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`.,0ARTAfFN DIVISION OF INDUSTRY SERVICES <br /> T 2331 SAN LUIS PL <br /> (,----- <br /> ro <br /> GREEN BAY WI 54304-5211 <br /> ,• Contact Through Relay <br /> P S �� http://dsps.wi.gov/programs/industry-servicces <br /> W www.wisconsin.gov <br /> 6,5 <br /> ' Tony Evers-Governor <br /> Dawn Crim-Secretary <br /> June 13, 2022 <br /> Conditionally <br /> CONDITIONAL APPROVAL APPROVED <br /> DEPT.OF SAFETY AND PROFESSIONAL <br /> SERVICES <br /> PLAN APPROVAL EXPIRES: 2024-06-13 DIVISION OF IN STRY SERVICES <br /> Plan Review: PWTS-062201212-C <br /> KEITH E STONER <br /> 23220 Woodcreek Rd SEE CORRESPOND CE <br /> Siren WI 54872 <br /> SITE: <br /> Jacobs At-Grade Mound System <br /> 24837 Walberg Rd. <br /> Town of MEENON <br /> Burnett County <br /> Total Amount: $250.00 <br /> FOR: <br /> Description: Two Bedroom At-Grade system\Sloped Site <br /> Pressure Distribution Component Manual —Ver. 2.1 May 2022-2027 <br /> At-Grade Component Manual -Ver. 3.0 May 2022-2027, 450 gpd, 47 inches to limiting <br /> factor from original grade, Maintenance required, effluent filter <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. <br /> This system is to be constructed and located in accordance with the enclosed approved plans and with <br /> any 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 Department <br /> 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 /> • A sanitary permit must be obtained from the county where this project is located in accordance with <br /> the requirements of Sec. 145.19, Wis. Stats. <br /> • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 <br /> inches. Proper soil moisture content can be determined by rolling a soil sample between the hands. If <br /> it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. <br /> If the site is too wet to prepare, do not proceed until it dries. <br /> • Inspection of the private sewage system installation is required. Arrangements for inspection shall be <br /> made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. <br /> Stats. <br /> • A state approved effluent filter is required. Maintenance information must be given to the owner of the <br /> tank explaining that periodic cleaning of the filter is required. <br />