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• •.• 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 /iA'<'.� <br /> Owner Mailing Address 535.s- „apt,../ 41'QiE, wi• 53s <br /> Property Address <br /> 1/4 1/4 Sec. Z¢ Township 23ue.e� <br /> Subdivision O4X .Q/DDS '4-4X Village <br /> CSM Lot No. Block No. City <br /> Parcel No. 08 'O — 244 — 7ZG4- 6 <br /> No. of Existing Bedrooms - No. of Bedrooms After Addition -3 <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 S-rmv✓ License No. .34-z/ <br /> is on file in this office. An onsite verification inspection was conducted on 6.-4-- . 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 /> s /4;ile a.*7j,1 Ol�gy�3 <br /> /1 7'' 2 012ds� oo•s, <br /> Date issued /°' o8 By <br /> Title <br /> 09!09108-Rewew Letter fx 4 House Addition doc <br />