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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> - HAYWARD WI 54843 <br /> ` TDD#:(608)264-8777 <br /> �seonsin www•commerc ..warn.iin.gov <br /> www.wiswnsin.gov <br /> Department of Commerce <br /> Scott McCallum,Governor <br /> Philip Edw.Albert,Secretary <br /> August 16,2002 <br /> CUST ID No.135655 ATTN.-POWTS Inspector <br /> ROBERT L CARLSON ZONING OFFICE <br /> CARLSON EXCAVATING&SEPTIC INC BURNETT COUNTY SPIA <br /> 3572 115 ST 7410 CTH K#102 <br /> FREDERIC WI 54837-4616 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 08/16/2004 Identification Numbers <br /> Transaction ID No.774098 <br /> SITE: Site ED No.648681 <br /> Jeremy Christianson Please refer to both identification numbers, <br /> Malone Rd above,in all correspondence with the agency. <br /> Town of La Follette <br /> BurnettCounty Government Lot(s)9, S19,T38N,R15W F <br /> FOR:New mound,450 GPD <br /> Object Type: POWT System Regulated Object ID No.: 864012 coi <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes r <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner,as defired in PART <br /> chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> General Approval Conditions: SEE CC <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10691-P <br /> (N.01/01)and.SSWMP Publication 9.6,"Design Of Pressurized Distribution Networks For Septic Tank-Soil <br /> Absorption Systems." <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 /> • A Sanitary Permit must be obtained from the county where this project is located in accordance with the <br /> requirements of Sec. 145.135 and 145.19,Wis. Stats. <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 /> • The maintenance plan for this system must be given to the owner of the POWTS. <br /> Key Item(s) <br /> • Per Mound Component Manual,ver.2, the area 10'on each side of the mound's basal area must be kept free <br /> of vehicular traffic if there is lateral movement of the effluent. Note that the grassy trail should not be allowed <br /> to cause compaction or interfere with dispersal in that area. <br />