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be•*4• <br /> is:.• Public Health <br /> MADISON & DANE COUNTY JaneI Heinrich, MPH,MA,Director <br /> Health people and places Environmental Health Division 608 242-6515 Well&Septic <br /> 2701 International Lane,Suite 608 243-0330 Lic. Establishments <br /> 204 608 242-6435 fax <br /> Madison.WI 53704 www.publichealthmdc.com <br /> September 04,2015 POWTS# 13-2015-00285 <br /> 1 <br /> PAULSON DEVELOPMENT LLC <br /> 4607 OAK SPRINGS CIR <br /> DEFOREST,WI 53532 <br /> I <br /> Reference: Tax Parcel No: 0911-194-46 0-0 <br /> SW 1/4 of SE 1/4 of Section 9, <br /> Property Address: <br /> Subdivision: LEHMAN'S AD ITION, Lot: 10 <br /> Owner Name: Paulson Devel pment Llc <br /> 1 <br /> Dear Paulson Development LIc: <br /> Sanitary Permit# 13-2015-00285 was conditionally issued in your interest to your system installer <br /> on 09/04/2015. This permit is valid for two years (until 09/04/2017) and may be renewed or <br /> transferred as indicated on the face of the permit. <br /> A condition of the issuance of this permit s that you, as owner of this private septic system, <br /> ensure that appropriate system inspectio and maintenance is performed as required by <br /> s145.245, Wisconsin Statutes and by Da e County Code Chapter 46.11(5). The appropriate <br /> inspection and maintenance for your syst m is described in the private septic system <br /> management plan provided by your instal er. The licensed professional that you hire <br /> to perform this service will document thei results on forms provided by Public Health Madison and <br /> Dane County. These forms must be sub itted to this Department for your system to be in <br /> compliance with State and County laws. ees associated with this program will be assessed <br /> annually on the property tax bill. Currentl this fee is$8.67 per year. <br /> You will be notified by the Environmental ealth Section approximately three months before the <br /> servicing is due. Faiure of notification will not relieve you of the obligation to have your system <br /> serviced. Failure to either have the privet sewage system serviced or failure to report same to the <br /> Environmental Health Section are prohibi ed practices. All prohibited practices are subject to fines <br /> or forfeitures as specified by County Ordi ance. <br /> All heirs or assigns of this property shall e notified of these requirements. <br /> If you have any questions, please fell fre to call me at 242-6515 between 7:45 and 9:30 AM <br /> Monday through Friday. <br /> Sincerely, <br /> 564°U2' <br /> #3:94# <br /> John Hausbeck <br /> Environmental Health Services Superviscr <br /> I <br />