HomeMy WebLinkAbout020-1479-26-000
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E. L&MMERCIAL TESTING LABORATORY, INC.
514 Plain Street, P.O. Box 526
Colfax, Wisconsin 54730 (:I::Aw 16,
715-962-3121
800 - 962 - 5227
ST. CROIX ,DJNTY REPORT DATE: 10/26/90
COiifiTHOUSE DATE r\.ECFTWD.* 1 /24/9r
0
1U1,30N• laI 5540
r• DHudson
.:)CATION: QS'
:jLLECTOR' M. Jenkins
.JURCE OF SAMPLE: Kitchen faucet
CLIFORM: 0 /100 ml
NTERPRETATIONI Bacteriologically SAFE
15 ppm
finder 10 ppm is safe for human consumption.
i C'HN1L1AN#' i'iif, Dane
OF.\NDEVENOfH
2` ~9m
O A
V D
A Means "LESS TgAN" Detectable Level Approved by*'
PROFESSIONAL LABORATORY SERVICES SINCE 1952
&C,
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.
r.
~n,eDlc3LiV~l of this form in engential so that the
ro riate
Please provide the following information, enclose aand priat,
fee made payable to St. Croix County Zoning Office, be done as
along with form to the above address. Testing will soon as possible after fee and form are received.
WATER TESTING---------------------------- FEE: $ 25.00
JCS
(For nitrates and coliform bacteria)$175.00
WATER TESTING FEE:
(For VOC'S) FEE: $25.00
f~-SEPTIC SYSTEM INSPECTION-----------------
(Determines if system is properly functioning at t me of
inspection) -
Property owner's name
Property owner's address T N-R
Legal Description _1/4 of the _1/4 of Section
Town of Lot Number Subdivision Name
Le yw l , 5 e T `1 r~ ,Ki L 4 -
F7RR NUMBER T CX BO ~iTTYRFR~
Color of house L,> lti , ti Realty sign by house f ,so, list firm:
PLEASE INCLUDE, IF AT ALL PGSSIELE, MAP, 1. 11, OF PLAT BOOK,.
WITH LOCATION SHOWN, .-ANQ-#-COPX -OF--THE---LUTING SHEET.
Testing of residential water requires a sample that is waterline
the home is vacant, and has been so for some time, the
must be purged by running the water for several hours before the
test can be conducted.
W~NTEl'TESTING: Many times water lines are turned off, or sill
cocks are turned off, making access to the home necessary.
this is the case, please make proper arrangements with this
office to ensure time when entry may be gained.
Firm or individual requesting services./.,9 -
Telephone Number 60 - ~ >
r REPORT TO BE SENT TO : I f / cl r' `
Clos nq datei
Signature
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w
WORKING
RIVER VALLEY ABSTRACT TOGE ER We Keep the Spots
& TITLE, INC. ~ ~ ~e~uxe Ceea~u~g
220 LOCUST STREET V G
HUDSON, WISCONSIN 54016
~ Ceufrce ~ •
PHONE: (715) 386-7772
When You Care Enough To Send
ROGER D. BEVERS Your Very Best
ABSTRACTS • TIT _ "Hudson's On Location Dry
LE
INSURANCE CLOSINGS / .
MAKES IT HAPPEN ! Cleaner For o Years"
Jack Bauernf ernd
T ST. CROIX COUNTY
WISCONSIN
~ i. ro 7
ZONING OFFICE
.X n t f 4Y/'PY
„.j t,Y ~ nt
y C > ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
Oct. 24, 1990
Dori Pittelkow
Burnett Realty
7645 Currell Blvd.
Woodbury, MN 55125
Dear Ms. Pittelkow:
An inspection of the septic system on the property
of William Strehlo, 837 Co. Rd. N, Hudson, WI was conducted on
Oct. 23, 1990. 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 not not in any
way warrant or guarantee the continued proper functioning or
operations 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 the system.
Should you have any questions regarding this subject, please feel
free to contact me.
Sincerely,
X,
Mary J.. Jenkins
Assistant Zoning Administrator
cj
11/16/90 10:01 $715 962 4030 COMM. TEST LAB S.C. CO CRTHOUSE 2002
s M
J I inter poll
INTERPOLL IAa0;UTQRIES, INC.
4500 BALL ROAD N.E.
CIROLE PINES, MINNESOTA 5_5014.16110
TEL: 4191ta-fi020
FAX: $12 t?"-MA November 8, 1990
i
Commercial Testing Laboratories. Inc.
514 Main Street
PO Box 526
Colfax, Wisconsin 64730
Attention: Pam Cane
LABORATORY REPORT: 01668
PURCHASE ORDERi #4707
SAMPLES COLLECTED: October 23, 1990
SAMPLES RECEIVED: October 30. 1990
Sample Identification,,
gtrehlo
Sample Type: Water
Laboratory FL,og Number: 616 8-01
Tak Net
Detection
Parameter Units ,Limit
EPA Method 601:
Chleramethane ug/L 1.4 c 1,4
Sra:tiomethane ug/L 0.23 a 0.23
Vinyl chloride ug/L 0.30 4 0.31
Dithlorodiflueromethane ug/L 0.91 < 0.91
Chlereethane ug/L 0.26 < 0,26
Methylene chloride ug/L 13.0 c 3.0
TriChlorofluoromethane ug/L 0.87 a 0.87
191-Dichloroethene ug/L 0.66 < 0.66
1,1-Dichloroethane ug/L O.i6 < 0,16
Total 1.2-dichloroethenes ug/L 0.28 < 0.28
Chloroform ug/L 0.33 < 0.33
1,2-Dichloroethane ug/L 0.47 < 0.47
1,1,1-Trichlaroethane ug/L j1.4 1.4
Carbon tetrachloride ug/L 0.44 < 0.44
Bromodichloromethane u9/L 0.55 < 0.56
1,2-Dichloropropane ug/L 0-35 4 0.35
Total 1.3,dichloropropenes ug/L 0.18 < 0.18
Trichloroethene ug/L 0,58 < 0.58
1.1.2-Trichloroethane ug/L X1.0 r 1.0
Dibrvmbchloromethane ug/L 1.1 1.1
AN ECUAL OPPORrUN1TY EAfPLOYER
w
LnterpolI Laboratories, Inc. November 8, 1990
Laboratory Report 41668 Page 2 of 2
Commercial Testing Laboratories, Inc_.
Saiilpl(~ Irknt;firration: Strehlo
Sample Type: Water
Laboratory Log Number: 1668-01
Target
Detection
Parameter Units Limit
EPA Method 601 (continued):
Chloroethylvinyl ether ug/L 0.70 < 0.70
Bromoform ug/L 0.39 < 0.31
1,1,2,2-Tetrachloroethane ug/L 2.1 < 2.1
Tetrachloroethene ug/L 0.45 < 0.4S
Chlorobenzene ug/L 0.23 < 0.23
1,3-Dichlorobenzene ug/L 0.46 < 0.46
1,2-Dichlorobenzene ug/L 0.49 < 0.49
1.4-Dichlorobenzene ug/L 0.69 < 0.6'91
k-PA Method 602:
Benzene ug/L 0.47 < 0.47
Toluene ug/L 0.92 < 0.92
Ethylbenzene uq/L 0.42 < 0.42
lLT"u i iy ~tjjbsiii Lt,
`,\~-mil'` ~l\~ ~ L~li~i
Wayne A. Olson,
Senior Scientist
Organic Chemistry Department
MAO/cg
Invoice Enclosed
= les than
All analyses were performed using EPA or other, recognized methodologies.
All units are on an "as received" basis Unless other,-O se indicated.
interpoII
INTERPOLL LABORATORIES, INC.
4500 BALL ROAD N.E.
CIRCLE PINES, MINNESOTA 55014-1819
TEL-612/786-6020
FAX, 612i786-7854 November 8, 1990
Commercial Testing Laboratories. Iric.
514 Main Street
PO Box 526
Colfax, Wiconsir) 54730
Attention: Pam Gane St. Croix Zoning
LABORATORY REPORT: #1668 911 4th fit.
Hudson, WI 54016
PURCHASE ORDER: 40707 Collection Date & Time: 10-23-90 2:30pm
SAMPLES COLLECTED: October 23, 1990 Collected By: Mary Jenkins
SAMPLES RECEIVED: October 30. 15)90
Sample Identification: Strehlo
Sample Type: Water
Laboratory; Log Number: 1668-01
Target
Detectioi
Parameter Units Limit
EPA Method 601:
Chloromethane ug/L
Bromomethane ug/L
Vinyl chloride ug/L 0.30 < O.j,
Dichlorodifluoromethane ug/L 0.91 < 0.91
Chloroethane ug/L 0.26 < 0.26
Nethylene chloride ug/L 3.0 < 3.0
Irichlorofluoromethane ug/L 0.87 < 0.87
1,1-Dichloroethene ug/L 0.66 < 0.66
1,1-Dichloroethane ug/L 0.16 < 0.16
Total 1,2-dichloroethenes ug/L 0.28 < 0.28
Chloroform ug/L 0.33 < 0.33
1,2-Dichloroethane ug/L 0.47 < 0.47
1,1,1-Trichloroethane ug/L 1.4 < 1.4
Carbon tetrachloride ug/L 0.44 < 0.44
bromodichloromethane ug/L 0.56 < 0.56
1,2-Dichloropropane ug/L 0.35 < 0.35
Total 1,3-dichloropropenes ug/L 0.18 < 0.18
Trichloroethene ug/L 0.58 < 0.58
1,1,2-Trichloroethane ug/L 1.0 < 1.0
Dibromochloromethane ug/L 1.1 1.1
7,
11/16/90 10:01 $715 962 4030 COMM. TEST LAB S.C. CO CRTHOUSE Z003
Interpoll Laboratories. Inc. November 8, 1990
Laboratory Report 01668 page 2 of 2..
Comn►ercial Testing Laboratories. Tnc.
Sample Tdentification: Strehlo
sample Type: Water
Laboratory Log Number; 1668-01
Ta rgelt
Detact,i on
Parameter Units Llmi't
EPA Method 601 (Continued):
chloroethylvinyt ether ug/L 0.7',0 < 0.70
Aromoform ug/L 0.39 < 0.39
1.1.2,2-Tetrachloroethane ug/L 2.'1 < 2.1
Yetrachloroethene ug/L 0,45 < 0.45
Chlorobanzene ug/L 0.23 e_ 0.23
1.3-bichlorobenzene ug/L 0.46 < 0.46
1,2-bichlorobenzene ug/L 0.49 < 0.49
1.4-Di chl orobenzene ug/L 6.40 < 0.69
EPA Method eO2;
Benzene ug/L 0.47 < 0.47
Toluene ug/L 0.4,2 c 0.92
Ethylbenzene ug/L 0.4'2 c 0.42
Total xyleres ug/L 2.'2 < 2.2
Respectfully submitted.
}
WaynAt A. Ol son,
Senior, Scientist
Organic Chemistry Department
WAO/cg
Invoice Enclosed
< less than
All analyses,were performed using EPA or other recognized methodologies.
All units are an an -as received" basis unless otherwise indicated.
i
Parcel 020-1109-90-100 05/24/2006 08:43 AM
PAGE 1 OF 1
Alt. Parcel 36.29.19.444C 020 - TOWN OF HUDSON
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
O - LARSON, MICHAEL E & JOANN L
MICHAEL E & JOANN L LARSON
837 CTY RD N
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 837 CTY RD N
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE
SEC 36 T29N R19W LOT 1 CSM VOL 6/1642 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
36-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1137/384 WD
07/23/1997 1137/383 WD
07/23/1997 903/41
07/23/1997 736/484
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 97,000 221,300 318,300 NO
Totals for 2006:
General Property 5.000 97,000 221,300 318,300
Woodland 0.000 0 0
Totals for 2005:
General Property 5.000 97,000 221,300 318,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 118
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
x
AS BUILT SANITARY SYSTEM REPORT
OWNER Ayl Slrelln TOWNSHIP A-4,dSdn- SEC.R/W
ADDRESS ~(~Z j CTS 7~iC ~~/l> y ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H63
yE$yTHING WITHIN 100 FEET OF SYSTEM
C~ o H
l
G
s- h ?0 c
k _
70 I e o th Arrow
i a
-i
I C - 3
E -
BENCHMARK: (Permanent reference Point) Describe. rep e-~ A;,f~
Elevation of vertical reference point. Ine O Slope at site:
SEPTIC TANK: Manufacturer: Liquid Capacity:
Number of rings on cover Tanc manhole cover elevation:
Tank Inlet Elevation; Tank Outlet Elevation:
PUMP CHAMBER ,v1/?'
Manufacturer: Number of gallons
Number of gal. pump set or a cycle gallons ; tot- acapc i ty o-f-
distribution lines gallon: size of pump -head;
gallon per minute horsepower rand-name of pump
and model number
Type of warning device A _
HOLDING TANK: Manufacturer Number of gallons
Elevation of manhole cover r
Type of warning devi e _
SEEPAGE PIT SIZE: -1_ um er o pt-i s --meet diameter-- _
feet liquid dept ~ht seepage pit in et pipe-elevation---
bottom of seepage pit Eli vat on feet.
SEEPAGE BED SIZE: number cf lines____yiw t -_~_lertgths`Z the depth~.r~
SEEPAGE TRENCH: width _ length
PERCOLATION RATE- s'3 _ AREA REQUIRED /.)z/ REA BUILT
INSPECTOR _
DATED- PLUMBER ON J B
LICENSE NUMBER
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LAB-b.-I & 'HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O. BOX 7969 BUREAU OF PLUMBING
MADISON, WI y 53707
0 CONVENTIONAL ❑ ALTERNATIVE IS,,,, Plan IT), Number.
(If assigned)
❑ Holding Tank ❑ In-Ground Pressure ❑ Mound
NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER: INSPECTION ATE:
3 Z ,1 ( C r-j j
BENCH MARK (Permanent of n- po U DESCRIBE IF DIFFERENT ROM PLAN. BEE. PT. LEV.: CST REF. PT. ELEV.
N,„,-?t Plu hr, MNo_ 1 County. San -y Pf,-1 Number.
SEPTIC TANK/HOLDI G TANK:
MANUFACTURER VLI UID CAPACITYK LEVTANK UTLET ELI WARNINGDLABEL OCKINCOVER
PROVIDE POVIDED-11 ❑ ES LINO DYES ❑
BEDDINGVEN DI VEN MAT MBER OF ROAD: PH ERTY WELL. BUILDING. VENT FRESH
ALARM PNEARE ET FROM Ll " LAIR LET'.
DYES LINO DYES ❑NO_ ST_
DOSING CHAMBER: _
MANUFACTURER JBEDDING LIOUI D CAPAC: I I Y PUMP MODEL PUMP; SIPHON MANUFACTUA~t LABEL LOCKING COVER
. PROVIDED-. _
DYES LINO LINO ES ❑
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATI ONAL NUMBEL BUILDING VENT TO FRESH
(DIFFERENCE BETWEEN FEET F- AIR ILN, T `
PUMP ON AND OFF) DYES NO NEARED ~SOILABSORPTIONSYSTEM.ChEckthesoIImoIstureatthedepthofplomn g IF 1~, AIANDMARKLN(,
or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH JLENGTH NU. OF DISTR PIPE SPA(~I Nt, t;OVh H-T INSIDE DIA API TS LIQUID
AI { PIT DEPTH
BED/TRENCH RFNC ES IT'
I_ DIMENSIONS
-7 :1
~f h I E I' LL DE Th I>ISI li PIPE DISTR PI F DISTR_ PIPE MATERIAL NO. H UMBER OF PROPERTY WELL BUILDING VENT TO FRESH
„I „ 11, f .,HOVE )VER E I IN, I I ELEV END if PI FEET FROM uNe. AIR INLET.
NEAREST-
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA-
meets the criteria for medium sand. TIONS MEASURED.
DYES LINO
SOIL COVER F-xTORE PERMANENT MAHKE R S OBSERVATION WELLS
DYES LINO _D YES LINO
DI. PITH OVEN THENC.H HE[) DEPTH OVER THENCH HEU JDEPTH OF TOPSOIL SODDE I) SEF DED [ULCIIID
CFNTFH EDGFS
DYES LINO DYES LINO DYES LINO
PRESSURIZED DISTRIBUTION SYSTEM:
~VID7H LENGTH NO. OF LATERAL SPACING. L DEPTH BE LOW PIPE FILL DEPTH ABOVE CDVFH
BED/TRENCH JrRENCHEs
DIMENSIONS GRAVE
MANIFOLD PUMP MANIFOLD DISTR-PIPE MANIFOLD MATERIAL NO DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING
FI FV. ELEV. DIA ELEV. PIPES DIA'.
ELEVATION AND
DISTRIBUTION
I!OLE SIZE HOLE SPACING DRILLED CORRECI L Y CUVFR MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
INFORMATION PLANS
_ DYES LINO _ DYES LINO
PROPERTY WELL BUILDING
1 ] J
COMMENI S: PERMANENT MARKERS OBSERVATION WELLS NUMBER OF
FEET FROM LINE
❑ YES LI NO ❑ YES ❑ NO NEAREST-
Sketch System on etain in county file for audit.
Reverse Side. . ( X/ I]
;N TURF TITLE
DILHR SBD 6710 (R. 01/82) _
i
DEPARTMENT OF APPLICATION SAFETY & BUILDINGS
INDUSTRY, FOR SANITARY DIVISION
LABOR AND PERMIT P.O. BOX 7969
HUMAN RELATIONS (PLB 67) MADISON, Wl 53707
Attach plans for the system on paper not less than 81/2 x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal
and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter
H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master
Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be
included.
Property Owner: Mailing Address:
Property Location: City, Village or Township: County:
~'/4S iT 1 N/R 4? E (or) (9 - CIO"" '
Lot Number: Blk No:: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number:
1# tt (If assigned)
TYPE OF BUILDING
Number of
❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms:
NK1 or 2 Family *State Approval Required.
TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER
GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify)
SEPTIC TANK CAPACITY
HOLDING TANK CAPACITY F-f
LIFT PUMP TANK/SIPHON CHAMBER
MANUFACTURER:
EFFLUENT DISPOSAL SYSTEM
PERCOLATION RATE ABSORPTION AREA
(Minutes per inch): PROPOSED (Square feet): ❑ New Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit
❑ Alternative (specify) ❑ Seepage Trench
Wateerr/Supply: FOwner's Name as Listed on Soil Test Report (If other than present owner):
LJ Private ❑ Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plumber: Signature: MP/MPRSW No.: Phone Number:
~JV
A4
.1
( Plumber's Address: I Name of De . ner•
COUNTY/ DEPARTMENT USE ONLY
i n jture of Issuing Agent: Fpe:( Date APPROVED Sanitary Permit Number:
❑
x(-). i_:~n I 1 ❑ DISAPPROVED
Reason for Disapproval:
Alternate course(s) of Action Available:
Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in-
stallation. Failure to comply will void the sanitary permit.
DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber
DILHR-SBD-6398 (R.07/81)