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PLAN REQUIREMENTS <br /> Section ATCP 79.04 Plan Approval. (a)An operator shall obtain plan approval from the department or its agent before any one of the following occurs: 1.The <br /> operator begins construction of a campground.2.The operator modifies or increases the number or type of any campground attribute that was subject to a <br /> previous plan review by the department or its agent.(b)An operator-provided camping unit that meets§ATCP 79.13(3)or that has been approved by the <br /> department or its agent under sub.(2)and§ATCP 79.13(3),may be placed or relocated on any approved campsite. <br /> NOTE: Operators must consult with the Department of Safety and Professional Services(DSPS)-as well as local building and zoning authorities before <br /> commencing construction or modification. <br /> PLAN DRAWN TO SCALE: Indicate scale on plan or provide dimensional plan indicating code-required distances in linear feet. <br /> PLAN SUBMITTAL CHECKLIST: Identi the followin•features on the.Ian.Submit identi in.ke if necessa . <br /> If feature(s)are included on plan check the"Yes"box below. Any features not applicable to your plan,check the "N/A"box. DO NOT LEAVE BLANK. <br /> Layout of&designated campsites <br /> OYes ON/A -number and label independent, Oyes (ON/A Shower/Toilet Buildings Oyes ON/A On-Site Food Service/ <br /> Retail Food Store <br /> dependent or both. <br /> Oyes ON/A Camping Cabins/Yurts/Tepees Oyes ®N/A Sanitary Dump Station(s) Oyes ®N/A Activities Area(s) <br /> Sewage Disposal System <br /> Oyes ®N/A Park Models Oyes ON/A Locations- (drain-field and Oyes ®N/A Office Building <br /> holding tanks) <br /> ❑Yes ON/A Mobile Homes ❑yes ®N/A Central Garbage Collection <br /> Site ®Yes ON/A Designated Parking Areas <br /> ❑yes ®N/A Rentals to Public:RV's, ❑yes ON/A Garbage/Refuse Containers Oyes ®N/A Petting Zoo/Animal Area/ <br /> Cottages Manure deposition <br /> ❑Yes ON/A Permanent Buildings or Structures Oyes ON/A Garbage/Refuse ®Yes ON/A Drawing Scale(25 feet)or <br /> Incineration Location Dimensions <br /> Oyes ON/A Potable Well(s)and Designated Number of acres used for <br /> Potable Water Outlets Oyes ®N!A Fire Extinguishers ®Yes ON/A campsites <br /> ®Yes ON/A Toilets/Privies OYes ON/A Pools/Whirlpools/Lake/ Streets/Roadways/ <br /> River/Beach/Swim ponds ®Yes ON/A Highways <br /> ❑yes ®N/A Portable Toilets ❑yes ON/A Water Slides Oyes ON/A Playground Equipment <br /> ADDITIONAL SUBMITTAL REQUIREMENTS:Submittal to,review and approval by the Wisconsin Department of Safety and Professional <br /> Services,in most instances,is required for plans for the construction of public buildings,water,plumbing and wastewater treatment systems <br /> servicing campgrounds.The Wisconsin Department of Agriculture,Trade and Consumer Protection requires proof of approval for these <br /> systems/construction in campgrounds.Submit copies of all DSPS approval letters with the plan and this application. Check off indicating the <br /> documentation is included.Indicate N/A if not applicable. <br /> ❑ Department of Safety and Professional Services-Safety and Buildings Division PLAN APPROVAL LETTERS for: <br /> ❑a)Water Distribution System <br /> ❑b)Plumbing <br /> ❑c)Wastewater Treatment Systems N/A <br /> ❑d)Wastewater Transfer Containers <br /> Note:A Wisconsin licensed plumber must complete all plumbing. <br /> ❑ A copy of the most recent laboratory results for potable water supply(sampled for coliform and nitrates). <br /> SIGNATURE <br /> APPLICANT SIGNATURE-REQUIRED /� DATE <br /> AA <br /> ( Personal information y pro maybe used for purposes other than that for which it was originallycollected.Wis.Stat. 15.04(1)(m) <br /> PuPo § <br /> SUBMIT THIS APPLICATION AND COPIES OF ALL PLANS AND SUPPORTING DOCUMENTS TO: <br /> WDATCP-Division of Food and Recreational Safety <br /> PO BOX 8911 <br /> MADISON,WI 53708-8911 <br /> Office Use Only <br /> SIGNATURE—Official: Date Approved: <br /> APPROVED <br /> By Ted Tuchalski at 7:44 am, Nov 03, 2023 <br />