HomeMy WebLinkAbout161-2006-30-000
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. COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800 - 962 - 5227 J
t11iX 1w'i1NG hy~ lrRt h``t4J.i
.t~ 1CRRRO~IX COUNTY REPORT DATE : 5/ 27:
'OU 1 f OUSE E 11 I' C,ECF 1VE`•.I a
Ds0ls4r WI `J C?1c:
1 '16
ZL-el 3C) -6~6 21
'ONERi SUPL-V c- t'i Jt 4 : R C.
)CATIOW j D'7-
253 ,3.r
;:tLLECTOR S M..leW.', 'r V I l( v 1~ / U~ I
1L1RCE OF SAMPLE 14 K i
01LIFORM## U /100v
ATERPRETAT I ON'4 Bate :
ve isr
i nip i rig Water Standa~
pF.INDEGENO fH
% ~O
4 Means "LESS THAN" Detec lab'te level. App- Gved by'.
I\ J
u PROFESSIONAL LABORATORY SERVICES SINCE 1952
ST. CROIX COUNTY ZONING OFFICE
G`~ ,yy St. Croix County Courthouse
/ 911 4th Street
e ~~1
Hudson, WI 54016
80
Telephone - (715)386-46
yd~e St. Croix County Zoning Office offers the service of septic
and water inspections to Lending Institutions, Realty Firms, and
private individuals.
Y 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 _
(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)
Property owner's name
Property owner's address 2--,5 3 5opA M2.C5 --4•~~ nG,
Legal Description 1/4 of the 1/4 of Se tion , T N-R
Town of "an Lot Number Subdivision Name
FIRE NUMBER LOCK BOX NUMBER Z .
Color of house r~Realty sign by house? Yes If so, list firm:
PLEASE INCLUDE, IF AT ALL OP SSI LE, 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/. / n
Firm or individual requesting services:
Telephone Number ,~z - Z
REPORT TO BE SENT TO: on d
Nr~.l~so/1 L~J'~ -Z;YD/(~ 47f.'
/~cr~ ~-~Icn fe
Closing date 2- T'
Signature
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
May 15, 1991
Terry LaPlante
Edina Realty
700 2nd St.
Hudson, WI 54016
Dear Mr. LaPlante:
An inspection of the septic system on the property
of Superior Savings & Loan, located at 253 Sommers Landing N,
Hudson, WI was conducted on May 15, 1991. 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 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.
Please note this house has been vacant for an undetermined amount
of time.
Si We ely, to
Mary s
Assistant Zoning Administrator
cj
Parcel 161-2006-30-000 02/16/2006 04:35 PM
PAGE 1 OF 1
Alt. Parcel 13.29.20.842 161 - VILLAGE OF NORTH 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 - SMEBY, HOWARD F & KAY F
HOWARD F & KAY F SMEBY
253 SOMMERS LANDING RD N
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 253 SOMMERS LAND'G RD N
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: 04/74-SOMMERS LANDING 1-5-11 1980
OL 88 VIL NH SOMMER'S LANDING LOT 7 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
13-29N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 904/533
07/23/1997 847/606
07/23/1997 780/512
2005 SUMMARY Bill Fair Market Value: Assessed with:
108674 288,900
Valuations: Last Changed: 05/20/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 97,700 185,000 282,700 NO
Totals for 2005:
General Property 0.000 97,700 185,000 282,700
Woodland 0.000 0 0
Totals for 2004: I
General Property 0.000 61,100 146,100 207,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 204
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
4"R ( i►I A K %Iij 1I , TOWNSHIP
v, ADDRESS ti- a tSr.NSEC. _1,3 T N, R
ST. CROIX COUNTY, WISCONSIN.
DIVISION :5T C R0 , LOT _LOT SIZE;20N .
tiT . N l.i.(~.>i ( f; J --~3C' M M ~ ica.S j- fa tv ; Iv r t
PLAN VIEW C'
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
- -
A_i I~ I I
Ell
I ! i I ~ j I I 1 ' I I
- j-- f _ . __y- _ - i- - - 1-
I
-r
Indicat,e North Arrow
- _
i SCALE:
t?TIC TANK(S) MFGR. (~j ~ CONCRETE STEEL
NO. of rings on cover__L_ Depth DRY WELL
it NCHES NO. of _ width 31 length" ~j area
no. of lines width ! length. Larea-2n()_ - 1'3 /depth to top of pipe
riti ,~E GATE 7
?V; RATE 'J = S AREA REQUIRED AREA AS BUILT
k,ZCiaimer: The inspection of this system by St. Croix County does not imply complete
',g~liance with State Administrative Codes. There are other areas that it is not possible
~0 inspect at this point of construction. St. Croix County assumes no liability for
stem operation. However, if failure is noted the County will make every effort to
l;~ermine cause of failure.
(GASES A, OILS SHOULD NOT BE DISPOSED THROUGH THIS SYST7
'-INSPECTOR,~
DATED PLUMBER ON JOB
LICENSE NUIBER ~LJ f ~f~"
Z
REPORT OF INSwPECTION_INDIVIDUAL SEWAGE SYSTEM
San.i.taxy Pexm,i-t f
• State Sep.tic_ -
NAMES rowndh.ip _ S~. Cxo.ix County
Location % Section
SEPTIC TANK
Size ✓Z6 gatton4. Numb ex o6 Compax.tments
DiAtance FAom: Wett 12% oA gneateA b.Eope it
Bu.itd.ing it. we.ttand.b 6t.
DISPOSAL SYSTEM HighwateA --~t.
D.iz tance rA.om: Wett '5~ ' it. .12% oA gxeateA stope it.
Bu.itd.ing it. wettandd Y- Ft.
H.ighwateA - it.
FIELD DIMENSIONS:
Width o6' tte.nch~it. Depth o6 Aock below -t.ite ✓ in.
Length o6 each tine J_V it. Depth o6 Aoch oven .t.ite .in.
NumbeA o6 tines ~ Depth o6 -t.i.ie below gxade3 '~~~.in.
Toxat teng.th o6 tines it. Stope o6 txench in pen 100 it.
6~.
D.iatance between tines Depth to bedxocfz f-I'll
q q VQ Totat aba oxbtion aAea 6z2 Depth to gxoundwatex 6 .
6 Requited axea 6 2 Type o6 CoveA:` Paper oA Stxaw
PIT DIMENSIONS:
NumbeA o6 pit,Gxavet. axound p.it~s yea no
Outz ide d.iametex it. Depth below .inlet it.
2
Tota.t abaoxbt.ion aAea 6t A
Axea/AequiAed 6t2 rn
INSPECTED BY X TITLE i
APPROVED , DATE Ll - 19$10 .
REJECTED DATE 197.
01
EH 115 Rev. 9/78
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATIONJ_V1-'- '/4, I ~`-'/a, Section ,T?`1 N,R~~-'lir'(or) Township or Municipality
e
Lot No.Block No. '/~►~+~r'I s AAA.~'YI'Ae& County .5 71 bdivlslon Name
Owner's/Buyers Name: L-3;11 G~e> e Mailing Address:- S,
TYPE OF OCCUPANCY: Residence No. of Bedrooms / COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS t~/•'~ Ss'~~ PERCOLATION TESTS
SOIL MAP SHEET NAME OF SOIL MAP UNIT" -Le ~Are~ f
PERCOLATION TESTS
TEST i DEPTH CHARACTER OF SOIL _ HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL MI!`!/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- ' t~~ ~J 'r•L 4 T T Al() /C, j~ f 3 j I
P-) Yq" See acre 11 41 C) ' L 12- /'/7r
P- 3 St-,e )t' _e A O
P-
P-
P-
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK
OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES
B-
B-
B- to
-Z q
B- Cl 3;1 2'.
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 square feet of absorption area needed for building type and occupancy Indica scale or _distances.
Give horizontal and vertical reference points. Indicate slope. "fA/.d r ryrry Fc r Srs c'''' t'r'y
Icy,
All
cN,
17
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An I, the1 dersi , ereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods
Pied ift th. isconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my
IQ belief. _14 ~A`i L-
y
Name (print) Certification No.
Address
Name of installer if known ✓ ,
Copy A -Local Authority CST Sienature_4 ,
1
State and County State Permit #
# -
6 Permit Application County Pe it
7
for Private Domestic Sewage Systems CountyAlk.- LA ✓
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address: (D
B. LOCATION: (O % NSection , T N, R2C) E (or) OW Lot# City
Subdivision Name, nearest road-lake or landmark Blk# Village N C . 0L"As I
Township
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family X Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder Y, YES NO # of Bathrooms
Automatic Washer _X YES NO Other (specify)
E. SEPTIC TANK CAPACITY Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Y Addition Replacement Prefab Concrete
*Poured in Place Steel Other (specify)
F. FFFL`UYNT DISPOSAL SYSTEM: Percolation Rate 1 2) 3) 6 Total Absorb Area .0000 sq. ft.
New X _ Addition Replacement *Fill System
Seepaag~`e Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Width axov Depth zTile Depth 3 (V No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size f~
Percent slope of land Distance from critical slope
I, the undersigned, do hereby certify that the information 1 have reported is in accord with Section H62.20,
Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Certified Soil Tester,
NAME NN S P ChR~ -VnA~\EPSENJ C.S.T. # 657--1and other information
obtained from (owner/builder).(00E?
Plumber's Signatur ` _p--1JQ - ' Q MP/MPRSW# _ Phone #-70. -6T70
Plumber's AddressACA NION)POe 511. ~iC), Asc N s W,'SC-. 5 401
PLAN VIEW: Provido sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
q e
PamPpsecL.
-75
e
Do Not Write in Spa B I w FOR DEPARTMENT USE ONLY
p
Date of Application4 n Fees Paid: State 611) Cou Date
7~ .4 Permit Issued/ (date) -issuing Agent Name
Inspection Yes No Valid# Date Recd
1. county (whi a copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy) J