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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> Nvisconsin <br /> OO#:(6 D WI 54843 <br /> TDD#:(608)264-8777 <br /> www.commerc .wis onsin.gov <br /> www.wisconsin.gov <br /> Department of Commerce <br /> Scott McCallum,Governor <br /> Philip Edw.Albert,Secretary <br /> September 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 /> Identification Numbers <br /> PLAN APPROVAL EXPIRES: 09/06/2004 <br /> Transaction ID No.778454 <br /> SITE: Site ID No.649459 <br /> Glenn Doriott Please refer to both identification numbers, <br /> Ct Rd A, Town of Meenon above,in all correspondence with the agency. <br /> Burnett County <br /> NEIA,NEIA, S3,T39N,R16W <br /> FOR: <br /> Description:Holding Tank 114 Gpd.(Domestic Waste Only) <br /> Object Type:POWT System Regulated Object ID No.: 867240 <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 /> Correspondence Notes: <br /> • This plan action is subject to designer statement that this Holding Tank is to receive domestic waste only. <br /> "The floor drains are for the bathroom area only,not the shop." <br /> • Comm 83.54(2),A water meter shall be installed by a properly licensed plumber,on the water system, <br /> that adequately measures the amount of water used by the structure,excluding hose bibs and wall V.0 <br /> hydrants,which do not discharge into the sanitary system. colla <br /> • Insulate building sewer where and as required per COMM 82.30(11)(c). soft <br /> • Comm 83.61(5)This system is to be constructed and located in accordance with the enclosed approved <br /> plans and with the Holding Tank Component Manual,SBD-10571-P(8.6/99).In the future remember to P l <br /> identify the component manual you are basing your design upon.Include the name of the component <br /> manual,number and date shown on the title page. <br /> A copy of the approved plans,specifications and this letter shall be on-site during construction and open to <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. <br /> In granting this approval the Division of Safety&Buildings reserves the right to require changes or additions <br /> should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this <br /> review shall relieve the designer of the responsibility for designing a safe building,structure,or component. <br />