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SEAL OF <br /> * RURNETT COUNTN'ZONING ADNUNISTR\TION <br /> }(� i BURNEM COUNTN GONERNMENTCEN'I'ER <br /> i{ I 74IIICOUNT1 ROADK,k102 <br /> 1rp �*'• Z PIIONE(715)3J9-2139 <br /> r- 1 SIREN,NISC0NSIN54N72 <br /> �`�ourJmiG <br /> Holding Tank Approval Checklist <br /> 1. Sanitary Permit Application <br /> Date Stamp S//Z / 2v/4 <br /> Parcel ID a i- o -1y -_Z--1-I - I $ - Z -SQ 57- O a Z- 0 00 0 <br /> !k Zoew Mood ZAJ <br /> II. Plot Plan <br /> U Property Lines /( Benchmark <br /> IC Site Address- AvDEp ;0 p&%-e13ED0401 North Arrow <br /> Structures -K Scale <br /> K Well < 25' to Service Road <br /> _y_ Legal Description Nearest Road Intersection <br /> Setbacks to Property Lines, Well, <br /> Structure, Water Bodies, Roads <br /> III. Required Plans <br /> Index Page with Original Signature <br /> K Management Plan/Contingency Plan <br /> K Servicing Contract <br /> V Holding Tank Agreement Form <br /> IV. Holding Tank Specifications <br /> Cross-Section-Manufacture 59AW . Gallons: 2000 <br /> 71 Tank Anchor Calculations [SPS 383.43(8)(g)] <br /> X Locking Mechanism, chains/locks <br /> k Alarm and Electrical per NEC 300. SPS 316 & 383.49(9)(e) and a 101.862(2) and (3) <br /> 3" Bedding Material <br /> V. Holdii9�Tank Plans per Component Manual <br /> U Version 2.0 SBD- 10855-P (N. 03/07; R 01/12)a6gq 415P o+/iv. fa PSC,E <br /> Owner: 6",fQjG Ef75Plumber: 5aJCPK-Mer+ <br /> Application Date Review: <br /> POWTS Reviewer: G,Cip/G DAe//ai.1/ <br /> „/Zbilta <br /> Revised 10/7/13 <br />