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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> HAYWARD WI 54843 <br /> mm ce state.wwi b <br /> • <br /> Iviscon�,n www.c <br /> Department of Commerce www.wisconsin.gov <br /> Scott McCallum,Governor <br /> Philip Edw.Albert,Secretary <br /> May 06,2002 <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:05/06/2004 Identification Numbers <br /> Transaction ID No.731102 <br /> SITE: Site ID No.644071 <br /> Tom Farrel Please refer to both identification numbers, <br /> 28070 Banach above,in all correspondence with theagency. <br /> Town of Scott <br /> Burnett County <br /> SW1/4,SW1/4,S21,T40N,R14W <br /> FOR: New non-pressurized in-ground system,98 GPD <br /> Object Type:POWT System Regulated Object ID No.: 849757 <br /> This approval is for a non-pressurized in-ground system to serve a welding shop with 5 employees. <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: PA <br /> General Approval Conditions: Con' <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the "In- PF <br /> Ground Soil Absorption Manual,SBD-10705-P(N.01101)" p <br /> • In the event this soil absorption system or any of its component parts malfunctions so as to create a health DIV Of <br /> hazard,the property owner must follow the contingency plan as described in the approved plans.In addition, <br /> the owner must insure that the operation,maintenance and monitoring duties as described in the "In-Ground <br /> Soil Absorption Manual System"are complied with.A copy of this information must be given to the owner <br /> upon completion of the project. <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 maintenance plan for this system must be given to the owner of the POWTS. <br /> Note <br /> • This approval does not include plans for the general plumbing systems or sewer piping leading to the <br /> septic/holding tank that may be required for this project. See section COMM 82.20,Wis. Adm.Code,to <br /> determine if plan submittal and approval is required. <br />