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Safety and Buildings <br /> commerceml.gov 10541N RANCH ROAD <br /> HAYWARD WI 54843 <br /> i sco ns i n Contact Through Relay <br /> www.com merce.wi.govlsbl <br /> Department of Commerce www.wisconsin.gov <br /> Jim Doyle,Governor <br /> Richard J.Leinenkugel,Secretary <br /> May 18,2009 <br /> CUST ID No. 225229 ATTN:POWTS Inspector <br /> NELS D KOERPER ZONING OFFICE <br /> CENTRAL PLUMBING AND HEATING BURNETT COUNTY SPIA <br /> 7845 CTY RD D 7410 CTH K#102 <br /> WEBSTER WI 54893 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 05/18/2011 Identification Numbers <br /> ffTrans <br /> action ID No. 1665115 <br /> SITE: ID No. 747675 <br /> Luella Smith Please refer to both identification numbers, <br /> 7692 Fairgrounds Rd above,in all cones ondence with thea enc . <br /> Town of Meenon <br /> Burnett County <br /> SEI/4, SWI/4, S8, T39N, R16W <br /> FOR: <br /> Description:Mound,3 bedroom residence <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1225363 <br /> Maintenance required; Replacement system; 450 GPD Flow rate; 20 in Soil minimum depth to limiting factor from <br /> original grade; System(s): Mound Component Manual-Version 2.0,SBD-10691-P(N.01/01),Pressure Distribution <br /> Component Manual-Version 2.0, SBD-10706-P(N.01/01) <br /> P.0� <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes C OOcfi.d <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be <br /> constructed and located in accordance with the enclosed approved plans and with any component manual(s) vAFt"I <br /> referenced above.The owner, as defined in chapter 101.01(10),Wisconsin Statutes, is responsible for compliance Dr FSPf <br /> with all code 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 /> SEE COAT <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> Key Item(s) <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 the <br /> 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 copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file <br /> with the Department. Changes to the approved plan must be submitted for review and approval. Failure to <br /> properly attach the approval and index page to plans that match the copy on file with the Department may result <br /> in enforcement action under s, 145.10, Stats. <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 PO WTS 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 /> Reminder <br />