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BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD IC,#102 PHONE(715)349-2138 <br /> SIREN,WISCONSIN 54872 <br /> June 3,2009 <br /> Wade Rufsholm <br /> Box 514 <br /> Siren,WI 54872 <br /> Conditional Amproval <br /> Sanitary Permit Expires June 3.2011. <br /> unless renewed tmor to expiration <br /> SII'E: 23584 Old Hwy 35 Legacy PIN No.: 034 1516 05500 <br /> Floyd Frazee <br /> S 175'of the N275'lying W of hwy 70,Gov.Lot 3,Section 21,T38N R17W,Town of Daniels <br /> FOR: POWTS,Holding Tank <br /> Maintenance required: 400 gailmWday estimatedJlow(2 bedroom) <br /> POWTS component manual: Holding Tank SBD-10571-P(R.6/99) <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin <br /> Admimstrative Codes and Wisconsin Statutes. The submittal has been Conditionally Approved. This <br /> system is to be constructed and located in aoeordance with the enclosed approved plans and with the <br /> component manual referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, <br /> is responsible for compliance with all cock requirements. No person may 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 /> Key items and Reminders <br /> • Manhole Risers are to be at least 4 inches above grade. <br /> • Maintain well and waterline setbacks per COMM 83.43(8)(1) <br /> • Materials shall conform to the requirements of COMM 84. <br /> • Anchoring rcau remem of at least 34.4 inches of soil cover over the tank is f11gpm. <br /> A copy of the approved plans shall be on-sttc 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 County reserves the right to require changes or additions should <br /> conditions arise making them necessary for code compliance. <br /> The above left addressee shall provide a copy of this approval and permit to the owner and any others who <br /> are responsible for the installation,operation or maintenance of the POWTS. <br /> S <br /> euwr <br /> Craig C4dtoy <br /> Assistant Zoning Administrator. <br />