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aaretyanatowwings <br /> • 10541N RANCH ROAD <br /> HAYWARD WI 54843 <br /> TDD#:(608)264-8777 <br /> NVisconsin www_comm ww.Ascons n.gov <br /> vrxw.wiswnsin.gov <br /> Department of Commerce <br /> Jim Doyle,Governor <br /> Cory L.Nettles,Secretary <br /> October 06,2003 <br /> CUST ID No.135655 ATTIC•POWTS Inspector <br /> ROBERT L CARLSON ZONING OFFICE <br /> CARLSON EXCAVATING&SEPTIC INC BURNETT COUNTY SPIA <br /> 3572 115 ST 7410 CTH K#102 <br /> FREDERIC WI 54837-4616 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 10/06/2005 Identification Numbers <br /> Transaction H)No.920961 <br /> SITE: Site ID No.665534 <br /> Duane Wisse Please refer to both identification numbers, <br /> 21989 Spirit Lake Access Rd above,in all correspondence with the agency. <br /> Town of Trade Lake, 54837 <br /> Burnett County <br /> ,S12,T37N,R18W <br /> FOR: <br /> Description:New holding tank,3 bed room residence <br /> Object Type: POWT System Regulated Object ID No.: 922129 <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. P•0 <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: {'(p 3(t 1 ti l <br /> d <br /> General Approval Conditions: y . <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the LIt Y ENT : <br /> SAFE: <br /> "Holding Tank Component Manual, SBD-10571-P(R.6/99)" p 1 <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 operatioy — SEE GORR <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 /> Key Item(s) <br /> • Manhole cover or service port to be no more than 25' from service road or drive per Holding Tank Manual, <br /> Table 1. <br /> Reminders <br /> • A meter shall be installed by a properly licensed plumber on the water system that adequately measures the <br /> amount of water used by the structure,excluding hose bibs and wall hydrants,which do not discharge into the <br /> sanitary system. <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 /> • The existing POWTS must be properly abandoned per Comm 83.33 Wis.Adm.Code. <br /> • Maintain well and waterline set backs per COMM 83.43(8)(i). <br />