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oEe�Tt DIVISION OF INDUSTRY SERVICES <br /> 3824 CREEKSIDE LN <br /> HOLMEN Wl 54636-9466 <br /> 3 S K Contact Through Relay <br /> 7A P s y http://dsps.wi.gov/programs/industry-services <br /> ho` www.wisconsin.gov <br /> S'SfON A15FQ= Scott Walker,Governor <br /> Dave Ross,Secretary <br /> April 01,2016 <br /> CUST ID No. 224059 ATTIC•POWYS Inspector <br /> KEITH E STONER ZONING OFFICE <br /> KEITH STONER SOIL TESTING SANITARY DESIGN BURNETT COUNTY SPIA <br /> 23220 WOODCREEK RD 7410 CTH K#102 <br /> SIREN WI 54872-8728 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES:04/01/2018 <br /> SITE: Identification Numbers <br /> John E Perno Transaction ID No.2686503 <br /> 12329 N Gabrielson Lake Rd Site ID No. 822377 <br /> Town of Trade Lake Please refer to both identification numbers, <br /> Burnett County above,in all correspondence with theagency. <br /> Gov't.lot 4,S32,T37N,RI 8W <br /> FOR: <br /> Description:Two Bedroom Mound System/9%slope <br /> Object Type:POWTS Component Manual Regulated Object IDNo.: 1593161 <br /> Maintenance required;Replacement system;300 GPD Flow rate; 25 in Soil minimum depth to limiting factor <br /> from original grade; System(s):Mound Component Manual-Ver.2.0,SBD-10691-P(N.01/01,R. 10/12), <br /> Pressure Distribution Component Manual-Ver.2.0,SBD-10706-P(N.01/01,R. 10/12);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. CONI <br /> The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code <br /> requirements. AF <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, DEPT Ol <br /> stats. <br /> PROFESSIi The following conditions shall be met during construction or installation and prior to occupancy or use: DIVISIONOF !(t <br /> Reminders <br /> • A sanitary permit must be obtained from the county where this project is located in accordance with the <br /> requirements of Sec. 145.19,Wis.Stats. 4 EE <br /> • Inspection of the private sewage system installation is required.Arrangements for inspection shall be made with <br /> the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis.Stats. <br /> • A state approved effluent filter is required.Maintenance information must be given to the owner of the tank <br /> explaining that periodic cleaning of the filter is required.Access to the filter for cleaning must be provided <br /> per SPS 384 product approval conditions. <br /> • The area within 15' downslope of the dispersal cell shall remain undisturbed.Vehicular traffic,excavation or <br /> soil compaction is prohibited in this area. <br /> • A copy of the approved plans specifications and this letter shall be on-site during construction and open to <br /> inspection by authorized representatives of the Department,which may include local inspectors. <br />