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BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 PHONE(715)349-2138 <br /> SIREN,WISCONSIN 54872 <br /> October 10,2011 <br /> Wade Rufsholm <br /> P.O. Box 514 <br /> Siren, WI 54872 <br /> Conditional Approval <br /> Sanitary Permit Expires October 10,2011, <br /> unless renewed prior to expiration. <br /> SITE: 3845 County Road B PIN: 07-014-2-38-15-26-1 01-000-011000 <br /> Alice Radke <br /> NE 1/4 NE 1/4,Section 26,T38N R15W,Town of Lafollette <br /> FOR: POWTS,conventional In-ground. <br /> Maintenance required: gallons/day(?bedroom,?person occupancy) <br /> POWTS component manuals: In-ground Soil Absorption 2.0 SBD-10705-P 0 1/0 1 & <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin <br /> Administrative Codes and Wisconsin Statutes. The submittal has been Conditionally Approved. This <br /> system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> component manual referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, <br /> is responsible for compliance with all code requirements. No person may engage in or work at plumbing in <br /> the state unless licensed to do so by the Department of Commerce per s. 145.06 stats. <br /> Key items and Reminders <br /> • System elevation is proposed to be: 9300. <br /> • Maintain well and waterline setbacks per COMM 83.43(8)(1). <br /> • Materials shall conform to the requirements of COMM 84. <br /> • An Effluent Filter is to be added within a filter basin below the septic tank outlet. <br /> A copy of the approved plans shall be on-site during construction and open to inspection by authorized <br /> representatives of the County and the Department. All permits required shall be obtained prior to <br /> construct ion/installation. <br /> In granting this approval, Burnett County reserves the right to require changes or additions should <br /> conditions arise making them necessary for code compliance. <br /> The above left addressee shall provide a copy of this approval and permit to the owner and any others who <br /> are responsible for the installation,operation or maintenance of the POWTS. <br /> Since <br /> rai Co 0 <br /> g Y <br /> Assistan Zoning Admin ttator. <br />