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Safety and Buildings. <br /> 10541N RANCH ROAD <br /> Dommerce.wl.gov HAMARD WI 54843 <br /> TDD#:(608)264-8777 <br /> i sconsi n www.commerce.wIgovlsbl <br /> Department of Commerce wmv.wlsconsln.gov <br /> Jim Doyle,Governor <br /> Mary P.Burke,Secretary <br /> June 28,2006 <br /> CUST ID No. 225920 A77W. POWTS Inspector <br /> RICHARD 10 HARE ZONING OFFICE <br /> BUTTERFIELD INC BURNETT COUNTY SPIA <br /> 14346W ST RD 77 7410 CTH K#102 <br /> HAYWARD WI 54843 SIREN WI 54872 <br /> CONDITIONAL APPROVAL Identification Numbers <br /> PLAN APPROVAL EXPIRES: 06/28/2008 <br /> Transaction ID No. 1279164 <br /> SITE: Site ED No. 714184 <br /> John&Kathryn Bauer Please refer to both identification numbers, <br /> 3891 CTH A ain <br /> bove all correspondence with the a enc . 1 0 <br /> Town of Jackson It <br /> Human County <br /> Government Lot(S)2&3,S23,T40N,R15W A ad <br /> Lot:2, F <br /> FOR:Description:New holding tank,2 bedroom residence <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1080382 <br /> Maintenance required; 200 GPD Flow rate; System(s):Holding Tank Component Manual,SBD-10571-P EE CORRF� <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 the 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 x.145.06, <br /> stats. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> Key Items) <br /> • In the event this holding tank malfunctions so as to create a health hazard,the property owner must follow the <br /> contingency plan as described in the approved plans.In addition,the owner must insure that the operation, <br /> maintenance and monitoring duties as described the Holding Tank Component Manual are complied with.A <br /> copy of this information must be given to the owner upon completion of the project. <br /> • A service road shall be provided within 25 feet of all holding tank manholes. <br /> Reminders <br /> • Anchor tank as necessary to negate buoyant forces per COMM 83.43(8)(g). <br /> • Materials shall conform to the requirements of COMM 84. <br /> • Maintain well and waterline set backs per COMM 83.43(8)(1). <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 /> conshuction/installatioNopemtion. <br />