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CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SAINT JOSEPH COMPUTER NUMBER 030-2018-10-000 Parcel Number 1.29.20.422C OWNER NAME: First DANIEL L & LINDSAY J Last NICHOLS PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 1154 HWY 35 N SECTION 1 TOWN 29N RANGE 20W '/4160 '/440 Line Description Line Description TOTAL ACREAGE 3.502 PLAT LOT BLK 01 SEC 1 T29N R20W PT SW NE 15 02 COM CEN SEC 1; TH N ODEG W 16 03 211.59 FT TO POB: TH N ODEG 17 04 W 300 FT; TH E TO SW LN OF 18 05 HWY; SELY ALG HWY TO PT E OF 19 06 POB; TH W 647.85 FT TO POB 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit • AS BUILT SANITARY SYSTEM REPORT TOWNSHIP 4• 3066 EC.T 2Z' N. R 2 W .0. ADDRESS ST. CROIX COUNTY, WISCONSIN. ;'3DIVISION LOT LOT SIZE ~VIY~o ~S PLAN VIEW -Distances & dimensions to meet requirements of H62.20 Y22- SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM " V/ t 1PTIC TANK(S) 1060 MFGR. C~ (S~'0e" S CONCRETE STEEL NO. of rings on cover Depth DRY WELL .E'NCHES NO. of width length area _D no. of lines widths length Vie, / area depth to top of pipe GREGATE Ca _:K RATE AREA REQUIRED AREA AS BUILT rciaimer: The inspection of this system by St. Croix County does not imply complete vpliance 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 *stem operation. However, if failure is noted the County will make every effort to termine cause of failure. :BASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. '-INSPEC~O DATED ) 7 b PLUMBER ON JOB~4 LICENSE NUMBER l (J ST. CROIX COUNTY WISCONSIN - - ZONING OFFICE IINIIUNp111111 HIINR6 ST. CROIX COUNTY GOVERNMENT CENTER - 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 March 23, 1994 Carrie Johnson Edina Realty 700 Second St. "r Hudson, WI 54016 j ~ Dear Ms. Johnson: An inspection of the septic system which serves the Daniel Johns residence at 1154 Hwy 35 in St. Joseph township was conducted on March 8, 1994. This inspection was based upon a surface inspection 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. A water sample was taken at the same time. The test results are enclosed. 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 the soil surrounding the system becomes plugged with microscopic bacteria and sludge, which form 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. At the time of inspection, this system appeared to be code compliant and did not show any signs of failure. It should be noted that the system has not been used for approximately six months, which makes it almost impossible to evaluate the systems condition or its ability to dispose of waste water. Because the failure of a septic system is a progressive process, I cannot predict how long this system will continue to dispose of sewage effluent nor how soon the system will fail completely. In an effort to prolong the system's life, I recommend that steps be taken to minimize the waste water flow from the house which enters the system. For example, repair any leaking water fixtures and/or replace them with water I conserving fixtures, reduce time spent in the shower, wash clothes and dishes only when there is a full load, use a washing machine with a suds saver feature, etc. I I would also recommend that the septic tank be pumped at a minimum of 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 8:00 am.- 5:00 pm., Monday - Friday. incerely, mes K. Thompson ` Assistant Zoning Administrator cc: file ST. CROIX COUNTY WISCONSIN t ZONING OFFICE rrxarur ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 March 23, 1994 Ms. Carrie Johnson Edina Realty 700 Second Street Hudson, Wisconsin 54016 RE: Water Inspection for Daniel Johns Address: 1154 Highway 35, Hudson, Wisconsin Dear Ms. Johnson: Enclosed is the original test results from Commercial Testing Laboratory, Inc. for water inspection of the above property. If you have any questions with regard to said report, please let me know. Sincerely, /s/ James K. Thompson James K. Thompson Assistant Zoning Administrator mz Enclosure COMMERCIAL TESTING LABORATORY, INC. 514'Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800- 962- 5227 FAX - 715 - 962 - 4030 G ~I I 01 CARMICHAEL ROAD ):CTED 3 1:15pfri SAMPLE: Kiichen+ 'aucef iTE ANALYZEDS3-18-9; N IE ANALYZED: 11 ~ 44am u+, r z_IFORMMFCC: 4 /144 mt 4 U UPt71 r ` OF.NDEGFNpFN . t 2~ Cm O v ZJ 4A -1 ins 1/L IR TH'4Nt! d PROFESSIONAL LABORATORY SERVICES SINCE 1952 I X0.9 ST. CROIX COUNTY ;1 WISCONSIN ZONING OFFICE r r x p r x ■ a • - M~..6 ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road - ' Hudson, WI 54016-7710 (715) 386-4680 SEPTIC INSPECTION / 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 X Septic $50.00 Water (Nitrate & Bacteria) 45.00 ❑ Nitrate & Bacteria retest $15.00 Owner: I 1411 -,16 111 I`> Requested by: CIrylC _k/)vr j&:- Address : ii Lj ffL: 3S Address:. 7 o, c:r~e/~ S f~~rt tfwc{Sic d~ ZIP yciG. l~~fS L./J, ZIP vx /L Telephone N4: (-1/;) 7Lc!y Telephone N°: Property address (Fire N' & Street) Location:' 41 Sec. , T_2_,,LN, R ~2_e W, Town of S7_ c1 c - Realty firm:JNr'~t Lock Box Combo: J t Closing Date: TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMS Water sample tap location: Is the dwelling currently occupied? ❑ Yes No If vacant, date last occupied: e&&/,•_3 Age of septic system: Septic tank last pumped by: Date: 1)Igz- Prev ious Owner's Name(s): V i~ C ct r' K Have any of the following been observed? ❑Y ❑N Slow drainage from house. ❑Y 211 Sewage Back-up into dwelling. ❑Y M Sewage discharge to ground surface or road ditch. ❑Y ON Foul odors. Other comments relative to system operation: I certify that the above information is complete and true to the best of my knowledge. DATE OWNERS SIGNATURE:, 1/94 /1 4 l1 y~J' - OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION d~ AN I TO BE COMPLETED BY INSPECTION AGENCY System design &/or permit on file? ❑Yes ❑No V Soil series per SCS Soil Survey: sheet # Type of soil absorption system: ❑Below grd ❑At-Grd ❑Mound Approx. size 'X ❑Gravity ❑Dose ❑Pressurized Ft.' ❑Bed ❑Trench ❑Dry Well ❑Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES ❑Other ❑Unknown Septic tank Setbacks: ❑House ❑Well ❑Prop. line ❑Other Dose tank Setbacks: ❑House ❑Well ❑Prop. line ❑Other ❑Locking cover ❑Warninglabel ❑Pump/Floats ❑Alarm ❑Elec. wiring Soil Absorption System Setbacks: ❑House ❑Well ❑Prop. line ❑Other ❑Ponding: ❑Discharge: General comments: INSPECTORS SKETCH OF SYSTEM LOCATION N Inspector_ Title FF'UPl ECiIhIH F'cHLi'r' HIJGSID N IdI_CONSIFI GFcICE J'• ?1 i994 6 : 7F N0 Z 1 F To From ~O -C Cg' Phone ST. CROIX COUNTY Pax J Fax1,I' y~^ 1, ~2 , WISCONSIN ZONING OFFICE ST, CROIX CDUi tT`r GOVERNMENT CENTEFI z: 1101 Carmichael Road Hudson, WI 540 1 6-771 0 K (715) 356-4650 \ SEPTIC INSPECTION / WATER TEST REQUYST FORM Tease specify desired test(s) & remit appropriate fee with application. Outside water lines are often turn`: off duri winter months, :raking access to the home necessary. Please bake arrangements with this office to insure that entry can be grained. E Water (VvC's? $1.85.00 )<Septi.c $50.00 ><Water (Nitrate Bacteria) r~ 45.00 ❑ Nitrate & Bacteria retest $15,a0 Owner: Jo ~nS Requested br - - - Addres5:11S5!..f~3S _ Address: -Z- TGiephone N4: - - - Telephone N1: 3r 0 ,,k,k w-" Property address (Fire ,Y & Streets) L~L 17Z_ ~ ~{npui Tecat ion Sec FZ, R,:;z~W,/Tawn c-4 -~-4- - QA Realty firm:_ icck Box Ccr-bo: C>01r-Closing tale: 'I'CI BE.-.COMPLETEn By PROPERTY OWNER *PROVIDE A KETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE CF THIS Fc"z~'* Water sample tap location: Is the dwellin CL ~L"? ltily OCCt l~c~~ ❑ Yes Na if vacant, date last a,_cu:ai«_n: ~ l .2 iGB of S~ t-O Septic tank lases pumpp' Y - -~5- Date: f~ 92- . - - revio s ow-n:arls Name?(S) •~j Ha-v'e anV of the following Caen obse.Ied UY O Slog: drainage from ::-,use. 0Y 2T Sewage Sack-up into ,..tie7l.ng. UY 2'f3 Sewage discharge to -Iround surface or road dJ.tu4. 21~' Foul Odrrs. Other comments re13t_ !d to sys-p-m operation: 1 certify that the above information is complete and true tc the best of my knowledge. OWNERS STGNA URE: DATE 1;'?-1 FROM EDINA REALTY HUD-FIN 1AI-CON-IN OFFICE OT-09.10q4 20 76 H0 31 F. S OWNLPS DRAWING OF HOUSE & SEPTIC SYS'T'EM LOCATION t I N D TO BE COMPLETED BY INSPECTION AGENCY System design &/or permit on file? ClYes Umo sheet if Soil series per SCS Soil Survey:_ _ Ty_pn of soil i !7,pypt-n s stem: []Below grd OAt-Grd []Mound Approx. size 'X OGravity ODose OPressurizec! Ft" x OBed 01'rench my Well []bolding 'l'ank OOutfa.ll pipe OBSERVED DEFICIENCIES 00ther OUnknown Septic tank Setbacks: []house f OWell_ OProp. line 00ther QQSe t,Il}C Setbacks;: 01iouse Mlell OProp. line []other ❑Locking cover []Warning label ❑Pump/Floats []Alarm ❑B1ec. wiring_- Soil 1lbsorpt-.on_Syste-, Setbacks, : 011ouse c-711- Dwell OProp. line 00ther ❑F~OIldiilC~: lL,~ _ ODi.scharge: c~> General cQmMnnts: !~i_~ INSPE&IOR8 SKETCH OF SYSTEM LOCATION N `j I Inspector j Title _ REPORT OF ITISPECTION--I71DIVIDUAL SET•JAGE DISPOSAL SYS'rM Sanitary Permit State S ptic .7 1 7A1 1E a- IV ~ .L TOWNSHIP St.-Croix County SEPTIC TA'?R gallons. 'umber of Compartments Distance From: !Nell ft. 12% or greater slope ft. C r Building ft. Wetlands f Ilighwater ---ft. DISPOSAL SYST•'1 Tile Field or Seepage Pit(s) Distance From: Well ft. 12% or greater slope ft _ Building; r, ft. Wetlands - f.. FIELD - 'Xighwater ft. Total length of lines ft. Number of lines ~ Length of each line ft. Distance between lines ft. Width of the trench ~ft. Total absorption area sq. ft. Dept:: of rock below the -,/-in. Dp-pth of rock over the in. Cover raver.. rock, - Depth of tile below grade _iu. Slope of trench in per 100 ft. Depth t;o Bedrock - - ft. Depth to ground water ft. PITS Number of pits Outs ft. Depth below inlet ft. Gravel aroundi es no. Total absorption area sq. ft. Square feet of seepage trench bottom area required t:quar4 feet of seep-afe nit a required Insnected 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: A16'/a, Section-/-, Ti?N, R Z-oa(orYlaownship or Municipality 5A S~-~~ County -1. X Lot No. , Block No. S _ J/ Subdivision Name Owner's Name: D_e_#a gm Mailing Address: kQ if ~ceciS`v.~ ~ s S-Yc~t (ra TYPE OF OCCUPANCY: Residence X No. of Bedrooms -3 Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT U DATES OBSERVATIONS MADE: //SOIL BORINGS` 7t PERCOLATION TESTS SOIL MAP SHEET _ SOILTYPE S,`lI4- PERCOLATION TESTS -TEST DEPTH OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE CHARACTER MIN/IN NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 90 r-e J / v IV. -3 3 'R .3/ l 0 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) i Lrtr/s 7,5 7 6 tr QI~~_ , re Pl 7 /4 r 2- '0' tS 4y /C7 e 96 Al ^ed 5 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 nu b Pf square feet of absorption area.' needed for building type and occupancy. nreferenc*oij~nts. 3 OUc~,4., 'F Q 0rl 41-eod Indicate scale or distances. Give horizontal and vertical dica slope. S), t /as-,. y , i E ! I 1 a t 3 j DB f3 s' 4Y C r 777 t > i 1 i a -r 4 _ j_tj 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 a d bell f. ta.~ Certification No. Name (print) Address ~r Name of installer if known 1 10 CST Signat r COPY A - LOCAL 6 lj-f` PITY PLB67 State and County State Permit # Permit Application County Pe t + for Private Domestic Sewage Systems Count - *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: A -2- B. LOCATION: t1o '/4 ,tC Y4, Section T," N, R.20 gy (or) (ZL2.~ot# City S bdivision Nam nearest road, lake or landmark Blk# Village Township C! TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms 3 No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES__,!KN0 # of Bathrooms- -Z Automatic Washer _C YES NO Other (specify) E. SEPTIC TANK CAPACITY /000 Total gallons No. of tanks Holding tank capacity Total gallons No. of tanks New Installation ~ Addition Replacement Prefab Concrete _ 'Poured in Place Steel Other (specify) F. FFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) / 2)x_3) 1Total Absorb Area Cf sq. ft. New )r, Addition _ Replacement *Fill System 6/S ,"O., C~~4 Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width e Depth " Tile Depth No. of Lines .3 t/ ~r Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land C"Ie"Sjor- 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 Cer ified Soil ster _ NAME ~ e, C.S.T. # and other information obtained from e _ owner Plumber's Signature 1Ae_ P/MPRSW# Phone ff,;4, s G Plumber's Address's Z , •'t /S) r cl e~+`+ w t~ PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). / N 1 OAS e 1 mot. • _ ~ :S7cf e 4- 64r,* q ~ - Slope- ~ 'ge 77 t-~ f 1^ve A y l / 11 / Do Not Write in Spa elow OR DEPARTMENT USE ONLY Date of Application ees Paid: State /,/),00 Cou t Date Permit Issued/ (dat) d` Issuing Agent Name - 4 Inspection Yes No Valid# Date Recd 1. county (whi copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) -