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Safety and Buildings <br /> 10541N RANCH ROAD <br /> commerceml.gov HAYWARD WI 54843 <br /> TDD#:(608)264-8777 <br /> isco n s i n www•commerce.w1.govlsbl <br /> Department of Commerce www.wiswnsin.gov <br /> Jim Doyle,Governor <br /> Mary P.Burke,Secretary <br /> October 06,2005 <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 CTE K#102 <br /> SIREN WI 54872 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 10/06/2007 Identification Numbers <br /> Transaction ID No. 1199160 <br /> SITE: Site ID No. 705129 <br /> Jim Harrison Please refer to both identification numbers, <br /> 4TH Ave above,in all correspondence with theagency. <br /> Town of Swiss <br /> Burnett County <br /> ,S28,T41N,R16W Lot: 3 <br /> FOR: Description:New mound,3 bedroom residence <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1041822 <br /> Maintenance required; 450 GPD Flow rate; 31 in Soil minimum depth to limiting factor from original grade; P' <br /> System(s):Mound Component Manual-Version 2.0,SBD-10691-P(N.01101) f! <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes n I <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner,as defined in vt <br /> chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. N+ <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 /> SEE <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> General Approval Conditions: <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> design manuals noted above. <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 planus 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 /> Key Item(s) <br /> • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater <br /> particle size. Pursuant to outlet filter product approval stipulations,maintenance information must be given to <br /> the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening <br /> used to service the filter shall terminate at or above finished grade with a watertight cover. <br /> • If the force main is to be installed in the downslope area(see plot plan).The trench for the force main may not <br /> be wider than 12 inches per Mound Component Manual. <br /> Reminder <br /> • The orientation of the mound system must be such that the longest dimension is oriented along the surface <br /> contour per COMM 83.44(6)(a)2. <br />