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`ltf.Publi <br /> c Health <br /> MADISON & DANE COUNTY <br /> Janet Heinrich,MPH, MA, Director <br /> Health/people and places Environmental Health Division <br /> 2701 International Lane, Suite 608 242-6515 Well&Septic <br /> 204 608 243-0330 Lic.Establishments <br /> Madison.WI 53704 608 242-6435 fax <br /> www.publ ich a aith m d c.com <br /> September 08, 2015 Plan Review ID: 13-2015-00287 <br /> STEVE R CROSBY CONDITIONALLY <br /> SEPTIC SPECIALISTS EXCAVATING, INC. APPROVED <br /> 7361 DARLIN DRIVE DANE CO. HUMAN SVCS DEPT <br /> DANE, WI 53529- ENVB QN N- L (LT ECT10N <br /> DAT y—.8—.2o/j- <br /> Reference: Tax Parcel No: 0911-303-2060-0 <br /> NW 1/4 of SW 1/4 of Section 30, <br /> Property Address: <br /> Subdivision: BRISTOL GARDENS, Lot 30 <br /> Owner Name: Donald C Tierney <br /> Conditional approval pp al for 600 gpd Mound granted. Plan approval expires September 8, 2017. <br /> Dear Steve R Crosby: <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin <br /> Administrative Codes, Wisconsin Statute and Dane County code ch. 46. The submittal has been <br /> CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01 (10), Wisconsin <br /> 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 <br /> use: <br /> Off-Lot Easement must be approved and recorded prior to mound construction to allow mound on <br /> designated "Drainage Easement". <br /> Protect mound system site and area 15 feet downslope from soil compaction, soil excavation, and <br /> vehicular traffic. <br /> This system is to be constructed and located in accordance with the enclosed approved <br /> plans and with the following manuals: Mound Component Manual Version 2.0 SBD-1069- <br /> -P(N.01/01), Pressure Distribution Component Manual-Version 2.0, SBD-10706-P <br /> (N.01/01). <br /> In the event this soil absorption system or any of its component parts malfunctions so as <br /> to create a health hazard, the property owner must follow the contingency plan as <br /> described in the approved plans. In addition, the owner must comply with the operation, <br /> maintenance and monitoring duties as described in section VIII of the component manual <br /> A copy of this information must be given to the owner upon completion of the project. <br /> A Sanitary Permit must be obtained from Public Health Madison and Dane County where <br /> Page 1 <br />