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OEQAATMFn.T <br /> Wisconsin Department of Safety and Professional Services Phone:608-266-2112 <br /> Division of Industry Services `e=4 Web:httn://dsps.wi.gov <br /> 4822 Madison Yards Way 3 ®! < Email:dsns(&wisconsin. oovv <br /> PO Box 7302 i <br /> Madison,Wl 53707 Tony Evers,Governor <br /> qv 5�c Dan Hereth,Secretary <br /> �ONAL <br /> May 2,2024 <br /> CUST ID NO.:227691 Identification Numbers <br /> WADE A RUFSHOLM Plan Review No.:PWTS-052400850-C <br /> PO BOX 514 Application No.:DIS-042418000 <br /> SIREN,WI 54872 Site ID No.:SIT-129752 <br /> Please refer to all identification numbers in each <br /> correspondence with the Department. <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES:05/02/2026 <br /> Conditionally <br /> MUNICIPALITY: APPROVED <br /> TOWN OF LA FOLLETTE DEPT.OF SAFETY AND PROFESSIONAL <br /> BURNETT COUNTY SERVICES <br /> DIVISION OF INDUSTRY SERVICES <br /> SITE: <br /> TROY MACK <br /> 24611 ANCHOR INN ROAD <br /> WEBSTER,WI 54893 <br /> LOT 1 CSM 5224 V29 PG 308 S5 T38N R15W,TOWN OF SEE CORRESPONDENCE <br /> LAFOLLETTE,BURNETT COUNTY,WI <br /> FOR: <br /> Design Wastewater Flow Value:450 Mound Component Manual-Version 2.1 (May 2022-2027) <br /> Bedrooms:3 <br /> Limiting Factor(s):28 inches <br /> Maintenance Required:Effluent Filter <br /> SITE REQUIREMENTS <br /> • A full size copy of the approved plans,specifications,and this letter shall be on-site during construction and open to inspection <br /> by authorized representatives of the Department,which may include local inspectors. A Department electronic stamp and <br /> signature shall be on the plans which are used at the job site for construction. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> This system is to be constructed and located in accordance with the approved plans,and the"Mound Component Manual for <br /> POWTS(Version 2.1),(May 2022-2027)". <br /> • The pressure network is to be constructed in accordance with publications"Pressure Distribution Component Manual for POWTS <br /> (Version 2.1);(May 2022-2027)"and/or the sizing methods of publication"SSWMP Publication 9.6 Design of Pressure <br /> Distribution Networks for ST-SAS(01/81)". <br /> • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. <br /> 145.19,Wis.Slats. <br /> • Prior to the construction of the dispersal area,check the moisture content of the soil to a depth of 8 inches.Proper soil moisture <br /> content can be determined by rolling a soil sample between the hands.If it rolls into a'/-inch wire,the site is too wet to prepare. <br /> If it crumbles,site preparation can proceed.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 made with the designated <br /> county official in accordance with the provisions of Sec. 145.20(2)(d),Wis.Slats. <br /> • A state-approved effluent filter is required.Maintenance information must be given to the owner of the tank explaining that <br /> periodic cleaning of the filter is required. <br /> • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 <br />