2018/04/24 - SANITARY - SAN - Repl Mound <24" - SAN-18-19

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April 19, 2018 CUST ID No. 227691 WADE A RUFSHOLM 24702 LIND RD PO BOX 514 SIREN WI 54872-0514 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/19/2020 DIVISION OF INDUSTRY SERVICES 3824 CREEKSIDE LN HOLMEN WI 54636-9466 Contact Through Relay http://dsps.wi.gov/programs/industry-services www.wisconsin.gov AT YM POWTS Inspector ZONING OFFICE BURNETT COUNTY SPIA 7410 CTH K #102 SIREN WI 54872 Scott Walker, Governor Laura Gutierrez, Secretary SITE: Identification Numbers Terry Sheffler Transaction ID No. 3087946 8204 County Road D Site ID No. 848143 Town of Lincoln Please refer to both identification numbers, Burnett County above, in all correspondence with theagency. SEI/4, SEI/4, S24, T39N, R17W FOR: Description: Three Bedroom Mound System \ Sloping site Object Type: POWTS Component Manual Regulated Object ID No.: 1756675 Maintenance required; Replacement system; 450 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD -10706-P (N.01/01, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. CONDITK The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code r APPRC requirements. DEPT OF SA No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145KOFESSIONA stats. DIAW' 1ON OF INDU; The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders - • A sanitary permit must be obtained from the county where this project is located in accordance with th SEE CORRESF requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. Stats. • The existing POWTS shall be abandoned per SPS 383.33, Wis. Adm. Code. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • A conv of the aDDroved Dlans, specifications and this letter shall be on-site durine construction and oven to inspection by authorized- representatives of the Department, which may include local inspectors.