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BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 PHONE(715)349-2138 <br /> SIREN,WISCONSIN 54872 <br /> November 15,2010 <br /> Wade Rufsholm <br /> Box 514 <br /> Siren,WI 54872 <br /> Conditional Anoroval <br /> Sanitary Permit Expires November 15,2012, <br /> unless renewed prior to expiration <br /> SITE: 28253 Bonner Lake Road PIN No.: 07-012-2-40-15-24-5 05-004-019000 <br /> Tom Rentoul <br /> Lot 4 Vol.3 CSM pg 180,Gov.Lot 4, Section 24,T40N R15W,Town of Jackson <br /> FOR: POWTS,Conventional In-ground <br /> Maintenance required: 300 Gallons/day(2 bed room) <br /> POWTS component manual: In-ground Soil Absorption Version 2.0 SBD-10705-P(N.01/01) &SSWMP <br /> Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81) <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin <br /> Administrative Codes and Wisconsin Statutes. The submittal has been Conditioually Approved. This <br /> system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> component manual referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, <br /> is responsible for compliance with all code requirements. No person may engage in or work at plumbing in <br /> the state unless licensed to do so by the Department of Commerce per s. 145.06 slats. <br /> Key items and Reminders <br /> • System Elevation is proposed to be 9700. <br /> • Maintain well and waterline setbacks per COMM 83.43(8)(i) <br /> • Materials shall conform to the requirements of COMM 84. <br /> • Properly abandon any existing POWTS components that will be taken out of service. <br /> A copy of the approved plans shall be on-site during construction and open to inspection by authorized <br /> representatives of the County and the Department. All permits required shall be obtained prior to <br /> construction/installation. <br /> In granting this approval,Burnett County reserves the right to require changes or additions should <br /> conditions arise making them necessary for code compliance. <br /> The above left addressee shall provide a copy of this approval and permit to the owner and any others who <br /> are responsible for the installation,operation or maintenance of the POWTS. <br /> Sin el <br /> Craig` moy <br /> Assistant Zoning Administrator. <br />