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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> HAYWARD WI 54843 <br /> Contact Through Relay <br /> -� -1 <br /> P www.commerce.wi.gov/sb/ <br /> 1�yJ S J/ www.wisconsin.gov <br /> F <br /> Scott Walker,Governor <br /> Dave Ross,Secretary <br /> August 31,2011 <br /> CUST ID No. 232076 ATTN:POWTS Inspector <br /> ZONING OFFICE <br /> MARTY S SWERKSTROM BURNETT COUNTY SPIA <br /> PO BOX 114 - 7410 CTH K 9102 <br /> LUCK WI 54853 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 08/31/2013 Identification Numbers <br /> Transaction ID No. 1990921 <br /> SITE: Site ID No. 771100 <br /> Tony Kerschner Please refer to both identification numbers, <br /> 27000 CTY RD FF above,in all correspondence with the agency. <br /> Town of Lincoln <br /> Bumett County <br /> NWIA, SWI/4, Sl,T39N,R17W <br /> FOR: <br /> Description: Mound,2 bedroom residence <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 1332289 <br /> Maintenance required; 300 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; Systetn(*Sj.,-, <br /> Mound Component Manual-Version 2.0, SBD-10691-P(N.01/01),Pressure Distribution Component Manual-V+evo1( I'$1 <br /> 2.0, SBD-10706-P(N.01/01); Effluent Filter <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Code, 0.R�MEp1 of <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed 0SwEll <br /> and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. 90 / <br /> The owner, as defined in chapter 101.01(10),Wisconsin Statutes, is responsible for compliance with all code moi/ <br /> requirements. SEE GORPes <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 /> Key Item(s) <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,the <br /> owner must insure that the operation,maintenance and monitoring duties as described in section VIII of the <br /> mound component manual are complied with. A copy of this information must be given to the owner upon <br /> completion of the project. <br /> • The management plan/users manual must contain the telephone numbers of persons to contact in case of any <br /> component failure(generally the installer of the system and the county agency). <br /> • Care must be taken to preserve the bench mark during construction or establish a new bench mark with the <br /> elevation set to relate to the original bench mark. <br /> • The float switch shall be a type that does not contain mercury.2009 Wisconsin Act 44 prohibits the installation <br /> of float switches or relays that contain mercury. <br /> • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle <br /> size. Pursuant to outlet filter product approval stipulations,maintenance information must be given to the owner <br />