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':•. .Public Health <br /> MADISON & DANE COUNTY Thomas L Schlenker,MD,MPH,Director <br /> Htatth)pcle and places Northport Office-Environmental Health 608 242-6515 <br /> 1202 Northport Drive,Room 154 608 242-6435 fax <br /> Madison,WI 53704 www-publichealthmdc.com <br /> REVIEW LETTER FOR A HOUSE ADDITION <br /> Owner - -rie 4 c y <br /> Owner Mailing Address 4 ta.3 G "4". ,� •• i /42o��^-'2 #41 I. � ` .Z_. <br /> Property Address -¢M� <br /> IVor 1/4 .S 1/4 Sec. a'7 _ Township --5-#4..t". '�'rsc`Ca <br /> Lot No, - Block No._ Village <br /> Parcel No. 0.5-4- asps- 27Q- -8n'70-3 City <br /> No. of Existing Bedrooms <br /> 3 No. of Bedrooms After Addition <br /> — <br /> An initial investigation has been made of the private sewage system at the property listed above <br /> regarding compliance with Wisconsin Statutes and the Wisconsin Administrative Code- This <br /> investigation is authorized by Sec. 145.20(2)(g) and (2)(h)of the Wisconsin Statutes. <br /> A soil test report by Certified Soil Tester <br /> ?A/4/4- 4 .0,e-DY License N o.zz.5 a 9 <br /> is on file in this office. An onsite verification inspection o was ain+r�g in the absence of bed rock to a depth <br /> in the vicinity of the system soil absorption area <br /> of at least 3 feet below the bottom of the soil absorption area. <br /> All setbacks to septic system components and well must be complied with. <br /> Comments' <br /> _ Eu' --4<reo----7..-0? <br /> ^/`0 7-- /A/r G vv /f-,dl) -r-�o.�/.-¢ C /t/C./ <br /> Date issued -•.__ <br /> —10/29/07 Review tnncr lo`A House Ad(f.on doc <br />