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2013/11/04 - SANITARY - SAN - Other
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TOWN OF SCOTT
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18091
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2013/11/04 - SANITARY - SAN - Other
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Last modified
3/6/2020 8:20:12 AM
Creation date
10/5/2017 4:55:28 PM
Metadata
Fields
Template:
Property Files v2
Document Date
11/4/2013
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
Tax ID
18091
Pin Number
07-028-2-40-14-16-3 01-000-015000
Legacy Pin
028411603320
Municipality
TOWN OF SCOTT
Owner Name
CROSSROADS CHRISTIAN CHURCH INC
Property Address
28509 COUNTY RD H
City
WEBSTER
State
WI
Zip
54893
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O <br /> Safety and Buildings <br /> 3824 N CREEKSIDE IA <br /> HOLMEN WI 54636 <br /> Contact Through Relay <br /> wwww wis.wi sin.go/ <br /> o - Scott Walker,Governor <br /> Dave Ross,Secretary <br /> October 19, 2012 <br /> CUST ID No. 224059 ATTV POH77S Inspector <br /> KEITH E STONER ZONING OFFICE <br /> KEITH STONER SOIL I'ISTI;IG SANITARY DESIGN BURATE71COUNTY SPLA <br /> 23220 WOOD CREEK RD 7410 CTH K 5102 <br /> SIREN WI 54872 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 10/19/2014 Identification Numbers <br /> I'no saction ID No. 2163569 <br /> SITE: Site IDN.. 785080 <br /> Crossroads Christian Church Please refer to both identification numbers, <br /> County Hwy 11 above, in all cost ondence with the a encv. <br /> Town of Scott <br /> Bumex County <br /> SW 1/4, NEI/4,S)6,140N, R 14W <br /> FOR: <br /> Description: In-ground Nompressurized ISD/Commercial Church/At-Risk <br /> Object Type: POWTS Individual Site Design Regulated Object ID No.: 1397247 <br /> Maintenance required; 1,184 GPD Flow rate, 54 in Soil minimum depth to limiting factor from original grade; <br /> System: Pressurized In-ground; Commercial System,Effluent Filter <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes <br /> and Wisconsin Statutes. 'Che 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 immolation and prior to occupancy or use: <br /> Reminders <br /> • This system has been reviewed and approved as an Individual Site Design.The system shall be constructed in <br /> accordance with the approved plans and ch. SPS 383. Wis.Adm. Code. <br /> • The float switch shall be a type that does not contain mercury-The 2009 Wisconsin Act 44 prohibits the <br /> installation of a float switch that contains mercury.Please specify an alternative product prior to applying for a <br /> sanitary permit. <br /> • This approval does not include plans for the general plumbing systems that may is required for this grease <br /> . _ interceptor portion of this project. Condi <br /> • Note: Per SYS 383.21(2)(e)5, Wis.Adm. Code,if any part of the POWrTS management plan specifies servicing APPY <br /> or maintenance at an interval of 12 months or less,the activity must be recorded with the deed for the property. <br /> If the activity has not been recorded,a sanitary permit can not be issued. OF <br /> • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption SEE CORF <br /> arca. chs.NR 811 S 812c <br />
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