Laserfiche WebLink
Safety and Buildings <br /> 10541N RANCH ROAD <br /> HAYWARD WI 54843 <br /> TDD#:(608)264-8777 <br /> Nisconsin www.commerce.statemi.uslsb <br /> www.wisconsin.gov <br /> Department of Commerce <br /> Jim Doyle,Governor <br /> Cory L.Nettles,Secretary <br /> June 05, 2003 <br /> CUST ID No.225229 ATTN.•POWTS Inspector <br /> NELS D KOERPER ZONING OFFICE <br /> CENTRAL PLUMBING AND HEATING BURNETT COUNTY SPIA <br /> 7845 CTY RD D 7410 CTH K#102 <br /> WEBSTER WI 54893 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 06/05/2005 Identification Numbers <br /> SITE: Maurice Johnson Transaction ID No.872424 <br /> Assembly Rd Site ID No.659472 <br /> Town of Wood River, 54840 Please refer to both identification numbers, <br /> Burnett County above,in all correspondence with the agency. <br /> SEI/4,SWIA,S32,T38N,R18W <br /> FOR: Description:Mound 450 gpd. <br /> Object Type:POWT System Regulated Object ID No.: 904593 <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 /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems"Version 2.0 <br /> SBD-10691-P(N.01101)and the "SSWMP Publication 9.6,"Design Of Pressurized Distribution Networks <br /> For Septic Tank-Soil Absorption Systems." <br /> • Comm 84.10,All materials used in this installation shall conform to the provisions of this chapter. <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 /> construction/installation/operation. <br /> In granting this approval the Division of Safety&Buildings reserves the right to require changes or additions <br /> should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this <br /> review shall relieve the designer of the responsibility for designing a safe building,structure,or component. <br /> Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address <br /> on this letterhead. Q�� <br /> The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the co <br /> installation,operation o tenance of the POWTS. <br /> Sincer Fee Required$ 175.00 <br /> Fee Received$ 175.00 t <br /> Balance Due $ 0.00 <br /> Thomas E Devereaux J ~ <br /> Plumbing/POWTS Reviewer II,Integrated Services <br /> (715)634-3026,7:15 am-4:00 pm Mon.-Fri. WiSMAII'T"eo4e:.7633, <br /> tdevereaux@commerce.state.wi.us <br /> cc: Carl J Lippert,Wastewater Specialist,(715)634-3484 <br />