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. <br /> '..•.:' Public Health <br /> MADISON & DANE COUNTY Thomas L.Schlenker,MD,MPH,Director <br /> Healthy people 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 I V, i ( 2 <br /> Owner Mailing Address MOO G ( -tom. u l led r1 pc?cry.- `-'mot' . S3S7, <br /> Property Address S a1VV-e <br /> 5( j 1/4 /Ua . 1/4 Sec. / 5 Township O G/ CJLt <br /> Subdivision Village <br /> CSM Lot No. Block No. City <br /> Parcel No. O S O ? - /5( 9a - 3 <br /> No. of Existing Bedrooms 3 No. of Bedrooms After Addition LA <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 tc,O6 1 V C 1r'Stly. License No. ‘c 3 <br /> is on file in this office. An onsite verification inspection was conducted on /0-2.3- 8.5 . The soil <br /> in the vicinity of the system soil absorption area is free draining in the absence of bedrock to a depth <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 /> Date issued / " 3- 0 9 By \ <br /> Title 5a/IA t Gt lam. <br /> 09/09/08-Review Letter for A House Addition.doc <br />