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FpMrn¢o DIVISION OF INDUSTRY SERVICES <br /> 2� Tp 10541N RANCH ROAD <br /> 02 14 s HAYWARD WI 54843 <br /> 0 ,F Contact Through Relay <br /> t r•sS ' www.dspsmi.govlsb/ <br /> z- Pis v www.wlsconsln.gov <br /> �na,ron 5 <br /> Scott Walker,Governor <br /> Dave Ross,Secretary <br /> November 13,2013 <br /> CUST ID No. 227691 A7TN:POWTS Inspector <br /> ZONING OFFICE <br /> WADE A RUFSHOLM BURNETT COUNTY SPIA <br /> 24702 LIND RD PO BOX 514 7410 CTH K 4102 <br /> SIREN WI 54872 SIREN WI 54872 <br /> CONDITIONAL APPROVAL Identification Numbers <br /> PLAN APPROVAL EXPIRES: 11/13/2015 Transaction ID No.2331508 <br /> SITE: Site ID No. 797610 <br /> Robert Stellrechl Please refer to both identification numbers, <br /> 22905 Wood Lake Or above,in all correspondence with the agenc . <br /> Town of Wood River <br /> Burnett County <br /> Government Lot(S)6,S25,T38N, RI SW <br /> FOR: <br /> Description:Mound,3 bedroom residence <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1458323 <br /> Maintenance required; 450 GPD Flaw rate; 20 in Soil minimum depth to limiting factor from original grade; System(tONDr <br /> Mound Component Manual-Ver. 2.0, SBD-10691-P(N.01/0l,R. 10/12),Pressure Distribution Component Manual- APF <br /> Ver.2.0, SBD-10706-P(N.01/01,R. 10/12),SSWMP Pub.9.6; Effluent Filter <br /> DEPT OF <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes PROFESS(( <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constmuc'edfs'O F lb <br /> tend located in accordance with the enclosed approved plans and with any component manual(s)referenced lc" v� <br /> The owner,as defined in chapter IOLOI(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.145.0��� <br /> stats. <br /> SEE COI <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 pans 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 ofthe <br /> mound component manual are complied with. A copy ofthis information must be given to the owner upon <br /> completion of the project. <br /> Note <br /> • The dose volume has been adjusted to <br /> oaccommodate a longer force main as shown on the designer's plot plan. <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 /> • Surface water drainage shall be diverted away from the system area per Mound Component Manual. <br />