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'�•` �Public Health <br /> MADISON &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 Mall <br /> www.publicheaithmdc.com 608 242-6435 fax <br /> REVIEW LETTER FOR A HOUSE ADDITION <br /> Owner L A/rZ.�� L/ENk'/CMS <br /> ,4 A RO N /C,gt - AC ,.I7' <br /> Owner Mailing Address 5"eo5" '7"0 4'i-4-4/ ?i�,i2, .rJA�iso.J1 W l , 5'37 I 1 <br /> Property Address 792 5$ '/V/G V4`GEy Az) - <br /> S WI 1/4' ..S 1/4 Sec. / Township N <br /> Subdivision Village <br /> CSM /0258 Lot No. / Block No. City <br /> Parcel No. 0807- 4-- A96-0 <br /> Number of Existing Bedrooms 2. Number of Bedrooms After Addition 3 <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 E"11.c... ZIG/ZAR License# 55-7-568 <br /> is on file in this office. An onsite verification inspection was conducted on 8- SI- 77 . <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: / /Li .q ) )/ /s ,4isr'>di@01./• ,,e, <br /> Date issued 4 - 23- %s- • By e <br /> Title `5"Awi 7W• /.ate/' <br /> 07/24/14-Review Letter for House AddHOon.docx <br />