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'�• •� Public Health <br /> MADISON &DANE COUNTY Thomas L.Schlenker,MD,MPH,Director <br /> • <br /> Healthy people and places Northport Office-Environmental Health 608 242-6515 <br /> 1202 Northport Drive,Room 154 608 242-6435 fax <br /> Madison,WI 53704 www.publicheaithmdc.com <br /> REVIEW LETTER FOR A HOUSE ADDITION <br /> • <br /> Owner 7:)4_ �- <br /> Owner Mailing Address -7/46- 4-0.0/ ,Q [J, <br /> Property Address 5 A.''- <br /> �! w 1/4 N W 1/4 Sec. Z.O Township ,4.4.•+� <br /> Subdivision Village <br /> CSMh/G 4'Lot No. 1 Block No. City <br /> Parcel No. 0 908 - 2'Z- 13614-0 - a <br /> No. of Existing Bedrooms 4- No. of Bedrooms After Addition S' <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(2)(g) and (2)(h) of the Wisconsin Statutes. <br /> A soil test report by Certified Soil Tester i0i9uG 14160Ri0y License No. Z2S39 4• <br /> is on file in this office. An onsite verification inspection was conducted on S-Zo - a t . The soil <br /> in the vicinity of the system soil absorption area is free draining in the absence of bedrock to a depth <br /> 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: / .Z),€ o A-+ .4%0,2)/T/0 AS ,4 P'''44:42 I <br /> • <br /> >.-Z-1441.7 X. ion <br /> Date issued 7- Z 4 - /S By <br /> Title c.S4 v,7;4 ee iq A/ <br /> 09!09/08-Reviewt.etter for A House Add�lon.doa <br />