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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> Ivisconsin <br /> DD#:(6 D WI 54843 <br /> -8777 TDD#:(608)www.commerce.state.wi.us/sb www.commerce.state.wi.us/sb <br /> www.wisconsin.gov <br /> Department of Commerce <br /> Scott McCallum,Governor <br /> Philip Edw.Albert,Secretary <br /> May 02,2002 <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 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 05/02/2004 Identification Numbers <br /> Transaction ID No.729301 <br /> SITE: Site ID No.643708 <br /> Robert Smith Please refer to both identification numbers, <br /> 24404 Poquette Lake Rd above,in all correspondence with theagency. <br /> Town of Dewey,54871 <br /> Burnett County <br /> SEI/4,SE1/4,S3,T38N,R14W f? <br /> FOR: New mound,450 GPD Con <br /> Object Type:POWT System Regulated Object ID No.: 848617 <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes ^°4 <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner,as defined in ARTM <br /> chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: -- --- <br /> � CpF <br /> General Approval Conditions: <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems"SBD-1069 1-P <br /> (N.01101)and SSWMP Publication 9.6,"Design Of Pressurized Distribution Networks For Septic Tank-Soil <br /> Absorption Systems." <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, <br /> the owner must insure that the operation,maintenance and monitoring duties as described in section VIII of <br /> the mound component manual are complied with.A copy of this information must be given to the owner upon <br /> completion of the project. <br /> • A Sanitary Permit must be obtained from the county where this project is located in accordance with the <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. <br /> • The maintenance plan for this system must be given to the owner of the POWTS. <br /> Note <br /> • The revised soil test plot plan on which this approval is based shall be recorded with the original soil test. <br /> • The designer proposes to install a state approve outlet 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 septic tank outlet filter is required. The access opening <br /> used to service the filter shall terminate at or above finished grade with a watertight cover. <br />