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_�tirTtr�.,,_ DIVISION OF INDUSTRY SERVICES <br /> /off f. 2331 SAN LUIS PL STE 150 <br /> 5 GREEN BAY WI 54304-5211 <br /> f .S Contact Through Relay <br /> JJ http://dsps.wi.gov/programs/industry-services <br /> ,;'�/�/ www.wisconsin.gov <br /> �oIFSsror:ati5'c, Scott Walker,Governor <br /> Dave Ross,Secretary <br /> CONDITIi <br /> A P P R <br /> September 06,2016 DEPT OF Stu <br /> CUSTIDNo_ 223300 ATTN:POWTS Inspector PROFESSION/ <br /> DIVISION OF INC1li <br /> JEFFREY L HA.NINEi S ENVIRONMENTAL HEALTH DIVISION <br /> HAM ES,CERTIFIED SOIL TESTING DANE COUNTY SPIA <br /> 820 WILLIAMSON ST APT 401 1202 NORTHPORT DR RM 154 <br /> MADISON WI 53703-4585 MADISON WI 53704-2088 SEE CORRES <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 09/06/2018 Identification Numbers <br /> Transaction ID No.2767875 <br /> SITE: Site ID No. 828222 <br /> Ranheim Please refer to both identification numbers, <br /> County Rd J above,in all correspondence with the agency. <br /> Town of Vermont <br /> Dane County <br /> NE1/4, SE1/4, S20,T7N,R6E <br /> FOR: <br /> Description: Gravity At-Grade(4 Bedrooms-New Construction) <br /> Object Type:POWTS Individual Site Design Regulated Object ID No.: 1621222 <br /> Maintenance required; 600 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; <br /> System(s):At Grade; Effluent Filter <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed <br /> and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. <br /> The owner, as defined in chapter 101.01(10), Wisconsin Statutes,is responsible for compliance with all code <br /> requirements. <br /> No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, <br /> stats. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> • This system has been reviewed and approved as an Individual Site Design. The system shall be constructed <br /> in accordance with the approved plans and ch. SPS 383,Wis.Adm.Code. <br /> • This approval recognizes the submitted plans as an Individual Site Design that does not conform to the <br /> approved"At-Grade using Pressure Distribution Component Manual for Private Onsite wastewater treatment <br /> Systems (version 2.0)", {SBD-10854-P (N. 03/07)}. That is,the dispersal component incorporates a non- <br /> pressurized distribution network instead of a pressurized distribution system specified in the component Manual. <br /> The non-pressurized network is considered to provide a suitable method of wastewater distribution throughout <br /> the dispersal area. <br /> • A minimum depth of at least(6") of/"—2-Y2" aggregate shall be placed beneath the distribution box to <br /> provide a stable footing.The distribution box shall be identified by a permanent marker. The distribution box <br /> shall be checked at least once every 36 months for distribution performance and re..adjusted as needed. <br /> • Any tall grasses,leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to <br /> prevent matting under the dispersal area. <br />