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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 /> June 8,2009 <br /> Richard Hopkins <br /> 27760 Highway 35 <br /> Webster,WI 54893 <br /> Conditional Aooroval <br /> Sanitary Permit Expires June 8,2011, <br /> unless renewed prior to expiration <br /> SITE: 29235 County Road H Legacy PIN: 028 4104 04100 <br /> Bill Cushman <br /> Lot 2 CSM Vol. 1 pg.253,in Gov Lot 5, Section 4,T40N R14W,Town of Scott <br /> FOR: POWTS,conventional In-ground <br /> Maintenance required: 300 gallons/day <br /> POWTS component manual: In-ground Soil Absorption Version 2.0. <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin <br /> Administrative Codes and Wisconsin Statutes. The submittal has been Conditionally Anoroved. This <br /> system is to be coo dtucted 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 responsiblefor compliance with all code requirements. No parson 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 93.00• <br /> • Maintain well and waterline setbacks per COMM 83.43(8)(i) <br /> • Materials shall conform to the requirements of COMM 84. <br /> • Property abandon existing private sewage system <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 Depamnem. All permits required shall be obtained prior to <br /> constnrctioriftsrallation. <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 /> Cnaig�y <br /> Assi Zorring A 'strator. <br />