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BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD K,#102 PHONE(715)349-2138 <br /> SIREN,WISCONSIN 54872 <br /> September 29. 2009 <br /> Richard Hopkins <br /> 27760 Hightvav 35 <br /> Webster, WI 54893 <br /> Conditional Approval <br /> Sanitary Permit Expires September 29, 201 L <br /> unless renewed prior to expiration. <br /> SITE: 3799 Loon Lake Road Legacy PIN: 012 420101400 <br /> Tim Jackson (Carrie Amt Peska) <br /> Parcel in the Frl NW '/A. Section I.T40N R15 W. Town of Jackson <br /> FOR: POWTS,comentional In-ground. <br /> Maintenance required: 450 gallons/dav <br /> POWTS component manual: In-ground Soil Absorption Version 2.0. <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin <br /> Administrative Codes and Wisconsin Statutes. The submittal has been Conditionalh 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, os defined in chapter 101.0[(10), li'i.sconsin.Statutes, <br /> is responsible f<rr compliance with all code requirements. No person mac 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 /> Kcv items and Reminders <br /> • System elevation is proposed to be 93.50.. <br /> • Maintain well and waterline setbacks per COMM 83.43(8)(1) <br /> Materials shall conform to the requirements of COMM 84. <br /> • Properly abandon existing private sewage system. <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 Countv reserves the right to require changes or additions should <br /> conditions arise making them necessan for code compliance. <br /> The above left addressee shall provide a copy of this approval and permit to the owner and any others%N ho <br /> are responsible for the installation. operation or maintenance of the POWTS. <br /> Sind <br /> Craig QbnroN <br /> Assistant Zoning Aministrator. <br />