HomeMy WebLinkAbout018-1047-10-000 (2)
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ST. CROIX COUNTY
WISCONSIN
! N , 'fd? ZONING OFFICE
'J 4YHMp11tUM - ~
"b S~. CROIX COUNTY GOVERNMENT CENTER
fa 1101 Carmichael Road
Hudson, WI 54016-7710
(715) 386-4680
SEPTIC INSPE.> ,,fbN / WATER. TEST REQUEST FORM
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) $185.00 J6 SepticSD.'O $50.00
7,Water (Nitrate & Bacteria) gY.yy 45.00 ❑ Nitrate & Bacteria
retest $1151.00
Owner: L46 Gt ~vV_,,/-C 1~4SVMc-SLvA Requested by: 1S+ I Eau (N~
Address: B31 1-1 p _ S+ Address: 30'1 2'A-& Sf . _
I,A CL vn vn Z I P S y b l r J --t~ & ZIP L3g p l (o
Telephone N4: (-I l K -79 4c, - $ 3 3 t Telephone N4: (71 r) ~j $lo --ST I I,
Property address (Fire N2 & Street) 1 1-1 bt! S`I ce-+-
Location: W0 Sec. ~a I , T a.'l N, R_I-]_W, 'Down of N
Realty firm: - Lock Box Combo: Closing Date: -711 N Go
TO BE COMPLETED BY PROPERTY OWNER tr(I
*PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMS
Water sample tap location: /Uo rt h 5,, A t- d4 h o u s e
Is the dwelling currently occupied? Yes ❑ No
If vacant, date last occupied:
Age of septic system: / ors
Septic tank last pu«ped by-~ , Se P -4 iC Date:
Previous Owner's Name (s) :~yls iNp
Have any of the following been observed?
❑Y `gN Slow drainage from house.
❑Y JIN Sewage Back-up into dwelling.
❑Y ICN Sewage discharge to ground surface or road ditch.
❑Y ~N Foul odors.
Other comments relative to system operation:
I certify that the above information is complete and true to the
best of my knowledge.
OWNERS SIGNATURE:
/~tezwa_0611 DATE : y -`JCS
1/94
OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION
t 9a ►~ye
IN
f}GUS~
S.er+« +C( V, k
~
Qy-q~h7`,t~ ~d
I I
TO BE COMPLETED BY INSPECTION AGENCY
System design &/or permit on file? []Yes ❑No
Soil series per SCS Soil Survey: sheet #
Type of soil absorption system: []Below grd OAt-Grd []Mound
Approx. size 'X []Gravity ODose OPressurized
Ft.' OBed []Trench []Dry Well
[]Holding Tank OOutfall pipe
OBSERVED DEFICIENCIES []Other []Unknown
Septic tank
Setbacks: []House OWell OProp. line []Other
Dose tank
Setbacks: []House []Well OProp. line OOther
OLocking cover OWarning label- []Pump/Floats
iI~` []Alarm []Elec. wiring
Soil Absorption System
Setbacks: OHouse (°lIZ-1❑Wel l_ 9Prop . line C <OOther (nK
OPonding: QS~ ( ODischarge: ~
General comment's:
INSPECTORS SKETCH OF SYSTEM LOCATION
N
Inspector
Title
ST. CROIX COUNTY
- 1~ WISCONSIN
- ZONING OFFICE
ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016-7710
(715) 386-4680
June 24, 1996
First National Bank of Hudson
Attn:
307 Second St.
Hudson, WI 54016
RE: Clifford Rasmussen septic evaluation and water test
To Whom it may concern:
An inspection of the septic system serving the Rasmussen property
at 831 170th Ave., located in the town of Hammond, was conducted
earlier today. This inspection was based upon a surface evaluation
of said system and did not involve any excavating or chemical
analysis. Accordingly there may be hidden defects in the system
not discoverable by this inspection. While conducting this
inspection I obtained a water sample from the property and
submitted it to Commercial Testing Laboratory for analysis. We will
forward the results to you when we receive them.
At the time of inspection, this system appeared to be functioning,
but not at full capacity. I noted that there was approximately 14"
of sewage effluent ponded within the drainfield, indicating that
the drainfield is clogged, and the ability of the system to dispose
of sewage effluent has been dramatically decreased. Because the
failure of a septic system is a progressive process, I cannot
predict how advanced this clogging is nor how long this system will
continue to dispose of sewage effluent. Neither can I predict how
soon the system will fail completely.
Most septic systems consist of a septic tank which traps the solids
and greases from the sewage stream and then allows the remaining
sewage effluent (liquid) to drain into a subsurface drainage area.
Once the liquid reaches this point it seeps away by percolating
through the soil surrounding the system. Failure results when
microscopic bacteria and sludge plug the soil forming a clogging
mat. As time goes on, this clogging mat becomes progressively
thicker, allowing less and less liquid to seep away from the
system. When this clogging becomes severe enough, liquid sewage is
trapped in the drainage area, a condition known as ponding, and
results in backup of sewage into the structure or the discharge of
sewage to the ground surface.
In an effort to prolong the system's life, I recommend that steps
be taken to minimize the wastewater flow which enters the system.
For example repair leaking water fixture. and/or replace them with
water conserving fixtures, reduce shower time, wash clothes and
dishes only when there is a full load, use a washing machine with
a suds saver feature, etc. I would also :recommend that the septic
tank be pumped at least once every three years.
Please feel free to share this report with anyone who may have an
interest in its findings. Should there be any questions or
concerns that I can clarify, I can be reached at this office
between the hours of 8:00 am. and 5:00 pm., Monday through Friday.
S' erely,
mes K. Thompson
Assistant Zoning Administrator
cc: file
ST. CROIX COUNTY
WISCONSIN
` ZONING OFFICE
A ° ° N n 4 t NNYNb ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
- Hudson, WI 54016-7710
(715) 386-4680
July 5, 1995
First National Bank of Hudson
307 Second Street
Hudson, Wisconsin 54016
RE: Water Results for Residence Located at
831 170th Street, Hammond, Wisconsin 54015
(Clifford & Lenore Rasmussen)
Dear Sir or Madam:
Enclosed is the original test results from Commercial Testing
Laboratory, Inc. for water inspection of the above property.
Please take special note that the "Nitrate-N" is at the upper
limits recommended for Public Drinking Water Standards. If you
have any questions regarding these results, please do not hesitate
in contacting our office.
Lrely,
/ S
mes K. Thompson
Assistant Zoning Administrator
bjp
Enclosure
(COPY
.COMMERCIAL TESTING LABORATORY, INC.
` 514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800-962-5227
FAX - 715-962-4030
CROIX COUNTY ZONING OFFICE REPORT NO,: 20117/01 PAGE 1
,..CROIX CTY GOV,CTR REPORT DATE: 7/01/96
01 CARMICHAEL ROAD DATE RECEIVED; 6/25/96
"SON_ CWT 7, An,1
ATION: 931 170th St- , Hammond
jLLECTOR: Jim Thom~:._;
,rE COLLECTED: 6-24-".
~fE COLLECTED: 3-V,,;
SOURCE OF SAMP•i.
C AiyALYZED 2 6"::
IE ANALYZED: 2:C
,L.IFORM, MFCC:
TERPRETATION'# BacterioL
10 ppm
'•e 10 pp111 "Y~ . . n
RECE ~
S ;T Gam:-;ypproved at `4~- j9 :.Ol1rCr`
PROFESSIONAL LABORATORY SERVICES SINCE 1952
Parcel 018-1047-10-000 12/20/2006 03:50 PM
PAGE 1 OF 1
Alt. Parcel 21.29.17.330B 018 - TOWN OF HAMMOND
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 - SMITH, DENNIS C & ALICIA C
DENNIS C & ALICIA C SMITH
831 170TH ST
HAMMOND WI 54015
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 831 170TH ST
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 2.183 Plat: N/A-NOT AVAILABLE
SEC 21 T29N R1 7W 2.183 AC IN NW SW LOT 1 Block/Condo Bldg:
OF CERT SURVEY MAP IN VOL III PAGE 629
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
21-29N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1190/449 WD
2006 SUMMARY Bill Fair Market Value: Assessed with:
172335 150,200
Valuations: Last Changed: 06/30/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.183 26,500 89,100 115,600 NO
Totals for 2006:
General Property 2.183 26,500 89,100 115,600
Woodland 0.000 0 0
Totals for 2005:
General Property 2.183 26,500 89,100 115,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 316
Specials:
User Special Code Category Amount
010-GARBAGE SPECIAL ASSESSMENT 60.00
Special Assessments Special Charges Delinquent Charges
Total 60.00 0.00 0.00
' AS BUILT SANITARY SYSTE21 REPORT
OWNER s s ~TOWNSHIP ( SEC T,4LN, R~W
P.O. IUD FSS ST. CROI COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100FEET OF SYSTEM
V
i
w
i
1
SEPTIC-TANK(S) am MFGR. CONCRETE STEEL
NO, of rings on cover Depth DRY WELL
TRENCHES No. of width length area
BED no, of lines width length area
depth to top of piper
AGGREGATE / X-" / ~ ~ 9 ~ c ~
PERK RATE < AREA REQUIRED AREA AS BUILT l{
DISCLAIMER: The inspection of this system by St, Croix County does not imply
complete compliance with State Administrative Codes_ There are other areas
that it is not possible to inspect at this point of construction. St. Croix
County assumes no liability for system operation. However, if failure is
noted the County will make every effort to determine cause of failure,
GREASES AND OILS SHOULD NOT BE DISPOSED THP.OUGH THIS OYSTEM.
INSPECTOR
DATED PLUMBER ON JOB
LICENSE` ! ' %i--
' P30
REPORT OF INSPECTION--INDIVIDUAL SI;IJAGE DISPOSAL SYS TEii
Sanitary Permit
State Septic %~>z
A1 1E
TOWNSHIP
•
t.Crol;;
County TA'?R J /
gallons. .umber of Compartments .
Distance From: T-le 11 ; - ft, 127, or greater slope fi.
Building P ft. Wetlands f:
Iiighwater ft.
- I
DISPOSAL SYST;_.:1 Tile Field or Seepage Pit(s)
Distance From: jell ft. 1270 or greater slope ft
Building ft. Wetlands f„
FIELD 1-Ughwater ft.
Total length of lines ft. Number of lines Length of
each line }T` ft. Distance between lines ft. Width of the
trench ;-ft. Total absorption area sq. ft. Depth
of rock below tile in. DP-pth of rock over tile in. Cover
nver.xock, r Depth of tile below grade _in. Slope of
trench in per 100 ft. Depth to Bedrock ft. Depth to
ground water £t.
PITS
Number of pits Outside diame' ft. Depth below inlet
.1, Yer d
ft. Gravel around p' ::eyes no. .Total absorption area
~sq. ft.
Square feet of seepage trench bottom area required
%:quare feet of seepage pit area required
Inspected hy: Title:
Approved
.Date
197
Rejected Date 197 •
State and County State Permit #
PLB67 Permit Application Count Permi _r
for Private Domestic Sewage Systems County s
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION:
1/1L
2 Section L, TN, R/-~! E (or) W Lot# City
Subdivision Name, a est road, lake or landmark Blk# Village /
Township,
C. TYPE OF OCCUP" Y: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms 73 No. of Persons_
D. TYPE OF APPLIANCES: Dishwasher L--Yes NO Food Waste Grinder YES NO # of Bathrooms
Automatic Washer DYES NO Other (specify)
SEPTIC TANK CAPACITY Total gallons No. of tanks
Y Holding tank capacity Total gallons No. of tanks
"iew Installation Addition- Replacement- Prefab Concrete
Poured in Place Steel Other (specify)
FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3 3) Total Absorb Area<
'iew `f Addition Replacement *Fill System
`seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
C=<~epage Bed: Length -67--2 r Width % Depth 3 ~1Tile Depth `A V "No. of Lines ~
:seepage Pit: Inside diameter Liquid Depth Tile Size y
Percent slope of land 7 Distance from critical slope
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
v'isconsin Administrative Code, and that I have sized the effluent disposal syster ! e 5 s ipared
=yy the Certified Soil //Tester, /
LAME y/ C h C.~? '/fJS C.S.T. # ana other formation
btained from (owner/builder).
?umber's Signature ~ 1 L * •-I MP/MPRSW# Phone #-I y6 - % " elc_ 1/1
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
~ i ~
L~
1
V„
Do Not Write in SpaZ--Q/--79 Below FOR DEPARTMENT USE ONLY
Date of Application Fees Pai tate'-.,!~?OCounty Date
n
Permit Issued/ (date) Issuing Agent Name
Inspection Yes Valid# ate Recd
1. county (whi0 ~No
opy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 537u1
2. state (nine r\,~ 4. plumber (canary copy)
H 115. 1
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
' P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: L'/4,.5L-'/4, Section -;_L, T9`/IV, R f ZE (or) W, Township or Municipality ~i? /2E
Lot No. , Block No. C-- - q - o County i .1/
/ ,,subdivision Name
Owner's Name: f S n-<l /I}~
Mailing Address: ey,
TYPE OF OCCUPANCY: Residence L' No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW L- ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SQL BORINGS e,: - 7 6 COLATION TESTS SOIL MAP SHEET SOIL TYPE'
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
i
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
B-. l
72 >
27-
P LAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suit le ar as. -Indicate num of, square feet of absortfi ea
needed for building type and occupancy. ~E dFndfcSie'cal
or distances. Give horizontal and vertical reference its. Indicate slope.
a
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,
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t-\J I I 1 f O f I 1 I I I
lI~ i I C ~ I 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) C /20 ~ZX Z h /Certification,No.
Address ~ - ! F e L r~, i G ~i ! j 1 t .41 W I -
Name of installer if known
COPY A -LOCAL AUTHORITY CST Signature