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Safety and Buildings <br /> commerce.wi.gov 10541N RANCH ROAD <br /> HAYWARD WI 54843 <br /> TDD#:(608)264-8777 <br /> i sco n s i n www.commeme.wi.gov/sb/ <br /> Department of Commerce www.wiswnsin.gov <br /> Jim Doyle,Governor <br /> February 14,2006 Mary P.Burke,Secretary <br /> CUST ID No. 227691 A777V.•POWTSInspector <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: 02/14/2008 Identification Numbers <br /> Transaction ED No.1239315 <br /> SITE: Site ID No. 709609 <br /> Gary Rhtts Please refer to both identification numbers, <br /> 2829 CTH A above,in all correspondence with theagency. <br /> Town of Scott <br /> Burnett County <br /> ,S20,T40N,R14W Lot: 11 & 17-21,Subdivision:Oak Lake Addn <br /> FOR: Description:New mound,3 bedroom residence <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1062363 <br /> Maintenance required; 450 GPD Flow rate; 31 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 <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner,as defined in <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. A <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> General Approval Conditions: <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE <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 mound distribution cell has been designed for 750 gpd,to allow for a possible future addition. The <br /> septic tank/pump tank and dose volume are designed to serve only a 3 bedroom residence. <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 /> Note <br /> • The changes made to this plan by this reviewer were discussed with and approved by the system designer. The <br /> designer wishes to use 1.25"diameter laterals with 1/8"orifices. <br />