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Safety and Buildings <br /> 10541N RANCH ROAD <br /> Ivisconsin <br /> DD#:(6 D WI 54843 <br /> -8777TDD#:(608)264-8777 www.commerce.state.wi.us <br /> Department of Commerce Tommy G.Thompson,Governor <br /> Brenda J.Blanchard,Secretary <br /> October 18, 1999 <br /> CUST ID No.227691 A7TN: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 /> RE: CONDITIONAL APPROVAL <br /> APPROVAL EXPIRES: 10/18/2001 Identification Numbers <br /> Transaction ID No.251672 <br /> Site ID No. 182360 <br /> SITE: Please refer to both identification numbers, <br /> Site ID: 182360 above,in all correspondence with theagency. <br /> BURNETT County,Town of WOOD RIVER;LITTLE LAKE RD,GRANTSBURG 54840 <br /> SETA, SE1/4, S35,T38N,R18W <br /> Facility:ROGER WOOD LITTLE LAKE RD GRANTSBURG 54840 <br /> FOR: <br /> Description: HOLDING TANK 300 gpd <br /> Object Type:POWT System Regulated Object ID No.:495708 <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 /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> 1. This plan action is subject to designer comments on the plan. <br /> 2. A meter,with remote reading device,shall be installed by a properly licensed plumber,on the water <br /> system,that adequately measures the amount of water used by the structure,excluding hose bibs and <br /> wall hydrants,which do not discharge into the sanitary system per COMM 83.18(10). <br /> 3. Tank shall be located per COMM 83.18(7)(a). <br /> 4. Anchor tank as necessary to negate buoyant forces per COMM 83.15(4)(b). <br /> 5. Maintain well and waterline set backs per COMM 83.18(7)(x). <br /> A copy of the approved plans,specifications and this letter shall be on-site during construction and open to Ota s <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/installation/operation. S) opR1M <br /> Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the addresspN OF <br /> on this letterhead. <br /> Sincerely, DATE RECEIVED 10/07/1999 SEE C <br /> FEE REQUIRED$ 60.00 <br /> FEE RECEIVED$ 60.00 <br /> THOMAS E DEVEREAUX,PLUMBING/POWTS REVIEWER BALANCE DUE $ 0.00 <br /> Integrated Services <br /> (715)634-3026,7:45 AM-4:45 PM MON.-FRI. <br /> TDEVEREAUX@COMMERCE.STATE.WI.US WiSMART code: 7633 <br />