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J" 4I ST. CROIX COUNTY ZONING OFFICE
(.� St . Croix County Courthouse
911 4th Street
� Hudson, WI 54016
Telephone - ( 715 ) 386-4680
The 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. -
WATER TESTING----------------------------FEE: $ 25. 00 $25.00
(For nitrates and coliform bacteria)
WATER TESTING FEE: $127 .00
(For VOC' S )
SEPTIC SYSTEM INSPECTION-----------------FEE: $25 . 00
(Determines if system is properly functioning at time of
inspection)
Property owner ' s name Katherine A. Windolff
Property owner ' s address 769 Aldro Lane Hudson. WI. 54016
Legal Description 1/4 of the 1/4 of Section , T N-R
Town of Hudson Lot Number 3 Subdivision Name Cedar Hills
FIRE NUMBER LOCK BOX NUMBER
Color of house Realty sign by house? A)O 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 ghat 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 requesting services : The First -Ahk of Hu ��`..
Telephone Number 386-5511 ,
REPORT TO BE SENT TO: Doreen White - 16t Nat'l 307 Secon ' t. Hludson Wil- 54
1
Closing date May 24 1991 - lk ti
Signature r 0 U,
COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715 - 962 - 3121
800 - 962 - 5227
ST. CROIX ZONING REPORT NO.: 05180/01 PAGE 1
ST. CROIX COUNTY REPORT DATE: 5/16/91
COURTHOUSE DATE RECEIVED! 5/15/91
HUDSON, WI 54016
ATTN: THOMAS C. NELSON
OWNER: Katherine Windolff
3 Ce 1A, IN
LOCATION: 769 Aldro Lane, Hudson
COLLECTOR: St. Croix Zoning
SOURCE OF SAMPLE: Outside faucet
COLIFORM: 0 /100 ml
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
I
LAB TECHNICIAN: Pam Gane
WI Approved Lab No. 19
0`A VEDEN.,.,
3
o < Means "LESS THAN" Detectable Level Approved by:
�� PROFESSIONAL LABORATORY SERVICES SINCE 1952