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iaaru� Safety and Buildings <br /> yT 3824 N CREEKSIDE LA <br /> HOLMEN WI 54636 <br /> Q= Contact Through Relay <br /> a <br /> www.cpm merce.wi.gov/sb/ <br /> r- R www.wisconsin.gov <br /> �OFFs444vo���N Scott Walker,Governor <br /> \_ <br /> Dave Ross,Secretary <br /> October 06,2011 <br /> CUST ID No. 652879 ATTN. POWTS Inspector <br /> TRAVIS ANTHONY BUTTERFIELD ZONING OFFICE <br /> BUTTERFIELD EXCAVATING INC BURNETT COUNTY SPIA <br /> 14346 W ST RD 77 7410 CTH K 4102 <br /> HAYWARD WI 54843 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 10/06/2013 <br /> SITE: Identification Numbers <br /> Douglas Mcivor Transaction ID No.2003568 <br /> Bass Lake Rd Site ID No. 772386 <br /> Town of Swiss Please refer to both identification numbers, <br /> Burnett County above, in all correspondence with theagency. <br /> NEI/4,NW1/4, S18, T41N, R1 5W <br /> FOR: <br /> Description: Three Bedroom Mound System/level site <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 1337818 <br /> Maintenance required; 450 GPD Flow rate; 34 in Soil minimum depth to limiting factor from original grade; System(s): <br /> Mound Component Manual-Version 2.0,SBD-1 0691-P (N.01/01), Pressure Distribution Component Manual-Version <br /> 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 PRIVATE SE' <br /> and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. <br /> The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code 4 r0 as <br /> requirements. CC.• [� <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. APPF <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: DIVISION OF SAF <br /> Reminders <br /> • A sanitary permit must be obtained from the county where this project is located in accordance with the SEE COR <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 /> • 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 <br /> per Comm 84 product approval conditions. <br /> • The area within 10' on either side downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, <br /> excavation or soil compaction is prohibited in this area. <br /> • A copy of the approved plans specifications and this letter shall be on-site durine construction and open to <br /> inspection by authorized representatives of the Department which may include local inspectors. <br />