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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> HAYWARD WI 54843 <br /> Ivisconsin <br /> TDD#:(608)264-8777 <br /> www.commerce.state.wi.us <br /> Department of Commerce Tommy G.Thompson,Governor <br /> Brenda J.Blanchard,Secretary <br /> October 11, 1999 <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 /> RE: CONDITIONAL APPROVAL --- <br /> APPROVAL EXPIRES: 10/11/2001 Identification Numbers <br /> Transaction ID No.250098 <br /> Site ID No. 181740 <br /> SITE: Please refer to both identification numbers, <br /> Site ID: 181740 above, in all correspondence with theagency. <br /> BURNETT County,Town of DANIELS;23778 FLOYD PARKER DR, SIREN 54872 <br /> Government Lot(s)4, S17,T38N,R17W <br /> Lot: 17, <br /> Facility: KARL JOHNSON 23778 FLOYD PARKER DR, SIREN 54872 <br /> FOR: <br /> Description:HOLDING TANK 450 gpd <br /> Object Type:POWT System Regulated Object ID No.:493787 <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 /> 2. Abandon failing system per COMM 83.03(2). <br /> 3. Tank shall be located per COMM 83.18(7)(a). <br /> 4. Anchor tank as necessary to negate buoyant forces per COMM 83.15(4)(b). <br /> 5. Maintain well and waterline set backs per COMM 83.18(7)(a). <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 /> Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address <br /> on this letterhead. P.O.) <br /> Sincerely, DATE RECEIVED 09/23/1999 Condi <br /> FEE REQUIRED$ 60.00 APP F <br /> GGGaawrrrrr,... -- FEE RECEIVED$ 60.00 pEPARTMEN <br /> THOMAS E DEVEREAUX,PLUMBING/POWTS REVIEWER BALANCE DUE $ 0.00 DTVI Of SA' <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 />