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'off'. Public Health <br /> MADISON&DANE COUNTY Jane!Heinrich,MPH, MA,Director <br /> Healthy people.Healthy places. Environmental Health Division 608 242-6515 Well&Septic <br /> 2701 International Lane,Suite 204 608 243-0330 Licensed Establishments <br /> Madison,WI 53704 608 267-1989 Animal Control-Voice Mail <br /> www.publicheaithmdc.com 608 242-6435 fax <br /> REVIEW LETTER FOR A HOUSE ADDITION <br /> . Owner J05 C1 ck 1 cam.r <br /> Owner Mailing Address o.)- 7 O • S'a.tAA Iry c'z RJ Cy; 5'3S'7 <br /> Property Address �C <br /> s(,U 1/4 /04, 1/4 Sec. . y Township k I 1 /14-01...AAel_g <br /> Subdivision ' Village <br /> CSM 6. 2/ Lot No. 3 Block No. City <br /> Parcel No. Ok)(p 70SO'-6 <br /> Number of Existing Bedrooms - Number of Bedrooms After Addition —2-- <br /> An initial investigation has been made of the private sewage system at the property listed above <br /> regarding compliance with Wisconsin Statutes and the Wisconsin Administrative Code. This <br /> investigation is authorized by Sec. 145.20 and (2)(h) of the Wisconsin Statutes. <br /> A soil test report by Certified Soil Tester 71‘.0w. Gr-e-Lk-(1 -c License# 3 7 <br /> is on file in this office. An onsite verification inspection was conducted on ft—j--r— 9/. <br /> The soil in the vicinity of the system soil absorption area is free draining in the absence of bedrock to a <br /> depth of at least 3 feet below the bottom of the soil absorption area. <br /> All setbacks to septic system components and well must be complied with. <br /> Comments: ( jp &ddb <br /> S <br /> ho-&-s_cr, s <br /> r p 4--v a L-1 � . /a i f <br /> to AC • sr s� � � b-e co, v,p/ <br /> Date issued 2. - 2 3-15 By ctTh <br /> Title 01-62...Vi <br /> 07/24/14-Review Loiter for House Addition.docx <br />