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Safety and Buildings <br /> 10541N RANCH ROAD <br /> Ivisconsin <br /> DD#:(6 D WI 54843 <br /> -8777TDD#:(608)264-8777 www.commerc .wis onsin.gov <br /> www.wisconsin.gov <br /> Department of Commerce <br /> Scott McCallum,Governor <br /> Philip Edw.Albert,Acting Secretary <br /> October 05, 2001 <br /> CUST ID No.227691 ATTN POWTS Inspector <br /> WADE A RUFSHOLM ZONING OFFICE <br /> 24702 LIND RD BURNETT COUNTY SPIA <br /> PO BOX 514 7410 CTH K#102 <br /> SIREN WI 54872 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> Identification Numbers <br /> PLAN APPROVAL EXPIRES: 10/05/2003 <br /> Transaction ID No.679524 <br /> SITE: Site ID No.637281 <br /> LORELEI BERGMAN Please refer to both identification numbers, <br /> 4782 BERTRAM above,in all correspondence with the agency. <br /> TOWN OF LA FOLLETTE <br /> BURNETT COUNTY <br /> GOVERNMENT LOT(S)6, S9,T38N,R15W <br /> FOR: <br /> DESCRIPTION: HOLDING TANK 300 GPD. <br /> OBJECT TYPE:POWT SYSTEM REGULATED OBJECT ID NO.: 815741 <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 /> Correspondence Notes: <br /> • This plan action is subject to designer comments on the plan. <br /> • Comm 83.54(2),A water meter,with remote reading device,shall be installed by a properly licensed <br /> plumber,on the water system,that adequately measures the amount of water used by the structure, <br /> excluding hose bibs and wall hydrants,which do not discharge into the sanitary system.The water meter <br /> shall meet the AWWA C700—90 standards and have a direct-reading remote registration system that <br /> meets AWWA Standard C706. <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> "Holding Tank Component Manual,SBD-10571-P(R.6/99)"In the future remember to identify the <br /> component manual you are basing your design upon.Include the name of the component manual, <br /> number and date shown on the title page. <br /> • In the event this soil absorption system or any of its component parts malfunctions so as to create a F•0 <br /> health hazard by discharge of partially treated or untreated liquid wastes to ground surface or into C0116 <br /> surface waters or groundwater of the state,the owner will employ a properly licensed plumber to repair, <br /> modify or replace this system(including the possibility of installation of a holding tank with proper <br /> disposal)with such action approved by the Division and appropriate local officials. ARTe <br /> • Comm 83.43-1,Maintain well,waterline,property line,etc.horizontal set backs parameters. t NOF <br /> • Insulate building sewer where and as required per COMM 82.30(11)(c). <br /> • <br /> C <br /> Comm 83.33 Abandon the existing failed system as per this section. SEE <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 />