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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> HAYWARD WI 54843 <br /> risconsin TDD#:(608)264-8777 <br /> www.commerce.state.wi.us/sb <br /> Department of Commerce www.wisconsin.gov <br /> Scott McCallum,Governor <br /> Philip Edw.Albert,Secretary <br /> June 27,2002 <br /> CUST ID No.225851 ATTNr POWTS Inspector <br /> RICHARD HOPKINS ZONING OFFICE <br /> 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: 06/27/2004 Identification Numbers <br /> Transaction ID No.762449 <br /> SITE: Site ID No.646578 <br /> Dan Hegstrand Please refer to both identification numbers, <br /> Kilstrom Rd above,in all cones ondence with thea enc . <br /> Town of Scott <br /> Burnett County S 19,T40N,R14W <br /> FOR: Replacement mound, 450 GPD <br /> Object Type:POWT System Regulated Object ID No.: 857406 <br /> P.O.W.1 <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes ConditiO <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. R <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: p P MENT C <br /> General Approval Conditions: ul <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the t <br /> "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems"SBD-1069 1-P EEE CORREE <br /> (N.01/01)and the'Pressure Distribution Component Manual for Private Onsite Wastewater Treatment <br /> Systems"SBD-10706-P(N.01/01). <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 /> Reminder <br /> • This mound is designed to be installed on a level site. <br /> • Limit activities in the area 10' beyond the edge of the mound per Mound Component Manual. <br /> • Surface water drainage shall be diverted away from the system area per Mound Component Manual. <br /> • Materials shall conform to the requirements of COMM 84. <br /> • Abandon failing system per COMM 83.33. <br />