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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> N*isconsin <br /> DD#:(6 D WI 54843 <br /> 8777TDD#:(608)264-8777 www.commerc .wiscon usisb <br /> in.gov <br /> www.wisconsin.gov <br /> Department of Commerce <br /> Scott McCallum,Governor <br /> Philip Edw.Albert,Secretary <br /> July 26,2002 <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: 07/26/2004 <br /> Transaction ID No.771528 <br /> SITE: Site ID No.648094 <br /> Shiou Blanski Please refer to both identification numbers, <br /> Cth W above,in all correspondence with the agency. <br /> Town of Wood River <br /> Burnett County <br /> SE1/4, SETA,S24,T38N,R18W <br /> FOR: <br /> Description:Holding Tank 300 Gpd. <br /> Object Type: POWT System Regulated Object ID No.: 862191 <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 notes/comments on the plan. <br /> • Comm 83.54(2),A water meter shall be installed by a properly licensed plumber,on the water system, <br /> that adequately measures the amount of water used by the structure,excluding hose bibs and wall <br /> hydrants,which do not discharge into the sanitary system. <br /> • Comm 83.61(5) This system is to be constructed and located in accordance with the enclosed approved <br /> plans and with the Holding Tank Component Manual,SBD-10571-P(R.6/99). <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 N <br /> required by the state or the local municipality shall be obtained prior to commencement of �d1 <br /> construction/installation/operation. co <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 S <br /> review shall relieve the designer of the responsibility for designing a safe building, structure,or component. t <br /> D � <br />