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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> Ivisconsin <br /> DO#:(6 D WI 54843 <br /> -8777TDD#:(608)264-8777 <br /> 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 31,2002 <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: 05/31/2004 Identification Numbers <br /> Transaction ID No.754227 <br /> SITE: Site ID No.645394 <br /> Ed Schmidt Please refer to both identification numbers, <br /> 28940 Treasure Island Rd above,in all correspondence with theagency. <br /> Town of Jackson,54830 <br /> Burnett County S12,T40N,R15W P.0 <br /> FOR:Replacement mound,300 GPD Collif <br /> Object Type:POWT System Regulated Object ID No.: 853853 <br /> r� <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes <br /> pRIf <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner,as defined in <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: t <br /> --7 SES G <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-10691-P <br /> (N.01/01)and the 'Pressure Distribution Component Manual for Private Onsite Wastewater Treatment <br /> Systems" SBD-10706-P(N.01/O1). <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 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 />