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- Public Health <br /> MADISON&DANE COUNTY Thomas L Schlenker,MD,MPH,Director <br /> geaff),p*andplacc Northport Office-En**nmantal Health 608 242-6515 <br /> 1202 Northport Drive,Room 134 603 242-6435 fax <br /> Madison,WI 53704 www.ptblidiealthmdc.com <br /> REVIEW LETTER FOR A HOUSE ADDITION <br /> Owner e r 0-t& p -(-C <br /> cc+ z.- . 1 " 3 <br /> Owner Mailing Address 2.? <br /> - <br /> Prosy Address ,��,t o . <br /> 1/4 X114 Sec. / Township Garry - <br /> Lot No._ Block No. Village <br /> Parcel No.Cga --O( -8S� 5 City <br /> No.of Existing Bedrooms 7 No. of Bedrooms After Addltiom <br /> An initial investigadon has been made of the private sewage system at the property listed above <br /> regarding compliance with Wisconsin Statutes and the Wisconsin onsin 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 Oe d Soli Tester Om...aa_ of-'m a NIA License No,S 5-6?3 <br /> is on Se in this office. An onsite verlcation inspection was conducted on '3-?'7-85 . The sot <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 /> Ali setbacks to septic sin components and well must be complied with. <br /> Comments: A(I s 4 6cazt c s - ri S-� o S Y tue1J1 <br /> 1-t14- I t ,..t.s, vv., try 4-' (c--E= C o-v-.. o is e d LA, ;14, <br /> . <br /> bv1IJi"..5 is Cu k— aY 0. <br /> 4.67j) v-v" t te Cr".N (0-t=i v-LA.t.i 4- 4-c <br /> off . ' <br /> Date issued S-( 2-- Oa • By 'YY-N <br /> Title Sci''V• t vt <br /> 19 /.p0wtsar for*Hoag Adllsnisc <br />