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Ab AND COBWM <br /> AtG�`r� <br /> d'1, Division of Public Health <br /> ". � Environmental Health Section <br /> DANECOUNTY Director—Helene M.Nelson <br /> Division Administrator—Gareth R.Johnson <br /> DEPARTMENT OF HUMAN SERVICES <br /> KATHLEEN M.FAI.IC <br /> DANE COUNTY EXECUTIVE <br /> PRELIMINARY OPINION OF SITE SUITABILITY <br /> FOR A PRIVATE SEWAGE SYSTEM DISPOSAL SYSTEM <br /> The Dane County Department of Human Services (hereinafter the <br /> "Department") has evaluated the site suitability of certain soils <br /> located in: <br /> City/ <br /> /(/61/4, S(01/4, Sec. 2 Town of : .45.e,pZZ.- ‹...e.,T <br /> Lot Subd/CSM • for the <br /> �� •r <br /> Owner/Buyer y4L VE,2SO,\1 Property Address : /-,4vy, /4- <br /> installation of a private sewage system. The Department ' s review is <br /> based upon examination of (1) the "Soil and Site Evaluation Report" <br /> as submitted by the Certified Soil Tester, P>47'R/crc ..e3-4z9.3/7-7— <br /> CST # 2,09 and (2) the results of an on-site inspection by the <br /> Department. Based upon such examination, it is the opinion of <br /> the Department that the exact areas inspected appear to meet the <br /> minimum requirements of Wisconsin Administrative Code ch ILHR 83 for <br /> the installation of : <br /> . /v° .Conventional Soil Absorption System (ILHR 83 . 12) <br /> /k/c) In-Ground Pressure Distribution System (ILHR 83 . 14) <br /> Mound System (ILHR 83 .23) <br /> 1/" At-Grade Mound System (ILHR 83 .22) <br /> 'JO Holding Tank (ILHR 83 . 18) • <br /> Other: <br /> The above opinion is advisory only. Any disturbance to the exact <br /> area that was investigated, including compaction, excavation and <br /> filling or removal of soil, will invalidate this opinion. The <br /> Department reserves the right to require a new soil morphological <br /> evaluation as may become necessary to ensure compliance with all <br /> applicable codes prior to issuing a sanitary permit . <br /> DATE: //--3—'77 By the ivision <br /> (Name) 67 <br /> (Title) <br /> 1202 Northport Drive, Madison, Wisconsin 53704 • (608) 242-6515 • FAX(608) 242-6256 <br />