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Safety and Buildings <br /> 10541N RANCH ROAD <br /> commerce.wi.gov HAYWARD WI 54843 <br /> ■ TDD#:(608)264-8777 <br /> i sco n s i n www.commerce.wi.gov/sb/ <br /> Department of Commerce www.wisconsin.gov <br /> Jim Doyle,Governor <br /> Mary P.Burke,Secretary <br /> May 18,2005 <br /> CUST ID No.227691 ATTN:POWTS Inspector <br /> WADE A RUFSHOLM ZONING OFFICE <br /> 24702 LIND RD BURNETT COUNTY SPIA <br /> PO BOX 514 7410 CTH K#102 <br /> SIREN WI 54872 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 05/18/2007 Identification Numbers <br /> Transaction ID No. 1135153 <br /> SITE: Site ID No.698245 <br /> Joy Cipperiy Please refer to both identification numbers, <br /> Church Rd above,in all correspondence with theagency. <br /> Town of Trade Lake <br /> Burnett County <br /> Government Lot(S)3,S29,T37N,R18W <br /> FOR: Description: New mound,2 bedroom residence <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 1017535 <br /> Maintenance required; 300 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; <br /> System(s):Mound Component Manual-Version 2.0,SBD-10691-P(N.01/01) <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. The owner,as defined in Com <br /> chapter 101.01(10),Wisconsin Statutes, is responsible for compliance with all code requirements. <br /> No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, <br /> stats. RTM <br /> Of <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> General Approval Conditions: SEE GOF <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> design manuals noted above. <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 /> • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater <br /> particle size. Pursuant to outlet filter product approval stipulations,maintenance information must be given to <br /> the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening <br /> used to service the filter shall terminate at or above finished grade with a watertight cover. <br /> • The bottom of the distribution cell shall be level per the Mound Component Manual. The"D"dimension shall <br /> be a minimum of 18". The maximum finished slope of the mound surface shall be equal to or less than 3:1 <br /> per the Mound Component Manual. <br /> Note <br /> • This mound system is designed to have the up slope edge of the gravel on the 96.0' contour. See page 2, <br /> `contour line elevation'. This box specifically refers to the gravel cell.It is expected that the design work <br />