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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> commerce.wl.gov HAYWARD WI 54843 <br /> TDD#:(608)264-8777 <br /> sconsin www commerce onsin.gov <br /> DeparfineM of Commerce www.wisconsin.gov <br /> Jim Doyle,Governor <br /> Mary P.Burke,Secretary <br /> June 29,2007 <br /> CUST ID No. 225851 ATTN:POWTS Inspector <br /> RICHARD HOPKINS ZONING OFFICE <br /> HOPKINS SAND&GRAVEL BURNETT COUNTY SPIA <br /> 27760 HWY 35 7410 CTH K#102 <br /> WEBSTER WI 54893 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 06/29/2009 Identificat on Numbers <br /> Transaction ID No. 405104 <br /> SITE: Site ID No. 726577 <br /> John Gordon Rv Park Please refer to both identification numbers, <br /> CTH D above,in all corres o idence with theagency. <br /> Town of Lincoln <br /> Burnett County <br /> FOR: c <br /> Description:Non pressurized in ground system,20 campsites and I -3 bedroom residence <br /> Q <br /> Object Type:POWTS Component Manual Regulated Object IDNo.: 1136201 Or <br /> Maintenance required; 1,350 GPD Flow rate; 48 in Soil minimum depth to limiting factor from original grade; <br /> System(s): Conventional POWTS Component Manual,SBD-10567-P(R.6/99); Commercial System <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes �pF4P P <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be �../ <br /> constructed and located in accordance with the enclosed approved plans and with the component manual(s) <br /> referenced above.The owner,as defined in chapter 101.01(10),Wisconsin Statutes, is responsible for compliance SE�GOP <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 Deparnient per s.145. , <br /> stats. <br /> The following conditions shall be met during construction or installation and prior to occupanc or use: <br /> Key Item(s) <br /> • In the event this soil absorption system or any of its component parts malfunctions so as to reate a health <br /> hazard,the property owner must follow the contingency plan as described in the approved I dans.In addition, <br /> the owner must insure that the operation,maintenance and monitoring duties as described is 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 /> • This approval does not include plans for the general plumbing systems or sewer piping leading to the <br /> septic/holding tank that may be required for this project. See section COMM 82.20,Wis.Adm. Code,to <br /> determine if plan submittal and approval is required. <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 cl aning of the septic <br /> tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. <br /> Reminder <br /> • Materials shall conform to the requirements of COMM 84. <br /> • Surface water drainage shall be diverted away from the system area. <br /> 0 Maintain well and waterline set backs per COMM 83.43(8)(1). <br />