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Parcel 030-2063-40-000
Alt. Parcel M 34.30. ;99 01/18/2006 08:05 AM
Current X PAGE 1 OF 1
030 - TOWN OF SAINT JOSEPH
ST.
Creation Date Historical Date Map # Sales Area Application # Permit #
Tax Address: 00 C POermC OUNTY, WISCONSIN
0 Type,
Owner(s): O = Current Owner, C = Current Co-Owner
DAVID R & LYNN M ROBSON O - ROBSON, DAVID R & LYNN M
1274 HWY 35
HUDSON WI 54016
Districts: SC =School SP = S
Type Dist # pecial Property Address(es): =
Description y
SC 2611 SCH D OF HUDSON * 1274 HWY 35 Primar
SP 1700 WITC
Legal Description:
SEC 34 T30N R20W GL 1 LOT 2 OF CSMr1/139 2'750 Plat: N/ AVAILABLE
Block/Conddo o Bld Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
34-30N-20W
Notes:
Parcel History:
Date Doc # Vol/Page
07/27/1999 607533 1444/519 Type
WD
2005 SUMMARY Bill
Fair Market Value:
84627 Assessed with:
Valuations: 557,800
Description Class Last Changed: 07/09/2004
RESIDENTIAL Acres
G1 Land Improve Total State Reason
2.750 215,900 291,400 507,300 NO
Totals for 2005:
General Property 2.750
Woodland 0.000 215,900 291,400 507,300
0
Totals for 2004: 0
General Property 2.750
Woodland 215,900 291,400 507,300
0.000 0
0
Lottery Credit:
Claim Count: 1 Certification Date:
Specials: Batch 139
User Special Code
Category Amount
Total Special Assessments
0.00 Special Charges Delinquent Charges
0.00 0.00
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'Parcel 030-2065-10-000
01/09/2006 08:17 AM
Alt. Parcel 35.30.20.605E PAGE 1 OF 1
Current X 030 -TOWN OF SAINT JOSEPH
Creation Date Historical Date ST. CROIX COUNTY, WISCONSIN
Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address:
Tne r(s O = Current Owner, C Current Co Owner
DALE W HANDEVIDT ANDEVIDT, DALE W
1254 HWY 35 N
HUDSON WI 54016
Districts: SC =School SP - S
- pecial Property Address(es): Primary
Type Dist # Description
SC 2611 SCH D OF HUDSON " 1254 HWY 35 N
SP 1700 WITC
Legal Description:
SEC 35 T30N R20W E 573.55 FT OF GL 1res: 5.190 Plat: Block/Condo Bld N/A-NOT Bld AVAILABLE
LYING SLY OF SWLY R/W HWY 35 EXC PARCEL g:
030-2065-20-100 DESC 752/288 AND EXC A
PARCEL DESC AS COM NW COR SEC 35; TH S 1 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
DEG E 781.11'; TH S 51 DEG E 979.8 FT 35-30N-20W
ALG SWLY R/O/W LN & NWLY EXTENSION
more
Notes:
Parcel History:
Date Doc # Vol/Page Type
07/23/1997
07/23/1997 961 /360
728/388
2005 SUMMARY Bill
Fair Market Value: Assessed with:
84644 337,700
Valuations:
Last Changed: 07/09/2004
Description Class
RESIDENTIAL Acres Land Improve Total State Reason
G1 5.190 198,800 108,300 307,100 NO
Totals for 2005:
General Property 5.190 198,800
Woodland 0.000 108,300 307,100
0 0
Totals for 2004:
General Property 5.190 198,800 108,300
Woodland 0.000 0 307,100
0
Lottery Credit: Claim Count: 1
Certification Date: Batch 314
Specials:
User Special Code
Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00
0.00 0.00
Form- ST C \
r
* * AS BUILT SANITARY SYSTEM REPORT
OWNER ~7~I # vt~~t' cf TOWNSHIP
SEC.' T N-RW
ADDRESS
ST. CROIX COUNTY, WISCONSIN
SUBDIVISION
LOT ~ LOT SIZE i ~ C{C'::,C(I
PLAN VIEW
Distances and dimensions to meet requirements of H 63
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
~s
7
h „
r
/011
~f
jai
~f IN,
Pte` G
d
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used
Elevation of vertical reference point: (:,V,
Propose slope at site:
SEPTIC T+~NK: M,_inufacturer:
Liquid Capacity:
Numb,,r of r.ngs used: Tank manhole cover elevation:
Tank Inlet 1;levation:~ Tank Outlet Elevation: C
Numb{r of &;et from nearest Road: Front' Side O Rear, a
feet
From ;dearest property line Front, Side, Rear,
O _ feet
Numb(x of feet from: well 'rte ~~fi building:
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Mode Pump/Siphon Manufacturer: _ Pump Size
Elevatio o inlet:-' Bottom of tank elevation:
Pump off switch elevation: Gallons per cycle: _
Alarm Manufacturer: Alarm Switch Type: _
Number of feet from nearest property ,line: Front`, 0 Side, O Rear, 0 Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORBTION SYSTEM
Bed: ~J Trench:
% LJ
Width: Length: Number of Lines: Area Built:
r
Fill depth to top of pipe:
Number of feet from nearest property line: Front, O Side, eRear, O Ft
Number of feet from well: 01)
e
Number of feet from building:
(Include distances on plot plan).
SEEPAGE PIT
Size: NJ umber of pits: Diameter:
Liquid *ph. Bottom of seepage pit elevation:
Area Built:
Has either a drop box O or distribution box O been used on any of the above soil
absorbtion sytems? (Check one).
HOLDING TANK f
f' Capacity:
Manufacture \
Number of r'ng used: Elevation of bottom of tank:
Elevation of inlet:
Number of feet from nearest property line: Front, O Side, O Rear, O Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
A l -sro t
Inspector'
y'{y~
Dated: Plumber on job:, v~ I L ~"License Number : j
3/84:mj
DEPARTMENT OF INDUSTRY
LABOR & HUMAN RELATIONS INSPECTION
P.O. BOX 7969 REPORT FOR
MADISON, IVl E-3707 PRIVATE SEWAGE SYSTEMS SAFETY & BUILDINGS
~yy., DIVISION
AXCONVENTIONAL BUREAU OF PLUMBING
❑ Holding Tank El ALTERNATIVE
❑ In-Ground Pressure s=aae Plan LD. Number
NAME OF PERMIT HOLDER Mound Ilr ass~9"`,d1
:
John BOnderSOn ADDRESS OF PERMIT HOLDER
BENCH MARK IPermanenr relerenw point) DESCRIBE IF DIFFERENT / FROM PG N JohnsO Box 23 B
Johnson Const.-Stillwater, NSPECTION DATE
Gov't. Lot #1, MN REF. PL ELEV.: CST ELEV
Section 34, T30N-R20W, Lot # J{2, Town of _P -.2 -.r y41 :'pp
Nam Plu - Joseph
e of REF. PT.
John P. Sykora, St.
MP/MPRSW No
III 3212 Doug"
SEPTIC TANK/H St. Croix Se""arvperrn,t Number
MANUFACTURER:FOL ING TANK: 49434
LIQUID CAPACITY TANK INLET ELEV..
BEDDING: h..~,. TANK OUTLET ELEV WARNING LABEL
VEN 4TD . q vE AT J ( PROVIDED: LOCKING COVER
rry' y HIGH WATER _ / PROVIDED:
❑YES ❑NO 1//
ALARM NUMBER OF ROAD ~i YES ❑NO
DOSING ❑YES FEET FROM PROPERTY WELL YES ❑NO
CHAMBER: 0 NO NEAREST LINE BuILDING VENT TO FRESH
MANUFq CTURER ~J / fly AIR INLET
,
BEDUIN G:
LIQUID CAPACITY
PUMP MODEL PUMP/SIPHON MANUF ACTUREH
GALLONS PER CYCL❑EYEJ ONO PRO
(DIFFERENCE BETWEEN WARNING LABEL LOCKINGCOVER
PUMP AND CONTROLS OPERATIONAL VIDED: PROVIDED:
PUMP ON AND OFF) NUMBE YES ❑NO ❑YES
ABSORPTION R OF PROPERTY WELL ❑NO
SYSTEM.Checkthesoil Moisture atth~pEhofplowinONO FEET FROM NE euILDINC veNrTQFRESH
or excavation. (If soil can NEAREST IAIR INLET
SOItheL soil is dr be rolled into a wire, construction shall cease until
y enough to continue.) FORCE LENGTH DIAMETER
CONVENTIONAL MATERIAL AND MARKING
SYSTEM: MAIN
BED,/TRENCH WIDT" ---777 LENGTH
DIMENSIONS / / NO OF D157R PIPE SPACING COVER
/ 7 C) THE cHES
GRAVEL DEPTF l !v RIq L: INSIDE DIA.
BELOW PIPFS~ FILL DEPTH UISTR. PIPE PIT KPITS
ABOVE COVER ELEV. INLFT DISTR. PIPE ° LIQUID
ELEV END DISTR. PIPE MATERIAL: NO. TH DEPTH-
NUMBER
L o lam. ~(~4 / a7 1 PIP OF PROPER7V
MOUND C / ( FEET FROM L'N WELL BUILDING, VENTTOFRESH
SYSTEM: NEAREST
/A l AIR R INLET
- -_y
Mound site plowed perpendicular to slope and furrows thrown upslope: Check the texture of the fill material for
mound systems to make certain that it PROVIDE A DIAGRAM OF
❑YES ONO meets the criteria for medium sand. ON REVERSE SIDE. SHOyySYSTEM
SOIL COVER TEXTURE NO ELEVA-
TIONS MEASURED.
PERMANENT MARKERS.
DEPTH OVER TRENCH BED DEPTH OVER TRENCeED OBSERVATION WELLS
CENTER
EDGES DEPTH OF TOPSOIL ❑YES ❑NO
SODDED ❑YES
SEEDED ❑NO
PRESSURIZED DISTRIBUTION MULCHED
SYSTEM: DYES ❑NO
BED/TRENCH WIDTH LENGTH YES ❑NO ❑YE
NOLOF S
DIMENSIONS TRENCHES LATERAL SPACING GRAVEL DEPTH BELOW PIPE ❑NO
MANIFOLD FILL DEPTH ABOVE COVER
ELEVATION AND ELEV. pump MANIFOLD
ELEV_ DIA DISTR. plpE MANIFOLD MATERIAL
. NO. DISTR
DISTRIBUTION ELEV' DISTR PIPE
INFORMATION E+oLE SIZE PIPES DIA DISrRIBU noN PIPE MATERIAL
HOLE SPACING DRILLED CORRECTLY - ~ MARKING
COVER MATERIAL
COMMENTS: ❑YES VERTICAL LIFT CORRESPONDS TO APPROVED
^PERMANENT MARKERS ONO
C PLANS
IC OBSERVATION WELLS: ED YES
V to ❑NO
w til l ~ `Cy ❑ YES El NO NUMBER OF PROPERTY WELL
ylL1 rtlll [r r YES FEET FROM LINE BuILDING.
o V(IC- ❑ DNO NEAREST
Io(.LS
ketch System on
everse Side. q
Re n in county file for audit.
7// SIGNATU
LHR SBD 6710 (R. 01/82) Y y _
TITLE
Wisconsin
APPLICATION FOR SANITARY PERMIT
OEPRRT7~EnT OF ~ R
- ~r~~USTgyLgBOq6NUTqnRELqTlOnS (PLB 67) - COUNTY
UNIFORM SANITARY PERMIT #
-Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on 3SC
-See reverse side for instructions for completing this a lication. PLEASE PROPERTY OWNER pp PR NT
paper not less than 8%zx 11 inches in size.
I
,
S
G ADDRESS
^ MAILINl~~
u s ii` °ct/Ic~ELe- o ;e
PROPERTY ~LOCATI ON
Gc1t~/4 `CITY: C.. - S f' 14Y
1/ 4, Sj<,T3,,N,R%' E
LOT NUMBER BLOCK NUMBER SUBDIVISION NAME W OWN
J NEAR T ROAD LAKE OR LA DMARK
~s ~l 3Z 76 z:.5 `~c.4-1, C, I!, STATE P SAN I.D. NUMBER
TYPE OF BUILDING OR USE SERVED ,ry~/~ eo fV /T
1 or 2 Family Number of Bedrooms:
❑ Public (Specify):
THIS PERMIT IS FOR A:
New System
El Replacement Soil Absorption System El Tank Replacement
El Alternate System ❑ Revision ❑ Repair
❑ Reconnection ❑ Privy
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. ❑ Petition for Modification
Seepage Bed
❑ Seepage Trench
System-In-Fill ❑ Seepage Pit
El In-Ground Pressure ❑ Holding Tank
❑ Existing, For Which A Previous Permit Is On File, Permit # El Vault Privy
❑ Pit Privy
issued
❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions.
Total #of
Septic Tank Capacity Gallons Prefab. Site
Tanks Concrete Constructed Steel
Lift Pum Fiberglass Plastic
p Tank/Siphon Chamber G
Holding Tank capacity
Manufacturer:
IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK:
❑ Mound ❑ In-Ground Pressure
Total #of Prefab.
Septic Tank Capacity Gallons Tanks Site
Concrete Constructed Steel Fiberglass Plastic
Lift Pump/Siphon Chamber
Manufacturer:
PERCOLATION RATE
(Minutes per inch): ABSORPTION AREA
REQUIRED (Square Feet): ABSORPTION AREA
z',~~ - 3 C*' , .2c PROPOSED (square Feet): WATER SUPPLY:
te ❑ Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of the private sewage systeshown
Name of Plumber (Print): on the attached plans.
I Si ature:
K /MPRS No..
Plumber's Address:' F~ Phone Number:
P10 K /CC Iu Name of Designer: I 111 )S'E~+. t/`~fd
~V Lj
lignature of Issuing Agent: COUNTY/ pEPARTMENT USE ONLY
(ag' e Fee: Date:
` 4 ❑
Disapproved
ason for Disa 6 z (((ssss'"' 3°
'n j pwoval: ~d Approves Owner Given initial
Adverse n
ternate course(s) of Action Available:
HR SBD-6398 (R. 5/82) DISTRIBUTION: Ori mal to Count
g Y, One Copy To; Bureau of Plumbin
g, Owner, Plumber
COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398
INSTRUCTIONS FOR
To be complete and accurate the permit application must include:
1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in
a city, village or town);
ificall what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant,
2. Indicate spec y
etc.) ;
check all appropriate boxes or blanks.
3. Complete the block for conventional or alternate system depending on system type, of square feet required by code and the number of
4. Indicate the design percolation rate listed on the 115 soil test report, the nu
square feet to be installed;
5. Complete the section on water supply; appropriate license classi-
6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the fplace your license number in the space provided and sign the permit
in the signature block; 7. Please place the plumbers if there is a problem or question this will speed review of the
fication,
business phone number in the blank provided,
permit; rior to installation.
or lumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county p
Change of ownership plumber
permit.
Failure to comply will void the sanitary pe
This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable.
9.
ermit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system,
10. A new p
depth of the system, type of system.
11. All revisions to this permit must be approved by the permit issuing authority.
12. A complete plan including a plot plan, drawn to scale or with complete dimensions.
13. Horizontal and vertical elevation reference points that are permanent and clearly shown.
i e size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s)
14. Piping detail including p p
to system, building sewer and vent observation pipe(s).
15. The permit issuing agent may require a cross section drawing of the effluent disposal system.
require you to obtain a new permit. Private sewage systems
eptic tank whenever necessary usually every 2 to 3 years. If you have questions concerning
TO THE OWNER: This is valid for two years. Changes in your building plans or locations may
must be properly maintained. Have a licensed pumper clean your s
your system, contact your local code administrator or the Bureau of Plumbing, pILHR, State of Wisconsin.
Fu rill C 1 00
Owner of Property'
.Location of
Township 'T N k W
Mailing Address 71
/ -
Subdivision
Name C~: e~ ~r7 • e T'~
Lot Nuwber
1W
Previous Owner of Property i,
Total Size of Parcel
r C
Date Parcel Was Created I
Are all corners identifiable?
Y e s No
Include with this a lication one of
the following:
.Certified Survey Map
Deed
,Land Contract, or
.Other Legal Docuwent which describes the property
PROPERTY OWNER CERTIFICATION
I (We) certify that all statements on this form are true to the best of
my knowledge; that l (we) am (are) the owner(s) of the property described n this
information form, by virtue of a warrenty ddo recorded in the Office of the
County Register of Deeds as Document No. ; and that 1 (we)
presently own the proposed site for the sewage disposal system (or I (we) have
obtained an easement, to run with the above described property, for the
construction of said system, and the same has been duly recorded in the Office
of the County Register of Deeds, as Document No.
SIGNATURE Of OWNER
SIGNATURE OF ULIE)
WNEA (IF APPLI CA6LE)
DATE SIGNED
GATE SIGNED
EH 1,15
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
C-t-A- L ( REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: _~'/4 -'/4, Section3y _173L> N, RV-
E-(&4 W, Township o~y _ c
Lot No. Block No. 3 Z s
Subdivisio County y % L%2L~ ~k
Owner's Name: n
` Z ` I
Mailing Address: k~) et'~ t C-1, -I
TYPE OF OCCUPANCY: Residence
-)rl No. of Bedrooms 3 Other
EFFLUENT DISPOSAL SYSTEM: NEW X
ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS_ -5 / 13
SOIL MAP SHEET PERCOLATION TESTS
SOI L TYPE %-'1 / - H E 7- - 1
PERCOLATION TESTS
TEST DEPTH
NUM- CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL RATE
BER 1ST WETTED SWELLING IN MINUTES
PERIOD 1 PERIOD 2 PERIOD 3 IN/IN
P-
P-
L- ~ L C`_L L - S
P_ r1Z*~ ►'~C t ~~is rZ V
I- ~2M;
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES
NUMBER INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
B- I -7 ~
Z L" v f 61 x3n
r~'I Z ~nylS 39
B- 5
N6 -A 1,4 Aid
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicate number of sFq;gre feet of absorption area
needed for building type and occupancy, D S • ' '
or distances. Give horizontal and vertical reference points. Indicate slope. r Indicate scale
,
oo -
C, 1 _ W l Imo-
i ,
f-J
4-4
L-4 0
~~tn►~c ; s t
k9LL~ - _tiip- T-11
44-
f---4-4-1 f I '
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I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures
and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct
to the best of my knowledge and belief.
Name (print) - ~__`'R+la L4 w l>If2~Z
Address - Certification No. L-
Name of installer if known
l ature L i~
CST`;iign
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Parcel 030-2063-40-000 08/27/2007 03:43 PM
PAGE 1 OF 1
Alt. Parcel 34.30.20.599D 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
DAVID R & LYNN M ROBSON O - ROBSON, DAVID R & LYNN M
1274 HWY 35
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description ` 1274 HWY 35
SC 2611 HUDSON
SP 1700 WITC
N/A-NOT AVAILABLE
SEC 34 T30N R20W GL 1 LOT 2 OF CSM 1/139 Condo Bldg:
Legal Description: Acres: 2.75P34-30N-20W
(Sec -Twn-Rng 401/4 1601/4)
Notes: Parcel History:
Date Doc # Vol/Page Type
07/27/1999 607533 1444/519 WD
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 04/16/2007
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.750 215,900 313,200 529,100 NO
Totals for 2007:
General Property 2.750 215,900 313,200 529,100
Woodland 0.000 0 0
Totals for 2006:
General Property 2.750 215,900 302,000 517,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 139
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00
0.00
' ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
1 IN INN ST. CROIX COUNTY GOVERNMENT CENTER
_ 1101 Carmichael Road
Hudson, WI 54016-7710
. (715) 386-4680
SEPTIC INSPECTION / WATER TEST REQUEST FORM
W/
Please 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 that entry can be gained.
❑ Water (VOC's) $200.00 A Septic $125.00
Water (Nitrate & Bacteria) $55.00 ❑ Nitrate & Bacteria
I~ Water (Lead Concentration) $21.00 retest $15.00
Owner: /~~n~n dc~rr~ Requested by:
Address: / r Address:
ff ' ZIP ZIP
Telephone N4: Telephone W: 5-~'
Property address (Fire W & Street)
Locatig9xr}: ; sec. .2 , T N, R~?0 W, own of
f), CS vl- t1l Realty firm: --Lock Box 1 Closing Date: / /
tLQ~y t% Cy -j-De, //c .ems Cae/oy~
- Zob3 - -Ooo/ qj 3o, ?a. S;-i9 -
TO BE COM LETED BY PROPERTY OWNER
*PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMA
Water sample tap location:
Is the dwelling currently occupied? Yes 11 No
If vacant, date last occupied:
Age of septic system:
Septic tank last pumped by: f - Date:
Previous Owner's Name(s) : 1-2,f2e;2~
Have any of the following been observed?
❑Y IN Slow drainage from house.
❑Y Sewage Back-up into dwelling.
❑Y Sewage discharge to ground surface or road ditch.
❑Y N Foul odors.
Other comments relative to system operation:
i
I certify that the above information is complete and true to the
best of my knowledge.
OWNERS SIGNATU DATE:-=~ S -
1/94
OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION
IN Z,
G
7`'u7i J
C ~ \
I~
I
TO BE COMPLETED BY INSPECTION AGENCY
System design &/or permit on file? OYes ONo
Soil series per SCS Soil Survey: sheet #
Type of soil absorption system: []Below grd OAt-Grd OMound
Approx. size 'X OGravity []Dose []Pressurized
Ft.Z []Bed OTrench []Dry Well
[]Holding Tank OOutfall pipe
OBSERVED DEFICIENCIES []Other OUnknown
Septic tank
Setbacks: OHouse OWell OProp. line []Other
Dose tank
Setbacks: []House []Well []Prop. line []Other
OLocking cover OWarning label []Pump/Floats
OAlarm []Elec. wiring
Soil Absorption System
Setbacks: []House OWell []Prop. line []Other
OPonding: []Discharge:
General comments:
INSPECTORS SKETCH OF SYSTEM LOCATION
N
I
Inspector
Title
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
A a x u a x„~ ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016-7710
(715) 386-4680
June 25, 1999
John & Nancy Bonderson
1274 Hwy. 35
Hudson, WI 54016
Dear Mr. & Mrs. Bonderson:
On June 24, 1999, an inspection of the septic system on your
property, located at the above address, was conducted. A water
sample was also collected, and forwarded to the laboratory for
testing. When the results are received, you will be notified.
At the time of the inspection, the sanitary system appeared to be
functioning properly. The inspection of this sewage disposal
system was based on 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.
Should you have any questions, please contact this office.
Sincerely,
Mary J. Jenkins
Assistant Zoning Administrator
File
ST. CROIX COUNTY
WISCONSIN
~ aene~nnu~ ~ ZONING OFFICE
ST. CROIX COUNTY GOVERNMENT CENTER
" N~NN6 1101 Carmichael Road
Hudson, WI 54016-7710
A (715) 386-4680
June 28, 1999
John and Nancy Bonderson
1274 Highway 35
Hudson, WI 54016
RE: Water Test Results for John & Nancy Bonderson located at 1274 Hwy 35,
Town of St. Joseph, St. Croix County, Wisconsin
Dear Mr. & Mrs. Bonderson:
Enclosed are the original water test results from Commercial Testing Laboratory for a water sample
that was taken on 6/21/99 at the above referenced property.
If you have any questions regarding this, please call our office at (715) 386-4680.
Sincerely,
Mary J. ,enkins
Assistant Zoning Administrator
Enclosure
/sm.
COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800-962-5227
FAX - 715-962-4030
'QIX CTY G{3V4CTR
iOl CARMICHAEL ROAP kcF'tt(r DATE: 6/15.,
r,fON, WI
IT14 T,f `,k-,r
1CATIONI 1274 Hwy 7,
ELECTOR: M. Je*.
ATE COLLECTED! 6-7
ME COLLECTED., 2z
=UURCE OF SAWLE.
DATE ANALYZED`,.
TIME ANALYZc
COLIFORMtMFCf
INTERPRETATION; Bacteri,
NITRATE-•N: 7.0
Alcove IC
Caliform Bat-
Parcel 236-2025-04-072 08/27/2007 03:43 PM
PAGE 1 OF 1
Alt. Parcel 236 - CITY OF HUDSON
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - BONDERSON, JOHN O/NANCY E
JOHN O/NANCY E BONDERSON
221 W CANYON DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description " 221 W CANYON DR
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
LOT 72 RED CEDAR CANYON FOURTH ADDITION Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
32-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/20/2007
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 31,000 231,800 262,800 NO 00
Totals for 2007:
General Property 0.000 31,000 231,800 262,800
Woodland 0.000 0 0
Totals for 2006:
General Property 0.000 31,000 231,800 262,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
COMERCIAL TESTING LABORATORY, INC.
514 `Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800 - 962 - 5227 C:3:w 16io@
. CROIX COUNTY _ REPORT DATE: 1/17/92
i3URTH0USF DATE nECETVED 1/115/92
4SONI WT 540:
..!:]CATION: 1274 Huey 35. Hudson
';"LLECTOR: M# ,lenk i T;_
-ATE COLLECTED* 1-14-_g-
,ME COLLECTED: 3:30pn
.JRCE OF SAMPLE: =
,TE ANALYZED' 1-15
ME ANALYZED:2:00pr,,
-IFORhi: 0 ii4,)o 11:
TERPRETATION.
7 ppc.
_ , .
.';Jove 10
X13- t T;'r _
8
A ~O
C
N
to 9
n
LAB TECHNICIAN: Pas Gane
c~ w
yOFANDEPEI./bFHl
WI Approved Lab No. 19
Means "LESS THAN" Deiecfahlp Level
4
o PROFESSIONAL LABORATORY SERVICES SINCE 1952
ST. CROIX COUNTY ZONING OFFICE
j 911 4th Street
Hudson, WI 54016
J,~t Telephone - (715)386-4680
A, The St. Croix Co. Zoning office offers the service of septic and
, water inspection to Lending Institution, Realty Firms, and
,i 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) N
WATER TESTING FEE:$175.00
(VOC'S)
SEPTIC SYSTEM INSPECTION FEE:$ 25.00
PROPERTY OWNERS NAME : -_'olm `tl / iQ i c;e ~ , n d b "S c r7
PROPERTY OWNERS ADDRESS:/' 7y 1 S J2,, 'c y -CITY: ~~uc rt , Zz, l
Legal Description 11464''
--T/4 , Sec T 36) N-R yZGj W,
Town of ~,1c s c. / , Lo~t~ No. Subdivision
FIRE NO. 74 1 LO k N
C OX O.
Color of house Realty sign? 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 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 ) c
Telephone No. 5%V ° w'/
REPORT TO BE SENT TO:- -777-5-
CLOSING DATE: -
Signature:
41
a
ST. CROIX COUNTY
r WISCONSIN
p , ZONING OFFICE
v } J ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
1- P
(715) 386-4680
Feb. 10, 1992
John Bonderson
1274 Hwy. 35
Hudson, WI 54016
Dear Mr. Bonderson:
An inspection of the septic system on the property of John
Bonderson, located at 1274 Hwy. 35, Hudson, WI was conducted on
Feb. 10, 1992.
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.
qs ely,K. Thompson
Assistant Zoning Administrator
cj
ST. CROIX COUNTY ZONING OFFICE
911 4th Street
Hudson, WI 54016
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 tl1 v~ ~l(~ y~ y c l
PROPERTY OWNERS ADDRESS: 7,, CITY: )
Legal Description 1/4, 1/4 Sec. , T N-R W,
Town of ,L6t:No.~ Subdivision
FIRE NO. LOCK BOX NO.
Color of house Realty sign? 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 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:
Telephone No.
REPORT TO BE SENT TO:
CLOSING DA
Signature: