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• <br /> .... <br /> 1'4° Public Health <br /> MADISON&DANE COUNTY Tr �..t crWencer.MD,MPH,Director <br /> Northport Office-Environmental Health 608 242-6515 <br /> .. �.,._�__il.....11�L.r.e _-..,r4 608 fax <br /> �sn�vy!'�`�„`......r._... 1202A1flr111ParCUri�e,n,vu.,, W� ■ <br /> Madtson,WI 53704 www.publiC�aithrndc.com <br /> REVIEW LETTER FOR A HOUSE AMITION <br /> r <br /> _ � IA � ' . � (mil <br /> i ,- <br /> Owner I r • r �`� , ` S-6*Z <br /> L <br /> Owner Mailing Address . <br /> Property Address C.'L vv., e_' <br /> A!i:.tJ 114 114 Sec.__ <br /> Township_ t "" <br /> Block N Wage _ _ — <br /> e 3r0o <br /> Parcel No.07. 2- City _ <br /> • No.of Existing Bedrooms <br /> No. of Bedrooms After Addition L_ <br /> to sewage system at the property. listed above <br /> An initial investigation has been made of the private <br /> regarding compliance with Wisconsin Statutes and h the <br /> the Wisconsin Statutes.Administrative Code. This <br /> 14520(2)(g) and.(2){ ) <br /> investigation is authorized by Sec. �,� � �'� <br /> License No. <br /> A soil test report by Certified Soil Tester Zr . The soil <br /> is on file in this office. An onsite verification inspection was conducted on 1-1 t'' D <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.ck".--e-", 5-ercit c <br /> Comments A C <br /> h <br /> '-c14_ <br /> e eil Cut <br /> 5$e 5- -q."."%. vv1/4-‘,)-- 1--- 4,--,,_ , c.,-....,r.Aio C a 0 0� L S / S tr-c_ ii- 6-1..ericvv-‘ sir <br /> c4. rr% 6 , (dt)-r-A_/-,---- ,Sity0-€-- ) . <br /> -2 3)--o By <br /> Date issued.,� ,�. <br /> Title 4_t <br /> • <br /> 10x2410-Revue Law tar A Noun thseMo,teoe <br />