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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 /> September 29, 2009 <br /> Wade Rufsholm <br /> Box 514 <br /> Siren. WI 54872 <br /> Conditional Approval <br /> Sanitan Permit expires September 29.2011 <br /> unless renewed prior to expiration. <br /> SITE: 28555 Co. Road C Legacy PIN#: 012 4216 02800 <br /> Haney Thompson <br /> Parcel in Gov. Lot 7_ Section 16,T40N R1 5W.Town of Jackson <br /> FOR: POWTS. cony°entional In-ground <br /> Maintenance required: 300 gallons/day <br /> POWTS component manuals: In-ground Soil Absorption 2.0 <br /> The submittal described aboyc has been reviewed for confornrance 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 manuals referenced above. The ourner, ox defined in chapter l0/.01(10), Wisconsin b'tolutes. <br /> i.c recponsihle for corrrpliance kith 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 of existing cell is indicated to be: 96.60(nominal). <br /> • Maintain Well and iraterline setbacks per COMM 83.43(8)(i) <br /> • Materials shall conform to the requirements of COMM 84. <br /> • Permit is for septic tank replacement only. <br /> • Properly abandon existing steel septic tank. <br /> A copy of the approved plans shall be on-site during construction and open to inspection by authorized <br /> representatires of the Countv and the Department. All permits required shall be obtained prior to <br /> construction/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 am others who <br /> are responsible for the installation. operation or maintenance of the POWTS. <br /> Sincerely, <br /> Craig Conroy <br /> Assistant Zoning Administrator. <br />