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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> HAYWARD WI 54843 <br /> TDD#:(608)2648777 <br /> Ivisconsin www.commerce.state.wi.us <br /> Department of Commerce Tommy G.Thompson,Governor <br /> Brenda J.Blanchard,Secretary <br /> November 08, 1999 <br /> CUST ID No.227691 AT77V:POWTS INSPECTOR <br /> WADE A RUFSHOLM ZONING OFFICE <br /> 24702 LIND RD BURNETT COUNTY SPLA <br /> PO BOX 514 7410 CTH K#102 <br /> SIREN WI 54872 SIREN WI 54872 <br /> RE: CONDITIONAL APPROVAL _ Identification Numbers <br /> APPROVAL EXPIRES: 11/08/2001 Transaction ID No.273272 <br /> Site ID No. 183549 <br /> Please refer to both identification numbers, <br /> SITE: above, in all correspondence with theagency. <br /> Site ID: 183549 <br /> BURNETT County,Town of LA FOLLETTE;24744 FOSMO DR,SIREN 54872 <br /> Government Lot(s)3,S4,T38N,R15W <br /> Facility: AL REITZEL 24744 FOSMO DR, SIREN 54872 <br /> FOR: <br /> Description:HOLDING TANK 450 gpd <br /> Object Type: POWT System Regulated Object ID No.:499487 <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 /> 1. This plan action is subject to designer comments on the plan. <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. Q iia <br /> Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address COI <br /> dti <br /> on this letterhead. <br /> DATE RECEIVED 10/28/1999 t?N' spf <br /> Sincerely, XONpE ti <br /> FEE REQUIRED$ 60.00 <br /> FEE RECEIVED$ 60.00 <br /> THOMAS E DEVEREAUX,PLUMBING/POWTS REVIEWER BALANCE DUE $ 0.00 S <br /> Integrated Services <br /> (715)634-3026,7:45 AM-4:45 PM MON.-FRI. <br /> TDEVEREAUX@COMMERCE.STATE.WI.US WiSMART code:7633 <br />