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,�O�V AND Co4�O <br /> • • <br /> 4 +fA <br /> • <br /> •• + Division of Public Health <br /> Environmental Health n <br /> DANE �+ ;. ._ ,_. Thi cr-Susan Crowley <br /> aermermexr or xt <br /> Division Administrator-Gareth R.1c4mson <br /> KATHLEEN M.FALK <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"Department")has evaluated <br /> the site suitability of certain soils located in: <br /> NW 1/4, 5W I/4, Sec.a y/Town of: OW/f -G <br /> Lot 2 3 Subdivision/S W/' f ELJ t 1'rm reef <br /> Owner/Buyer 14/(t-t-/AM PM Gt� ,l w <br /> Property Address CA'72ETaiy C/2.0S-rf,1&. <br /> for the installation of a private sewage system. The Department's review is based upon <br /> examination of(1)the"Soil and Site Evaluation report"as submitted by the Certified Soil <br /> Tester, Terrgey /44ittfri ES CST# 223,700 and(2)the results of <br /> an on-site inspection by the Department. Based upon such examination,it is the opinion of the <br /> Department that the exact areas inspected appear to meet the minimum requirements of <br /> Wisconsin Administrative Code ch COMM 83 for the installation of: <br /> yE Conventional Soil Absorption System • <br /> ftwi•Z In-Ground Pressure Distribution System As <br /> J/ °"r <br /> AWL. e.,1444 Gill Tian Re142, $7 <br /> Mound System <br /> At-Grade Mound System <br /> Holding Tank <br /> Other: <br /> The above opinion is advisory only. Any disturbance to the exact area that was investigated, <br /> including compaction,excavation and filling or removal of soil,will invalidate this opinion. The <br /> Department reserves the right to require a new soil morphological evaluation as may become <br /> necessary to ensure compliance with all applicable codes prior to issuing a sanitary permit. <br /> DATE: g'"(54— O Z �_ <br /> (Name) <br /> -re/Y(0A fA/Y(r,-"ellee <br /> (Title) sitesui.doc <br /> 1202 Northport Drive,Madison,Wisconsin 53704•(608)242-6515•FAX(608)242-6256 <br />