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Safety and Buildings <br /> commercemi.gov 10541N RANCH ROAD <br /> HAYWARD WI 54843 <br /> Contact Through Relay <br /> sco ns i n wwwcommercewi.gov/sb/ <br /> i <br /> Department of Commerce wwwmisconsin.gov <br /> Jim Doyle,Governor <br /> Richard J. Leinenkugel,Secretary <br /> October 03,2008 <br /> CUST ID No. 11600 ATTN:POWTS Inspector <br /> DAYTON R DANIELS <br /> DANIELS PLUMBING&HEATING INC ZONING OFFICE <br /> 24056 HWY 35 BURNETT COUNTY SPIA <br /> PO BOX 316 7410 CTH K#102 <br /> SIREN WI 54872 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 10/03/2010 Identification Numbers <br /> Transaction ID No. 159213! <br /> SITE: Site ID No. 742706 <br /> James& Stacie Shandorf Please refer to both identification numbers, <br /> 3888 South Shore Rd above, in all correspondence with theagency. <br /> Town of Jackson <br /> Burnett County <br /> Government Lot(S)5, S35,T40N, R15W 0 w <br /> FOR: cortd1tLO <br /> Description: Holding tank,3 bedroom residence P <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 1201556 <br /> Maintenance required; Replacement system; 300 GPD Flow rate; System(s): Holding Tank Component Manual, -NS <br /> 10571-P(R.6/99) SPAT <br /> DN K� <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes ORKE <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be SEE G <br /> constructed and located in accordance with the enclosed approved plans and with any component manual(s) <br /> referenced above. The owner, as defined in chapter 101.01(10),Wisconsin Statutes, is responsible for comp fiance <br /> with all code requirements. <br /> No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, <br /> stats. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> Key Item(s) <br /> • In the event this holding tank malfunctions so as to create a health hazard, the property owner must follow the <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 service road shall be provided within 25 feet of all holding tank manholes. <br /> Reminders <br /> • Anchor tank as necessary to negate buoyant forces per COMM 83- <br /> • Materials shall conform to the requirements of COMM 84. <br /> • The existing POWTS must be properly abandoned per Comm 83.33 Wis. Adm. Code. <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 /> const uction/installatiott/operat on. <br />