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Safety and Buildings <br /> 1340 E GREEN BAY ST STE 300 <br /> Ivisconsin <br /> oo#:(6 O WI 54166 <br /> TDD#:(608)264-8777 <br /> www.commerc .wis onsin.gov <br /> www.wisconsin.gov <br /> Department of Commerce <br /> Jim Doyle,Governor <br /> Cory L.Nettles,Secretary <br /> July 16, 2003 <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: 07/16/2005 <br /> Transaction ID No.883473 <br /> SITE• Site ID No.661194 <br /> James Johnson Please refer to both identification numbers, <br /> Cth D above,in all correspondence with the agency. <br /> Town of Wood River <br /> Burnett County <br /> SE1/4,NWl/4, S7,T38N,R18W <br /> FOR: <br /> Object Type: Mound POWT System Regulated Object ID No.: 909771 <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 /> 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. <br /> The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the <br /> installation,operation or maintenance of the POWTS. <br /> Sincerely, Fee Required$ 175.00 <br /> Fee Received$ 175.00 <br /> Au7—;; , <br /> Balance Due $ 0.00 <br /> Ross J Fugill <br /> Wastewater Specialist,Field Operations WiSMART code:7633 <br /> (715)524-3629 , <br /> rfugill@cornrnerce.state.wi.us <br /> cc: Carl J Lippert,Wastewater Specialist,(715)634-3484 <br /> Burnett County Zoning <br />