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HomeMy WebLinkAbout030-2068-40-000 3 0 c o� c cp �' ° o I c� o o _ v O-0 o y a C p CL C O C a O J O U C' MO p CL III: c -0 v c h ° °2 D - U) o W O L L ° E o ° ° c m c z c E 3 LL m O 7 cr) 0 c c 'O 'B c6 O c Q J C c6 O Z N 0 3 ! E I N N ++ C ° a m M H U) 1 O z r 7 NO cn in I— r (D N O CJ N Q N O •� N a) N �w a o N Q O (`J z m z N m C m L d 06 c a `° c ° a) `m 3 �i W D O d .o c E T- H H H c 0 0 0 a ::D •1+y a a a p < o 0 ° m d a co Q m {arj Q Z cf> M ° H N by O °0 3 II. z m c C? ° a ° a E r �^� - o c ° c c 0 p o l 1 O °� o � c) U-j O „7 v5 O O � U •ti �' O M U) C O ':. z Z U) • a E u C C 7 Co"1 U a O cn v COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715 - 962 - 3121 800 - 962 - 5227 i ST. CROIX ZONING REPORT NO.S 37527/01 PAGE 1 ST. CROIX COUNTY REPORT DATES 12/28/89 COURTHOUSE DATE RECEIVED*# 12/22/89 HUDSON, WI 54016 ATTNS THOMAS C. NELSON /1 / ' � � o OWNER S V i ncet Gin v J�v LOCATIONS 171 Riverview Acres Rd., Hudson 3 3D. 2-b , Job' J COLLECTOR: St. Croix Zoning SOURCE OF SAMPLES Bathroom faucet COLIFORMS 0 /100 mt INTERPRETATIONS Bacteriologically SAFE NITRATE—NS 2 ppm Under 10 ppm is safe for human consumption. COLIFORM + NITRATE r i LAB TECHNICIANS Pam Gane WI Approved Lab No. 19 tyOF.\NDEDENOEN�9 o { Means "LESS THAN" Detectable Level Approved byi ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 13 \ ST. IROIX COUNTY ZONING OFFICE St Croix County Courthouse 911 4th Street Hudson, WI 54016 7T ephone - (715)386-4680 The St.`y\-Croix unty Zoning Office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. CouR1Eation of this for s 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 (For nitrates and coliform bacteria) WATER TESTING FEE: $175.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 (Determines if system is properly functioning at time of inspection) l Property owner's name '-►ce-:� G �" Property owner's address Legal Description 1/4 of the 1/4 of Section , T N-R Town of Lot Number Subdivision Name FIRS NUMBER w�LQCX BOX NUMBER Color of house Realty sign by house? If so, list firm: Ser M-, 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. Firm or individual requesting services: ��hce M - Telephone Number W- t-12- 233 -0,7/0 Y- -c o 7 REPORT TO BE SENT TO: I l v v.n h WT Closing date Signature l V, lie HI)s S C- 4),�o c'let 3S c e 6-0 Ll � 33 - 0°tI D T ST. CROIX COUNTY WISCONSIN ZONING OFFICE + ty' ST.CROIX COUNTY COURTHOUSE - 911 FOURTH STREET • HUDSON,WI 54016 (715)386-4680 i December 22 , 1989 Vincent Gin 171 Riverview Acres Rd. Hudson, WI 54016 Dear Mr. Gin: An on site investigation of the septic system on the property of Vincent Gin, 171 Riverview Aacres Rd. Hudson WI. was conducted on December 21, 1989. At the same time I also obtained a water sample and submited it to the laboratory for testing. The results of that testing will be sent to you as soon as we recieve them back from the laboratory. At the time of the inspection, the sanitary system appeared to be functioning properly for the existing use. 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 is totally dependent upon proper maintenance of this system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, ; �K� Mary ins Assistant Zoning Administrator TCN:cj I�'4 1 OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION i 0,, sF TO BE COMPLETED BY INSPECTION PGENCY System design &/or permit on file? ❑Yes o Soil series per SCS Soil Survey: sheet # Type of soil absorDtion system: -low grd OAt-Grd OMound Approx. size F OGravity ❑Dose� ❑Pressurized Ft.2 ❑Bed OTrench Mdry Well ? Molding Tank OOutfall pipe OBSERVED DEFICIENCIES OOther OUnknown Septic tank P ,/ "� — Setbacks: OHouse ❑Welly/�°❑Prop. line ❑Other ank Setbacks: OHouse ❑Well ❑Prop. line ❑Other ❑Locking cover OWarning label ❑Pump/Floats " OAlarm OElec. wiring Soil Absorption Syste!6p�;6Discha Setbacks: OHouse Prop. line her ❑Ponding: _ �rq�' General comments: 1 INSPECTORS SKETCH OF SY TE LOCATION N Inspecto 7-f- 1 Title Yte- T. CROIX COUNTY ?�r co RECEIVED WISCONSIN M 8 1 19,33 ZONING OFFICE CROIX COUNTY COURTHOUSE ` C;0iY'T y URTH STREET • HUDSON,WI 54016 (715)386-4680 SEPTIC INSPECTION / WATE2 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 V Septic $25. 00 Water (Nitrate & Bacteria) $35. 00 (visual inspection) Owner: t C e Requested by: V ✓i(-e Address: I ? 1 Address: City & State: V)T City & St. , Zip Code: S-Li o 1 6 Zip Code: Telephone N°: (11S) Telephone N4: ( ) Property a%dgss (Fire N2 & Street) : 7 Location: ;, Sec. , T N, R a D W, Towd of St. Croix Co. , WI. Tax ID N2 Parcel ID N4 House color: Realty firm: Lock Box Combo: Water sample tap location: TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM* Is the dwelling currently occupied? V Yes ❑ No If vacant, date last occupied: Septic system installed by: c. Year: I L17 S Septic tank last serviced by: -L r C1­11 tc.-, Date: i C19 2- Previous Owner's Name(s) : AA V e Have any of the following been observed? ❑Y KIN Slow drainage from house. ❑Y ON Sewage Back-up into dwelling. ❑Y LAN Sewage discharge to ground surface, road ditch or body of water. ❑Y I)3N Slow drainage from the dwelling. ❑Y JIN Foul odors. Other comments relative to system operation: I certify that the above information y/compl and true to the best of my knowledge. OWNERS SIGNATURE: C DATE �5 �COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715 - 962 - 3121 800 - 962 - 5227 FAX - 715 - 962 - 4030 x ST. CROIX ZONING REPORT NO*** 42655/01 PAGE 1 ST. CROIX COUNTY REPORT DATE+ 6110/93 C"THOLISE DATE RECEIVED: 6/04/93 HUDSON, WI 54016 ATTN: THOMAS C. NELSON , f OWNERS Vincent Gin LOCATION*# 171 Riverview Acres Rd., Hudson r COLLECTOR** Jim Thompson DATE COLLECTED*# 6-02-93 TIME COLLECTED: 12*#30pm SOURCE OF SAMPLE. Kitchen faucet DATE ANALYZED*#6-04-93 TIMtE ANALYZED*#11.00am COLIFORNI 0 /100 ML INTERPRETATIONS Bacterioiogically SAFE NITRATE-NS 3 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Co�Liform Bacteria/100 mL Nitrate-Nitrogen, mg/L RECEIVED N P� JUN 1 4 '1993 ST CROIX co COUNTY t ZONINGOPFICE LAB TECHNICIANS Pam Gane Qf.1NDEVFNpEHr 9 WI Approved Lab No. 19 d SA < Means "LESS THAN" Detectable Level Approved by*# ® PROFESSIONAL LABORATORY SERVICES SINCE 1952