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o1P <br />DIVISION OF INDUSTRY SERVICES <br />0 <br />2331 SAN LUIS PL STE 150 <br />9� <br />GREEN BAY WI 54304-5211 <br />3 I\DsK <br />y \ Ps <br />Contact Through Relay <br />http://dsps.wi.gov/programs/industry-services <br />lll_ <br />www.wisconsin.gov <br />SSION <br />Scott Walker, Governor <br />Laura Gutierrez, Secretary <br />June 19, 2018 <br />CUST ID No. 227691 <br />WADE A RUFSHOLM <br />24702 LIND RD <br />PO BOX 514 <br />SIREN WI 54872-0514 <br />CONDITIONAL APPROVAL <br />PLAN APPROVAL EXPIRES: 06/19/2020 <br />SITE: <br />Doug Thompson <br />7150 S Devils Lk Dr <br />Town of Oakland <br />Burnett County <br />, S33, T40N, R16W <br />Lot: 1, <br />ATTN: POWTS Inspector <br />ZONING OFFICE <br />BURNETT COUNTY SPIA <br />7410 CTH K #102 <br />SIREN WI 54872 <br />DEPT OF SAFE' <br />PROFEESSIONAL e <br />DIVISION OF INDUSTI <br />SEE CORRESPON <br />Identification Numbers <br />Transaction ID No. 3111859 <br />Site ID No. 850022 <br />Please refer to both identification numbers, <br />above, in all correspondence with the agency. <br />FOR: <br />Description: Mound System Q Bedrooms - New Construction) <br />Object Type: POWTS Component Manual Regulated Object ID No.: 1779797 <br />Maintenance required; 450 GPD Flow rate, 13 in Soil minimum depth to limiting factor from original grade; <br />System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component <br />Manual - Ver. 2.0, SBD- 10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter <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. This system is to be constructed <br />and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. <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 />The following conditions shall be met during construction or installation and prior to occupancy or use: <br />• Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. <br />• With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped <br />prior to homeowner occupancy. <br />• Wastewater generated from contractors cleaning of equipment and tools and/or left over construction <br />products shall not be discharged into the drains discharging to the private onsite wastewater treatment system <br />(POWTS). Waste generated shall be properly disposed of on-site or off site. <br />• Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to <br />prevent matting under the dispersal area. All loose organic material to be removed from mound area <br />• Divert surface water from POWTS Area. <br />• Prior to construction of the dispersal area check the moisture content of the soil to a death of 8 inches <br />Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil Proper soil <br />moisture content can be determined by rolling a soil sample between the hands If it rolls into a 1/4 inch wire <br />