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:T"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 /> LETTER FOR A HOUSE ADDITION <br /> 11 <br /> Owner Fi 5 he r <br /> P'3S <br /> Owner Mailing Address T (-6.55' /GGtAA_ Cul r , S3528 <br /> Property Address 562,1,•-- <br /> /lE 114 5 114 Sec. -Z,.54 Township r r <br /> e5 40-t <br /> Lot No. ?- Bieck-No. 3 0S-6 Village <br /> Parcel No.0g0 7-ZS3- (9/60-g City <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 CVO CVOS License No. /17 7 <br /> is on file in this office. An onsite verification inspection was conducted on /0- 5.-- 9 S . 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: v rp u r r�' d tr-u - Li 1 /1 <br /> ( v� Se w,-e_ /a 4 r <br /> n Lrm d s 1-4 5&.re"- <br /> U I-e u r � ` <br /> Date issued lP "2_3-6/9 BY rkZ'1 <br /> - • *, ASS 41 f 1* K <br /> Title z dr, <br /> «f. <br /> 1 a29.CJT-wiew letter tow A Houw AaJb 4t oe , `. _ • <br /> ,7 s. <br /> . w, -a <br /> 1 ` <br />