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Safety and Buildings <br /> commerce.wi. OV 10541N RANCH ROAD <br /> g HAYWARD WI 54843 <br /> TDD#:(608)264-8777 <br /> isc o n s i n www.commerce.wi.gov/sb/ <br /> Department of Commerce www.wisconsin.gov <br /> Jim Doyle,Governor <br /> Cory L.Nettles,Secretary <br /> November 05,2004 <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 /> PLAN APPROVAL EXPIRES: 11/05/2006 Identification Numbers <br /> Transaction ID No. 1076787 <br /> SITE: Site ID No.691737 <br /> Chris Putnam Please refer to both identification numbers, <br /> 6507 Midtown Rd above,in all correspondence with theagency. <br /> Town of Meenon <br /> Burnett County <br /> ,S26,T39N,R16W <br /> Lot: 9,Subdivision: Clam Lk Pines <br /> FOR: Description:New holding tank,3 bedroom residence <br /> Object Type:POWTS Component Manual Regulated Object ID No.:989585 <br /> Maintenance required; 300 GPD Flow rate; System(s): Holding Tank Component Manual,SBD-10571-P(r.6/99) <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. The owner,as defined in <br /> chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code 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: 1P.0 <br /> Key Item(s) ' <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> "Holding Tank Component Manual, SBD-10571-P(R.6/99)" <br /> • In the event this holding tank malfunctions so as to create a health hazard,the property owner must follow the <br /> contingency plan as described in the approved plans.In addition, the owner must insure that the operation, !'L <br /> g g P p <br /> maintenance and monitoring duties as described the Holding Tank Component Manual are complied with. A � <br /> copy of this information must be given to the owner upon completion of the project. <br /> • A service road shall be provided within 25 feet of all holding tank manholes. <br /> Reminders <br /> • Anchor tank as necessary to negate buoyant forces per COMM 83.43(8)(g). <br /> • Materials shall conform to the requirements of COMM 84. <br /> • Maintain well and waterline set backs per COMM 83.43(8)(1). <br /> A copy of the approved plans,specifications and this letter shall be on-site during construction and open to <br /> inspection by authorized representatives of the Department,which may include local inspectors. All permits <br /> required by the state or the local municipality shall be obtained prior to commencement of <br /> construction/instal lation/operation. <br /> In granting this approval the Division of Safety&Buildings reserves the right to require changes or additions <br /> should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this <br /> review shall relieve the designer of the responsibility for designing a safe building,structure,or component. <br />