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o�vARTNr DIVISION OF INDUSTRY SERVICES <br /> y�� °� PO BOX 7162 <br /> 02 ) 9n MADISON WI 53707-7162 <br /> DS <br /> Contact Through Relay <br /> 9 p S hftp://dsps.wi.gov/programs/industry-services <br /> www.wisconsin.gov <br /> ° sSIONP�S� Scott Walker,Governor <br /> Dave Ross,Secretary <br /> July 14,2016 <br /> CUST ID No. 824339 ATTN:POWTS Inspector <br /> CORY JAMES JACKSON ZONING OFFICE <br /> JACKSON PLUMBING BURNETT COUNTY SPIA <br /> 9306 BLACK BROOK RD 7410 CTH K#102 <br /> WEBSTER WI 54893 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 07/14/2018 Identification Numbers <br /> Transaction ID No.2739127 <br /> SITE: Site ID No. 826469 <br /> Frederic and Marcia Altaffer Please refer to both identification numbers, <br /> 20528 Range Line Rd above, in all correspondence with theagency. <br /> Town of Trade Lake <br /> Burnett County <br /> NW1/4, SWI/4,S30,T37N,R18W <br /> FOR: <br /> Description:Three Bedroom Mound System/2%slope <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 1612728 <br /> Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System(s): <br /> Mound Component Manual-Ver.2.0,SBD-10691-P(N.01/01,R. 10/12),Pressure Distribution Component Manual- <br /> Ver.2.0,SBD-10706-P(N.01/01,R. 10/12); Effluent Filter <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 <br /> and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. <br /> The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code <br /> requirements. <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, CpNpv <br /> stats. APF <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: IDEPT OF <br /> Reminders PROFESS" <br /> • A sanitary permit must be obtained from the county where this project is located in accordance with the p1v1 <br /> O OF 11 <br /> requirements of Sec. 145.135 and 145.19,Wis.Stats. <br /> • Inspection of the private sewage system installation is required.Arrangements for inspection shall be made with <br /> the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis.Stats. CC <br /> • A state approved effluent filter is required.Maintenance information must be given to the owner of the tank <br /> E <br /> explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided <br /> per SPS 384 product approval conditions. <br /> • All POWTS component piping material shall be SPS 384,Wis.Adm.Code compliant. <br /> • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic,excavation or <br /> soil compaction is prohibited in this area. <br /> • A cony of the approved plans specifications and this letter shall be on-site during construction and open to <br /> inspection by uthorized representatives of the Department,which may include local inspectors. <br />