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QEtMT�rgy. DIVISION OF INDUSTRY SERVICES <br /> o 3824 N CREEKSIDE IA <br /> )+ HOLMEN WI 54636 <br /> t 0 S t5 Contact Through Relay <br /> wwvoewisconsi ,gov <br /> s� vrww.wisconsin.gov <br /> AOF£esrot'slyp Scott Walker,Governor <br /> Dave Ross,Secretary <br /> June 26,2013 - <br /> CUST ID No. 227691 A7TV. PO N'TS lnspec(or <br /> ZONING OFFICE <br /> WADE A RUFSHOLM BORNE.IT COUNTY SPIA <br /> 24702 LIND RD PO BOX 514 7410 CTH K 4102 <br /> SIREN WI 54872 SIRENAT54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 06/26/2015 - <br /> SITE: Identification Numbers- <br /> Wilkie <br /> umbersWilkie Petersen Transaction fD No.2258542 <br /> 26456Old Hwy35 Site IDNo. 791527 <br /> Town ofMeenon, 54893 Please_ refertoboth identification numbers,, <br /> Barnett County above,in all curies undine with thea enc (. <br /> SWI/4, S W 1/4, S8,T39N,R16 W <br /> FOR: <br /> Description: Two Bedroom Mound System/ 1%slope <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 1433174 <br /> Maintenance required; Replacement system; 300 GPD Flow rate; 27 in Soil minimum depth to limiting factor from <br /> original grade; System(s):Mound Component Manual-Ver.2.0, SBD-10691-P(N.OI/01, R. 10/12),Pressure <br /> Distribution Component Manual-Ver.2.0,SBD-10706-P(N.01/01,R. 10/12),SSWMP Pub.9.6; 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 CON <br /> and located in accordance with the enclosed approved plans and with any component manuals)referenced above. <br /> The owner,as defiled in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code DEQ� <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.145.06 PROFESS <br /> stats. DIVISIOKOF <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> Reminders - <br /> • A sanitary permit most be obtained from the county where this project is located in accordance with the .SEE <br /> requirements of See.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 /> • A state approved effluent filter is required. Maintenance htfomtation must be given to the owner of the took <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 /> • All POWTS component piping material shall be SPS 384,Wis.Adm. Code compliant. <br /> • The area within 15' downslope of the dispersal cell shall remain undisturbed.Vehicular tralLc,excavation or soil <br /> compaction is prohibited in this area. <br /> • A copy of the anuroved plans snec'ficetions and this letter shall be on-site d>aipe construction and open to <br /> inspection by authorized representatives of the Denartment which may include local inspectors <br />