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• i • <br /> 00 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 Mail <br /> www.publichealthmdc.com 608 242-6435 fax <br /> REVIEW LETTER FOR A HOUSE ADDITION <br /> Owner 'lt �?"-C 5-CL, ml24- <br /> Owner Mailing Address ✓ ‘/7 'O ld TiAd,tco, TrAti x36,1 )t&c <br /> Property Address <br /> 53615 <br /> SE 1/4 se 1/4 Sec. 4/ Township Vervwcr.A <br /> Subdivision Village <br /> CSM Lot No. Block No. City <br /> Parcel No. 0706 OLM 9 S 7 t7S <br /> Number of Existing Bedrooms - 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 .z G, Gt'l c t.t t License# L(C5 / <br /> is on file in this office. An onsite verification inspection was conducted on l'-/G- 7?83 <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: <br /> P -op 0 e/ cyg-e_.. — caaide„i <br /> s 0 r- a- - S l! .r,-,,,,4- <br /> 6eectc-._5 s F <br /> Date issued By <br /> • v /S Title �—t� <br /> 07124114-Revlew Letter for House Addltion.docx <br /> • <br />