Laserfiche WebLink
• s r <br /> PRIVATE ONSITE WASTEWATER TREATMENT <br /> SYSTEM COVENANT: UNDERSIZED SYSTEM <br /> "Bedroom Addition" <br /> ?0)5, .�;�!L -t Ni 2: 15 <br /> This covenant is between • <br /> • <br /> c Y/,IT,ffq 6 Ev6 T T <br /> grantors,and the County of Dane,regarding the private onsite wastewater <br /> treatment system(POWTS)on the following described parcel(s)located in the <br /> Town of 6/1 ifTatI. <br /> in the N&'4of the(I4 of Section ,T q N,R // E. <br /> Type or neatly print the legal description of your property in the space below. If <br /> you need more space, use the reverse side or attach a copy of the deed) <br /> P/Q° T.f I S Lo 7 L r Your name and return address <br /> Cl,\�7 A Et& (77 <br /> 6 '1(41 RV hA;vE. 6c lg? BRmg LAKE <br /> f EcoA 6 — .t.E Doc,4m 6-,n/r .rki"( PA/4-6e(ci 5-7syo <br /> rt 4/`,$ soy g2-22 <br /> Tax Parcel# 1961 1/'' r:(p <br /> 3— 42230 <br /> I(44).the undersigned are adding a bedroom. <br /> • <br /> In compliance with the requirements of Dane County Code ch.46, or acts amendatory thereto,this affidavit is to <br /> acknowledge that the existing septic tank is not sized in accordance with the current regulations for the waste water load <br /> generated by the building served.The existing soil absorption component is located in soil that is suitable for the below <br /> grade absorption area,but it is not sized in accordance with the current regulations for the wastewater load generated by the <br /> building served. This is also to acknowledge that there is/ an approved area for the purposes of siting a replacement <br /> • <br /> absorption area on this parcel. <br /> If/when the existing soil absorption area is determined to be failing as defined ins. 145.245 Stats,I( vill replace it in <br /> accordance with the state and county codes in force at that time. This is binding on all future heirs,owners and assigns. <br /> ACKNOWLEDGEMENT <br /> Owner Name(Signature) <br /> Ynt7fftA B. E VEX ( 7- �" <br /> Owner Name(Print) <br /> MARCIE ROSENOW <br /> Notary Public <br /> STATE OF WISCONSIN ) State of Wisconsin) <br /> ss. <br /> COUNTY OF DANE ) <br /> Personally came before me this 1 / day of S u n r k9'?o/ the above named person(s) <br /> to me known to be the persons who executed the foregoing instrument and acknowledged the same. <br /> 'm cw4-x. o�erre.-J <br /> Notary Public Dane County,Wisconsin <br /> My Commission is permanent. (If not,expiration'date is 7/1.2//'I ) <br /> Madison/Dane County EH 4/14 <br />