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AF Safety and Buildings <br /> e4;1.on <br /> 10541N RANCH ROAD <br /> SI// HAYWARD WI 54843 <br /> partment D1' Commerce TDD#:(608]264-8777 <br /> www.commerce.state.wi.us/sb <br /> www.wir;consin.gov <br /> Scott McCallum,Governor <br /> PhillP Edw.Albert,Secreta <br /> April 2002 ry <br /> CUST ID No•227691 <br /> WADE A RUFSHOLM ATTN. P0WTS Inspector <br /> 24702 LIND RD ZONING OFFICE <br /> PO BOX 514 BURNETT <br /> SIREN WI 54872 7410 CO UNTY SPIA <br /> CTH K#102 <br /> CONDITIONAL APPROVAL SIREN WI 54872 <br /> PLAN APPROVAL EXPIRES:04/04/2004 <br /> SITE: Am <br /> tification Numbers <br /> No.721343Kent Westberg 7889847 Kempf both identification numbers, <br /> Town of Daniels es ondence with thea enc . <br /> Burnett County <br /> SWI/4,NEI/41 S20,T38N,R17W <br /> FOR:New mound,450 GPD <br /> Object Type:POWT System Regulated Object ID No.: 835281 <br /> The submittal described above has been reviewed for conformance <br /> and Wisconsin Statutes. The submittal has been CO with <br /> chapter 101.01 10 applicable W]sconsin Administrative P.O.V <br /> ( ), Wisconsin Statutes,is responsibNDI complianceoLwith cone requirements. Tiein Codes <br /> The following conditions shall S met Burin coThe owner,as defined in Condit <br /> General A g construction or installation and prior to Occupancy Or use: ■ ' <br /> Approval Conditions: <br /> • This system is to be constructed and located in accordance with PARTMElf <br /> "Mound Component Manual for Septic T nl <br /> "Mound and SS P Tank Effluent for Private Ons to Wed approved plans and with the <br /> WMP Publication 9.6, "Design Of Pressurized Distribution NetworksForSep B Ta -Soil <br /> Absorption Systems." 1069 SEE COW <br /> tic <br /> • In the event this soil absorption system or any of its component <br /> hazard,the property owner must follow the contingency parts malfunctions so as to create a health <br /> the owner must insure that the Operation, <br /> the mound component manual a co maintenance and lmonitoring duties as described insec <br /> roved plans.In addition, <br /> completion of the project. complied with.A copy of this information must be given to the o VIII of <br /> • A Sanitary Permit must be obtained wirer upon <br /> requirements of Sec. 145.135 and 145.9 the county where this project is located in accordance with the <br /> • , Wis. stars. <br /> Inspection of the private sewage system installation is required,Arrangements for inspection shall <br /> the designated county Official in accordance with the Provisions of Sec. 145.20 2 d <br /> • The maintenance plan for this system must be P ( )( ) Wis. Stars. be made with <br /> Note given to the owner of the POWTS. <br /> • The designer proposes to install a state a <br /> t Of Wastewater <br /> size. Pursuant to outlet filter product a approve outlet filter to achieve the re <br /> of the PO WTS explaining approvalstipulations,oth maintenance informationnmu t be given to Particle <br /> the owner <br /> g that periodic cleaning of the septic tank outlet filter is required. The access opening <br /> used to service the filter shall terminate at or above finished grade with a watertight cover. <br />