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. . <br /> ,:...,, <br /> -1:•IP.;.Public.Flea Lth ,Jenel iieloribri,-MPH,VA, Director <br /> Public._ ., ,. : 4 .. <br /> miwISQN-ArDANgS.-g..,UNIN. . -pmtoninontsitiosiih.Division (608)2421515 Well&Septic <br /> Hatithjpeope.Health (a no s pinks!.suite NM <br /> - - ---- 1 -1- - <br /> Maoisoo,WI: 5W1:,;-- oos):g42-6515 Lk Establishments • <br /> (ppa)242-843 fax <br /> .wwito011etiosIttirnd.00t (608)2.67-1989 Animal <br /> veil volomell - <br /> , • , <br /> January 25,2018 PQWTS la, <br /> 134G1134:0011 <br /> Mrec Vb.Madison tic <br /> 6801 soutifTowne Dr • <br /> Madison,WI'53713 <br /> Reference: TexParcel Number: 0708-263;5530-0 . . <br /> $5,1/4 of aW.114 of Section:26;TovyrkofiMiddlaton ., <br /> Property Address.; <br /> SUbdiVisionz SPRUCE HOLLOW REPLAT NO 1 Lot 1-30 <br /> Owner Rama:, 14rec'Vtir Madison tic <br /> Dear iVirecVil Madison Lic . . <br /> • ,. <br /> Sanitary Permit 03-2018--0001'I was c-onditionally issued Tn.your interestto your system installer on- <br /> 01/25/2Q1 a,PIK permit is valid for two years(until 0112512020.and may be renewed or transferred as <br /> indicated on the face-oft*permit., <br /> A condition of the Issuance-of this permit IS that you,as owner of this private,septic systern, - - <br /> ensure that appropriate system:Inspection.and maintenance is performed as required by s1-44.245, <br /> Wisconsin Statutes end by bane County Code Chapter 46:11( ) The appropriate inspection and <br /> maintenance for your system is described in the private septic system management plan provided by your <br /> installer:The licensed prOfetsiOrial that you hire , <br /> to perform this service will',document their.results On forms provided by Palo Health Madison and Dane <br /> County',These forms must be submitted to this.1jetjafttnent for your System to be.in compliance with State <br /> : , ._ . ._. ,_ . <br /> end County laws,Fees associated with this program will be assessed annually on the Property tax bal. • <br /> Currently this fee iSS.0..67 per year.: ,. <br /> . _ . . <br /> ybu will be.:notified by the EnVironmental'Health Section approximately Wive months-before the servicing is <br /> due FalUte of nOtiflOation will riot relieve you of the obligation-to have your system scarylped,Failure to either <br /> ... <br /> have the private sewage system serviced or failure to report same to the Environmental Health.Section are <br /> -prohibited:practicesAll prohibited practices are aubjootta:ffria$or forfeitures-as speciflec. by County .. • <br /> Ordinance-. <br /> ,All.heirs or assigns of this:property shall be notified.oftese reqt.iirements. . <br /> . , . <br /> lf:you have any questions, please feel free to contact.me-at(608)242-$515.betweeni3;(30 and ROD AM <br /> . tiOnday.thrOugh Friday. - <br /> .. . <br /> incerely, <br /> .. . : . <br /> 111.2..-i-5. •- - - - - <br /> 4 ory HausbeCk <br /> Environmental Health Services Supervisor . . <br /> - .. . <br />