2010/10/04 - SANITARY - SAN - Other - 34601

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Safety and Buildings 10541 N RANCH ROAD commercemi.gov HAYWARD WI 54843 Contact Through Relay isconsin www commerce o sin.go/ Department of Commerce www.Nisconsin.gov Jim Doyle, Governor Aaron Olver,Secretary September 30,2010 CUST ID No. 227691 ATTN:POWTS Inspector WADE A RUFSHOLM ZONING OFFICE 24702 LIND RD BURNETT COUNTY SPIA PO BOX 514 7410 CTH K#102 SIREN WI 54872 SIREN WI 54872 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/30/2012 Identification Numbers Transaction ID No. 1858742 SITE: Site ID No. 760375 Robert Fossum Please refer to both identification numbers, 10424 St Rd 70 above, in all correspondence with theagency. Town of Daniels Burnett County SETA, SWIA, S18,T38N,R17W FOR: P.O A Description: Mound,3 bedroom residence Condit Object Type: POWTS Component Manual Regulated Object ID No.: 1281678 ^ n n Maintenance required; Replacement system; 450 GPD Flow rate; 25 in Soil minimum depth to limiting factor fro P r n original grade; System(s): Mound Component Manual-Version 2.0, SBD-10691-P(N.01/01), SSWMP Pub. 9.6; DEPARTMENI Effluent Filter 51 SAA y The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constru ed SEE CORRI and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. The owner, as defined in chapter 101.01(10),Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard,the property owner must follow the contingency plan as described in the approved plans.In addition,the owner must insure that the operation,maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The gravel cell shall be"centered within the mound. • The bottom of the distribution cell shall be level per the Mound Component Manual. The"D" dimension shall be a minimum of l l". The maximum finished slope of the mound surface shall not have a slope ratio steeper than 3:1 per the Mound Component Manual • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations,maintenance information must be given to the owner of the PO WTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover.