2002/04/22 - SANITARY - SAN - Other

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Safety and Buildings 10541 N RANCH ROAD Ivisconsin DD#:(6 8 WI -87774843 TDD#:(608)264-8777 www.commerce.state.wi:us/sb www.wisconsin.gov Department of Commerce Scott McCallum,Governor Philip Edw.Albert,Acting Secretary December 19,2001 CUST ID No.227691 A7TN: POWTS Inspector WADE A RUFSHOLM ZONING OFFICE 24702 LIND RD BURNETT COUNTY SPIA PO BOX 514 7410 CTH K#102 SIREN WI 54872 SIREN WI 54872 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/19/2003 Identification Numbers Transaction ID No. 692906 SITE: Site ID No.177016 Dan Hischer Please refer to both identification numbers, Co Rd E above,in all correspondence with theagency. Town of Scott,54893 p Burnett County C011dit S26,T40N,R14W Lot: 1, FOR: Replacement mound,150 GPD APPP Object Type:POWT System Regulated Object ID No.: 823081 �Ep TMENt DIV The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner,as defined in F chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. SEE GOR The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10691-P (N.01/01)and SSWMP Publication 9.6,"Design Of Pressurized Distribution Networks For Septic Tank-Soil Absorption Systems." • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard,the property owner must follow the contingency plan as described in the approved plans.In addition, the owner must insure that the operation,maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19,Wis. Stats. • Inspection of the private sewage system installation is required.Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis. Stats. • The maintenance plan for this system must be given to the owner of the POWTS. Site Specific Conditions: • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual.