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Safety and Buildings <br /> 10541N RANCH ROAD <br /> HAYWARD WI 54843 <br /> TDD#:(608) 77 <br /> www.commerce.state.wi.us/sb www.wisconsin.gov <br /> Department of Commerce <br /> Scott McCallum,Governor <br /> Philip Edw.Albert,Secretary <br /> September 16,2002 <br /> CUST ID No.227691 A7TN: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: 09/16/2004 Transaction ID No.787111 <br /> Site ID No.650326 <br /> SITE: Please refer to both identification numbers <br /> Don Olson <br /> 71583 N Shore Dr above,in all correspondence with theagency. <br /> Town of Wood River <br /> Burnett County Government Lot(s)5,S27,T38N,R18W Lot: 3-8, <br /> FOR:Replacement mound,900 GPD <br /> Description: Cabins 1,2,3,&4 <br /> Object Type:POWT System Regulated Object ID No.: 870055 <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes Co <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: AfZTMEx1 <br /> (?EP OF SAF <br /> General Approval Conditions: <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10691-P `., F CORI <br /> (N.01101)and SSWMP Publication 9.6,"Design Of Pressurized Distribution Networks For Septic Tank-So' <br /> Absorption Systems." <br /> • In the event this soil absorption system or any of its component parts malfunctions so as to create a health <br /> hazard,the property owner must follow the contingency plan as described in the approved plans.In addition, <br /> the owner must insure that the operation,maintenance and monitoring duties as described in section VIII of <br /> the mound component manual are complied with.A copy of this information must be given to the owner upon <br /> completion of the project. <br /> • A Sanitary Permit must be obtained from the county where this project is located in accordance with the <br /> requirements of Sec. 145.135 and 145.19,Wis.Stats. <br /> • Inspection of the private sewage system installation is required.Arrangements for inspection shall be made with <br /> the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis. Stats. <br /> • The maintenance plan for this system must be given to the owner of the POWTS. <br /> Key Item(s) <br /> • This approval is for a mound that will serve 4 cabins with a total of 6 bed rooms. <br /> Note <br /> • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle <br /> size. Pursuant to outlet filter product approval stipulations,maintenance information must be given to the owner <br />