Loading...
HomeMy WebLinkAbout042-1087-40-110 (2) > 4) c 0 \ � x cc I (D j ■ \ � � c m 0) zt 4) z w OD E (n i 0 of z 71 co z C: E 0 o z (n � � � / _ � co (D m co (D CL LD 4) .0 z C� co < 0 0 4) z z 00 LO E cc (L CL co to m 0 In CL q C14 E V) ca V) FL LL 0 0 0 IL iL IL CL .. 1 6 B 4.; 2 i 't-, 00 ©o 0 W i 00 OD U) i (D 0 0) 0) am :3 U) \ E W co 0) in A s 0 E U') *6 U) 6 LO r CO Q a CL 0 0 0 :2 C C_4 c (,o 00 co 0) 0) 7 d 1: u U) 'a Z cz 2 C'j CO 00 4) C4 m E o U) E ® CL CL c 2 c E 0 (L 0 U) 0 _COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715 - 962 - 3121 800 - 962 - 5227 FAX - 715 - 962 - 4030 Off 14.x� 12, F,?,,,/ ST. CROIX ZONING REPORT NO.: 41235/01 PAGE 1 ST. CROIX COUNTY REPORT DATE:. 5/17/93 COURTHOUSE DATE RECEIVED: 5/12/93 HUDSON, WI 54016 ATTN: THOMAS C. NELSON OWNER: Scott & Deina Shirmer LOCATION: 918-64th Ave.P Roberts COLLECTOR: M. Jenkins _ DATE COLLECTEM 5-11-93 TIME COLLECTED. 2:45pm SOURCE OF SAMPLE: Outside faucet DATE ANALYZED:5-12-93 TIME ANALYZED:2:OOpm COLIFORM: 0 /100 ml INTERPRETATION: Bacteriologically SAFE NITRATE-N: 5 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform Bacteria/100 ml Nitrate-Nitrogen, mg/L 10 �>> of.,N°eaEa°fNr LAD TECHNICIAN: Pam Bane WI Approved Lab No. 19 S A Means "LESS THAN" Detectable Level Approved by: PROFESSIONAL LABORATORY SERVICES SINCE 1952 RECEIVED ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse �-; APR 2 7 A3 911 4th Street `p t 54016 CRoix wj Hudson, WI 54016 COUNTY 20NINGOFFICE Telephone - (715)386-4680 9 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 Qssential AQ I= thg R_r_onerty can be Iocated. 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., WATER TESTING------------------------- -FEE: $ 35.00 ✓ (For nitrates and coliform bacteria) WATER TESTING FEE: $185.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 (Determines if system is properly functioning at ..-time of inspection) PROPERTY OWNER'S NAME: J t,- '�- jLu VA0. S PROP. ADDRESS:ql a - �q4 fiw . CITYAO-L r' Legal Description 1/4 of the 1/4 of Section l/ _, T Town of Lot Number Subdivision: 9 �y FIRE NUMBER LOCK BOX NUMBER Color of house Realty sign by house? 40 If so, list firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A HAP,i.e,COPY OF PLAT BOOK, WIT11 LOCATION S11OWN, 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 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 req es.t' ng services: _ Telephone Number - 3 REPORT TO BE SENT T0: i ,_ av� z 5 CLOSING DATE: 3 - signature ✓'