Laserfiche WebLink
•:•:••` P ' tic Health <br /> MA SON Ex DANE COUNTY Janel Heinrich,MPH,MA,Director <br /> H=ditAy people and places 2701 Environmental <br /> International Lane,VSu to 204 608 243 0330 Lic.IIEs Establishments <br /> Madison,WI 53704 608 242-6435 fax <br /> www.publichealthmdc.com <br /> May P7 2015 POWTS#13-2015-00154 <br /> PHI P L MARX <br /> 777•I AMA RD <br /> SAU I ITY,WI 53583 <br /> Ref:r ce: Tax Parcel No:0907-054-8500-3 <br /> NW 1/4 of SE 1/4 of Section 5,TOWN OF ROXBURY <br /> Property Address:7772 INAMA RD <br /> Owner Name: Philip L Marx <br /> De- 'hilip L Marx: <br /> Sa to Permit#13-2015-00154 was conditionally issued in your interest to your system <br /> inst:ll:r on 05/27/2015. This permit is valid for two years(until 05/27/2017)and may be renewed <br /> or t- sferred as indicated on the face of the permit. <br /> A c"n'ition of the issuance of this permit is that you, as owner of this private septic system, <br /> ens r: that appropriate system inspection and maintenance is performed as required by <br /> s14...45,Wisconsin Statutes and by Dane County Code Chapter 46.11(5). The appropriate <br /> inspection and maintenance for your system is described in the private septic system <br /> ma alement plan provided by your installer.The licensed professional that you hire <br /> to •- orm this service will document their results on forms provided by Public Health Madison <br /> an. Dane County.These forms must be submitted to this Department for your system to be in <br /> co p ance with State and County laws. Fees associated with this program will be assessed <br /> an u.11y on the property tax bill. Currently this fee is$8.67 per year. <br /> Yo ill be notified by the Environmental Health Section approximately three months before the <br /> se long is due. Faiure of notification will not relieve you of the obligation to have your system <br /> se i•ed. Failure to either have the private sewage system serviced or failure to report same to <br /> the E vironmental Health Section are prohibited practices.All prohibited practices are subject to <br /> fin:s •r forfeitures as specified by County Ordinance. <br /> All rs or assigns of this property shall be notified of these requirements. <br /> If .0 have any questions, please fell free to call me at 242-6515 between 7:45 and 9:30 AM <br /> M. say through Friday. <br /> Si c=rely, <br /> 'V'"`—' <br /> Jo n Hausbeck <br /> E i •nmental Health Services Supervisor <br />