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..0.. Public Health <br /> MADISON &+i DANE COUNTY Janel Heinrich, MPH, MA, Director <br /> Healthy people andilcices Environmental Health Division 608 242-6515 Well&Septic <br /> 2701 International Lane, Suite 204 608 243-0330 Lic. Establishments <br /> Madison,WI 53704 608 242-6435 fax <br /> www.publichealthmdc.com <br /> January 12,2016 POWTS# 13-2016-00010 <br /> JASON W MARTHE <br /> PO BOX 305 <br /> MAZOMANIE,WI 53560 <br /> Reference: Tax Parcel No: 0806-173-5452-8 <br /> SW 1/4 of SW 1/4 of Section 17, TOWN OF MAZOMANIE <br /> Property Address: 10755 HOWARD TRL <br /> Subdivision: IRON HORSE ESTATES, Lot: 12 <br /> Owner Name: Jason W Marthe <br /> Dear Jason W Marthe: <br /> Sanitary Permit# 13-2016-00010 was conditionally issued in your interest to your system installer <br /> on 01/12/2016. This permit is valid for two years (until 01/12/2018) and may be renewed or <br /> transferred as indicated on the face of the permit. <br /> A condition of the issuance of this permit is that you, as owner of this private septic system, <br /> ensure that appropriate system inspection and maintenance is performed as required by <br /> s145.245, 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 /> management plan provided by your installer. The licensed professional that you hire <br /> to perform this service will document their results on forms provided by Public Health Madison <br /> and Dane County. These forms must be submitted to this Department for your system to be in <br /> compliance with State and County laws. Fees associated with this program will be assessed <br /> annually on the property tax bill. Currently this fee is $8.67 per year. <br /> You will be notified by the Environmental Health 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 private sewage system serviced or failure to report same to <br /> the Environmental Health Section are prohibited practices. All prohibited practices are subject to <br /> fines or forfeitures as specified by County Ordinance. <br /> All heirs or assigns of this property shall be notified of these requirements. <br /> If you have any questions, please fell free to call me at 242-6515 between 7:45 and 9:30 AM <br /> Monday through Friday. <br /> Sincerely, <br /> John Hausbeck <br /> Environmental Health Services Supervisor <br />