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Safety and Buildings <br /> commerce.wi. OV 10541N RANCH ROAD <br /> g HAYWARD WI 54843 <br /> TDD#:(608)264-8777 <br /> Disco 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 /> April 25,2005 <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: 04/25/2007 Identification Numbers <br /> Transaction ID No. 1127175 <br /> SITE: Site ID No.697166 <br /> Northland Builders Please refer to both identification numbers, <br /> 28520 Kilkare Rd above,in all correspondence with theagency. <br /> Town of Jackson <br /> Burnett County <br /> SEI/4,SW1/4,S13,T40N,R15W <br /> FOR:Description:New holding tank for office with 1 employee and 1 floor drain <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1014117 <br /> Maintenance required; 38 GPD Flow rate; System(s): Holding Tank Component Manual, SBD-10571-P(R.6/99); <br /> Commercial System <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 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. P.O•V <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: Condit <br /> Key Item(s) n R <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the I� ENT <br /> "Holding Tank Component Manual,SBD-10571-P(R.6/99)" ISioN OF SAFI <br /> • In the event this holding tank malfunctions so as to create a health hazard,the property owner must follow <br /> contingency plan as described in the approved plans.In addition, the owner must insure that the operation, SEE CORRI <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 /> • Comm 83.02. This approval covers only the domestic wastewater directed into the POWTS. The Department <br /> of Natural Resources must be contacted regarding the treatment and disposal of non-domestic wastewater, <br /> including those mixed with domestic wastewater. Please refer to the following website for more information: <br /> http://www.dnr.state.wi.us/org/caer/cea/compliance/auto/wastewater.htm#septic. <br /> • This approval does not include plans for the general plumbing systems or sewer piping leading to the <br /> septic/holding tank that may be required for this project. See section COMM 82.20,Wis.Adm. Code,to <br /> determine if plan submittal and approval is required. <br /> • Per designer,the northwest corner of the storage building that connects with the office will serve as the <br /> horizontal reference point. (see plan) <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)(8). <br />