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Public Health • <br /> Schlenker. Director <br /> MADISON&DP41E COUNTY Thomas L s <br /> �-- <br /> j hypeoge endplates Northport Office-Environmental Health 608 z242-651.5 608 242-6435 fax <br /> 1202 Northport Onus,Room 154 wr,,242-licheakHndccom <br /> Madison,WI 53704 <br /> REVIEW LETTER FOR A?HOUSE ADDITION <br /> • 1 69g r (' OI` 4 <br /> Owner �6Fr A Lf Ph0 <br /> Owner Making Address <br /> 6 �y vC` Ic- etf G2l � __ <br /> Property Address SAM <br /> ►g_914 _Sig/ 114 Sec. Township W/Nbf <br /> Lot No. _ <br /> Block No. Village <br /> • <br /> 'Parcel No. °V0-0(1- B0i=f) City <br /> • <br /> 3 No. of Bedrooms After Addition 3 <br /> No.of Existing Bedrooms • <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 /> License No. <br /> A soil test report by Certified Soil Tester ZTR- L• Ze- o. . The soil <br /> is on file in this office. An onsite verification inspection was conducted on <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: 77-k1 flag lJ JC-tk 14/11# A ,/yor tA0 7.7)PAr Of net 111.4 <br /> SEMI ryjTHh, ci/2ED Fret A 3-- 8 ie". Ifr'iAfirc:C i"-'Mize-ea <br /> —27—ga /}s e62 irrig(cotAN rce Skiaty f frtlr /Yis-evq,0262, <br /> No • 0TE(11' ^r ng s3) 10D(rirrvt .,cf. fir-- fr. EAC.E6A <br /> Ej((f rt -(✓ Y 46P 1 .B/ m oge T 2S 70 AJ L.r3.4YG <br /> A / /'7 iir-r2 f .56v e .f ICE Rlnr., *-r gove C?) <br /> Date issued <br /> 2 By _ _ . <br /> • Title <br /> R tcht4AP ae -60•1171yei4"0, <br /> • <br /> OrzallM14.4s.LOW far A Mare Mabaldoe <br />