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COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715 - 962 - 3121
800 - 962 - 5227
FAX - 715 - 962 - 4030
i
ST. CROIX COUNTY GOVERNMENT REPORT NO.*# 47654/01 PAGE 1
CENTER REPORT DATES 8/26/93
1101 CARMICHAEL ROAD DATE RECEIVED*# 8/25/93
HUDSON, WI 54016
ATTNS THOMAS C. NELSON
OWNERS Richard Stout
LOCATIONS 483 Prairie Lane Hudson, WI
COLLECTORS M. ,lenken
DATE COLLECTED28-24-93
TIME COL.LECTED23200pm
SOURCE OF SAMPLES outside faucet
DATE ANALYZED*# 8-25-93
TIME ANALYZED*# 2200
COLIFORM,MFCC*# 0 /100 ml
INTERPRETATIONS Bacteriologically SAFE
NITRATE-NS 4 ppm
Above 10 ppm exceeds the recommended Public
Drinking Water Standard.
Coliform Bacteria/100 ml
Nitrate-Nitrogen, mg/L
1� �12t
Rfc➢F� ..
3 p v93
m ST C VAUI,
c ca
LAB TECHNICIANS Pam Gane 41
OF.\NDEPFNDENr •~,{
c' s WI Approved Lab No. 19
O F I
D CA
Means "LESS THAN" Detectable Level Approved byt
PROFESSIONAL LABORATORY SERVICES SINCE 1952
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST.CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON,WI 54016
- (715)386-4680
SEPTIC INSPECTION / WATER TEST REQUEST FORM
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 a time when entry can be gained.
❑ Water (VOC's) $185. 00 X SepticI625.00
Water (Nitrate & Bacteria) $35. 00 (Visual inspection)
Owner:� tA�QQ c�_ �ldc7� Requested by: U
Address: Address: A)A i.
City & State: v0 G!)t, City & St. r t6k) ,
Zip Code: Zip Code: ;5a�(p
Telephone N°: 2 LL9-Ka731 Telephone N4:
Property address (Fire N2 & Street) (AX *C,kT-S)
Location: ., ., Sec. ?,0 , T_2-!tN, R_J_I_W, Town of z9So
St. Croix Co. , WI. Tax ID N4 Parcel ID N4
0 1� — L�L�
House color:_ Realty fi : 2!�OeA)A- Lock Box Combo:
Water sample tap location: naw
TO BE COMPLETED BY PROPERTY OWNER
*PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM*
Is the dwelling currently occupied? Yes ❑ No
If vacant, date last occupied:
Septic system installed by: Pfd Year:
Septic tank last serviced by: d Date:
Previous Owner's Name(s) : d
Have any o S the following been observed?
❑Y W Slow drainage from house.
❑Y K' Sewage Back-up into dwelling.
❑Y r Sewage discharge to ground surface, I
road ditch or body of water.
❑Y
'road
❑Y ;41drainage from the dwelling. l
cul odors.
Other comments relative to system operation:
I certify that the above informatio is complete and true to the
best of my knowledge. 6, A/I$ZY p�O WNERS SIGNATURE DATE: -/
l
i a
OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION
t
� N
TO BE COMPLETED BY INSPECTION AGENCY
System design &/or permit on file? ❑Yes ONo
Soil series per SCS Soil Survey: sheet #
Type of soil absorption system: @�elow grd ❑At-Grd OMound
Approx. size ' X OGravity ODose OPressurized
Ft.2 ❑Bed. OTrench ODry Well
Molding Tank OOutfall pipe
OBSERVED DEFICIENCIES ❑Other ❑Unknown
Septic tank
Setbacks: ❑House. d--OWell�-OProp line A---'00ther
Dose tank
Setbacks: ❑House ❑Well ❑Prop. 'line ❑Other
❑Locking cover ❑Warning label ❑Pump/Floats "
❑Alarm ❑Elec. wiring
Soil Absorption System
Setbacks: 0Housed::!.,/1- OWell OProp. line OOther
OPonding: , / ❑Discharge:
General comments:
INSPECTORS SKETCH OF "SYSTEM LOCATION
N
U Inspecto
Title
,p ti
ST. CROIX COUNTY
WISCONSIN
PLANNING & DEVELOPMENT
PLANNING SOLID WASTE REAL PROPERTY ZONING
715-386-4674 715-386-4623 715-386-4677 715-386-4680
August 24, 1993
Kernon Bast
Edina Realty
700 2nd Street
Hudson, WI 54016
Dear Mr. Bast:
An inspection of the septic system on the property of Richard
Stout, located at 1353 Awatukee Trail, Hudson, was conducted on
August 24, 1993 . 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 ch emical analysis.sis. Accordin 1
Y,
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.
Should you have any questions, please contact this office.
Sincerely,
Mary J. Jenkins
Assistant Zoning Administrator
mij
ST. CROIX COUNTY • • 16
GOVERNMENT CENTER 1 101 CARMICHAEL ROAD HUDSON, WI 540
Parcel #: 020-1262-50-000 04/07/2006 10:24 AM
PAGE 1 OF 1
Alt. Parcel#: 20.29.19.1272 020-TOWN OF HUDSON
Current IX] ST. CROIX COUNTY,WISCONSIN
Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type
00 0
Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner
O-BROWN, LEE WARREN &CHRISTINE MARIE
LEE WARREN&CHRISTINE MARIE BROWN
483 PRAIRIE LA
HUDSON WI 54016
Districts: SC=School SP=Special Property Address(es): '=Primary
Type Dist# Description "483 PRAIRIE LA
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.000 Plat: 2319-PINE GROVE HEIGHTS 2ND
SEC 20 T29N R19W 2 AC PT SE NE LOT 27 Block/Condo Bldg: LOT 27
PINE GROVE HEIGHTS 2ND ADD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
20-29N-19W
Notes: Parcel History:
Date Doc# Vol/Page Type
12/27/2005 815133 2949/524 QC
07/23/1997 1034/574 WD
07/23/1997 913/353
07/23/1997 858/233
2006 SUMMARY Bill#: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 75,000 204,600 279,600 NO
Totals for 2006:
General Property 2.000 75,000 204,600 279,600
Woodland 0.000 0 0
Totals for 2005:
General Property 2.000 75,000 204,600 279,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch#: 128
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
COM;4ERCIAL 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 ZONING REPORT NO.S 40024/01 PAGE 1
ST, CROIX COUNTY REPORT DATE: 4/26/93
COURTHOUSE DATE RECEIVED: 4/21/93
HUDSON, WI 54016
ATTNS THOMAS C. NELSON
i
OWNERS Richard Stout
LOCATION: 483 Prairie Lane, Hudson
COLLECTOR; M. Jenkins
DATE COLLECTED! 4-20-93
TIME COLLECTED.' 1230pm
SOURCE OF SAMPLE: Outside faucet
DATE ANALYZED:4-21-93
TIME ANALYZED22200pm
COLIFORMS 0 /100 IM
INTERPRETATION: Bacteriologically SAFE
NITRATE-NS 3 ppm
Above 10 ppm exceeds the recommended Public
Drinking Water Standard.
Coliform Bacteria/100 m!
Nitrate-Nitrogen, mg/L
Cb
� Sl
1�/CMG,yG •Jr�
4,x,0
LAB TECHNICIANS Pam Gane f �cR
° s
WI Approved Lab No. 19
3 o� C Means "LESS THAN" Detectable Level Approved by:
PROFESSIONAL LABORATORY SERVICES SINCE 1952
to
' T. CROIX COUNTY
WISCONSIN
ZONING OFFICE
• - ON1Y T.CROIX COUNTY COURTHOUSE
91 FOURTH STREET • HUDSON,WI 54016
- - - (715)386-4680
SEPTIC INSPECTION / WATER TEST REQUEST FORM
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 a time when entry can be gained.
❑ Water (VOC's) $185. 00 Septic $25. 00
Water (Nitrate & Bacteria) $35. 00 (Visual inspection)
Owner: (6, r a/-,,7-" Requested by:
Address: 4$` A-tR(C Address: p ^
City & State: pset) _ City & St. cl,oscvJ, ,
Zip Code: S-ktoiL Zip Code:
Telephone N°: ("c S) 5tt4. 673 f Telephone N4:
Property address (Fire N2 & Street) : g3 O'Q�cR�£
Location: , , ,, Sec. L, T Z°) N, R) _W, Town of (1�
St. Croix Co. , WI. Tax ID N4 Parcel ID N2 -- �
L19?�D -Z
House color: Realty firm: i541A)A Lock Box Combo: 1�7
Wat'e,r�_sample tap location:
C!JL6'1� �• �
TO BE COMPLETED BY PROPERTY OWNER
*PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM*
Is the dwelling currently occupied? E Yes ❑ No
If vacant, date last occupied:
Septic system installed by: Year:
Septic tank last serviced by: S P(Z / Date:
Previous Owner's Name(s) : d)&k •
Have any of the following been observed?
❑Y 19N Slow drainage from house.
❑Y IDN Sewage Back-up into dwelling.
❑Y R4 Sewage discharge to ground surface,
road ditch or body of water.
❑Y 11N Slow drainage from the dwelling.
❑Y LM 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: kO• b:�t.4t/���,--��-
DATE:
OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION
IN
TO BE COMPLETED BY INSPECTION AGENCY
System design &/or permit on file? ❑Yes ❑No U.&u ,Av
Soil series per SCS Soil Survey: �� sheet #
Type of soil absorption system: 'Ut Blow grd OAt-Grd OMound
Approx. size ' X ❑Gravity ODose ❑Pressurized
Ft.2 ❑Bed OTrench ❑Dry Well
❑Holding Tank ❑Outfall pipe
OBSERVED DEFICIENCIES ❑Other ❑Unknown
Septic tank t
Setbacks: OHouse PL 0We11 ❑Prop. 1 ine>3� ❑Other
Dose tank
Setbacks: OHouse ❑Well ❑Prop. line OOther
❑Locking cover ❑Warning label ❑Pump/Floats
[]Alarm ❑Elec. wiring
Soil Absorption System
Setbacks: OHous)LQ U OWel1ZL,'�?_ ❑Prop. 1 ine?U J ❑Other
❑Ponding: Discharge:
General comments: OIL
`.
INSPEt3,T.ORSKI&m O ' SYSTEM LOCATION
._.. -
i
i
' Ins ector
= p
F.
'" t1 3 Title
r.
f•
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST.CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON,WI 54016
(715) 386-4680
i
April 21, 1993
Kernon Bast
Edina Realty
700 2nd St.
Hudson, WI 54016
Dear Mr. Bast:
An inspection of the septic system on the property of Richard
Stout, located at 483 Prairie Lane, Hudson, WI was conducted on
April 20, 1993 . 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.
Should you have any questions, please contact his office.
Sincerely,
Mary J. Jenkins
Assistant Zoning Administrator
cj
NOTE: Repair broken vent pipe in the drainfield and replace cap.