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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> commerceml.gov HAYWARD WI 54843 <br /> Contact Through Relay <br /> sconsin vww commerce sjn.go/ <br /> epartment of Commerce v\vdw.wisconsin.gov <br /> i <br /> Scott Walker,Governor <br /> Paul F.Jadin,Secretary <br /> May 05,2011 <br /> CUST ID No. 225851 ATTN:POWTS Inspector <br /> RICHARD HOPKINS ZONING OFFICE <br /> HOPKINS SAND&GRAVEL BURNETT COUNTY SPIA <br /> 27760 HWY 35 7410 CTH K#102 <br /> WEBSTER WI 54893 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 05/05/2013 Identification Numbers <br /> Transaction ID No. 1936233 <br /> SITE: Site ID No. 766764 <br /> Mary Scalzo Please refer to both identification numbers, <br /> Co Rd H above,in all correspondence with theagency. <br /> Town of Scott <br /> Burnett County <br /> , S21,T40N,R14W <br /> FOR: <br /> Description: Mound,2 bedroom residence <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 1312885 C6 <br /> Maintenance required; 300 GPD Flow rate; 42 in Soil minimum depth to limiting factor from original grade; System(s): AF <br /> Mound Component Manual-Version 2.0, SBD-10691-P(N.01/01),Pressure Distribution Component Manual-Version <br /> 2.0, SBD-10706-P(N.01/01); Effluent Filter <br /> 4 <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes k <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. S <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, <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 />