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%♦•f <br /> Public Health <br /> MADISON & DANE COUNTY Janel Heinrich, MPH, MA, Director <br /> Healthy people and places Environmental Health Division <br /> 2701 International Lane, Suite 204 608 242-6515 Well&Septic <br /> Madison,WI 53704 608 243-0330 Lic. Establishments <br /> 608 242-6435 fax <br /> www.publichealthmdc.com <br /> December 15, 2015 Plan Review ID: 13-2015-00389 <br /> RONALD W HAAG <br /> RWH PLUMBING <br /> Reference: Tax Parcel No: 0606-022-9680-0 <br /> SE 1/4 of NW 1/4 of Section 2, <br /> Property Address: <br /> CSM: 13900 Lot: 1 <br /> Owner Name: Chad M Kitsemble <br /> Conditional approval for 450 gpd Mound granted. Plan approval expires December 15, 2017. <br /> Dear Ronald W Haag: <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 /> 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- <br /> 10691-P(N.01/01), Pressure Distribution Component Manual-Version 2.0, SBD-10706 <br /> -P (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 <br /> manual. A copy of this information must be given to the owner upon completion of the <br /> project. <br /> A Sanitary Permit must be obtained from Public Health Madison and Dane County <br /> where this project is located. <br /> Page 1 <br />