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J <br /> • <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 CoGG eE/4 K 17 r LE S°^( <br /> Mailing Address /C)°73 l Y 'A Alt �ib W Z <br /> Owner Ma g <br /> Property Address 1A < <br /> 1/4 ,X 1/4 . Sec. 22- Township fe- ey <br /> Lot No. " Block No. — - <br /> Parcel No. 19-51)6 -22`1^ 800° -2- <br /> No. of Existing Bedrooms, 3 No. of Bedrooms After Addition <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 ieoIQT 'Jo0✓f- ( License No. 22Ve <br /> is on file in this office. An onsite verification inspection was conducted on 2-s-/99Q/ . 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 /> O� 6 -17- l f q oug. oFP`cE ,1,'c7E'°7A4"/°R0P6o T <br /> Comments: oW(D 7 '/ cF Pg� ,447 - f'E4%'*7 fYfTFf') <br /> T,l`E,I TAGLA Tor( of A /h <br /> Fog A 3_8(.10,04361 Aefr r q 1- 0091). TffF ✓re,e /J <br /> Attar's/ER To A-DD dW .I-OD(T tot- 8 'g 00A4, ,ee A 7 �� of 9 <br /> fie Ol//DE1) M 1 F "PR(VA'TE awe witirEWyTE 7,Q�Er/1' $Yf TES ) <br /> GoveKAK1': APOc?x(/e �DEG�i�(,- " /° oietety ,fE c4,e,0€o 47- 13 4 rc Cc .✓YT <br /> A-Cr(St-( DP Det<of APO A /QEcogpfiO Co,'y of ..r,4 p Aoc�-rl�► eri✓7 l_J_ <br /> ,ruBM�7T6o T Owe. °FP/cam C <br /> Date issued 1° -22 - 2� e By givt4i <br /> Title SA/%1q-7.4 R <br /> 10129107-Review Letter for A House Addtiondoc <br />