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COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800 - 962 - 5227
f`
ST. CROIX ZONING REPORT NO.: 05569/01 PAGE 1
ST. CROIX COUNTY REPORT DATE: 5/24/91
COLRTHOUSE DATE RECEIVED: 5/23/91
HUDSON, WI 54016
ATTN: THOMAS C. NELSON
I~
OWNER: Rick 6 Tina Graf
LOCATION. 1721-30th Ave., Hammond .v
COLLECTOR: N. Jenkins
SOURCE OF SAMPLE: Kitchen Faucet
COLIFORN: 0 /100 at
INTERPRETATION: Bacteriologically SAFE
NITRATE-N: 3 ppm
Above 10 ppm exceeds the recommended Public
Drinking Water Standard.
Coliform Bacteria/100 ml
Nitrate-Nitrogen, mg/L
LAB TECHNICIAN: Pam Gane
WI Approved Lab No. 19
04.\NDEPEA,, f
O p
~ s
'P A < Mans "LESS THAN" iJeter table Level Approved by:
dom. ,
o PROFESSIONAL LABORATORY SERVICES SINCE 1952
ST. CROIX COUNTY ZONING OFFICE
St. Croix County Courthouse
911 4th Street
Hudson, WI 54016
Telephone - (715)386-4680
Institutionst,e Rservice of septic
The St. Croix county tZooLendingOffice
ealty Firms, and
and water inspections
private individuals.
.•,,...,1 et: ern of thin *nrm is Mason,,-in! no that th2-.Rrn9art- nan US
Please provide the following information, enclose appropriate
fee made payable to St. Croix County Zoning office, and mail,
along with form to afterefeabove eandatormsare received will be done as
soon as possible
WATER TESTING----------------------------FEE: $ 25000
(For nitrates and coliform bacteria)FEEi $175.00
WATER TESTING
(For VOC•S) -FEES $25.00
SEPTIC SYSTEM INSPECTION----------""'-
(Determines if system is properly funct oning at t me cf
inspection) .0 ra
Property owner • s name i °t'
Property owners address 1 72 -3c
Legal D cript on 1/4 of the 114 of Section T= 'R~
Town of 7-2am. Lot Number =subdivision Name
FIRE NUpm=
Color of house Realty sign by house? If o, 1 st firm: Gzl
Cep Z ~
PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, .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
the home is vacant, and has been so for some time, the water line
:oust be purged by running the water for several hours before the
test can be conducted.
WINTER TESTING: Many times water lines are turned off, or sill
cocks are turned off, making access to the home necessary. If
this is the case, please make'proper arrangements with this
office to ensure time when entry may be gaid. f
C~o~ i Z ~~J S ri
Firm or individual equesting services:
Telephone Number lfz-s
- 3 _
REPORT TO BE SENT O:
z,
closing da -
9lgnature r A C:
,ASANT VALLEY- RUSH RIVER T• 28 N:-R.I7 W 19
♦ PAGE / I 1
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ILEAS~INT YALLEY T~'P+I~RUSN R/YER T1rP
PREPARE FOR THE WANG & SONS Tom's Electric
' FUTURE INSULATION Motor Service
CELLULOSE BLOWN MOTOR CLINIC
i I IN ATTICS 8 SIDEWALKS (715) 698-2421
t drjUrl t1unp TOM VANDEBERG • Owrwr
(715) 772-3186
Route One I River Road East
Wilson, Wisconsin 54027 Wondvlllt. Wisronsm 54028
rt
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
.s ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
May 23, 1991
Jim Claycomb
Century 21 Bertelsen-Cudd
894 Dayton Rd.
River Falls, WI 54022
Dear Mr. Claycomb:
An inspection of the septic system on the property
of Rick & Tina Graff, located at 1721 30th Ave., Hammond, WI was
conducted on May 22, 1991. 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.
erely,
Ma J kips
Assistant Zoning Administrator
cj