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HomeMy WebLinkAbout020-1135-40-000I I 1 I I n p3j m cD ~ O ? 5 5. c .. I Qo ~ a K>> m y N ° ~ _ ~ ~ N N E ~ N N y a 6 ~ O W c ~ C c n 3 ~ I o a oo fD `° I ~ ~ I~ N N C ~ O W cn c~ 3 n o I No c ~ ~ Z °a, °p ~ Z o I a ~ I c I ~ o, A O ~ ~ O =ry (D C I N ~ N a' I o a' ~ ~ °~ ~ I v I ~ N I ~ I Z 0 I ~' O I o ~ I ~ m I I c w m~ ~ a m Z ~ I ~ N I m i I I I I I I m m a n I ~O m r I n~ ~ I =, m o I g. I ~m I ~ ~ I ~ I ~ m I ~ c I ~ I ~. m I 01 I I I o I m I c O i °o ~ c7~nO c °.: ~ ~ ~ m 1 M O W CA N N N N Q° ~ a ~ a ~~ r o m ~ ~ < 0 0 ~ °o °o < f d to fA N = v a v ~ o _ ~ eu _ ~ ~ w N 3 m <D Cli ~,~',' O s z ~ z °' D ~ 3 ~ ~ o m i y N = C (~ N ~ a m ~ m ~ n• O .~ C a <D <D a O N .Z1 m v w ~ m m c 3 a z 0 f7 V~ O c .°: ~ o ~ ~ ~ ro O O ~ p O O) (~D ~ 3 ~ ~ ° ~ ~ ~ N ~ Ul 41 (=j1 ~ n N ~ A ~ N N ~ ~ `G W C _ ^" 6) 61 O O ~ ~ a o _ c ~ ~ V V N O O O ~ ~ '0 ~ ~ ~ `~ C ~ N N ~ O ~ ~cv~, ~ ~ ~ ~ Ol N ~ 3 °-' ~ .. p~' 7 ~ m o D a ~ ~ m ~ m tD y y C CD N 7 O C f D ~ a m ~ ~ _ N C a A A a ~ O :'~ 3 !R z w c a ~ m o ~ n 3 co v rd '~' ~ ~G .~. C O N N ~ Q 7 CO w O O O O ~. O N S~f Q 3 .. ;.. ~ G a O m N 7 a n a p Z ~ ~ ~ M A ~ ~ N C ~ O <~ Z A ,Z1 d A TT~ Vt rO~ R A~ 0 ~1 O • ~• O ~• y A 00 w 0 N O O q ti b •°p A ~ ~ a /* Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: ^ City ^ Village ^ T n of: Sande, Larry J. & Terri L. Hudson Township CST BM Elev.: r Insp. BM Elev.: ~ BM Description: t~I w ~ t~.~ 60.~ --csT~~ Pe ur TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~T Dosing Aeration Holding NK SETBACK INFORMATION TANK TO P/ L WELL BLDG. vent to Air Intake ROAD Septic } ~ -y ~l r ~ NA Dosing NA Aeration NA ldi H o n PUMP /SIPHON INFORMATION Manufac er eman Model Number GPM TDH Lift Lnction TDH Ft Forc ai n Length Dia. Dist. To wet ELEVATION DATA County: St. Croix Sanitary Permit No.: 374957 State Plan ID No.: Parcel Tax No.: 020-1135-40-000 do. ~9, !9, Gay STATION BS HI FS ELEV. Benchmark 2 Sv5 ~ ~ •dr Alt. BM Bldg. Sewer St/Ht Inlet St / Ht Outlet gj, Da qy. ~s ' Dt Inlet ~-` Dt Bottom ~~ Header/Man. !~, S `~'/- 36 r Dist. Pipe ~2-35- ((. •30 41.29r Bot. System 13• f 8 o r g9. o Final Grade ~~ ~ -~ St cover °r'~ SOIL ABSORPTION SYSTEM~~~ ~ ~~ ,i;,M ~ p~,~ ~~ TRENC Width L Len th ~ N f Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I N 3 ~~ ~ DIMEN I N SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING Manua rer• ~ ^ S~ ` r SETBACK ' " INFORMATION Type O r r I CHAMBER Mo el Num gr• System: `S "~oS ~ [ ap OR UNIT DISTRIBUTION SYSTEM y y Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake G Length Dia. ~ i SOIL COVER x Pressure~ystems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENT~S~: ((Include code discrepancies, persons present, etc.) ~~_ ~ tka.~tY.P~ o~,. b de..(,~, Inspection #1: (~ /Z~-f/ Inspection #2: ~-~`Tr Location: 4 4 V2 alley View Road, Hudson, WI 54016 (NW 1/4 NW 1/4 20 T29N R19W) - 202919664 Will z~ Ridge 2nd Addition -Lot 55 } l.) Alt BM Description = N~~- _ n ~~ 2.) Bldg sewer length = .~. t3 ft~(, C~:nr~X -amount of cover =(,'. ' ~ 1 ~ ~- Plan r vise n re u°ired? es No q ~ (o ~`f oo ~~ Use„ot er side Qr ad~~iaoon~al inform tion. o .~jo,~,w`, ~` I"c~ c ~j n Wv ,,/I,, __ nn at a Cert. No. SB -6710 (R.3/97) 3~" ~ /+ Y~ZX~`~- ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ~ ~ .~ _ e ~; 1 4 6 Q ~ j _m~w ~ ~.,._ ~~ ~ i. ~ ; ~ ,M-- ... .~.~ C ~ ~ ~ ~ ~ ~ ~ -~ i - ~I I -- ._ e_ _._ y.~... ._ a i , } € ~ ~ ~~ m ~ .~ _ ~ _ ~_. _ _. ~ _ ~. _ ~ ~ ~~~ ~ ~ ~ ~~ ~_ ._ s i ~ ~~~ i 1 ~ s' _.~ ~ ~ ~ #_ ,K e ._ ~. __._.. .~-- ..__ ~ ~~...,. 1 _. _ _ ~ _ F r ~ ~ ~ ~ 1 I I o ( ~ ~ ~. -_ ~_ E ~ ~ ~ ~ ~g~ ~ ~ , _ ~ _~_ a ._ ° ~ .~~ ~ ~.. ,~ ~...~ ~_ , ~ ~ __, ~. _~. .~, ~ _ .~ i i x i ~.~ ~, ,..~ m..,. _ _m .~~ ~ ~ __ ~ _. ~ ___-_~-_ ~ ~ a _.~ ___~ 3 7 ~ "~~ _ ~ € i a F ~., «~ ~..mm # .o... »<... .«.... mom. ~ t f z_ { _,,,_ { ~ L i ~ ~ a I ~ ® ~ 1 ~ ~ ~ ~r a __*~ ~ ~ ~ i 3p$ ~ 7 j E 1 E xx q` _ t 1 g 3 i I # € ~4 i ~ _ i~ ~ sro..~ ...,~ ~.,^ a a ~ ~ .~ f t.,.~,~ n .®.. .....~ ~ ..~~ ~ ~...._ ..~... ._.m ~....e.... ...._ _....._~.~..~_ __._... ~ ~ ~ Do,n,f'o~, cp Gx.~tit anitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. ~~ See reverse side for instructions for completing this application PO Box 7302 ~~~~~ Personal information you provide may be used for secondary purposes Madison, WI 53707-7302 aepartrnont;of Commerce [Privacy Law, s. 15.040) m (Submit completed form to county if not state owned. Attach com lete Tans to the coun co onl fort s ~n`not than 8 -1/2 x I 1 inches in size. County Stat~ ~ i~ Permit Number ^ ~`i sion toprevious apRli 'on State Plan I. D. Number ~ ( „~, I. A lication Information -Please Print ali Information Location: rty Owner Name ^ '~ '~' Prop e Property Location / ~ L~ • 'b . •~ - ~ ~~ ~."_'. N ~ 1/4 N w l/4, S a~ Taq ,N; !t 9 W P Own s Mailin Address -~ ~ttY g rn ST GfiO~K i Lot Number Block Number a ~e U wur~rv City, State Zip Code P}ro ~' Subdivision Name or~c,,SM Number w ! `~ / ~- Ulf i 1 ow I'C ~cQ e w o II. Type of Building: (check one) .~-' lli il N ~ ~ ~~ y Dwe ng - o. of Bedrooms :_ - 1 or 2 Fam I~Town of ^ Public/Commercial (describe use):_ ^ State-Owned Neazest oad , O r a Is e ~ C Pazcel Tax Num er(s) 3 1 oZ ~ -(3 . ~ S _ ( b 20 - (( S- t: Chec on line A. Check box on line B if a licable 20. 2'l. l `(- (o`~ III. T e of Perm i A) I. ^ New Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to S stem S stem Tank Onl Existin S stem B) Permit Number Date Issued ^ A Sani Permit was reviousl issued IV. Type of POWT System: (Check all that apply) Non-pressurized In-ground ^ Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At- de ^ Aerobic Treatment Unit ^ Recirculatin ^ Other: V. Dis ersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed " Rate (GalsJday/sq. ft.) (MinJinch) ~ ~ 90 0 r t Elevation `TS pt ySC~ 5oe ad 3 .~ ~~ sy.a VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks S ^ ^ ^ ^ < < goo o ~ ^ ^ ^ ^ ^ VIII. Responsibility Statement ` I the undersi ed, assume res onsibili for installation of the POWTS sho n the attached lans. P bet's Name (print) Plu s tart Cure ( o s M ' s): RS No. ~ Business Phone Number ' 1 C S ~e n ~w ~ ~ /f I ~~y~ 7/ y~ ~ Plumbers Address (Street, City, State, Zip Code) ~' ~ l Z y© z ~. y S~ r P Q ~ IX. County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) .Approved ^ Owner Given Initial Adverse Su rge Fee) - ~ Z -~/(- ~~ Determination 5 . O2s X. Conditions of r val sons for D' royal: `1_ I _ ~ ~ ~ t ~~"'"_"_ ~~ ~w ~ ~ ~ ie.~JOr~l p ~ ~~1 ~- ~ ~°~ , , c,~... ~ ~ -t~ r I~ ~ ~ -t l______ ~l6 .~S ~ ~ I E r "= yb S~~ ~Ie~t ~ St ze ' ~i~ f ~(,1~µ~t: 1 tt ~~ 1'rs'EDv ~ J Elev. 9C~ . ~ w/ 1 h TfeitcCti .. ,. M ~ ~~ev ldd. D~ o~:L ~a Na,w ~-~ GG~„;~la.<; D~~~,~~= ./ ...~ Wisconsin Department of Industry, Labs and Human Relations Division of Safety 8 BuikGngs SOIL AND SITE EVALUATION REPORT in arrnrri with II NA AZ n~ Wie Arun (`nrlo Page 1 of 3 couNrr Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include but S`t' ' e'~2.2)1.~ , not limited to vertical and horizontal reference point (Btv1), drection and % of slope, scale or PARCEL 4.D. # dimensioned, north arrow, and location and distance to `gse~d.~>-`~.,. ~ : oZC~ -113S -~A -ooo . , APPLICANT INFORMATION-PLEASE PRI .~ t=0RJ41ATION R IEWEDBY DATE .~A Q-!(- PROPERTYOWNER: ,'',• ';;~ ~''9<<,': ,y PROPERTY LOCATION L 'F~L~L~-( S Q~1v9L, -C~LR~ N-~11/4 NW 1/4,S Z..O T Z~ ,N,R t °t E ( W PROPERTY OWNER':S MAILING ADDRESS• ~ '~, ' LOT # BLOCK# SUED. NAME OR CSM # yZ V f'c'LL.~'f ~1lCnnJ 2U _ tia~: x S 5 wt L~vw R.1.D6E" 2~ CITY STATE ZIP CODE ~"pHONE NUMB~$t;;;r~,- h~ l s~coL6 ~ F~t;S) 3 ~ ~~soty = []C []VILLAGE ®fOWN ' < NEAREST ROAD , ~r, ~, r fcl , S~ V fn.txy ~t~ Zo~w . ,-- (JNew Construction Use [XJ Residential ! Num'bec 0~f bedrooms ~L ~` ~ [ J Addition to existing building j~q Replacement [ J Public or commercial des~ibt* ' Code derived daily flow ~ `p gpd Recommended design loading rate - bed, gpd/ft2 • b trench, gpd/ft2 Absorption area required ~ 00 bed, ft2 ~ 5 ~ trench, ft2 Maximum design bading rate • S bed, gpd/ft2 • ~° trench, gpolft2 Recommended infiltration surface elevation(s) Q 0 • ~ - $g-O ft (as referred to site plan benchmark) Additional design/site considerations S~ Ivo`rE` '~O lNST•R-LC.t`f~ O+y Pf`t6~- 3 Parent material Lo i'~S d~LC'c G L,f cea fit.. ov~wf~s t•I Flood plain elevation, if applicable iv fa ft S =Suitable for system U =Unsuitable fors stem CONVENTIONAL ~ S O U MOUND ~ S ^ U IN-GROUND PRESSURE AT GRADE ~ S ^ U ®S ^ U SYSTEM IN FlLL ^ S L~U HOLDPIG TANK ^ S ® U SOIL DESCRIPTION REPORT Boring # rA:'~n~` ` ~:=: ~.? ~~ - -: ~<: Ground elev. qS•Z ft Depth to limiting factor ,~ Boring # Z ~. ~'~ ~~ Ground elev. atI•Z(L Depth to limiting factor ? L ~~' Horizon Depth QominantColor Mottles Texture Structure 1Consistence Eouxiar Roots GPD/ft in. Munsell Du. Sz. Cont Color Gr. Sz. Sh. y g~ rerxll ~ o- LCD I.D `~12 3LZ ~ S t ~ Z wi p ~ Wt~- ~-S ~. ~' t~ . Z. Z 1~ ~l£3 t o `~ fL 3L3 - S c~ S9 H1 J c-S -' ,'1 .$ 3 1~=L6 10`12 Z-L2 _ Si I ~>vLSbk k,,~t- ~ - - Z -3 4 6-38 . l0 ~R 31b - si f Z~Fsbk m~ft~ C.i." - , s ; . «~S9.D~ Remarks: r ... _ . ~ o --9 tt~`1 R- 3 tZ - r .-s t l Z ~ sbk n~~ ~S ~.~ . S ~ .6 Z q-°~. t~~-tam-.l,z ..., _ .. 5~~1 " Zw/sbk >",~F~- ~S - .s • 6 3 z.o-y.Z l u`1 R ~L ~ - S i I Z'~ sb>z Yn,fh C w - , S . 6 ~`FS .~ . `~ `~8 Remarks: ST Name: Please Print Phone: Arthur L. We~erer 715-425-0165 ' ~ergerer Soil esting & Design Service-P.O. Box 74 River .Fa11s,WI 54022' . ignature: ~,S Z Date: 3 _,~ L _ O ~ CST Number:. ~ ' LF O 2205 JI:ALL• - z - `1 v O O N ~ d . 2-- •5 . ~} .~ . S-' .~ ,..~ PROPERTY OWNER __ Sf~c~.rp SOIL DESCRIPTION REPORT PARCELLD.~1 bZ-O -1 t3s -y.p , p cD Boring # Ground elev. g 6-S ft. Depth to limiting factor >LIZ." Boring # '•\\ Nom}}} i~ >>S ~ ., `1~ L`` ~ ; 4v Ground elev. it. Depth to limiting factor Depth Dominant C l Horizon in. o or Munsell Motifes Qu. Sz. Cont Color Texture Structure Gr, Sz. Sh. Consistence Bour~iry I a q - ~0 2 z~z - sit Z`Fsbk m~-- e 2. 9-16 -,~~2 3!6 - si 1 1`~sb~c wz~- cS 3 16.3 ~..s~R 3cy -- s~ les~k ~~ C y ~b-~tZ ~ •SYIL 3Cy - 14 U sue, ~ l w D. 0 nernar-cs: ~ ~cu iai na. Page ? of 3 Roots GPD/ft Bed Trend ~f ,s .6 ,Z .3 ~[ , S .~ , •8 Wisconsin Department oflndustry, SOIL AND SITE EVALUATION REPORT Pa e ~ of 3 labor and Human Relations g - Division of Safety & Buildngs in arrnrri with II t-IR A4 n~ Wic Arlin r`nric - --- - COUNTY Attach complete site plan on paper not less than 8 i/2 x 11 inches in size. Plan must include but S`1-' ' ~-~~ l.~ , not limited to vertical and horizontal reference point (Biv~, drection and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. ' p Z..O ~. ~ ~3 S ._(~(~•-_pt~(} APPL{CANT INFORMATION-PLEASE PAINT ALL INFORMA710N REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION L y'~'Z.~2..~-( S ti~'>11~j~„ .-C~~~ tv~ 1!4 N W 1/4,S ~.0 T Z9 ,N,R l °{ E ( w PROPERTY OWNER':S MAILING ADDRESS. LOT # BLOCK# SUED. NAME OR CSM # ~Z v P~L~'f Vlt~ Z-c)'Pri7 S 5 wt LLtJw 'IZIDGr_ ~ CITY STATE ZIP CODE PHONE NUMBER W I s~o~b (~ls) 3F36 ir~U ~Saly ^CITY ^VILLAGE ®fOWN ' `' NEAREST ROAD _ , ,, ~ NpSC>~ V pn.t~ vlE'LV ~~ (]New Construction Use [X] Residential I Number of bedrooms 3 [)Addition to existing building [~ Replacement [ J Public or commeraal desaibe Code derived dairy flow ~ ~ gpd Recommended design loading rate - bed, gpd/ft2 • b trench, gpd/ft2 Absorption area required `Z ~o bed, ft2 ~ 5 ~ trench, ft2 Maximum design loading rate . S bed, gpolft2 ~ b trench, gpd/it2 Recommended infiltration surface elevation(s) ~ 0 • ~ - ~~-0 ft (as referred to site plan benchmark) Additional design /site considerations StTa- Yyo`('E- SO LN ST'Prt.C,l``2 ON p~6E 3 Parent material Lul?~S ~y~cc Gl.f~^.~.t~ o~~-w~st•I Flood plain elevation, if applicable >v A ft S =Suitable for system CONVENTIONAL MOUND U =Unsuitable fors stem .l~ S O U I l~ S^ U IN-GROUND PRESSURE AT-GRADE ®S ^ U I ®S ^ U SYSTEM IN Fltl HOLDUJG TANK ^ S L~U I^ S ® U SOIL DESCRIPTION REPORT Boring # .~.::.:xn~m:.. ::::~ ~: :~.:~ ~ ~: nY. 'v A~•`.2 Ground elev. ~s.z~. Depth to limiting factor ,l >~ty Boring # Z :~ Ground elev. `ly•Zft. Depth to limiting factor ? L ~~' Remarks: Horizon Depth Dominant Color ( Mottles (Texture I Structure IConsistencel IRoots GPD/ft in. Munsell Du. Sz. Cont Color Gr. Sz. Sh. 11 g~ ~ ] o-LO LD`'t2 3LZ ~ S1 ~ Z~+'l. PJ Vvl.~ ~S 1-~ ~ .Z Z 10 ~lf~ t ~ `'L 2 3c3 - S ~ s9 yn I ~S -' , Z .$ 3 tig Z~ > 0`-tt~ z-LZ _ S1 ` ~,wtsbk ~f~ ~ - - z -3 ~[ 6-38 . L O ~i (z 'vl (o - Sit Z~Sbk ln~f 1~ Ct.v - . 5 :. {~ 5 3~-tl~ ~S~trL~y _ is oS9 ~ y~-I - .-i.g I o_q ~•o~.tz 3LZ - st1 Zvi-sbk w1~ ~S 1~ •S '• •6 Z 9 ZD. 1.o'•-t.tZ ~-L2 - Sl1 Zw15~,12 t~'F4- C-S - • 5 . ~+ 3 z.u-~{,Z iu~rR ~t6 - sl ] Z.~sbk yvt,~. Cw - ,S i. 6 y yZ-to -1.S ~2 SIG _ 1s `~-s ~ sg ~ 1 _ .s ` . 6 Remarks: CST Name:-Please Print Arthur L. We erer Phone: 715-425-0165 ' ergerer Soil sting & Design Service-P.O. Box 74 River .Fa11s,WI. 54022 ~' • • Signature: ~,S Z Date: 3.21. 0 ~ CST Number:. ' L C - 220..5 F PROPERTY OWNER __ S~ SOIL DESCRIPTION REPORT Page ? of ~ PARCEL LD, p bZp --.1135 -y. 0 - o u~p Boring # ::::: 3 <<_ ,::. Horizon Depth -n. Dominant Color Mansell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence I o `~ - - Z 9-16 ZL z l0 2 ~o~ 2 3~i, - s i t - s i l z`f sb k t`~ sbk m ~r- ~~ 3 16-3 (, ~.. s `2 R. Sly .-- S ~ L Cs)~k ~'f~- y 3b-~tZ ~ -S `t2 Sly - ~g v Sa, hi 1 3our~ary Roots G P D/ft Bed Trer~ e if ,s .6 cg ~ . Z , 3 Clti - ~ ~[ . S •~ . •~ Ground elev. g b-S tt. Depth to limiting factor >112, Boring # • ~.:. <.~ ?~ r:~':x `•"".` Ground elev. ft. Deplh to limiting factor neniarKS: .v 11.Q1 l~J. ~. ~e+. '['tzx tZ.. J~i,L ~~ .-~ '_ -_~~ ~. V +~~~~ V ~~~ Cz~ 8}"I-mil = >L.-~t5d~0 -oii ?3o~'f0~'l OF ftillhaDC~v: _ __._ --- -- 3~~Z- LZ~.gS,v` . ckv _'Np a~ 1~~pttU~E ~tU_ _ ---- ~1rv S~Y~cJ.;...Z .'h~Cttt~S, . L~~ 3 ~ K ZS ~ LU~vG lnJ"/ ~Z, u-vl~-'~ ~.~Or- 1.y=ts1:~ ~~ PSCCZ`{ 5 ~ DELJ fwd l~'~c1~1 CfI-'ft~" lL3~S P tTc. 'l1ZL~hl ck~..... - -_ .. - l ~u S'CM,L"1h'~1~ h1 Di= A ~ l5~'1Z.1 av 1~U+v ..laic . _~ -~:Wk1 -F'02-- FvYL1 _.VS~.---0r. _T?CE. _-~~.S771~/-G bR-th1U F! E~.D =15 _ i?_c~J~i1"C~'~iDEZ-_. _._- __. T~`l"~.:----~uCzC~-=~it~-'C~2CC-:~O .T>/z-L~P~~~ --~~n~i?s--"~~=~z =~~::. S Y STti~'1 - ...._ -t'c'~D -kltl.~.: N~ . ~D _: $ ~ -_"la U~' - ------ 00-SZ ~~;, d, 3 -~.6-Oo c X15 ) 425-~1 h5_- CST Signature Date Signed Telephone No. CST # ~; PLOT PLAN SCALE 1"= ~v ' 0 0 vi o- ~i v ~L.9.6 S 3• 3' 8.3 -I I 3 90'~ Page 3 of 3 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify tha1t I have inspected et he septic serving the ~'PV J~ ~ Te rr~ ~ ~zt~e residence ~~ 1/9,_1/9, Sec.~2~,_, T d2~' N, R~W, ~l~.G~SDdI Upon. inspection, I certify that I tank and baffles to be in good condition, functioning properly. Last time serviced tank presently located at: Town. of have found the and it appears to be Did flow back occur from absorption system? Yes No (if no, skip next line) Approximate volume or length of time: gallons minutes Capacity: ~06~ ~a~ Construction: Prefab Concrete~_Steel Other Manufacurer (if known): Ag f Tank (if known): C Signatur ) ' P (Title) 7 (Date) l,~Lu.~ CJ Sfe/hey (Name) Please Print ~~s- y5"I (License Number) Form to be completed by licensed plumber (x.195.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - -- - - - - - -- - - - - - - - - - -- - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR-83, Wis. Adm. Code (except for inspection opening over outlet baffle) Name_/Qce ~ ~~ S ~P ~h Q~ S ignature~'~,~v` l P MPRS ~ ~/l`~/ 5/88 can a/ways depend on ours. ~~~ ~ ~"P~ ~d l?~al~,~-Fh~w The Dial-A-Flow provides a circular weir to be used on each outlet of the distribution box. By level- ing the bottom of each weir to the water level in the distribution box, the discharge out of the distribution box can be equalized to each lateral line. By design, the Dial-A-Flow is engineered to provide equal distribution even as the water level continues io rise in the distribution box. Each Dial-A-Flow has an eccentrically located circular hole to provide the same orifice on each discharge no matter the orientation. Dial-A-Flow is constructed of low density polyethylene in a one-piece configuration to resist a septic environment. Available in cartons of 100. #170-0038 - 4" ID and Above #170-0039 -Under 4" ID Gf~rrl,tir?%~f~ ~sscifthlt~ 9%0~(JQ11 tff~(+;lliftrr ~_~t~>t~l(r~t-(7f(r~r-~ in exisiirt~~On-Site :;ysfems Install the Zoeller Filter outside the tank between the tank outlet and the distribution system in the Zoeller 170-0011 Container Assembly. The installation is very quick and simple and provides the same protection to the distribution system (lateral fields, STEP ~, systems, mound systems, trickle systems, etc.) that is provided by installing the filter in the existing tank. The container assembly comes complete including the filter container, riser Lid, adjustable riser, lid saews, schedule 35 and schedule 40 pipe seals, and sealant. t.~ISirrr~urrvN ~~<~x ~rsrF~,~f ~~~~~~®~OV This innovative D-Box System will evenlx split effluent into two to five 4" lines. Tested hom +l+~ GPM to 9 GPM flows. If IS made Bubble level built in for easy Of two major parts: adjustments and maintenance. (1) the basin D-Box System is maintainable and & COVer and adjustable from surface after (2) the diverter. installation. Solves the problems a" riser easity attached to visually if distribution boxes settling, inspect and adjust ure diverter. the distribution box works with low flow as well as high flows. This unique design ias no parts that wear out and is made of corrosion resistance material. The D-Box iystem is maintainable from the surface. Septic Tank Risers are an important part of any on-site treatment system. users allow easy access to tanks to monitor system performance. Periodic iaintenance costs are lowered due to easy accessibility to tank. Many codes 'quire a riser on new installations. Zoeller Septic Tank Risers can be adapted to oth new and existing installations. i Available in 8", 24", & 30" diameter. - All materials are noncorrosive & 8" rf environmentally safe. See FM1: - Risers are attractively designed to blend into the environment. Lifetime warranty on materials - ~ and workmanship. Lid is secured. Sturdy construction. Gas-tight and watertight. ~'' -' , ~,_ Ihts reserved. 2A" & 30" riser See FM1572 /+r•+~a;r:r~rics (fdot lnr~luded) Stainless Steel Lockable Latch Pipe Seal (Available in 1Y. & 1'/z IPS) Adhesive (One Pint) BEST, TOM l~rry.~;c~~c,._ NE%, NW%, Se((~~ctt~~'on 20 Route 1 CTY TK W T29N-R19W, ~T`o~5n of Hudson Hudson, WI 54016 Lot 55 Willow Ridge II address of site: T~~ ~,a` i~.~r.,~.~~FH Permit No. 96004 6-16-87 William Schumaker Conv. New Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soii Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: Svstem Design Specifications Sanitary Permit Number ~ S ~- Number of Bedrooms Design Flow -Peak (gpd) SO Estimated Flow -Average (gpd) Septic Tank Capacity (gal) ~,~ - ~'0 Soil Absorption Component Size (ft2) o~a Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) c1ut~ - e~,cr S~ Z' ~ ~ ~w Maximum Influent Particle Size (in) 1/8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 ~S-~ Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may sough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1 /3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair unti{ weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHII' CERTIFICATION FORM OwnerBuyer La r- r and Terri, L. ~ Mailing Address X24- ~/ a < <e I e. W R oa d Property Address ~ Z~ v~ ~ i eU v i e w R o~.d (Verification required from Planning Department for aew construction) City/State ~ U CI ~pr1 W ~ ~ Parcel Identification Number LEGAL DESCRIPTION property Location '/., ~/<, Sec. . T N-R W, Town of Subdivision Lot # Certified Survey Map # .Volume , ..Page # Warranty Deed # ~ g~' Q~~ .Volume tJ Page # 22.0 Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no SYSTEM MAINTENANCE Improper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What You put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner aad by a masterplumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the Private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certificaiion stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office Rntlun 30 days of the y ar iration date. Q ~~ i26/ 00 IGN OF PLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pro a desc ' above, by virtue of a warranty deed recorded in Register of Deeds Office. IG OF PLICANT DATE ****** ****** Any information that is nus-representedmay result in the sanitary permit being revoked by the Zoning Department. '`* Include with this application: a stamped warranty decd from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed i • DOCUMENT NO. ~~~~~~~ a~~D STATE lT.(`$ OF WISCONSIN FORi1 '1-- ~8~~~~ _ V0~ ~JFI Pe~:~ ~%~I~i Keith M. Moore and Nancy L. Moore, husband and wife, TNIi iF1lCt RttiRYiO FOR RTCORDIN.~ OllTil REGiSTf R'S OI:~ICE sr. cRax co~ vw ~ R.c'd kx Recofd JUN 2 21992 ......................................__._.-..-.•.......-......-.-....-...-................_...._._... -....--• of io: Zo A. ~ conveys and warrants to ...~rzX.-J. Sande and Terri L. Sande, -•..h4asband-•and, wife,•.as-.suryiyorship.ma-rital property ..-. -._-........... ...............•._--........._.--.....-....--.....-.................-......_.....-.....-..... RtTURN TO the following described real estate in .-.-....Sf:~..Croix ......................County, ---- ----- _ State of Wisconsin: Ta: Parcel No :................... Lot 55, Willow Ridge 2nd Addition to the Town of Hudson, St. Croix County, Wisconsin. ~N3f'E~ ~~~ This -.....is ......:......•---- homestead property. (is) (is not) Ezception to warranties; Subject to easgements, reservations and restrictions of record. Dated this ~ 1-~.-.--•--...--•--.......-. day of ........ .. ....June __...- ---- ----- --.........- -....., 19.92._. -----.....-•-•--------------•--------°------------°-----•----..... (SEAL) ---------------•--•-••-------••----•------•-•------••-•---•---•--... (SEAL) AIITHSNTICATION 3ignatare(s) authenticated this ..-_----day ot_--------_•---•_.°---._.., 19__..._ -• -- • - '...... --•-- -. ...(SEAL) • ITH rl. MOO -- - ---•- ---.....--- ...-.... ----- -- -. .. .. .- _ .................. •- - •-----(SEAL) • - .....NCY....•. MOORE...........- --• -----...---- -• ACSNCWLSDti3tSNT STATE OF WISCONSIN sa. __St. Croix - ----•-County. Persoaally came before me this .__~ _._ _-_day of June--°------------•--__°---•---_, 18.92 the above named Keith M. Moore and Nancy L. Moore TITLE: MEMBER STATE BAR OF WISCONSIN (If not ................•-•----------------•----...---•--°•--.. _ . e --•----•-------- --------------- •-•---•---•---. authorized bq ~ 706.08. Wis. Sta' . . - . - - •-•----•---•--••_.-•-_ ~b~~R p, 9EYER a known to be the person ~-.._-.-.._ who executed the P'~^~CCf'o~regoing ' trumen d acknowledge the same. TN43 INSTRUMENT WAS DRAFrED B 1i~~"`R'~~ STEPHEN J. DUNLAP ._._..._. ..-. .... .......... Hudson, Idisc..ns~r •... _. -.-f.9.~.- •~--F---._.....~-------•-•----- •-.-_.-----•---• -----------°----•-•----•-----------------------------•--°-•--••---°-- Notary Public .._..~l:T---Croix-------•--•--•-•---County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necesaaryJ ~ ..............•---..... 18.~D.--.) date: - - . ---- • -• • ---f_ __. - ~'`C'~MMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 ` 715-962-3121 800 - 962 - 5227 ST. CROTX ZONING ST. CRQIX COUNTY COURTF~USE HUDSON, WI 54016 ATTN: TF~iA,r C. NELSON REPORT NO.: 23743/01 REPORT DATE: b/08/92 DATE fiECEIVED: b/03l92 OWNER: Keith ~ Nancy Moore LOCATION: 424 Vaitey Vies Rd., Hudson C{~.LECTOR: M. Jetdc i ns DATE COLLECTED: 6-02-92 TIME COLLECTED: 3:~pm ~ St>ilhCE OF ~: kitchen faucet ~- DATE t.YZED:b-03--92 i TII~ ANALYZED:2:OOp>b ,; ~ CQLIF(~I°f: 0 /100 mt I INTERPRETATILIN: Bacteriologicatl.y SAFE NITRATE-N: 5 pp~ Above 10 pp1A exceeds the ret:ottuAended Wubli c Dr i nf: i ng Ideter Standard. Coliform Bacteria/100 al Nitrate-Nitrogen, tog/L 8' ~, 9 ~ ~ . ~~ ` ~ ~ !4. ~. ~. ~' ~ ~ _ ~ ~+ jY V y ~~ -" ' r LAB TECHNICIAN: Fate Gane ~~ ti ~. , Z , ..,1~ ,~a--~ O~,~NDEVFNpFN WI Apps oved Lab No. 19 '~.«.ay.._ ` ~ ~ O < Means"'LESS THAN" Detectable t.evet Approved by: `- ~,~ ~~~. o PROFESSIONAL LABORATORY SERVICES SINCE 1952 RAGE ], 5/20/92 ~~ ~ ,~p~ t. ST. CROIX COUNTY ZONING OFFICE St Croix County Courthouse '~~~~ ~4ti 911 4th Street ~ia sL~-~ Hudson, WI 54016 yJ ~~,'~ 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 t at the property can ~g 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: $ 35.00 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) Keith & Nanc /~ZGZ-- ~~3~r7d~~ PROPERTY OWNER S NAME : y Moore _ PROP . ADDRESS : 424 Valley View Rd CITY Hudson ~ ~~ Legal Description 1/4 of the 1/4 of Section 2 ~, T N-R~ Town of Hudson Lot Number-Subdivision: Willow Ride II FIRE NUMBER 424 LOCK B0~ ~ggt NONE. OWNER' S PHONE #: 386-6554 Color of house e w ric Realty sign by house? YeSIf so, list firm: Century 21 Bertelsen-Cudd PLEASE INCLUDE, IF AT ALL POSSIBLE, A NAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LESTING 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 : Jenny Olson Telephone Number 386-8207 REPORT TO BE SENT TO: Jenny Olson/Centurv~21 25.00_ - on, WI CLOSING DATE • %'-~-'~'-'~' Signature ~. C~n~ --21~ Bertelsen-Cudd 706 19th Street South Hudson, Wisconsin 54016 (715)386-8207 (612)436-8433 L-583R Challenges Comparison A unique and practical floor plan and quality crafted and detailed oak woodwork set this home apart. Its comfortable 3 bedroom, 22 bath design features living room and diking room with vaulted ceiling and family room with brick fireplace, perfect for entertaining. The master suite has a privaiE ceramic bath and walk in closet, A~:~neutral decor works beautifully with any furnishings. This well designed home with redwood and brick exterior is conveniently located among the beautiful hills and Valleys of Willow ridge II. close to town with all the joys of country living. PRICE: $129.900.00 Addr a24 V?l~av View Road u ~L#_ ('ihi e...~__... FIrA u DISC Ol ---'/~ ~/` Sec Twsp cry 5t. crozx FYs ,-,,.r, ri.~: r_ n,-; ~a_ Yr Blt i aR7 Ht Gas FA ~ Sryle 2 StoL~ Lot Sze 1.75 Ac. SMFL 1064 TFF 1784 Tax Yr 1991 $2,712.88 L C D Approx Rm Size 2 # Baths (] WT Sch E:udson _ LR 1 C D 13.4x27.2 (X}MB BB RI PAR SSt. Pat's DR C D Dwshr (?~ Disp. H20'test on file Kit i V V 11.1x10..11 ( Refri ({] R&0 ( )Yes ( )No Fri ' ,~ ~ ~; D .]1x20.7 [ WS R [ 0 Avg Ht $ h4B 2 C B 3.2x13.8 ( C. Wtr [ ] C. Swr. Av Util $ BR 2 C B .2x10.2 pC] Well (~c] Septic Poss DatE NEG. BR 2 C B 11.2x9.10 Frplcs ~ C. Air Bsmt LULL K Gar 2 [~Q GDO (~ Deck (}C] Patio ] Rec Rm~ Ldr UFFI (_]Y (]N (] UKN Legal/Disclosue 1.At ~7 Ylat oI: w1.t.Laa e an ~iai. w~x~~ry ~et~~ ~t d ~ ro~crrt. Dirt ~1oor f/ F.P i.rt S/B/C 2 8 ~ aster JENNY OLSON~ h-~BC-~oo` Brkr C-21 Bertelsen - Cudd # 230 Ph 386-820. DIRECTIONS: Hwy 35 North, East on St. Croix Street (Co. Rd. A) follow Co. Rd. A turn left on Ridge Pass into Willow Ridge II, turn left on Valley View Rd. #424 Valley View Rd. Information is considered accurate but we accept no liability for error. Listings may be changed or withdrawn without notice. F0V.l •0us~.p '''' ~ •~ ~ ~ ~ } t r~ ,% ~ t '•. ~ r ~ /N Nom' ~~ • 7 ~ ~ ,`t tt ~ Z J,~t•,/ 6 ~, O, , i~, ~ ~ ~~~ t ~ R .II • • ~ ' t ~ h d t v .,; ~ ~ ~.~ " t ~ 2 .t ~ ~~ 1 ,•- :. 11 •'~ t 41 ~ ..r,....t ~" Z ~ ~,o r I ~ 4ti.y N . /,,. f SS ~ ~' a ~'l~ d~ i r r lull t,' 1 i ~• n C fl~J~ N~ f ~ ~ t ,.,M.p ~.^,.J , A \ ~ 4~ Z'~ ~ ~ i l~ • , /~ j~Z h~'t ~ ;'r' r7/~J/~y~ ` ~ t~ N' •~° v~ ~ ! ~ t JI T..orr s~fsr ~~., ~ Jig i ~~ ,~4~,6 .-/,•} • r.Z '` ~ t1 ~' JJ ~ .~ C t ~ ~ 7_av:i.tN 1 ti ~}' ~ ~ t, . it ~ . ~ ~ ~~i ' ~' Z ~ ~: a t ~ . j{% 6 • ? /// E ~ 008! d td .~ ~- y M.. a0 li. O.t ~ '~ t t ~~ ~ 1~ ~!~• t l •• `\ ~ ~''~ k ~•i' 'y, ~~ t ~; V t ZI _•~ M „kj V: 1 Y .••,=j IS ~ ti ~ Qi ~• \\ ~ / 1 7 tQ ~ I t `y' .f ~ ~. `a a~^./.~ I~~ - ~•Z ~ i ~~"~ •. of • ` ~J ~~ ~ 11 j Fat ~ ~ 't~ ~ ~.r S~/ v ab •' r j / y.. // ---.~_ raj ~-~~,~,~~\ ~ ,. •~1~ V ~. , 'I'~:1' Bertelsen-Cudd Hudson = River Falls = Baldwin 70619th Street South Hudson, Wisconsin 54016 (715)386-8207 (612) 436-8433 FEATURE SHEET 424 VALLEY VIEW ROAD HOME: CERAMIC FLOORING IN FOYER RAISED PANEL DOORS MIRRORED CLOSET DOORS BEAUTIFUL PRINCETON OAK TRIM AND CORNER MOLDINGS PARTIALLY OPEN STAIRCASE COMBINED LIVING/DINING ROOM WITH VAULTED CEILING LOVELY OAK CABINETS IN THE KITCHEN BRICK FIREPLACE IN FAMILY ROOM PATIO DOOR TO DECK MASTER SUITE HAS PRIVATE BATH WITH CERAMIC TILE AND WALK IN CLOSET WITH MIRRORED CLOSET DOORS "AMAZING SPACE" CLOSET BUILT INS IN TWO BEDROOM CLOSETS DAYLIGHT WINDOWS IN LOWER LEVEL FOR BEDROOM OR REC ROOM CENTRAL AIR CONDITIONING GAS FORGED AIR FURNACE GAS WATER HEATER (40 GALLON TANK) ANDERSON DOUBLE HUNG WINDOWS - THERMOPANE REDWOOD AND BRICK EXTERIOR- STAINED 9/90 DECK OFF OF THE FAMILY ROOM PATIO OFF THE DECK AND GARAGE ITEMS INCLUDED: ALL WINDOW TREATMENTS WHIRLPOOL DISHWASHER WHIRLPOOL RANGE AND SELF CLEANING OVEN GARBAGE DISPOSAL INSTANT HOT TAP ON SINK NOT INCLUDED: HOT TUB WASHER AND DRYER REFRIGERATOR Each Office Is Independently Owned And Operated ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 5401b (715) 386-4680 June 3, 1992 Jenny Olson Century 21 70~ - 19th 5t. S Hu~son, WI 54016 Dear Ms Olson: An inspection of the septic system on the property of Keith and Nancy Moore, located at 424 Valley View Rd., Hudson, WI was conducted on June 2, 1992. 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 from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal svszern was r~asea upon a surface inspection of said system, and did noz involve any excavaLina 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 bumped once every three years. Therefore. the prolonged life of this system may be dependent upon prober maintenance of the system. Sin erely. . ,.~ , y aN + ~ R; rd1 f ~+~'' +.-~ ~ .~'•..4' ~ ;`._,4 `?... ~~~~-~y~~Y~.. ,.fir,.- Ma~v ,J~;E'J~~nkns Assistant Zoning Administrator ci