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BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,4102 PHONE(715)349-2138 <br /> SIREN,WISCONSIN 54872 <br /> August 29,2013 <br /> Robert Carlson <br /> 3572 1156 St. <br /> Frederic, WI 54837 <br /> Conditional Avaroval <br /> SanitaryPermit Expires August 29,2015 <br /> unless renewed prior to expiration. <br /> SITE: 4673 Cl. Rd. B. PIN: 07-0142381521403000011000 <br /> Ethan Hayes <br /> 21-38-15W <br /> FOR: POWTS,conventional In-ground. <br /> Maintenance required:450 gallons/day(3 bedroom,6 person occupancy) <br /> POWTS component nationals: In-ground Soil Absorption 2.0 SBD-10705-P 01/01 & <br /> SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81). <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin <br /> Administrative Codes and Wisconsin Statutes. The submittal has been Conditionally Aunrmed. 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 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 /> • System elevation is proposed to be: 94.9 R. <br /> • Maintain well and waterline setbacks per SPS 383.43(8)(1). <br /> • Materials shall conform to the requirements of SPS 384. <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/insmllation. <br /> In granting this approval,Bunnell 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 maintcrance of the POWTS. <br /> SIS <br /> Program Cons iltanti <br />