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Safety and Buildings <br /> 10541N RANCH ROAD <br /> commerceml.gov HAYWARD WI 54843 <br /> TDD#:(608)264-8777 <br /> i sco ns i n www commer isconsin.go l <br /> Department of Commerce www.wisconsin.gov <br /> Jim Doyle,Governor <br /> Mary P.Burke,Secretary <br /> June 13,2005 <br /> CUST ID No.231375 ATTN:PO WTS Inspector <br /> ZONING OFFICE <br /> GREG R SCHULTZ BURNETT COUNTY SPIA <br /> 7076 N STONE LAKE RD 7410 CTH K#102 <br /> STONE LAKE WI 54876 SIREN WI 54872 <br /> CONDITIONAL APPROVAL p•o N <br /> PLAN APPROVAL EXPIRES: 06/13/2007 Identification Numbers and it <br /> Transaction ID No. 1142588 <br /> SITE: Site ID No. 201916 <br /> Benoit Lake Campground Please refer to both identification numbers MEN <br /> 1980 CTH G above,in all correspondence with thea enc . AOf SA <br /> Town of Rusk <br /> Bumett County v`� <br /> Government Lot(S)3,SIO,T39N,R10W SEE COF <br /> FOR: Description: New non pressurized in ground system,28 campsites <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 1021279 <br /> Maintenance required; 1,260 GPD Flow rate; 110 in Soil minimum depth to limiting factor from original grade; <br /> System(s): In-ground POWTS Component Manual, SBD-10705-P(N.01/01) <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 /> 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 /> General Approval Conditions: <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> design manuals noted above. <br /> • In the event this soil absorption system or any of its component parts malfunctions so as to create a health <br /> hazard,the property owner must follow the contingency plan as described in the approved plans.In addition, <br /> the owner must insure that the operation,maintenance and monitoring duties as described in the "In-Ground <br /> Soil Absorption Manual System"are complied with. A copy of this information must be given to the owner <br /> upon completion of the project. <br /> Key item(s) <br /> • This approval is for a non pressurized in-ground system that serves a campground with 28 campsites. <br /> • The gravelless system components must be installed in accordance with the manufacturer's printed instructions, <br /> the plan approval,and COMM 83 system sizing criteria. If there is a conflict between the manufacturer's <br /> instructions and the plan approval,the plan approval and code requirements will take precedence. <br /> • The designer proposes to.install an outlet filter to achieve the requirement of wastewater particle size. <br /> Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic <br /> tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. <br />