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Safety and Buildings <br /> 10541N RANCH ROAD <br /> HAYWARD WI 54843 <br /> ` TDD ( )277 <br /> w .coerc .sta .wi.usisconsin www.wisconsin.gov <br /> Department of Commerce <br /> Scott Mccallum,Governor <br /> Philip Edw.Albert,Acting Secretary <br /> October 16,2001 <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 Identification Numbers <br /> PLAN APPROVAL EXPIRES: 10/16/2003 <br /> Transaction ID No.677861 <br /> Site ID No.636775 <br /> SITE: <br /> Allan Schillerberg Please refer to both identification numbers, <br /> above,in all correspondence with theagency. ROXI <br /> CthD 011d t1 <br /> Town of Wood River <br /> Burnett County <br /> SE 1/4,NE1/4,S3,T38N,R18 <br /> FOR: New mound,450 GPD ID NT t <br /> Object Type:Powt System Regulated Object ID No.: 814241 SAFE? <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administ rve Coo e _ <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner,as defined in <br /> S`._c CORRE: <br /> chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. <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 /> "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10691-P <br /> (N.01101)and SSWMP Publication 9.6,"Design Of Pressurized Distribution Networks For Septic Tank-Soil <br /> Absorption Systems." <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 /> • A Sanitary Permit must be obtained from the county where this project is located in accordance with the <br /> requirements of Sec. 145.135 and 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 maintenance plan for this system must be given to the owner of the POWTS. <br /> Site Specific Conditions: <br /> • The orientation of the mound system must be such that the longest dimension is oriented along the surface <br /> contour per COMM 83.44(6)(a)2. <br /> • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. <br />