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2y`�oerPnTT DIVISION OF INDUSTRY SERVICES <br /> on 10541 N RANCH RD <br /> HAYWARD WI 54843-6462 <br /> 3 ! s Contact Through Relay <br /> s� P S' N hftp://dsps.wi.gov/programs/industry-services <br /> www.wisconsin.gov <br /> A� SSIONPVScott Walker,Governor <br /> Dave Ross,Secretary <br /> February 22,2016 <br /> CUST ID No. 227691 A777V: POWTS Inspector <br /> WADE A RUFSHOLM ZONING OFFICE <br /> 24702 LIND RD BURNETT COUNTY SPIA <br /> PO BOX 514 7410 CTH K#102 <br /> SIREN WI 54872-0514 SIREN WI 54872 <br /> CONDITIONAL APPROVAL Identification Numbers <br /> PLAN APPROVAL EXPIRES: 02/22/2018 <br /> Transaction ID No.2672093 <br /> SITE: Site ID No. 821364 <br /> RobertSavage Please refer to both identification numbers, <br /> Grover Pt above,in all correspondence with theagency. <br /> Town of Union <br /> Burnett County <br /> Government Lot(S)5, S23,T40N,R17W <br /> FOR: <br /> Description: Mound,3 bedroom residence <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 1587646 <br /> Maintenance required; 450 GPD Flow rate; 31 in Soil minimum depth to limiting factor from original grade; System(s): <br /> Mound Component Manual-Ver.2.0, SBD-10691-P(N.01/01,R. 10/12), Pressure Distribution Component Manual- COND <br /> Ver.2.0,SBD-10706-P(N.01/01,R. 10/12),SSWMP Pub.9.6; Effluent Filter AP' <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes DEPT OF <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed PROFESSII <br /> and located in accordance with the enclosed approved plans and with any component manual(s)referenced abovblVISION OF Its <br /> The owner,as defined in chapter 101.01(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 /> SEE COR <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 /> • See corrections in red on the plan. <br /> Reminder <br /> • The orientation of the mound system must be such that the longest dimension is oriented along the surface <br /> contour per SPS 383.44(6)(a)2. <br /> • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. <br /> • Surface water drainage shall be diverted away from the system area per Mound Component Manual. <br /> • Materials shall conform to the requirements of SPS 384. <br />