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3f:Public Health <br /> MADISON&DANE COUNTY Thomas L Schlenker,MD,MPH,Director <br /> Xeobpeople and(rlecct Northport Office-Environmental Health 608 242-658 <br /> 1202 Northport Drive.Room 154 608 242-6435 for <br /> Madison,WI 53704 www.pubichealthmck.com <br /> REVIEW LETTER FOR A HOUSE ADDITION <br /> Owner L e FQ uc kar -- <br /> Owner Mailing Address 7 7.1 8 41 mat- t 5 3 S 3 <br /> Property Address. S "-€._ • <br /> Ale 114 114 Sec. If Township MA. <br /> So.-c4 . Fltw'f 61%4-- <br /> Lot No. -3 1 Block No. Village <br /> Parcel No.07 08 City <br /> No.of Existing Bedrooms 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 Wiisconsin 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 ` ekre.-, rr sir -_ License No. 0`0-'7 l <br /> is on file in this office. An onsite verification inspection was conducted on f 2-fer-o' . 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: I r o(cr J 6404.-4-4-4"--- c f- rrlay^- <br /> Ait <br /> Date issued –t lj D g • By_ /41■ i -- -- <br /> Title ' //11111r- _ <br /> tM:417-tor Msw Later ter A Houle Addllendoo <br />