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*. "Public Health <br /> MADISON Et DANE COUNTY Janel Heinrich,MPH,MA,Director <br /> gealthj,people.gealtlj places. Environmental Health Division 608 242-6515 <br /> 2701 International Lane,Suite 204 608 242-6435 fax <br /> www.p u bl I c h ealthm d c.co m <br /> Madison, 608 267-1989 Animal Control-Voice <br /> c lthm <br /> Mall <br /> August 24,2016 Plan Review ID: 13-2016-00248 <br /> MARK ROSENBAUM ia <br /> ROSENBAUM CRUSHING&EXCAVATING A p D 1814‘Aili D <br /> 972 HWY 138 DANE CO.H 1 SVCS DEPT <br /> STOUGHTON,WI 53589- E N' IRON, I H • I-E TI a; <br /> Aim <br /> BY <br /> DVF <br /> Reference: Tax Parcel No:0512-274-8360-0 ' i <br /> NE 1/4 of SE 1/4 of Section 27,TOWN OF ALBION <br /> Property Address:353 HAUGEN RD <br /> CSM:13067 Lot:2 <br /> Owner Name:Mark S Rosenbaum <br /> Conditional approval for 234 gpd Conventional Gravity granted.Plan approval expires August 24, <br /> 2018. <br /> Dear Mark Rosenbaum: <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin <br /> Administrative Codes,Wisconsin Statute and Dane County code ch.46.The submittal has been <br /> CONDITIONALLY APPROVED.The owner,as defined in chapter 101.01 (10),Wisconsin <br /> Statutes,is responsible for compliance with all code requirements. <br /> The following conditions shall be met during construction or installation and prior to occupancy or <br /> use: <br /> This system is to be constructed and located in accordance with the enclosed approved <br /> plans and with the following manuals: In-ground POWTS Component Manual Version <br /> 2.0,SBD-10705-P(N.01/01). <br /> In the event this soil absorption system or any of its component parts malfunctions so as <br /> to create a health hazard,the property owner must follow the contingency plan as <br /> described in the approved plans.In addition,the owner must comply with the operation, <br /> maintenance and monitoring duties as described in section VIII of the component <br /> manual.A copy of this information must be given to the owner upon completion of the <br /> project. <br /> A Sanitary Permit must be obtained from Public Health Madison and Dane County <br /> where this project is located. <br /> Page 1 <br />