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..... <br /> /4 1 <br /> ,�,i �,; Dane County Public Health Department <br /> 1206 NORTHPORT DRIVE, ROOM 107• MADISON,WISCONSIN 53704-2088• PHONE (608) 241-4481 <br /> ! .i:•' <br /> •cost/ <br /> Division of Environmental Health <br /> DIVISION OF ADMINISTRATION Orville W.Hintz,R.S. <br /> Richard L.Crim,M.P.H. Director <br /> Health Officer • October 25 , 1985 <br /> Division of Public Health Nursing <br /> Florence I.Wetzel,R.N. <br /> Director <br /> • <br /> Permit No. 72061 85-0444 <br /> James & Ellen Mobery Legal Description NWT, SE4, Section 8, <br /> 1140 Mueller Road <br /> Marshall, WI 535.59 Town of York <br /> Dear Mr. & Mrs. Mobery: Installer James J. Tesmer <br /> • <br /> A PLB 68 Sanitary Permit has been conditionally issued in your <br /> interest to your installer. This permit is valid for two years and <br /> may be renewed or transferred as indicated on the face of the permit. <br /> A condition of the issuance of this permit is a tri-annual <br /> maintenance required by NR 128 . 30( 6) (d)5 Wisconsin Administrative <br /> Code and by Dane County Chapter 46. 11( 4) . These require that you, <br /> as owner, are to have this private sewage system serviced, documented <br /> by licensed person servicing system, and duly recorded at the <br /> Environmental Health Division of Dane County. There is a required <br /> ten dollar ($10. 00) fee for the recording, filing, and follow-up of <br /> this maintenance program as set forth in Chapter 46. 23( 20) . <br /> You will be notified by the Environmental Health Division <br /> approximately 30 months after installation that servicing is due. <br /> Failure of notification will not relieve you of the obligation to <br /> have your system serviced. Failure to either have the private <br /> sewage system serviced or failure to report same to the Health <br /> Department are prohibited practices . All prohibited practices are <br /> subject to a Municipal Uniform citation with penalties and/or a <br /> court appearance . <br /> All heirs or assign of this property shall be notified of these <br /> requirements . <br /> If you have any questions , please contact this office . <br /> Very truly yours , <br /> gr■ f. <br /> 0. W. Hintz , R Director <br /> DANE COUNTY PUBLIC HEALTH DEPARTMENT <br /> ENVIRONiENTAL HEALTH DIVISION <br />