HomeMy WebLinkAbout020-1135-00-000
1-311-N
ST. CROIX COUNTY ZONING OFFICE
St. Croix County Courthouse
911 4th Street
t Hudson, WI 54016
((IN~NNN~~1 \t 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 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: $127.00
(For VOC'S)
SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00
(Determines if system is properly functioning at time of
inspection)
Property owner's name _C-r r~^ fdL C-,VVNOV e,
Property owner's address 1_31S R)dQe_ ?a55
Legal Desc iption 1/4 of the 1/4 of Section T N-R
Town of _tl-clSorl Lot Number Subdivision Name v -~,e
FIRE NUMBER S~ LOCK BOX NUMBER k4 F- 2
Color of house I~ /Realty sign by house?Ve.S If so, list firm:
-e~ ~A-a ~`La` ( l~~tper qe r-. Icr`
PLEASE INCLUDE, F AT ALL PO'~SIBLE, 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: ~C4 a L, ,e4
Telephone Number. ~2-3
REPORT TO BE SENT TO: L NzAie-_Z-s,4a ~-z~
)cc 2 t>f, .
Closing date CN -C)
2
Signature
'l
ST. CROIX COUNTY
rY -
V
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
e , c;, r4ti.sx.
911 FOURTH STREET • HUDSON, WI 54016
~ (715) 386-4680
Aug. 7, 1990
Terry LaPlante
Edina Realty
700 2nd St.
Hudson, WI 54016
Dear Mr. LaPlante:
An inspection of the septic system of the Garrett Conover
property located at 935 Ridge Pass, Hudson, WI was conducted on
Aug. 6, 1990. At the same time I also obtained a water sample
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 inspections. 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 is totally dependent upon proper
maintenance of the system.
Should you have any questions regarding this subject, please feel
free to contact this office.
Sincerely,
Mary J. Jenkins
Assistant Zoning Administrator
cj
COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730 A6w
715-962-3121
800 - 962 - 5227
a,Y. CROIX C"TY f;FFORt jh;iE± i2ii3;y
COURTHOUSE UATE F'EL`l'TU'.Tll 1.21111 9,
HUDSON. WI 5401
7,/
l I ~r G,a -Cr~1v
Hi it. NO
.1RCE OF SAMPLE* Kitchen tauct"
i_IFORM: 0 /100 mt
'">RPRETATION'4 Bacteriologically SAFE
1 ppm
-:cove 10 ppm exceeds the recommended Pub=
Drinking Water Standard.
i
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Fp
X
16 /9:91
20 qv}
f N~y~ opp/c'l CU
OFANDEPENOpN
SO
O
=d Means "LE 3S THAN"' i?eteciat ie Levei Approved
6 5"'
PROFESSIONAL LABORATORY SERVICES SINCE 1952
l~-x
ST. CROIX COUNTY ZONING OFFICE
911 4th Street
v 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 y -FEE:$ 25.00
(For nitrates and coliform bacteria)
WATER TESTING FEE:$175.00
(VOC'S)
SEPTIC SYSTEM INSPECTION FEE:$ 25.00
PROPERTY OWNERS NAME:
, Le J; t
PROPERTY OWNERS ADDRESS:93~ P-k~ e c3S CITY: N Aso
Legal Description 1/4, 1/4, Sec. , T N-R W,
Town of ~A,> 8 so V , Lot No. s-/ , Subdivision 2,d~& IT_
FIRE NO. LOCK BOX NO.
Color of house 81 Realty sign? /vo 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 TESTTNG: Many times t:,meter 1
- ires 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: Lc,~
Telephone No. -i3 1 6 ,G. 3 i t Z y E w e tea, k) (-(-Z-731 -0e,9
C le4 ~e,k~
REPORT TO BE SENT TO:- 2",\, N.~ k\ 93S 21 D(~ PASS
/V p d ( c ! to
CLOSING DATE
c>
Signature:-
i
• AS BUILT SANITARY SYSTEM REPORT
4 ~
":I;R , TOWNSHIP SEC.: T N, R i W
,-3. ADDRESS , ST. CROIX COUNTY, WISCONSIN.
:}DIVISION LOT LOT SIZE QZD- ~5_ d p---
%,~6
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20 ~j3s
SHOW EVERYTHING WITHIN 100 1'EtT-, OF SYSTEM f
L
Y
• ors
`TIC TANK(S), MFGR. CONCRETE STEEL
NO. of rings on cover Depth DRY WELL
'I
_ITCHES NO. of width length area
no. of lines width J lengthTM area
depth to top of pipe_ r
?.EGATE .
-u: RATE , AREA REQUIRED AREA AS BUILT
claimer: The inspection of this system by St. Croix County does not imply complete
pliance with State Administrative Codes.'There are other areas that it is not possible-"'"'
inspect at this point of construction. St. Croix County assumes no liability for '
tem operation. However, if failure is noted the County will make every effort to
-ermine cause of failure.
ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
"INSPECT-"._
DATED PLUMBER ON JOB:
LICENSE NUMBER
REPORT OF ITISPI;CTIO11--INDIVIDUAL SE JAGE DISPOSiV. SYSTEM
` I-
anitary Pe rni f
S7-7
St~'i e Septic
'Al T&WNSHIP
• ~ / t. &Szeroi:xCounty
S.r~.T'TIC TA'?Y
"
i z e
gallons. `umber of Compartments
Distance From: 'Nell ft. 12% or greater slope ff.
s Building ft. Wetlands f
5 Highwater ft.
DISPOSAL SYSTL:1 Tile Field or Seepage Pit(s)
Distance Fr Well ft. 12% or greater slope' ft
u Building ft. Wetlands f„
iirmD 0 Nighwater ft.
Total length of lines l d 41-"' ft. Number of lines Z Length of
each line 2 ft. Distance between lines ft. Width of the
trench ~ft. Total absorption area Z sq. ft. De p t::
of rock below the 12.. in. Depth of rock over the Z. in. Cover
nver.rock, Depth of tile below grade in. Slope of
trench in per 100 ft. Depth to Bedrock ft. Depth to
ground water ft.
PITS
Number
of pits Outsi e /d ` eter ft. Depth below inlet
ft. Gravel around p" es no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
Oquare feet of see ,ale--pit a a required
Inspected bY'__ , Title:
Approved / Date 197.
Rejected Date 197.
EH 115
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: Section T - /N,1R IJ E (or) W, Township or Municipality
Lot No. .51 Block No. Ile e tom' cf -i ~ ounty
/ Subdivision Nam
Owner's Name: -15,7 1. 7I e,
Mailing Address: C7 ~ a ~1
TYPE OF OCCUPANCY: Residence G No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 71- l PERCOLATION TESTS
SOIL MAP SHEET SOIL TYPE d=
PERCOLATION TESTS
TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL
NUM- INCHES THICKNESS IN INCHES MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P3 1 \ ( 1 '
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_ ~/a z 7 7-2 J -fz' S S
B _ i
71 .5
B _
PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and square f et o suitable ar as. ndicate number are feet of absorption -area
needed for building type and occupancy. ` ' c
or distances. Give horizontal and vertical reference poi s. Indicate slope.
P
I€ I / E
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iv~
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P ~ r
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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) - 5 Certification No.
Address L 41 i , l . c
Name of installer if known
CST Signature ' f
COPY A - LOCAL AUTi-9OMTY
PLB-67 State and County State Permit # 7
Permit Application County Permi #
for Private Domestic Sewage Systems County -
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
Q k z sz- U.D sok
M ~ E l~
B. LOCATION: '/4 Y4, Section Q, T~ N, Ra E (or) W Lot# 5i City _
Subdivision Name, nearest road, lake or landmark Blk# Village
Township rv
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms 3 No. of Persons
D. TYPE OF APPLIANCES: Dishwasher L-' YES NO Food Waste Grinder YES NO # of Bathrooms r
Automatic Washer ✓ YES NO Other (specify)
E SEPTIC TANK CAPACITY 0 06 Total gallons No. of tanks/
'Holding tank capacity_ Total gallons No. of tanks
ew Installation Addition Replacement- Prefab Concrete L/
Poured in Place Steel Other (specify)
rFLUENT DISPOSAL SYSTEM: Percolation Rate 1) . 2).S 31. Total Absorb Area sq. ft.
Sew4 Addition Replacement *Fill System
seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
-,;epage Bed: Length 'Z Width , Depth Tile Depth_,-.R// No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land Distance from critical slope
I, the undersigned, do hereby certify that the information I 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 A R D W, q0 Pik 1 ~ S C.S.T. # 3 and other information
obtained from (owner/builder).
Plumber's Signature MP/MPRSW# L9-~~ y = Phone #'7-
Plumber's Address -n ' 4 " 6 A v
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
3 "
1 v
i
LA~
i
Do Not Write in Space Below FOR DEPARTMENT USE ONLY _
Date
Date of Application Fees Paid: State C',' t% Cunt
Permit Issued/R4MeMf(date) Issuing Agent Name
Inspection YesNo Valid# Date Recd
1. county (whi a copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
state (pink (;opy) 4. plumber (canary copy)
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Parcel 020-1135-00-000 06/29/2005 10:13 AM
PAGE 1 OF 1
Alt. Parcel 20.29.19.660 020 - 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): = Current Owner
BOENTJE, DAVID & LYN
DAVID & LYN BOENTJE
935 RIDGE PASS RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 935 RIDGE PASS
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.410 Plat: 2624-WILLOW RIDGE 2ND ADD
SEC 17 & 20 T29N R19W WILLOW RIDGE 2ND Block/Condo Bldg: LOT 51
ADD LOT 51
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
20-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
02/19/2004 754666 2512/490 WD
11/23/1999 614361 1473/309 WD
07/23/1997 879/636
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/26/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.410 32,300 182,200 214,500 NO
Totals for 2005:
General Property 1.410 32,300 182,200 214,500
Woodland 0.000 0 0
Totals for 2004:
General Property 1.410 32,300 182,200 214,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 135
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 CZ:Aw ~tj
715-962-3121
800 - 962 - 5227
CROIX COUNTY REPORT DATE: 6/09/9
COURTHOUSE DATr RECEIVED: S/07/90
~q-7t
LOCATION** 935 Ridge Pa
;OLLECTOR: M. Jenkir-z
SOURCE OF SAMPLE! Kitch-:.
'OLIFORMi 0 /100
'NTERPRETATION: Ract(-
»ITRATE-N= 3 r
i trate-Ni tr o9en- mti
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OF,"NDEPENDft,
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Wb.'7r
PROFESSIONAL LABORATORY SERVICES SINCE 1952