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2004/08/27 - SANITARY - SAN - New Mound >24" - 29262
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2004/08/27 - SANITARY - SAN - New Mound >24" - 29262
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Last modified
10/6/2021 8:32:20 AM
Creation date
2/3/2020 10:57:04 AM
Metadata
Fields
Template:
Property Files v2
Document Date
8/27/2004
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
New Mound >24"
County Permit Number
29262
Tax ID
6278
Pin Number
07-012-2-40-15-07-5 16-270-012000
Legacy Pin
012911501200
Municipality
TOWN OF JACKSON
Owner Name
MICHAEL ALLEN LEITNER VANESSA JO MATISKI
Property Address
28954 BOBCAT LN
City
DANBURY
State
WI
Zip
54830
Previous Owners
MICHAEL ALLEN LEITNER VANESSA JO MATISKI
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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> commerce.Wl.gov HAYWARD WI 54843 <br /> TDD#:(608)264-8777 <br /> i s c o n s i n www.commerce.state.wi.us/sb <br /> www.wisconsin.gov <br /> tcepartment of Commerce <br /> Jim Doyle,Governor <br /> Cory L. Nettles,Secretary <br /> August 23,2004 <br /> CUST ID No.227691 ATTN. POWTS Inspector <br /> WADE A RUFSHOLM ZONING OFFICE <br /> 24702 LIND RD BURNETT COUNTY SPIA <br /> PO BOX 514 7410 CTH K#102 <br /> SIREN WI 54872 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> Identification Numbers <br /> PLAN APPROVAL EXPIRES: 08/23/2006 <br /> Transaction ID No. 1048857 <br /> SITE: Site ID No.688017 <br /> John Biegler Please refer to both identification numbers, <br /> Bobcat Ln above,in all correspondence with the agency. <br /> Town of Jackson <br /> Burnett County <br /> Government Lot(s)7&8, S7,T40N,R15W <br /> FOR:Description: New mound, 1 bedroom residence <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 975153 ConditlO" <br /> Maintenance required; 150 GPD Flow rate; 31 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) PAP <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative AROf SAF <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in <br /> chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. EE CO SP <br /> No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.0$, <br /> stats. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <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 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 fmished grade with a watertight cover. <br /> • The bottom of the distribution cell shall be level per the Mound Component Manual. The"D"dimension shall <br /> be a minimum of 6". The maximum finished slope of the mound surface shall be equal to or less than 3:1 per <br /> the Mound Component Manual. <br />
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