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Ax�tit�t, DIVISION OF INDUSTRY SERVICES <br /> 10541N RANCH ROAD <br /> \9 HAYWARD WI 54843 <br /> Contact Through Relay <br /> http://dsps.wi.gov/programs/industry-services <br /> 17' ^ www.wisconsin.gov <br /> fssiovN Scott Walker, Governor <br /> Dave Ross,Secretary <br /> September 15,2015 <br /> CUST ID No. 227691 AT'TN.•POWTS Inspector <br /> ZONING OFFICE <br /> WADE A RUFSHOLM BURNETT COUNTY SPIA <br /> 24702 LIND RD PO BOX 514 7410 CTH K#102 <br /> SIREN WI 54872 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 09/15/2017 Identification Numbers <br /> Transaction ID No.2603377 <br /> SITE: Site ID No. 817014 <br /> Andy Schocnke Please refer to both identification numbers, <br /> 28416 Fontaine Rd above,in all correspondence with the agency. <br /> Town of Scott <br /> Burnett County <br /> Government Lot(S)8, S18,T40N,R14W <br /> FOR: <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1555016 <br /> Maintenance required; Replacement system; 450 GPD Flow rate; 16 in Soil minimum depth to limiting factor from <br /> original grade; System(s): Mound Component Manual-Ver.2.0, SBD -10691-P(N.01/01,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 <br /> and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. <br /> The owner,as defined in chapter 101.0 1(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.145,06, <br /> stats. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> The bottom of the distribution cell shall be level per the Mound Component Manual. The"D"dimension <br /> shall be a minimum of 20 inches. The maximum finished slope of the mound surface shall not have a slope <br /> ratio steeper than 3:1 per the Mound Component Manual. <br /> A copy of the approved plans,specifications and this letter shall be on-site during construction and open to <br /> inspection by authorized representatives of the Department,which may include local inspectors. All permits <br /> required by the state or the local municipality shall be obtained prior to commencement of <br /> construction/installation/operation. <br /> In granting this approval the Division of Industry Services reserves the right to require changes or additions should <br /> conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review <br /> shall relieve the designer of the responsibility for designing a safe building,structure,or component. <br /> Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address <br /> on this letterhead. <br /> The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any <br /> others who are responsible for the installation,operation or maintenance of the POWTS. <br />