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Safety and Buildings <br /> 10541N RANCH ROAD <br /> commercemi.gov HAYWARD WI 54843 <br /> ■ Contact Through Relay <br /> scons i n www.commerce.wi.gov/sbl <br /> Department of Commerce <br /> www.wisconsin.gov <br /> ti <br /> Scott Walker,Governor <br /> Paul F.Jadin,Secretary <br /> May 07,2011 <br /> CUST ID No. 227691 A777V:POWTS Inspector <br /> WADE A RUFSHOLM ZONING OFFICE <br /> 24702 LIND RD BURNETT COUNTY SPIA <br /> PO BOX 514 7410 CTH K#102 <br /> SIREN WI 54872 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 05/07/2013 Identification Numbers <br /> Transaction ID No. 1937475 <br /> SITE: Site ID No. 766947 <br /> Kris Hicks Please refer to both identification numbers, <br /> 26369 Helsene above,in all correspondence with theagency. <br /> Town of Lincoln <br /> Burnett County <br /> NEI/4, SEI/4,S12,T39N,R17W <br /> FOR: <br /> Description:Mound,3 bedroom residence <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1313820 <br /> Maintenance required; 450 GPD Flow rate; 32 in Soil minimum depth to limiting factor from original grade; System(s):?0 N <br /> Mound Component Manual-Version 2.0, SBD-10691-P(N.01/01), SSWMP Pub. 9.6; Effluent Filter ct, It <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 h ?MEC <br /> and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. �l " OF 5P <br /> The owner,as defined in chapter 101.01(10),Wisconsin Statutes, is responsible for compliance with all code �/ <br /> requirements. se COV <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 /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> Key Item(s) <br /> • In the event this soil absorption system or any of its component parts malfunctions so as to create a health <br /> hazard,the property owner must follow the contingency plan as described in the approved plans. In addition,the <br /> 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 /> • The float switch shall be a type that does not contain mercury.2009 Wisconsin Act 44 prohibits the installation <br /> of float switches or relays that contain mercury. <br /> • Care must be taken to preserve the bench mark during construction or establish a new bench mark with the <br /> elevation set to relate to the original bench mark. <br /> • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle <br /> size. Pursuant to outlet filter product approval stipulations,maintenance information must be given to the owner <br /> of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to <br /> service the filter shall terminate at or above finished grade with a watertight cover. <br />