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Public Health <br /> MADISON by DANE COUNTY Janel 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.publichealthmdc.com 608 242-6435 fax <br /> • <br /> REVIEW LETTER FOR A HOUSE ADDITION <br /> Owner /lrorfrv--c4_,.. <br /> Owner Mailing Address 24'/ � j [,ru � f ��, /)i ! . y-d tt/,. S 3572 <br /> Property Address 5 -c. <br /> e 1/4 NCc/ 1/4 Sec. Z / Township Sent/ 1-19 <br /> Subdivision Village <br /> CSM Lot No. Block No. City <br /> Parcel No. 667 a(2 8S0 a-7 <br /> Number of Existing Bedrooms / Number of Bedrooms After Addition / <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 ra ccctvd 4 9 cit. . License# Z 2...Ca 5 G <br /> is on file in this office. An onsite verification inspection was conducted on -T-Z Z- o.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: prof a V U 02.2cL 4--cep. rte clld <br /> pv� <br /> ro ovvi ' V- o- o <br /> l 6 c ca ,!L mac/ lv c caL <br /> Date issued Z By <br /> Title <br /> d- <br /> 07/24114-Review Letter for House Addtlon.docx <br />