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Safety and Buildings <br /> 10541N RANCH ROAD <br /> HAYWARD WI 54843 <br /> TDD#:(608)264-8777 <br /> Ivisconsin www.wmmerce.state.wi,us/sb <br /> Department of Commerce www.wisconsin.gov <br /> Jim Doyle,Governor <br /> Cory L.Nettles,Secretary <br /> July 24,2003 <br /> CUST ID No.225851 ATTN.•POWTS Inspector <br /> RICHARD HOPKINS ZONING OFFICE <br /> HOPKINS SAND&GRAVEL BURNETT COUNTY SPIA <br /> 27760 HWY 35 7410 CTH K#102 <br /> WEBSTER WI 54893 SIREN WI 54872 <br /> CONDITIONAL APPROVAL Identification Numbers <br /> PLAN APPROVAL EXPIRES: 07/24/2005 <br /> Transaction ED No.885150 <br /> SITE: Site ED No.661634 <br /> Beth Byram Please refer to both identification numbers, <br /> Dushane Dr above,in all correspondence with the-agency. <br /> Town of Scott <br /> Burnett County <br /> SEI/4, SWIA, S17,T40N,R14W <br /> FOR:New mound,300 GPD <br /> Object Type:POWT System Regulated Object ID No.: 910920 <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 /> General Approval Conditions: <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10691-P <br /> (N.01/01)and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment <br /> Systems"SBD-10706-P(N.01/01). <br /> • In the event this soil absorption system or any of its component parts malfunctions so as to create a health <br /> hazard,the property owner must follow the contingency plan as described in the approved plans.In addition, <br /> the owner must insure that the operation,maintenance and monitoring duties as described in section VIII of <br /> the mound component manual are complied with.A copy of this information must be given to the owner upon <br /> completion of the project. <br /> Key Item(s) <br /> • Please refer to revised pages 12 and 13. <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 /> Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address <br /> on this letterhead. <br />