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April 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: 04/19/2020 <br />SITE: <br />Terry Sheffler <br />8204 County Road D <br />Town of Lincoln <br />Burnett County <br />SETA, SE1/4, S24, T39N, R17W <br />DIVISION OF INDUSTRY SERVICES <br />3824 CREEKSIDE LN <br />HOLMEN WI 54636-9466 <br />Contact Through Relay <br />http://dsps.wi.gov/programs/industry-services <br />www.wisconsin.gov <br />Scott Walker, Governor <br />Laura Gutl6rrez, Secretary <br />A7TN.• POWTS Inspector <br />ZONING OFFICE <br />BURNETT COUNTY SPIA <br />7410 CTH K #102 <br />SIREN WI 54872 <br />Identification Numbers <br />Transaction ID No. 3087946 <br />Site ID No. 848143 <br />Please refer to both identification numbers, <br />above, in all correspondence with theagency. <br />FOR: <br />Description: Three Bedroom Mound System \ Sloping site <br />Object Type: POWTS Component Manual Regulated Object ID No.: 1756675 <br />Maintenance required; Replacement system; 450 GPD Flow rate; 18 in Soil minimum depth to limiting factor from <br />original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure <br />Distribution Component Manual - Ver. 2.0, SBD -10706-P (N.01/01, R. 10/12); 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. CONDITK <br />The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code APPRC <br />requirements. DEPT OF SA <br />No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145 ftOFESSIONA <br />stats. DIAWJON OF INDU; <br />The following conditions shall be met during construction or installation and prior to occupancy or use: <br />Reminders <br />• A sanitary permit must be obtained from the county where this project is located in accordance with th SEE CORRESF <br />requirements of Sec. 145.19, Wis. Stats. <br />• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with <br />the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. <br />• The existing POWTS shall be abandoned per SPS 383.33, Wis. Adm. Code. <br />• All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. <br />• The area within 15' downslope of the dispersal cell shall remain undisturbed. Vehicular traffic, excavation or <br />soil compaction is prohibited in this area. <br />• A copy of the approved plans, specifications and this letter shall be on-site during construction and open to <br />inspection by authorized representatives of the Department, which may include local inspectors. <br />