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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 /> July 31,2013 <br /> Lewis BJork <br /> E7818 Ct.Rd.E <br /> Menomonie Wi. 54751 <br /> Conditional Aoorovi <br /> Sanitary Permit Expires July 31, 2015 <br /> unless renewed prior to expiration. <br /> SITE: owner,Tim McCullouch PIN <br /> 4662 Lake 26 Rd. <br /> FOR: POWTS,below grade,non-pressurized <br /> Maintenance required:450 gallonstday average flow(3 bedroom,6 person occupancy) <br /> POWTS component manuals:In-ground Absorption Manual SBD-10705-P(N.01101). <br /> The submittal described above has been mewed for conformance with applicable Wisconsin <br /> Administmtive Codes and Wisconsin Smmtes. The submittal has been Conditionally Aoomved. This <br /> system is to be constructed 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&amfes, <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 /> • A system elevation of 97.0 ft. is proposed- <br /> Maintain well and waterline setbacks per DSPS 383.43(8)(1). <br /> • Materials shall conform to the requirements of DSPS 384. <br /> • Manhole riser to be at Ieast 4 inches above grade. <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 /> constmctioMnslallation. <br /> In granting this approval,Burnet 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 /> Sin 1}'. <br /> m Li� <br /> Program Consultant <br />