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r RTirc:�rt DIVISION OF INDUSTRY SERVICES <br /> 10541 N RANCH RD <br /> f z'. HAYWARD WI 54843.6462 <br /> Contact Through Relay <br /> y,. , httpJ/dsps,wi.gov/progra�ndustry-services <br /> tA, www,wisconsin.gov <br /> Tony Evers-Governor <br /> Dawn Crim-Secretary <br /> August 2, 2019 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES:2021-08-02 <br /> Plan Review: PWTS-081901291-C <br /> RICHARD HOPKINS <br /> 27760 Highway 35 <br /> Webster WI 54893 <br /> SITE: 641 cl'. <br /> Albert LeBrun <br /> 12390 N Gabrielson Lake Road <br /> Burnett County <br /> Town of Trade Lake <br /> NW%-SE%-S32—T37N— R18W <br /> FOR: <br /> Description: Mound Component Manual—Ver. 2.0,SBD- <br /> 2 Bedroom Mound—300 GPD—New-20" 10691-P(N.01/01, R 10/12) <br /> to limiting factor—Effluent Filter- Pressure Distribution Component Manual—Ver. <br /> Maintenance required 2.0, SBD-10706-P (N.01/01, R. 10/12) <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin <br /> Administrative Codes and Wisconsin Statutes.The submittal has been CONDITIONALLY APPROVED.This <br /> system is to be constructed and located in accordance with the enclosed approved plans and with any <br /> component manual(s) referenced above.The owner, as defined in chapter 101.01(10),Wisconsin <br /> Statutes, is responsible for compliance with all code requirements. <br /> No person may engage in or work at plumbing in the state unless licensed to do so by the <br /> Department per s.145.06,stats. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> Reminders <br /> • Note comments in red by the reviewer <br /> • A sanitary permit must be obtained from the county where this project is located in accordance <br /> with the requirements of Sec. 145.19,Wis.Stats. <br /> • Inspection of the private sewage system installation is required.Arrangements for inspection shall <br /> be made with the designated county official in accordance with the provisions of Sec. <br /> 145.20(2)(d),Wis.Stats. <br /> • A state approved effluent filter is required. Maintenance information must be given to the owner <br /> of the tank explaining that periodic cleaning of the filter isrequired. <br />