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2005/04/05 - SANITARY - SAN - Other
Burnett-County
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TOWN OF TRADE LAKE
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23879
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2005/04/05 - SANITARY - SAN - Other
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Last modified
3/5/2020 4:01:22 PM
Creation date
10/6/2017 9:02:30 AM
Metadata
Fields
Template:
Property Files v2
Document Date
4/5/2005
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
Tax ID
23879
Pin Number
07-034-2-37-18-23-5 05-001-012500
Legacy Pin
034152301802
Municipality
TOWN OF TRADE LAKE
Owner Name
TIMOTHY & DAWN JACOBSEN
Property Address
21015 JACOBSEN DR
City
FREDERIC
State
WI
Zip
54837
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Safety and Buildings <br /> 10541N RANCH ROAD <br /> commerce.wi.gov HAYWARD WI 54843 <br /> ■ ■ TDD#:(608)264-8777 <br /> scon s'n www.commerce.state.wi.us/sb <br /> Department of Commerce <br /> www.wisconsin.gov <br /> Jim Doyle,Governor <br /> Cory L.Nettles,Secretary <br /> June 29,2004 <br /> CUST ID No.224059 ATTIC•POWTS Inspector <br /> ZONING OFFICE <br /> KEITH E STONER BURNETT COUNTY SPIA <br /> 23220 WOOD CREEK RD 7410 CTH K#102 <br /> SIREN WI 54872 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL-EXPIRES: 06/29/2006 Identification Numbers <br /> Transaction ID No. 1013444 <br /> SITE: Site ED No.685362 <br /> Tim Jacobsen Please refer to both identification numbers, <br /> Pine Lake Rd above;in all correspondence with the agency. <br /> Town of Trade Lake <br /> Burnett County <br /> Government Lot(s)2, S23,T37N,R18W <br /> FOR:Description: New mound,3 bedroom residence <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 965000 <br /> Maintenance required; 450 GPD Flow rate; 30 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)and SSWMP Publication 9.6 Design of <br /> Pressure Distribution Networks for ST-SAS(01/81)" <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 'P.O.V1 <br /> chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. conditi <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 /> ;,F°GI FNT <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: r)f SAFI <br /> General Approval Conditions: <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <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 tank access openings shall be per Comm 84.25(7). <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 /> Reminder <br /> • The orientation of the mound system must be such that the longest dimension is oriented along the surface <br /> contour per COMM 83.44(6)(a)2. <br />
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