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Safety and Buildings <br /> 10541N RANCH ROAD <br /> HAYWARD WI 54843 <br /> TDD#: 284- <br /> 777 <br /> ww•commerce.sta ius1s` isconsin www.wisconsin.go <br /> v <br /> Department of Commerce <br /> Scott McCallum,Governor <br /> Philip Edw.Albert,Secretary <br /> September 11,2002 <br /> CUST ID No.227691 ATTN:POWTS Inspector <br /> WADE A RUFSHOLM ZONING OFFICE <br /> 24702 LIND RD BURNETT COUNTY SPIA <br /> PO BOX 514 7410 CTH K#102 <br /> SIREN WI 54872 SIREN WI 54872 <br /> CONDITIONAL APPROVAL Identification Numbers <br /> PLAN APPROVAL EXPIRES:09/11/2004 Transaction ID No.784950 <br /> SITE: Site ID No.649851 <br /> Robert Todd <br /> Scenic View Please refer to both identification numbers, <br /> Town of Dewey above,in all correspondence with the agency. <br /> Burnett County <br /> S2,T38N,R14W <br /> Lot: 11, Subdivision: Sunrise Beach <br /> FOR: <br /> Description:Mound 300 Gpd. <br /> Object Type:POWT System Regulated Object ID No.: 868641 <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner,as defined in <br /> chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with <br /> the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" <br /> Version 2.0 SBD-10691-P(N.01101)and the"SSWMP Publication 9.6,"Design Of Pressurized <br /> Distribution Networks For Septic Tank-Soil Absorption Systems." <br /> A copy of the approved plans,specifications and this letter shall be on-site during construction and open to <br /> inspection by authorized representatives of the Department,which may include local inspectors. All permits <br /> required by the state or the local municipality shall be obtained prior to commencement of <br /> construction/installation/operation. <br /> In granting this approval the Division of Safety&Buildings reserves the right to require changes or additions <br /> should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this 1111 <br /> review shall relieve the designer of the responsibility for designing a safe building, structure,or component. <br /> Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address <br /> on this letterhead. �? <br /> The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the <br /> installation,operation or m enance of the POWTS. <br /> Since ��� Fee Required$ 175.00 SE <br /> f" Fee Received$ 175.00 <br /> Thomas E Devereaux Balance Due $ 0.00 <br /> Plumbing/POWTS Reviewer II,Integrated Services <br /> (715)634-3026,7:45 am-4:45 pm Mon.-Fri. <br /> tdevereaux@commerce.state.wi.us WiSMART code 7633 <br /> cc: Carl J Lippert,Wastewater Specialist,(715)634-3484 <br />