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Safety and Buildings <br /> commercemi.gov 10541 N RANCH ROAD <br /> HAYWARD WI 54843 <br /> scons i n Contact Through Relay <br /> www.comme rce.wi.gov/sb/ <br /> tiepartment of Commerce www.wisconsin.gov <br /> Jim Doyle,Governor <br /> Richard J.Leinenkugel,Secretary <br /> June 24,2009 <br /> CUST ID No. 851954 ATTN:POWTS Inspector <br /> ZONING OFFICE <br /> ROSS JEREMY TOLLANDER BURNETT COUNTY SPIA <br /> 27220 JAMISON RD 7410 CTH K#102 <br /> WEBSTER WI 54893 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 06/24/2011 Identification Numbers <br /> TransactiEcorrespondence <br /> . i6 77996 P N <br /> SITE: Site ID N ��ji�' <br /> Voyager Village Pea Please reh identification numbers, P P R <br /> 3810 Rainbow Circle above, in with thea enc . <br /> Town of Jackson <br /> Burnett County Shp <br /> SE 1/4,NE 1/4, S11,T40N,RI 5W <br /> FOR: <br /> Facility: 699073 VOYAGER VILLAGE POA WEST CADOTTE BEACH HOUSE g <br /> 3810 RAINBOW CIRCLE EE C RA <br /> Description: Conventional system 50 patrons at shower/toilet room at public beach <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 1229339 <br /> Maintenance required; Replacement system; 488 GPD Flow rate; 82 in Soil minimum depth to limiting factor from <br /> original grade; System(s): Conventional POWTS Component Manual, SBD-10567-P (R.6/99); Commercial System <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. This system is to be <br /> constructed and located in accordance with the enclosed approved plans and with any component manual(s) <br /> referenced above.The owner, as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance <br /> with all code requirements. <br /> No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, <br /> stats. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> Key item(s) <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 the "In-Ground <br /> Soil Absorption Manual System"are complied with.A copy of this information must be given to the owner <br /> upon completion of the project. <br /> • The gravelless system components must be installed in accordance with the manufacturer's printed instructions, <br /> the plan approval,and COMM 83 system sizing criteria. If there is a conflict between the manufacturer's <br /> instructions and the plan approval,the plan approval and code requirements will take precedence. <br /> • The designer proposes to install an outlet filter to achieve the requirement of wastewater particle size. Access <br /> to the filter for cleaning must be provided per ss. Comm 84.25 (7) and(8),Wis. Adm. Code product approval <br /> conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning <br /> of the filter is required. The outlet filter shall be installed per product approval stipulations. <br />