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��Q�ank£N Safety and Buildings <br /> 10541N RANCH ROAD <br /> /'0i 7 HAYWARD WI 54843 <br /> 3 L �S „. t Contact Through Relay <br /> j\ P www.dsps.wi.gov/sb/ <br /> www.wisconsin.gov <br /> �O 'ss�o�n�SG Scott Walker,Governor <br /> Dave Ross,Secretary <br /> June 19,2012 <br /> CUST ID No. 225851 ATTN:POWTS Inspector <br /> RICHARD HOPKINS ZONING OFFICE <br /> HOPKINS SAND&GRAVEL 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: 06/19/2014 Identification Numbers <br /> Transaction ID No.2094881 <br /> SITE: Site ID No. 780357 <br /> Mark Landis Please refer to both identification numbers, <br /> 3158 Kilstrom Rd above,in all correspondence with theagency. <br /> Town of Scott <br /> Burnett County <br /> , S19,T40N,RI 2W <br /> FOR: <br /> Description:Mound,3 bedroom residence <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1376329 <br /> Maintenance required; 450 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; System(s): <br /> Mound Component Manual-Version 2.0,SBD-1069 1-P(N.01/01),Pressure Distribution Component Manual-Version <br /> 2.0, SBD-10706-P(N.01101); Effluent Filter <br /> COI <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes �p <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 �jyy51C <br /> requirements. ,y <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 /> So <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 float switch shall be a type that does not contain mercury.2009 Wisconsin Act 44 prohibits the installation <br /> of float switches or relays that contain mercury. <br /> • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle <br /> size. Pursuant to outlet filter product approval stipulations,maintenance information must be given to the owner <br /> of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to <br /> service the filter shall terminate at or above finished grade with a watertight cover. <br /> Reminder <br /> 0 This mound is designed to be installed on a level site(less than 1%slope). <br />