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Safety and Buildings <br /> 10541N RANCH ROAD <br /> HAYWARD WI 54843 <br /> TDD#:(608)264-8777 <br /> www.commerce.state.wi.us/sb <br /> isconsinwww.wisconsin.gov <br /> Department of Commerce Scott McCallum,Governor <br /> Philip Edw.Albert,Acting Secretary <br /> November 15,2001 <br /> CUST ID No.225229 ATTN: POWTS Inspector <br /> MELS 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 Identification Numbers <br /> PLAN APPROVAL EXPIRES: 11/15/2003 Transaction ID 1 690407 <br /> Site ID No.638897 <br /> SITE: Please refer to both identification numbers, <br /> Douglas Jotblad Residence above,in all corres correspondence with the enc . <br /> 23756 Range Line Rd <br /> Town of Daniels,54872 <br /> Burnett County <br /> SW 1/4,SW 1/4,S18,T38N,R17W <br /> FOR:Replacement holding tank,3 bed room residence <br /> Object Type:POWT System Regulated Object ID No.: 820899 <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes P.O.V <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner,as defined in c( d <br /> it <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: Pi EN <br /> DE SAI <br /> General Approval Conditions: <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and withthe Gam_ <br /> "Holding Tank Component Manual,SBD-10571-P(R.6/99)" L GORE <br /> • In the event this holding tank malfunctions so as to create a health hazard,the property owner must fol the <br /> S: <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 Sanitary Permit must be obtained from the county where this project is located or other appropriate permit <br /> issuing agency in accordance with the requirements of Sec. 145.135 and 145.19,Wis.Stats. <br /> • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with <br /> the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis. Stats. <br /> • The maintenance plan for this system must be given to the owner of the POWTS. <br /> • Note: County regulations concerning the prohibition of holding tanks may vary. Check with the local permit <br /> issuing agency. <br /> 0 Note:The servicing of POWTS holding and treatment components,including septic tanks and holding tanks,is <br /> required to be performed by licensed pumpers under chs.NR 113 and NR 114. <br />