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a <br /> NTN�o1PT DIVISION OF INDUSTRY SERVICES <br /> 10541 N RANCH RD <br /> $ HAYWARD WI 54843-6462 <br /> -. <br /> Contact Through Relay <br /> http://dsps.wi.gov/programs/industry-services <br /> www.wisconsin.gov <br /> �O�ssror ntisw� Scott Walker,Governor <br /> Dave Ross,Secretary <br /> May 24,2016 <br /> CUST ID No. 253808 ATTN:PO WTS Inspector <br /> DANIEL N BURCH ZONING OFFICE <br /> BURCH PLUMBING BURNETT COUNTY SPIA <br /> N5921 COUNTY HIGHWAY K 7410 CTH K 4102 <br /> SPOONER WI 54801-8411 SIREN W1 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 05/24/2018 Identification Numbers <br /> Transaction ID No.2711670 <br /> SITE: Site ID No. 824300 <br /> Leroy Olheiser Please refer to both identification numbers, <br /> 22712 Pavlich Rd above,in all correspondence with the a enc . <br /> Town of La Follette <br /> Burnett County <br /> Government Lot(S)4, S31,T38N,R15W <br /> FOR: <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1602526 <br /> Maintenance required; 150 GPD Flow rate; 12 in Soil minimum depth to limiting factor from original grade; System(s): <br /> Mound Component Manual-Ver.2.0, SBD-10691-P(N.01/01,R. 10/12),Pressure Distribution Component Manual- <br /> Ver.2.0, SBD-10706-P(N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter <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 10 1.01(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 /> In the future please provide a separate plot plan for both the soil evaluation report and the <br /> system design. Thanks. <br /> New well must meet all minimum setbacks, <br /> Reminders <br /> • Pursuant to outlet filter product approval stipulations,maintenance information must be given to the owner of <br /> 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 /> A copy of the approved plans, specifications and this letter shall be on-site during construction and open to <br /> inspection by authorized representatives of the Department,which may include local inspectors. All permits <br /> required by the state or the local municipality shall be obtained prior to commencement of <br /> construction/instal lation/operation. <br /> In granting this approval the Division of Industry Services reserves the right to require changes or additions should <br /> conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review <br /> shall relieve the designer of the responsibility for designing a safe building, structure,or component. <br />