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COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715 - 962 - 3121
800 - 962 - 5227 Q
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ST. CROIX ZONING REPORT NO.: 07590/01 PAGE 1
ST, CROIX COUNTY REPORT DATE: 7/17/90
COURTHOUSE HATE RECEIVED: 7/13/90
HUDSON, WI 54416
ATTN: THOMAS C. NELSON
-
d -� 66
BIER: R ger Rue l i n
LOCATION: 415- t• Z CSM �fi-7
COLLECTOR: N. Jenkins
SOURCE OF SAMPLE: Kitchen faucet
COLIFORN: 0 /100 ml
INTERPRETATION: Bacteriologically SAFE
NITRATE-N: < 1 ppm
Under 10 ppm is safe for human consumption.
CoLiform Bacteria/100 ml
Nitrate-Nitrogen, mg/L
8
LAB TECHNICIAN: Pam Gane
WI Approved Lab No. 19 �cG��vf Z.
b
OFA DEVEVa
O �p
Mean "LESS THAN" Detectable Level Approved by:
0
PROFESSIONAL LABORATORY SERVICES SINCE 1952
P"'OL
G� ST. CROIX COUNTY ZONING .OFFICE V
P . O. Box 98 •
/] Hammond, WI 54015
Telephone - ( 715 ) 796-2239 or ( 715 ) 425-8363
They St . Croix County Zoning Office offers the service of septic
and water inspections to Lending Institutions, Realty Firms, and
private individuals .
Completion of this form is essential so that the property can be
located .
Please provide the following information, enclose appropriate '
fee made payable to St . Croix County Zoning Office, and mail,
along with form to the above address . Testing will be done as ,
soon as possible after fee and form are received .
i
-- ----- -------
WATER •TE5TING--- --- -- --- --FEE: $ 25 . 00
(For nitrates and coliform bacteria )
WATER TESTING FEE: $127 . 00
(For VOC' S )
SEPTIC SYSTEM INSPECTION-----------------FEE: $25. 00 o d
( Determines i•f system is properly functioning at time of
inspection )
Property owner ' s name
Property owner ' s address
Legal Description 1/4 of the 1/4 of Section , T N-R
Town of Lot Number Subdivision Name
FIRE NUMBER LOCK BOX NUMBER- /I - —
Color of house Realty sign by o se? If so, list firm:
PLEASE INCLUDE., IF AT ALL POSSIBLE, A MAP, i . 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 sometime, the water line
must 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 ,/gained .
Firm or individual requesting services : T/.;��
Telephone Number
REPORT TO BE SENT TO:
Closing da e -
Signature
ST. CROIX COUNTY
WISCONSIN
•rri......�' r ZONING OFFICE
ST.CROIX COUNTY COURTHOUSE
P'n
911 FOURTH STREET • HUDSON,WI 54016
(715)386-4680
July 13 , 1990
Jo Ann Persico
700 2nd St.
Hudson, WI 54016
Dear Ms. Persico:
An inspection of the septic system of the Roger Ruelin property
located at 415 126th St. , Hudson, WI was conducted on July 12,
1990. At the same time I also obtained a water sample 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 inspections. 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 is totally dependent upon proper
maintenance of the system.
. Should you have any questions regarding this subject, please feel
free to contact this office.
Sincerely,
C.
Mary J. Jenkins
Assistant Zoning Administrator
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Volume 6 Page 1737