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Safety and Buildings <br /> 4003 N KINNEY COULEE RD <br /> LA CROSSE WI 54601-1831 <br /> AA,Nvisconsin <br /> TDD#:(608) .wi.us 77 <br /> www•commerce.Asconsin.gov <br /> www.wisconsin.gov <br /> Department of Commerce <br /> Scott McCallum,Governor <br /> Brenda J.Blanchard,Secretary <br /> June 13,2001 <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 <br /> PLAN APPROVAL EXPIRES:06/13/2003 Identification Numbers <br /> Transaction ID No.649946 <br /> SITE: Site ID No.630897 <br /> William Yorkson-27205 Jamison Road Please refer to both identification numbers, <br /> Burnett County,Town of Oakland above,in all correspondence with theagency. <br /> Government Lot 4, S31,T40N,RI 6W <br /> FOR: <br /> Description:Two Bedroom Holding Tank System <br /> Object Type:POWT System Regulated Object ID No.: 795892 <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 following conditions shall <br /> be met during construction or installation and prior to occupancy or use: <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> "Holding Tank Component Manual for Private Onsite Wastewater Systems"SBD-1057 1-P(R.6/99). <br /> • In the event this holding tank system or any of its component parts malfunctions so as to create a health hazard,the <br /> property owner must follow the contingency plan as described in the approved plans.In addition,the owner must <br /> insure that the operation,maintenance and monitoring duties as described in section VI of the holding tank <br /> component manual are complied with. A copy of this information must be given to the owner upon <br /> completion of the project. <br /> • A meter,with remote reading device,shall be installed by a properly licensed plumber,on the water system,that <br /> adequately measures the amount of water used by the structure,excluding hose bibs and wall hydrants,which do <br /> not discharge into the sanitary system. <br /> • The holding tanks must be anchored securely per Comm 83.44(8)(g),Wis.Adm.Code to counter any buoyant <br /> forces that may be present due to the high groundwater conditions reported at the site. <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 owner is responsible for submitting a maintenance verification report acceptable to the county for <br /> maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s)utilized <br /> in the POWTS. <br /> • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the <br /> initial installation of the POWTS in accordance with an approved management plan shall be conducted by a <br /> person who holds a registration issued by the department as a registered POWTS maintainer. <br />