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COMMERCIAL TESTING LABORATORY, INC.
f 514 Main Street, P.O. Box_ 526
Colfax, Wisconsin 54730
715 - 962 - 3121
800 - 962 5227
a
ST. CROIX ZONING REPORT NO.'# 06856/01 PAGE 1
ST. CROIX COLVM REPORT DATE*# 6/21/41
COLRTHOUSE DATE RECEIVED'# 6/20/91
Hsi► WI 54016
AtTNi THOMAS C. NELSON
L � 2
OWNER** Bill 6 Barb Simon c l 5• I `
LOCATION'# 769 Larson Lane, Hudson T ate' r�r
COLLECTOR: M# Jenkins
SOURCE OF SAMPLE*# Outside faucet
COLIFORM*# 0 /100 mt
INTERPRETATION'# Bacteriologically SAFE
NITRATE-N*# 8 ppm
Above 10 ppm exceeds the recommended Public
Drinking Water Standard.
Coliform Bacteria/100 ml
Nitrate-Nitrogen, mg/L
r�
S
LAB TECHNICIAN. Pam Gane
of
WI Approved Lab No• 19 3 1'
E
C Means "LESS THAN" Detectable Level Approved by'*
P
y°`� ® PROFESSIONAL LABORATORY SERVICES SINCE 1952
47-76 -q
ST. CROIX COUNTY ZONING OFFICE
1 911 4th Street
Hudson, WI 54016
ii
LU Telephone - (715)386-4680
The St. Croix Co. Zoning Office offers the service of septic and
water inspection to Lending Institution, 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 CO. ZONING, 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:$ 25.00
(For nitrates and coliform bacteria)
WATER TESTING--------------------------------FEE:$175.00
(VOC'S)
SEPTIC SYSTEM INSPECTION---------------------FEE:$ 25.00
PROPERTY OWNERS NAME: `� �jaC� GJ 1+M d✓1
_ l
PROPERTY OWNERS ADDRESS: I. a0. ,on Ln CITY: ¢-4-t A. 60r--)
Legal Description 1/4 , 1/4, Sec. � , , T N-R W,
Town of Lot No. 'fT ,Subdivision C, Its
FIRE NO. LOCK BOX NO.
Color of house 1--r o�: Realty sign? Firm: G (-,n
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 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. D
Firm or individual requesting services: EA,-(vie, IZ<rt
Telephone No. 7i5- 3e-(-- � 7
REPORT TO BE SENT TO: 4-:;cL z 20a_ 2-n S S oh
Sg-47- �
CLOSING DATE:
Signature: ,
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST.CROIX COUNTY COURTHOUSE
r 911 FOURTH STREET • HUDSON,WI 54016
(715)386-4680
W
June 20, 1991
Terry LaPlante
Edina Realty
700 2nd St.
Hudson, WI 54016
Dear Mr. LaPlante:
An inspection of the septic system on the property
of Bill & Barb Simon, located at 769 Larson Lane, Hudson, WI was
conducted on June 20, 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.
Sincer p
Mary Jenk
Assistant Zoning Administrator
cj