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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 /> October 1,2012 <br /> Wade Rufsholm <br /> P.O. Box 514 <br /> Siren,WI 54872 <br /> Conditional Approval <br /> Sanitary Permit Expires October 1,2014, <br /> unless renewed prior to expiration. <br /> Site: 24723 Fosmo Drive PIN: 07-014-2-38-15-04-5 05-003-025000& <br /> Bruce Orman PIN: 07-014-2-38-15-04-5 05-003-026000 <br /> Lot 1 CSM Vol. 8 pg 79,and a parcel, both in Gov. Lot 3, Section 4,T38N R15W, <br /> Town of Lafollette <br /> FOR: POWTS,conventional In-ground. <br /> Maintenance required: 300 gallons/day(2 bedroom,4 person occupancy) <br /> POWTS component manuals: In-ground Soil Absorption 2.0 SBD-10705-P 01/01 <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin <br /> Administrative Codes and Wisconsin Statutes. The submittal has been Conditionally 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, as defined in chapter 101.01(10), Wisconsin Statutes, <br /> is responsible for compliance with all code 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 /> • System elevation is proposed to be: 9650. <br /> • Maintain well and waterline setbacks per COMM 83.43(8)(1). <br /> • Materials shall conform to the requirements of COMM 84. <br /> • Outlet manhole riser to be at least 4"above grade. <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/instal lation. <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 /> Sin el , <br /> CraigCo oy <br /> Assistan Zonm�Adm ator. <br />