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oEy rigs DIVISION OF INDUSTRY SERVICES <br /> Fs To 10541 N RANCH RD <br /> HAYWARD WI 54843-6462 <br /> 3 j Sa � Contact Through Relay <br /> http://dsps.w.g ovprogra <br /> i / ms/industry-sery ices <br /> 9y' p www.wisconsin.gov <br /> AAO�SSION AVSD Scott Walker,Governor <br /> Dave Ross,Secretary <br /> September 09,2016 <br /> CUST ID No. 227691 ATTN:POWTS Inspector <br /> WADE A RUFSHOLM ZONING OFFICE <br /> 24702 LIND RD BURNETT COUNTY SPIA <br /> PO BOX 514 7410 CTH K#102 <br /> SIREN WI 54872-0514 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 09/09/2018 Identification Numbers <br /> Transaction ID No.2765631 <br /> SITE: Site ID No. 828271 <br /> Northwest Passage Please refer to both identification numbers, <br /> 7417 N Bass Lake Rd above, in all correspondence with theagency. CON <br /> Town of Meenon Al <br /> Burnett County DEPT C <br /> NEIA,NEI/4,S20,T39N, R16W <br /> FOR: PROFESS <br /> Description: Mound, 13 employees,designed to accept 450 gallons per day DIVISION OF <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 1619566 <br /> Maintenance required; Replacement system; 195 GPD Flow rate; 18 in Soil minimum depth to limiting factor from <br /> original grade; System(s): Mound Component Manual-Ver.2.0, SBD-10691-P(N.01/01,R. 10/12),Pressure:L 6EC <br /> Distribution Component Manual-Ver.2.0, SBD-10706-P(N.01/01,R. 10/12),SSWMP Pub. 9.6; Effluent Fi <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, <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 /> • This approval does not include plans for the general plumbing systems or sewer piping leading to the <br /> septic/holding tank that may be required for this project. See section SPS 382.20,Wis.Adm.Code,to <br /> determine if plan submittal and approval is required. <br /> • The plumbing for this project discharges to a private sewage system. The approval covers only <br /> domestic/sanitary wastes directed into this system. The Department of Natural Resources(WDNR)must be <br /> contacted regarding the treatment and disposal of all industrial wastes, including those combined with <br /> domestic/sanitary wastes. <br />