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Safety and Buildings <br /> 10541N RANCH ROAD <br /> commerce.wi.gov HAYWARD WI 54843 <br /> ■ TDD#:(608)264-8777 <br /> isco n s i n www.commerce.wi.gov/sb/ <br /> Department of Commerce www.wisconsin.gov <br /> Jim Doyle,Governor <br /> Mary P.Burke,Secretary <br /> October 28,2005 <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: 10/28/2007 Identification Numbers <br /> Transaction ID No. 1209468 <br /> SITE: Site ID No. 706563 <br /> Mick Stephens Please refer to both identification numbers, <br /> 28923 Bluff Lake Rd above,in all corres ondence with theagency. <br /> Town of Union <br /> Burnett County <br /> SW 1/4,NW 1/4,S9,T40N,R17W <br /> FOR: Description:New holding tank,3 bedroom residence <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1047686 <br /> Maintenance required; 300 GPD Flow rate; System(s): Holding Tank Component Manual, SBD-10571-P(R.6/99) O FI Ci <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 inpgzN <br /> chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. �` of <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, Ga/ <br /> stats. <br /> SEE G <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> Key Items) <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> "Holding Tank Component Manual, SBD-10571-P(R.6/99)" <br /> • In the event this holding tank malfunctions so as to create a health hazard,the property owner must follow the <br /> contingency plan as described in the approved plans.In addition, the owner must insure that the operation, <br /> maintenance and monitoring duties as described the Holding Tank Component Manual are complied with.A <br /> copy of this information must be given to the owner upon completion of the project. <br /> • A service road shall be provided within 25 feet of all holding tank manholes. <br /> Reminders <br /> • Anchor tank as necessary to negate buoyant forces per COMM 83.43(8)(g). <br /> • Materials shall conform to the requirements of COMM 84. <br /> • Maintain well and waterline setbacks per COMM 83.43(8)(i). <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 />