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1 <br /> i <br /> . i <br /> . <br /> .l•e. <br /> 1 <br /> `' '�' Public Health <br /> MADISON &DANE COUNTY <br /> Janet Heinrich, MPH, MA, Director <br /> Healthy people.Healthy places. Environmental Health Division € <br /> 2701 International Lane,Suite 204 608 242-6515 > <br /> Madison,WI 53704 608 242-6435 fax <br /> www.publichealthmdc.com 608 267-1989 Animal Control-Voice <br /> Mail <br /> August 22,2016 POWTS# 13-2016-00252 i <br /> i <br /> ADAM C WENDORF s <br /> 2817 SPRING HILL DR i <br /> STOUGHTON,WI 53589 <br /> i <br /> Reference: Tax Parcel No: 0611-271-8215-3 i <br /> NE 1/4 of NE 1/4 of Section 27, I <br /> Property Address: t <br /> CSM: 08082 Lot: 1 <br /> Owner Name:Adam C Wendorf i <br /> 1 <br /> Dear Adam C Wendorf: R <br /> 1 <br /> Sanitary Permit# 13-2016-00252 was conditionally issued in your interest to your system installer <br /> on 08/22/2016. This permit is valid for two years (until 08/22/2018) and may be renewed or i <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 i <br /> s145.245, Wisconsin Statutes and by Dane County Code Chapter 46.11(5). The appropriate t <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 s <br /> and Dane County. These forms must be submitted to this Department for your system to be in I <br /> compliance with State and County laws. Fees associated with this program will be assessed I <br /> annually on the property tax bill. Currently this fee is $8.67 per year. i <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. 1 <br /> t <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. I <br /> I <br /> Sincerely, <br /> 1 <br /> ers25.ti--Z-12 1 <br /> S <br /> John Hausbeck <br /> Environmental Health Services Supervisor <br /> i <br /> 1 <br /> i <br /> I <br /> I <br />