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S, <br /> •• %• Public Health Janel Heinrich, MPH, MA, Director <br /> MADISON & DANE COUNTY Environmental Health Division <br /> Healthy people.Healthy places. 2300 S Park St,Suite 2010 (608)242-6515 Phone <br /> Madison,WI 53713 (608)267-1989 Animal Control-Voicemail <br /> www.publichealthmdc.com (608)242-6435 fax <br /> July 07, 2017 POWTS ID: <br /> 13-2017-00211 <br /> MICHAEL A BARSEMA <br /> 3944 WEATHERWOOD TRL <br /> VERONA,WI 53593 <br /> Reference: Tax Parcel Number: 0808-312-2178-0 <br /> NW 1/4 of NW 1/4 of Section 31, <br /> Property Address: <br /> Subdivision:AUTUMN POND Lot: 28 <br /> Dear MICHAEL A BARSEMA <br /> Sanitary Permit#13-2017-00211 was conditionally issued in your interest to your system installer on <br /> 07/07/2017. This permit is valid for two years (until 07/07/2019)and may be renewed or transferred as <br /> 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 s145.245, <br /> Wisconsin Statutes and by Dane County Code Chapter 46.11(5). The appropriate inspection and <br /> maintenance for your system is described in the private septic system management plan provided by your <br /> installer. The licensed professional that you hire to perform this service will document their results on forms <br /> provided by Public Health Madison and Dane County. These forms must be submitted to this Department for <br /> your system to be in compliance with State and County laws. Fees associated with this program will be <br /> assessed 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 servicing is <br /> due. Faiure of notification will not relieve you of the obligation to have your system serviced. Failure to either <br /> have the private sewage system serviced or failure to report same to the Environmental Health Section are <br /> prohibited practices.All prohibited practices are subject to fines or forfeitures as specified by County <br /> Ordinance. <br /> All heirs or assigns of this property shall be notified of these requirements. <br /> If you have any questions, please feel free to contact me at(608)242-6515 between 8:00 and 9:00 AM <br /> Monday through Friday. <br /> Sincerely, <br /> 74CL5'WLQ <br /> John Housbeck <br /> Environmental Health Services Supervisor <br />