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Safety and Buildings <br /> 141 NW BARSTOW ST FL 4TH <br /> eommerce.wl.gov WADKESHA WI 53188-3789 <br /> TDD#:(608)264-8777 <br /> iseonsin w .commerce.wi.govlsb, <br /> Department of Commerce www wisconsin.gov <br /> Jim Doyle,Governor <br /> Mary P.Burke,Secretary <br /> July 14,2006 <br /> CUST m 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: 07/14/2008 Identification Numbers <br /> Transaction ED No.1288777 <br /> SITE: Site ED No. 715383 <br /> Laverne Sandberg Please refer to both identification numbers, <br /> 22813 Akemuork above,in all correspondence with theagency. <br /> Town of Wood River <br /> Burdett County <br /> Government Lot(S)3,S27,T38N,RI8W <br /> FOR: <br /> Description:Holding Tank for 2 Bedroom <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1085799 <br /> Maintenance required; Replacement system; 200 GPD Estimated Flow rate; System(s):Holding Tank Component <br /> 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. This system is to he constructed <br /> and located in accordance with the enclosed approved plans and with the component manual(s)referenced above. <br /> The owner,as defined in chapter 101.01(!0),Wisconsin Statutes,is resp rr iblc 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 /> slats. <br /> The following conditions shall 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"Holding <br /> Tank Component Manual for Private Onsite Wastewater Systems" S13D-10571-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 e holding tank <br /> component manual are complied with. A copy of this modulation must be given to the UwftT ffgmpletion of <br /> thepmject. <br /> j j'�jS / <br /> The proposed tank may be located in an area subjected to saturated conditions I(�it l®tdp( 11to be subject to <br /> saturated soils at time of installation it must be anchored per Comm.83.43(8)(gf/MY) Ede to prevent <br /> floatation of the tank.Documentation of the method of anchoring and calc tions to prevent rotation are to be <br /> attached to the plan prior to issuing of the sanitary permit. SEB GO <br /> All holding/neatment tanks are to comply with Comm. 84.25(7)(a), <br /> A Sanitary Permit must be obtained from the county where this project is located in accordance with the <br /> requirements of Sea 145.135 and 145.19,Wis. Stats. <br />