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':#:'Public Health <br /> MADISON &DANE COUNTY Jane!Heinrich,MPH,MA,Director <br /> Healthy people.Healthy places. Environmental Health Division <br /> 2701 International Lane,Suite 204 608 242-6515 <br /> Madison,WI 53704 608 242-6435 fax <br /> www.publichealthmdc.com 608 267-1989 Animal Control-Voice <br /> Mail <br /> June 06,2016 POWTS#13-2016-00152 <br /> GARY L FENTON <br /> 1200 COUNTY HIGHWAY A <br /> EDGERTON,WI 53534 <br /> Reference: Tax Parcel No:0512-163-9580-0 <br /> SE 1/4 of SW 1/4 of Section 16,TOWN OF ALBION <br /> Property Address:1200 COUNTY HIGHWAY A <br /> Owner Name:Gary L Fenton <br /> Dear Gary L Fenton: <br /> Sanitary Permit#13-2016-00152 was conditionally issued in your interest to your system installer <br /> on 06/06/2016.This permit is valid for two years(until 06/06/2018)and may be renewed or <br /> transferred as indicated on the face of the permit. <br /> A condition of the issuance of this permit is that you,as owner of this private septic system, <br /> ensure that appropriate system inspection and maintenance is performed as required by <br /> s145.245,Wisconsin Statutes and by Dane County Code Chapter 46.11(5).The appropriate <br /> inspection and maintenance for your system is described in the private septic system <br /> management plan provided by your installer.The licensed professional that you hire <br /> to perform this service will document their results on forms provided by Public Health Madison <br /> and Dane County.These forms must be submitted to this Department for your system to be in <br /> compliance with State and County laws. Fees associated with this program will be assessed <br /> annually on the property tax bill.Currently this fee is$8.67 per year. <br /> You will be notified by the Environmental Health Section approximately three months before the <br /> servicing is due. Faiure of notification will not relieve you of the obligation to have your system <br /> serviced.Failure to either have the private sewage system serviced or failure to report same to <br /> the Environmental Health Section are prohibited practices.All prohibited practices are subject to <br /> fines or forfeitures as specified by County Ordinance. <br /> All heirs or assigns of this property shall be notified of these requirements. <br /> If you have any questions,please fell free to call me at 242-6515 between 7:45 and 9:30 AM <br /> Monday through Friday. <br /> Sincerely, <br /> Vet. . <br /> John Hausbeck <br /> Environmental Health Services Supervisor <br />