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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.publichealthmdc.com 608 242-6435 fax <br /> REVIEW LETTER FOR A HOUSE ADDITION <br /> Owner UV e L.CQ r d- i Vc'-e._ 6 Q S C L <br /> Owner Mailing Address 3000 CT/4 P /M T1 f-1-0 Lt,;, G3 S7-Z <br /> Property Address J 02--n.. --- <br /> SCQ 1/4 SF 1/4 Sec. y Township Laic_ <br /> Subdivision Village <br /> CSM Lot No. Block No. City <br /> Parcel No. 06 O? -O'-/ 9'3 cY2- <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 PCft._(J License# 22-5 3 '7 C_/ <br /> is on file in this office. An onsite verification inspection was conducted on 6 —ac-94? <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 /> Date issued 8-0- ( S By ' ► 6 G <br /> • Title S 4-0.-4/1 <br /> v- <br /> • <br /> 07/24H4-Rewew Letter for House AddtUon.docx <br />