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PRIVATE ONSITE WASTEWATER TREATMENT SYSTEM COVENANT: UNDERSIZED SYSTEM "Bedroom Addition" This covenant is between KA-- L/rl/:a,,,; grantors,and the County of Dane, regarding the private onsite wastewater treatment system (POWTS)on the following described parcel(s) located in the Town of in the S W of the ArE of Section 2`1 ,T N, R E. Type or neatly print the legal description of your property in the space Record this document with the Register of Deeds and submit below. If you need more space, use the reverse side or attach a copy of a copy of the recorded document to Public Health Madison& the deed.) Dane County TIS �W y op -1'-�+re /V C y ,� .fie:.}''-, d' Your name and return address 3e}�tr5�.-i VillaoJ.'.:� lawn ..P �/'t.3..�-� , L.,* /0 Ki/c, 6 g I R—e-,c), Cf , u✓.T 3-3 S 7:).- Tax STax Parcel# °4l01. ' 0509— .241/ - 41090 - .5-- At At the above named location ❑ (I)❑ (We), plan to(check all that apply): ❑ Build an addition or remodel an existing residence resulting in an increase in bedrooms/wastewater, ❑ Build a replacement residence and connect it to an existing POWTS, ❑ Build an additional structure and connect it to an existing POWTS. ❑ Other: (describe here): In compliance with the requirements of Dane County Code ch. 46, or acts amendatory thereto, this affidavit is to acknowledge that existing septic component(s) is/are not sized in accordance with the current regulations for the wastewater load generated by the building served.The existing soil absorption component is located in soil that is suitable for an in situ soil absorption area, but it is not sized in accordance with the current regulations for the wastewater load generated by the building served,and/or the septic/pump tank capacity is undersized for number of bedrooms. This is also to acknowledge that there❑ (is)❑(is not)an approved area for the purposes of siting a replacement absorption area on this parcel. (I) ❑ (We) understand that the sizing determination of the existing POWTS is being based on the number of people living in the house in lieu of total bedrooms: • Septic System is currently sized for 3 bedrooms(this number x 2 is the maximum occupancy) • The maximum number of people utilizing the existing POWTS (living in the home)is S people. o Occupancy is limited to current septic system bedroom sizing factoring 2 people per bedroom. o For example, if septic system is currently sized for 4 Bedrooms, max number of occupants would be 8 people, and covenant of undersized sized system may be used in certain situations for 5 bedroom home. o It does not mean that a 5 Bedroom home can have 9 or more people occupying the house if the septic system is only sized for 4 bedroom use. If/when the existing soil absorption area is determined to be failing as defined in s. 145.245 Stats, I(We)will replace it in accordance with the state and county codes in force at that time. This is binding on all future heirs, owners and assigns.