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otirPnT'gp DIVISION OF INDUSTRY SERVICES <br /> 5�C TOn 10541 N RANCH RD <br /> 2 ;� HAYWARD WI 54843-6462 <br /> 3 h q0 K Contact Through Relay <br /> p http://dsps.wi.gov/programs/industry-services <br /> www.wisconsin.gov <br /> S[ONPtiScott Walker,Governor <br /> Dave Ross,Secretary <br /> June 29,2016 <br /> CUST ID No. 851954 A7TN:POWTS Inspector <br /> ZONING OFFICE <br /> ROSS JEREMY TOLLANDER BURNETT COUNTY SPIA <br /> 27220 JAMISON RD 7410 CTH K#102 <br /> WEBSTER WI 54893 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 06/29/2018 Identification Numbers <br /> Transaction ID No.272813600 E,D <br /> SITE: Site ID No. 825601 PPRD �I A141 <br /> Tom Bussen Please refer to both identific oib Semi( <br /> 28575 N River Rd above, in all cones ondenc <br /> Town of union RotA of: %tA <br /> Burnett County <br /> ,S17,T40N, R 17 W <br /> FOR: <br /> Description: Mound,3 bedroom residence RPESPpNDEI <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 1608851 5 E GO <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-Ver.2.0, SBD-10691-P(N.01/01,R. 10/12),Pressure <br /> Distribution Component Manual-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 101.01(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 /> 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,the <br /> 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 /> • The bottom of the distribution cell shall be level per the Mound Component Manual. The"D"dimension shall <br /> be a minimum of 16". The maximum finished slope of the mound surface shall be equal to or less than 3:1 per <br /> the Mound Component Manual. <br /> • Care must be taken to preserve the bench mark during construction or reestablished prior to plowing. <br /> Reminder <br /> • The orientation of the mound system must be such that the longest dimension is oriented along the surface <br /> contour per SPS 383.44(6)(a)2. <br /> • Limit activities in the area 15'beyond the down slope edge of the mound per Mound Component Manual. <br />