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• Wisconsin Department of Safety and Professional Services yam' °.o Phone:608-266-2112 <br /> Division of Industry Services 10 Web:http://dsps.wi.gov <br /> Email:dsps(a,wisconsin.gov <br /> 4822 Madison Yards Way 3 - <br /> Madison,WI 53705 <br /> 7 <br /> 16 Tony Evers,Governor <br /> sDan Hereth,Secretary <br /> •aNI°NA,- <br /> July 10,2025 <br /> CUST ID NO.: 851954 Identification Numbers • <br /> ROSS JEREMY TOLLANDER Plan Review No.:PWTS-072501441-C <br /> 6881 AUSTIN LAKE RD Application No.:DIS-062527583 <br /> WEBSTER,WI 54893 Site ID No.: SIT-147416 <br /> Please refer to all identification numbers in each <br /> correspondence with the Department. <br /> CONDITIONAL APPROVAL <br /> Conditionally <br /> APPROVED <br /> PLAN APPROVAL EXPIRES:07/10/2027 DEPT.OF SAFETY AND PROFESSIONAL <br /> SERVICES <br /> D SION OF I TRY SERVICES <br /> MUNICIPALITY: <br /> TOWN OF MEENON <br /> BURNETT COUNTY <br /> SEE CORRESPOND CE <br /> 07/10/2025 <br /> SITE: <br /> JESSE LANDRY MOUND SYSTEM <br /> 6174 NORTH BASS LAKE RD <br /> WEBSTER,WI 54893 <br /> SEC. 13 T39N R16W <br /> FOR: <br /> Design Wastewater Flow Value: 450 Mound Component Manual-Version 2.1 (May 2022-2027) <br /> Bedrooms:3 Pressure Distribution Component Manual-Version 2.1 (May 2022-2027) <br /> Limiting Factor(s):30 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 /> • 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.Stats. <br /> • Inspection of the private sewage system installation is required.Arrangements for inspection shall be made with the <br /> designated county official in accordance with the provisions of Sec.145.20(2)(d),Wis.Stats. <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 /> • Insulate building sewer beyond 30 feet per SPS 382.30(11)(c) <br /> • Well setbacks to meet chs.NR 811 &812 <br /> • Verify property line(s)prior to installation. <br /> • Pump Floats to be set and verified per the approved plan. <br /> OWNER RESPONSIBILITIES <br /> • The current owner,and each subsequent owner,shall receive a copy of this letter including instructions relating to proper use <br /> and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or <br /> owner's manual for the POWTS described in this approval and Wis.Admin.Code&SPS 383.54(1). <br />