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2021/08/10 - SANITARY - SAN - New Mound >24" - SAN-21-135
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2021/08/10 - SANITARY - SAN - New Mound >24" - SAN-21-135
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Last modified
5/1/2025 1:00:47 PM
Creation date
8/17/2021 1:02:35 PM
Metadata
Fields
Template:
Property Files v2
Document Date
8/10/2021
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New Mound >24"
County Permit Number
SAN-21-135
State Permit Number
635172
Tax ID
5986
Pin Number
07-012-2-40-15-34-4 04-000-011000
Legacy Pin
012423404610
Municipality
TOWN OF JACKSON
Owner Name
BRUCE A & TONIA J NELSON
Property Address
4239 MALLARD LAKE RD
City
WEBSTER
State
WI
Zip
54893
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.• J <br /> /��pARTN� DIVISION OF INDUSTRY SERVICES <br /> 10541 N RANCH RD <br /> HAYWARD WI 54843-6462 <br /> 0 lei Contact Through Relay <br /> http Odsps wi gov/programshndustry-services <br /> www wisconsin gov <br /> Tony Evers-Governor <br /> Dawn Crim-Secretary <br /> May 4, 2021 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 2023-5-4 <br /> Plan Review: PWTS-052100754-C <br /> Mary Jo Huppert <br /> 28497 King Arthur's Court <br /> Danbury, WI <br /> SITE: <br /> Bruce&Tonia Nelson <br /> 4239 Mallard Lake Road <br /> Burnett County <br /> Town of Jackson <br /> FOR: <br /> Description: GeoMat Mound Component Manual —Edition <br /> 3 Bedroom GeoMat Mound —450 GPD— 1, 2017 <br /> Replacement-30"to limiting factor— Pressure Distribution Component Manual—Ver. <br /> Effluent Filter- Maintenance required 2.0, SBD-10706-P(N.01/01, R. 10/12) <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin <br /> Administrative Codes and Wisconsin Statutes.The submittal has been CONDITIONALLY APPROVED.This <br /> system is to be constructed and located in accordance with the enclosed approved plans and with any <br /> component manual(s) referenced above.The owner, as defined in chapter 101.01(10),Wisconsin <br /> Statutes, is responsible for compliance with all code requirements. <br /> No person may engage in or work at plumbing in the state unless licensed to do so by the <br /> Department per s.145.06, stats. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> Reminders <br /> • If using the existing septic tank, it must be inspected for watertightness and structural <br /> soundness,size and baffles,and must be brought into conformance with the requirements of ch. <br /> SPS 383,Wis.Adm. Code. <br /> • The mound site shall be properly prepared prior to plowing. Any grasses longer than 6"shall be <br /> cut short and removed.To avoid matting,any leaves or loose organic matter shall be raked up <br /> and removed. Cut trees and shrubs flush to the ground and leave stumps.Avoid operating <br /> equipment on the mound site. If necessary, use only tracked equipment,during dry conditions, <br /> with minimal passes,to avoid compaction. <br />
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