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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> HAYWARD WI 54843 <br /> 14sconsin <br /> TDD#:e.sta 264.8777 <br /> www.commer .sta[e.nsin.gov <br /> www.wisconsin.gov <br /> Department of Commerce <br /> Jim Doyle,Governor <br /> Cory L.Nettles,Secretary <br /> November 13,2003 <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 /> Identification Numbers <br /> PLAN APPROVAL EXPIRES: 11/13/2005 <br /> Transaction ID No.940055 <br /> SITE: Site ID No.668144 <br /> Phillip&Deborah Johnson Please refer to both identification numbers, <br /> 11552 N Shore Dr above,in all correspondence with the agency. <br /> Town of Wood River, 54840 <br /> Bumett County <br /> NEI/4,NW 1/4, S27,T38N,R18W <br /> FOR:Replacement mound,600 GPD <br /> Object Type:POWT System Regulated Object ID No.:929967 <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. The owner,as defined in P'o <br /> chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. colld <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: �P <br /> General Approval Conditions: - aE,? R M <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> Dt � <br /> "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-1069 1-P �/'' <br /> (N.01101)and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment <br /> Systems"SBD-10706-P(N.01/01). <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 <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 /> • 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 /> Reminder <br /> • This mound is designed to be installed on a level site. <br /> • Limit activities in the area 15'beyond the edges of the mound per Mound Component Manual. <br /> • Surface water drainage shall be diverted away from the system area per Mound Component Manual. <br /> • Materials shall conform to the requirements of COMM 84. <br />