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LEGAL ST. 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) -