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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 /> October 30,2009 <br /> Richard Hopkins <br /> 27760 Highway 35 <br /> Webster,WI 54893 <br /> Conditional Approval <br /> Sanitary Permit Expires October 30 2011 <br /> unless renewed prior to expiration <br /> SITE: 1253 Racine Drive Legacy PIN No.: 028 9150 08200 <br /> Bob Hoffman <br /> Lots 7&8,Block 4,of Lake McKenzie Subdivision,Section 13,T40N R15W,Town of Scott <br /> FOR: POWTS,Holding Tank <br /> Maintenance requited: 200 gallons/day estimated flow(2 Bedrooms) <br /> POWTS component manual: Holding Tank SBD-10571-P(R.6/99) <br /> The submittal described above has been reviewed for conformance with applicable Wiscolnsin <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 plane and with the <br /> component manual referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, <br /> is responsible for compliance with 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 /> • Maintain well and waterline setbacks per COMM 83.43(8)(i) <br /> • Materials shall conform to the requirements of COMM 84. Infiltrator tanks must be approved for <br /> use as holding tanks. <br /> • Landscape position,elevation and soil conditions mitigate the need for soil cover,anchor. <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 Department. All permits required shall be obtained prior to <br /> construction/i ustallation. <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 fo installation,operation or maintenance of the POWTS. <br /> Sin ly, <br /> Craig y <br /> Asst t Zoning "strator. <br />