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Safety andBuildings <br /> 10541N RANCH ROAD <br /> HAYWARD WI 54843 <br /> C0117RIerce.Wi.90V Contact Through Relay <br /> NwwW.Commerce.wi.gov1sb/ <br /> iscons i n vww.wisconsin.gov <br /> Department of Commerce Jim Doyle,Governor <br /> Richard J.Leinenkugel,Secretary <br /> July 13,2009 <br /> CUST ID No. 225229 AM. pOWTS Inspector <br /> ZONING OFFICE <br /> NELS D KOERPER BURNETT COUNTY SPIA <br /> CENTRAL PLUMBING AND HEATING 7410 CTH K#102 <br /> 7845 CTY RD D SIREN WI 54872 <br /> WEBSTER WI 54893 <br /> CONDITIONAL APPROVAL Identification Numbers <br /> PLAN APPROVAL EXPIRES: 07/13/2011 ran tion ID No. 1683773 <br /> Site 1sacNo. 749590 <br /> SITE: Please refer to both identification numbers, <br /> Lora Sandholm/Don Veidel above,in all comes ondence with thea enc . <br /> 23391 Emil Fink Rd <br /> Town of Daniels <br /> Burnett County <br /> NW 1/4,SEI/4, S19,T38N,R17 W POW; <br /> FOR: d1� <br /> Description:Mound,4 bedroom residence I <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1232817limiting factor P <br /> Maintenance required; Replacement system; 600 GPD Flow rate; 20 in Soil minimum depth to r ssure Distribu i, <br /> original grade; System(s):Mound Component Manual-Version 2.0,SBD-10691-P(N.Ol/Ol), n <br /> SAF <br /> Component Manual-Version 2.0,SBD-10706-P(N.Ol/Ol)> Effluent Filter <br /> ove has been reviewed id for conformance with applicable Wisconsin Administrative Codes <br /> The submittal described abEE GOFII <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be <br /> constructed and located in accordance with the enclosed approved plans and with any component manual(s) S <br /> referenced above.The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compli e <br /> with all code 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, <br /> stats. <br /> struction or installation and prior to occupancy or use: <br /> The following conditions shall be met during con <br /> Key Items) <br /> absorption system or any of its component parts malfunctions so as to create a health <br /> In the event this soil <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 the <br /> 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 copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file <br /> with the Department. Changes to the approved plan must be submitted for review and approval. Failure to <br /> properly attach the approval and index page to plans that match the copy on file with the Department may result <br /> in enforcement action under s. 145.10,Stats. <br /> The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater <br /> particle size. Pursuant to outlet filter product approval stipulations,maintenance information must be given to <br /> the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening <br /> used to service the filter shall terminate at or above finished grade with a watertight cover. <br />