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' PRIVATE SEWAGE SYSTEM COVENANT: I <br /> ADDITION TO EXISTING RESIDENCE -,1-; t.,-- ._. <br /> This covenant is between <br /> 04.11 h er i- i' rz I <br /> print name of property owner(s) :J ,. <br /> V t / ,G/L, and the County of <br /> Dane regarding the private sewage system on land located in Dane County in the town of <br /> � "-1 ' te , in the 4 S uarter of Section C . 6,26 6-cv 7 <br /> 13 , Town 6 kJ , Range 76 . Under certain circumstances one bedroom <br /> may be added to a residence without enlarging the existing private sewage system. An <br /> evaluation of the existing system, which may include a soil boring analysis, is required <br /> before approval of the alteration can be granted. <br /> Type or neatly print the legal description of your property in the space <br /> below. (The legal description of your property is found on your deed and usually on your <br /> tax bill. If you need more space, use the reverse side or attach a photocopy of the legal <br /> description.) Record this document with the Register of Deeds <br /> Your name and return address: <br /> Karl (n ' LL r <br /> v L„_ _,,-? —:7( // lam L j i i <br /> ;" _ .=: <br /> 1 . , <br /> Tax parcel no. =C-'— i 31- -?oi -G <br /> As owner(s), I (we) plan to alter the residence at the above-specified location. The residence presently has bedrooms; <br /> I i l-c. r l-c t F s r- .- • IN L-4_ A 5t) H'b133+S A S r Aram (IN (71- 3siekill( SFScsf (nr K N Crts,r6-- <br /> s-r'1 _t5;. USE <br /> This is to acknowledge that the existing private sewage system was not sized for the additional bedceem. I (we) certify that <br /> the existing system is currently functioning properly. I (we) agree to replace it with a code complying private sewage system <br /> when and if it is found to be a failing private sewage system as defined by Wisconsin Statutes Chapter 144.245. I (we) agree <br /> to maintain said private sewage system in accordance with rules established in the Wisconsin Administrative Code, as from <br /> time to time amended, and further agree to have said septic tank (and lift pump tank) pumped every three years or when the <br /> solids build up within said septic tank exceeds one-third of the tank volume, whichever comes first. <br /> owner(s)sign here Dated this 01-'7 day of J LLLJ ,19 / q <br /> in the presence of J <br /> a notary public _ <br /> A i -A . Ii w <br /> yo nature your signature <br /> eir'; /<'. M1L ' <br /> print name under signature print name under signature / / <br /> 0 <br /> The above named pees n s) came b re this �� day of J y ,. q"T <br /> (� g5he <br /> Signature L — Name printed 141(1 T C 7 <br /> NOTARY Notary Public, Dane County,Wisconsin My Commission Expires 4;11 1/q -7 <br /> PUBLIC Dane County Human Sences Department.Environmental Health Division 10/92 <br />