... homestead property. (is) (is not) Exception to warranties: municipal and zoning ordinances, easements and restrictions of record. Dated this _.......U .~1!. day of June............................. . 1 ..-.1.. .............(SEAL) -----(SEAL) Vernell A. Sk lund (SEAL) t~.D (SEAL) Stephen L. Skoglund AUTHENTICATION ACKNOWLEDGMENT Signature (s) STATE OF WISCONSIN ss. ST CROIX County. authenticated this ........day of........................... 19...... Personally came before me this --day of ~I ne 1991... the above named Vernl A. Sko lund and ---Stephen L. Skoglund TITLE: MEMBER STATE BAR OF WISCONSIN (If not . authorized by § 706.06, Wis. Stats.) g to me known to be the person who executed the foreg ing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Judith~_..Remington Gary Baillargeonv REMING..TQN LAW OFFIC--------------------------------------------------------------------------- _....~ISJei--RJ.C[lIU~O.Y1SJl,-_-Y,Z------- .0.17 Notary Public ...St. Croix -County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: ~ ..._H: - 0i: - II *Names of persona signing in any capacity should be typed or printed below their Signatures. WARRANTY DEED RTATE RAR nF WTgrnI ,c,T+v T,.-1 V.;.,.,~ I. This instrument drafted by Fran Bleskacek Proj. No. 88-34-191 4'70703 CERTIFIED SURVEY MAP Located in part of the NE4 of the NWPa and in part of the SEh of the NWa of Section 24, T30N, R20W, Town of St. Joseph, St. Croix County, Wisconsin. APPROVEL) JUN 25 1991 mac- 51. CROIX C:OUNry Q EHBW W PAF49S KANN"., AND ZONING CDAANMTIEE oc°.' YL01: a~/ LEGEND N43°20'4611E 19 Aluminum County Section Corner N1 Corner of Section 24 ce~''~ j 66.001 Monument Found T S46°39' 1411E o 1" x 2411 Iron Pipe Set, weighing 65.36' 1.68 lbs. per linear foot h. ~ % -x--~- Existing Fenceline P ' ED JUN 2 5 1991 65.36' OWNER N 0 'A Q Steve Skoglund H J' 149 High Street ro O' O 'O 1 M New Richmond, WI 54017 ° y+ a 41 I ~o N n rot n 0 00 C to G 1 tp O •I n O I v to a NEyI of the NW} of Section 24 N SE} of the NW} of Section 24 0 v- F- o o o ~ v - wI 1 rn O L ao to 'O I u c C I J t0 N O ro •--°O J I = lA ti. y N O I to \ N 1 C) 3 O tT r L y 1 W c ro I M C •.1 L W ro l O ..d ro 7 O.1 .t P. to til O O C I 11 ~ .r ~ m H Y I • O to O tG to O L n n rn 41 I W 3 p 0 o t Unplatted Lands t 0 0 a r"D °o z to I N89035157"E 567.00' 2' percolation test area y r 50, LOT 1 3 d N I 141,740 Sq. Ft. o of 3.25 Acres t o ~1 t,1,Gt 66.001 I 567.00' S8903515711W 633.00' 3 n m ° Unplatted Lands ,n v; Ln M O Cn O SCALE IN. FEET N 0 100 200 300 S} Corner of VOLUME 8 PAGE 2374 Section 24 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/ BUYER ROUTE/BOX NUMBER a08 CCoL4..-r%644L OR-tc)E ~ FIRE NO. CITY/STATE- S 1^303:7- ZIP PROPERTY LOCATION: 56 1/9 A,)t4.)/9, Section c;tq, R_SPQ 3r, C Town of 5?. JBSN~Pa , St. Croix County, Subdivision /y,~fi~' , Lot No. 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 SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning 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 (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix C ty Zoning office within 30 days of the three year expiration date. SIGNED '1V DATE St. Croix County Zoning Office St. Croix County Courthouse 911 9th Street Hudson, WI 59016 (715) 386-9680 Sign, Date, and Return to above address DEPARTMENT OF REPORT ON SOIL BORINGS AND SAF€TV & BUILIAN" JNDU3TRY, DIVISION' LABOR AND N # PERCOLATION TESTS P.O. BOX ' HUMAN RELATIONS (1151) MADISON, WI 53703701 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: 7OWNSHIP/580ame CTY: OT NO.:BLK. NO.: SUBDIVISION NAME: SE 1/4 NW 1/4 24 /T 3011/R 2OLor) W St. Joseph it n/a n/a COUNTY: OWNER'S/WJMM NAME: MAILING ADDRESS: St. Croix Steve Skoglund 149 High St., New Richmond, wi. 54017. USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: I RO PERCOLATION ESTS-.I)WResidence 3 n/a &I New ❑Replace I 6_18_91 in/a RATING: S= Site suitable for system U- Site unsuitable for system ONVENTIONAL: MOUND: IIV-GROUN1ESSURE: SYSTEM-IN-FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) S ❑®S ❑U ®s ~U S ~U ❑ S split level trench If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: class 2 Floodplain, indicate Floodplain elevation: n/a ! decimal' PROFILE DESCRIPTIONS page 33 JsB BORING TOTAL DEPTH TO GROUNDWATERiINCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED ST. HIGR-ESf- TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B_ 1 7.08 102.30 none >7.08 1.00bl.1. .83bn.sil. 5.25bn.s.l. B- 2 7.17 102.98 none >7.17 .75bl.1. 1.00bn.sil. 1.50bn.s.1. 3.92bn.l.s. . 3 7.08 101.39 none >7.08 1.00bl.l. 1.08bn.sil.1.00bl.s.1. 4.00bn.l.s. B- 4 7.00 99.15 none >7.00 1.17bl.1. 1.00bn.sil. 1.83bn.s.l. 3.00bn.l.s. B- , g- 5 7.16 99.15 none >7.16 1.00bl.1. 1.08bn.sil. 1~.,83bn.s.1. 3.25bn.l.s. s_ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP WATER V -111 HES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PER INCH p- P- P- P- see sign rate P- P PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hui, zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percen of land slope. 98.98=upper trench SYSTEM ELEVATION 97.39= lower trench .444 u i r ~ I Lin ~'`,td1 Flo _ f i sf p x ►p 441 ff ff I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsi Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Car L. Steel 6-18-91 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(oplional) 1554 200th. Ave. New Richmond, i. 54017 CST SIG 2 8 RE: 17t5-246-6200 / f DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - / L , ~ i~r► C7G w ew S r'. 4 I k- L) P- s 3rd 75- EL C) 87.39 -E-C, Al 4; ~vX S,s s~ f~CC!t~2~iNS 7~c, 5'i=tb,~ckS el w X G a 70 i33 I ~ • y FAi.F ~F 1 CROSS SECTION OF A TRENCH SYSTEM t I SOIL FILL DISTRI15UTIOAI PIP APPROVED SyWTHETIC COVER OF AGGREGATE 'MATERIAL OR 9N OF STRAW Q Q / OR MARSH HAs N I I N W ELEV. OF G OP/t-a GGREGATE FEET 0 DISTRIBUTIOU PIPE TO BE At LEAST INCHES BELOW ORIGIIJAL GRADE ARID AT LEASTZO INICHES BUT NO MORE THAW 42. INCHES BELOW FINIAL GRADE MAXIMUM DEPTH OF EXCAVATIONI FROM ORtGIWA.L GRADE WILL BE INICHES MINIMUM DEPTH OF EXCAVATION) FROM ORIGIIJAL GRADE WILL. BE INCHES yo SIGAIED: LICEUSE DUMBER: DATE: r ` ST. CROIX COUNTY N, WISCONSIN i y F%BONING OFFICE i~rrNN~rr rrni ROIX (BOUNTY GOVERNMENT CENTER - ST CRoI It 11.1 Carmichael Road 1CNiNCOFF1GE . ' Hudson, WI 54016-7710 (715) 386-4680 SEPTIC INSPECTION / WAY' T"REQUEST 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. 0 Water (VOC's) $185.00 Septic $50.001x' XWater (Nitrate & Bacteria) 45.00!4-L 0 Nitrate & Bacteria CJ- Water (Lead Concentration) 21.00 retest $15.00 030- 20-35 - $O - /to Owner: lo' ar4A3 furs Requested by: K}9C.~b~~ Z. 4305T Address: 7! 079w bT. Address: 44:0 s, sEcewa sr. _obr uJZ Z I P Syfw~r 4VOS&U,- wr z I P sgy&A Telephone N°: ( ) Telephone N°: (71s) 381,-cQV9 Property address Fire W & Street) : ►Ti >57` Location: , h,wN, Sec. ?4 T 30 N, RAW, Town of • L.+ 6SA4 &/2374 Realty firm: 95,Vi✓4 "TY Lock Box Combo: K7'6 Closing Date: 914W/g8 030- 2035- 50-110 "-?e-1.j30- 'go yI&F6 TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMS Water sample tap location: Knt1jVJ Is the dwelling currently occupied? ❑ Yes No If vacant, date last occupied: -11rSlit Age of septic system: Bdiar- /541 Septic tank last pumped by: VN1C4A3V1AJ Date: 6m#J4N Previous Owner's Name(s): Have any of the following been observed? 0Y PON Slow drainage from house. ❑Y ION Sewage Back-up into dwelling. ❑Y RN Sewage discharge to ground surface or road ditch. OY JWN Foul odors. Other comments relative to system operation: I certify that the above information is complete and true to the best of my knowledge. OWNERS SIGNATURE* DATE: ~ 1/94 OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION IN =91"O. cp.'*~ 0 9k" µwS~ Iz` boom •i s. TO BE COMPLETED BY INSPECTION AGENCY System design &/or permit on file? ❑Yes ONo AQ Soil, series per SCS Soil Survey: sheet # Type of soil absorption system: OBelow grd ❑At-Grd OMound Approx. size 'X OGravity ❑Dose OPressurized Ft•Z ❑Bed OTrench ODry Well s ❑Holding Tank 00utfall pipe OBSERVED DEFICIENCIES OOther OUnknown Septic tank } Setbacks: OHouse OWell ❑Prop. line 00ther Dose tank Setbacks: OHouse OWe11. OProp. line 00ther OLocking cover OWarning label OPump/Floats OAlarm ❑Elec. wiring Soil Absorption System Setbacks: OHouse OWell• OProp. line 00ther OPondincg~:-r nnv) p ewyt^-l ❑Discharge: G e al comments b 7TCH A INSPE ORS SYSTEM LOCATION Inspec Pr Title 61 i ST. CROIX COUNTY WISCONSIN ZONING OFFICE N p ■ N ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road IMF'' ~ rb Hudson, WI 54016-7710 (715) 386-4680 September 1, 1998 Kernon Bast 400 So. 2nd St. Hudson, WI 54016 RE: Existing septic system inspection for Thomas Klements Legal: SE A, NW A, Sec. 24, T30N-R20W, Town of Saint Joseph, St. Croix County Dear Mr. Bast: On August 31, 1998, an inspection of the septic system on the Thomas Klements' property, 1471 24th St., Somerset, Wisconsin, was conducted. At the time of the inspection, the septic system appeared to be functioning properly. No ponding of septic effluent was observed in the drain field vent. The dwelling was not occupied at the time of the inspection and hadn't been since July 15, 1998. The septic system serving the property was installed on September 4, 1991, and was sized for a three bedroom house. A Weeks 1000 gallon septic tank discharges to a trench type drain field- two - 5 foot by 75 foot trenches. The system was inspected by staff from this office on September 4, 1991, and was installed as a code compliant system. To prolong the life of the system, remember to have the septic tank pumped once every three years or when the tank becomes 1/s full of sludge and scum. Other efforts to prolong the life of the system could be as simple as fixing or replacing plumbing fixtures with water conserving fixtures, reducing shower time, washing dishes when the dish washer is full, avoid using a garbage disposal, using a wash machine with a suds saver feature, etc. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. This inspection of this sewage disposal system was based on a surface inspection of said system, and did not involve any excavation 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. The water test results will be forwarded to you as soon as we receive them. Should you have any questions, please contact this office. Sincerely, Rod Eslinger Assistant Zoning Administrator ST. CROIX COUNTY WISCONSIN ZONING OFFICE Ron, nr ST. CROIX COUNTY GOVERNMENT CENTER rri ""on 1101 Carmichael Road " Hudson, WI 54016-7710 _¢=a - (715) 386-4680 September 8, 1998 Kernon J. Bast Edina Realty 400 S. 2nd Street Hudson, WI 54016 RE: Water Test Results for Thomas Klement located at 1471 24th Street, Tn of St. Joseph, St. Croix County, Wisconsin Dear Mr. Bast: Enclosed are the original water test results from Commercial Testing Laboratory for a water sample that was taken at the above referenced property. If you have any questions regarding this, please call our office at (715) 386-4680. Sin ely, //-/j - A' T"? 4d~ Rod Eslinger Assistant Zoning Administrator Enclosure sm 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 County Zoning Office Cust.No: 78900 Report No: 71617 St.Croix Cty Gov.Ctr Date Reported: 914198 1101 Carmichael Road Hudson WI 54016 Date Received: 911198 OWNER: Thomas Klement LOCATION: 1471 24th Street. Somerset COLLECTOR: Rod Eslinger DATE COLLECTED: 8131198 TIME COLLECTED: 30pm SOURCE OF SAMPLE: kitchen tap DATE ANALYZED: 911198 TIME ANALYZED: 2:OOpm COLIFORM,MFC C: 2Bacterlologlcally 11 00m1 INTERPRETATION: Safe NITRATE-N: ppm Above 10ppm exceeds the recommended Public Drinking Water Standard `4t Lab Technician: Pam Gane WI Approved Lab No. 19 I:FICE < Means "LESS THAN' Detectable Level i~