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BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMEN'P CENTER <br /> 7410 COUNTY ROAD K,#102 PHONE(715)349-2138 <br /> SIREN,WISCONSIN 54872 <br /> April 29,2013 <br /> Wade Refsholm <br /> P.O. Doc 514 <br /> Siren,WI 54872 <br /> Conditional Approval <br /> Sanitary Permit Expires April 29,2015, <br /> unless renewed prior to expiration. <br /> Site: 4025 Greer Road PIN' 15-700-016000 <br /> Wayne Lockwood <br /> Lot 5,Plat of Sheltered Pines,Section 35,T40N R 15W,Town of Jackson <br /> FOR: POWTS,conventional In-ground. <br /> Maintenance required:300 gallons/day design flow,(2 bedroom, 4 person occupancy) <br /> POWTS component manuals: In-ground Soil Absorption 2.0 SDD-10705-P Ol/01. <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin <br /> Administrative Codes and Wisconsin Statutes. 'Phe submittal has been Conditionally 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 101.07(10), Wi.scormit States, <br /> is respomiblefor 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 stats. <br /> Key items and Reminders <br /> • System elevation is proposed to be: 9450. <br /> • Maintain well and waterline setbacks per COMM 83 43(g)(i). <br /> • Materials shall conform to the requirements of COMM 84. <br /> • Septic tank outlet riser to be at least 4"above final grade. <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 /> Si9e�cy/�Jy y, <br /> C/^rmgn,onroy <br /> As: anal Zoning Administrator. <br />