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Safety and Buildings <br /> 10541N RANCH ROAD <br /> commerceml.gov HAYWARD WI 54843 <br /> Contact Through Relay <br /> isco ns i n www.comm.wiscoi sin.gol <br /> Department of Commerce www.wisconsin.gov <br /> Jim Doyle,Governor <br /> Richard J.Leinenkugel,Secretary <br /> February 23,2009 <br /> CUST ID No. 224059 ATTN:POWTS Inspector <br /> ZONING OFFICE <br /> KEITH E STONER BURNETT COUNTY SPIA <br /> 23220 WOOD CREEK RD 7410 CTH K#102 <br /> SIREN WI 54872 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 02/23/2011 Identification Numbers <br /> Transaction ID No. 1593562 <br /> SITE: Site ID No. 742915 <br /> Carl Bandt Please refer to both identification numbers, <br /> 27862 Leef Rd above,in all correspondence with theagency. <br /> Town of Jackson <br /> Burnett County <br /> Government Lot(S)2, S26,T40N,R15W Lot:2, <br /> FOR: <br /> Object Type: POWTS Individual Site Design Regulated Object ID No.: 1202291 7 tion <br /> Maintenance required; Replacement system; 150 GPD Flow rate; System(s):Pressurized In-ground ('O1ll�• <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes AP IPj C <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be DI F <br /> constructed and located in accordance with the enclosed approved plans.This system has been reviewed and <br /> approved as an Individual Site Design. The system shall be constructed in accordance with the approved plans and <br /> ch. Comm. 83,Wis.Adm.Code.The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsibl S[E CORRESPI <br /> for compliance with all code requirements. <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 /> 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 /> Reviewer's notes <br /> • This system is designed to accept 450 GPD. <br /> • The existing system is to be removed and filled with C33 sand. <br /> • The EZFlow units shall be placed in rows that are 3' apart. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> Key item(s) <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. Comm. 83,Wis.Adm.Code. <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 />