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Safety and Buildings <br /> 3824 N CREEKSIDE LA <br /> commerceml.gov HOLMEN WI 54636 <br /> Contact Through Relay <br /> wcommerce wi /sconsin w .wisconsin.gov'Department of Commerce <br /> Scott Walker,Governor <br /> Paul F.Jadin,Secretary <br /> May 11,2011 <br /> CUST ID No. 224069 ATTN:POWTS Inspector <br /> KELLY M FERGUSON ZONING OFFICE <br /> DOCK LAKE SEPTIC&DIRT WORK BURNETT COUNTY SPIA <br /> W9502 DOCK LAKE RD 7410 CTH K#102 <br /> SPOONER WI 54801 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 05/11/2013 <br /> SITE: Identification Numbers <br /> Marilyn Twining Transaction ID No. 1937067 <br /> 1120 Roberts Rd Site ID No. 766881 <br /> Town of Scott Please refer to both identification numbers, <br /> Burnett County above in all correspondence with theagency. <br /> Government Lot 5, S24, T40N,RI 4W <br /> FOR: <br /> Description:Two Bedroom Mound System/5%slope <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1313554 <br /> Maintenance required; Replacement system; 300 GPD Flow rate; 26 in Soil minimum depth to limiting factor from <br /> original grade; System(s): Mound Component Manual-Version 2.0, SBD-10691-P(N.01/01),Pressure Distribution <br /> Component Manual-Version 2.0, SBD-10706-P(N.01/01); Effluent Filter <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. This system is to be constructed P.O.W. <br /> and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. condltu <br /> The owner, as defined in chapter 101.01(10), Wisconsin Statutes,is responsible for compliance with all code AP <br /> ��requirements. <br /> No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, DEPARTMENT OF <br /> stats. DIVISION OF SAFETY <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: &AIX <br /> Reminders SEE CORRESI <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. t�FP Ri <br /> • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with DEPARTMENT( <br /> the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis.Stats. DIVISION OF SAFE? <br /> • A state approved effluent filter is required.Maintenance information must be given to the owner of the tank <br /> explaining that periodic cleaning of the filter is required.Access to the filter for cleaning must be provided SERE CORRE, <br /> per Comm 84 product approval conditions. <br /> • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or <br /> soil compaction is prohibited in this area. <br /> • The eisting POWTS shall be properly abandoned per Comm 83.33, Wis.Adm. Code. <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. <br />