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;tr�N«ir j DIVISION OF INDUSTRY SERVICES <br /> rip.'. 10541 N RANCH RD <br /> i r HAYWARD WI 54843.6462 <br /> Contact Through Relay <br /> http://dsps.wi.gov/programs/industry-services <br /> www.vAsoDnsin.gov <br /> r} I-O"N\ Tony Evers-Governor <br /> Dawn Crim-Secretary <br /> August 6,2021 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES:2023-08-06 <br /> Plan Review: PWTS-082101846-C <br /> CONDITIOAALLY <br /> JEFF FOX APPROVED <br /> PO Box 565 DEPT OF SAFETY AND PROFESSIONAL SERVICES <br /> Dresses WI 54009 <br /> DIVISION OF INDUSTRY SERVICES <br /> SITE: <br /> N to Bjerke CIE 4)2u,,t^A, <br /> cv <br /> 24762 Sand Lake Shores Trail SEE COKRESPONDENCE <br /> Burnett County <br /> Town of LaFollette <br /> Gov't Lot 1—S4—T38N—R15W <br /> FOR: <br /> Description: Mound Component Manual—Ver. 2.0,SBD- <br /> 4 Bedroom Mound—600 GPD— 10691-P(N.01/01, R 10/12) <br /> Replacement-25"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 Administrative <br /> Codes 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) <br /> referenced above.The owner,as defined in chapter 101.01(10),Wisconsin Statutes, is responsible for <br /> 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 Department per <br /> s.145.06,stats. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> Reminders <br /> • This mound was installed in 1997 and previously served a campground.Currently,the only uses on <br /> the mound are residential.The mound was designed and installed for up to 12 bedrooms residential. <br /> There Is a 4 bedroom house currently connected to the mound as shown on Lot 4,Sand Lake Shores. <br /> This proposal is to install a septic/dose tank on lot S of Sand lake Shores and connect to the most <br /> downslope mound cell.This cell is 600 square feet.The other two cells will stay connected to the 4 <br /> bedroom residence on Lot 4 of Sand Lake Shores. <br /> Is Verify and adjust fog=fform distal head pressure at each lateral(Including the other 4)to ensure <br /> equal distribution.The distal head pressure for this design shall be>2.S'at each lateral. <br /> 0 Ensure all necessary easements and maintenance agreements are recorded for both properties prior <br />