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BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 COUNTY ROAD lr #102 PHONE(715)349-2138 <br /> SIREN,WISCONSIN 54872 <br /> August 4,2009 <br /> Ross Tollander <br /> 27220 Jamison Road <br /> Webster WI 54893 <br /> Conditional ADDrOVal <br /> Sanitary Permit Expires August 4,2009, <br /> unless renewed prior to expiration. <br /> SITE: 28101 Legacy PIN#: 012 4223 05600 <br /> Bob Olson <br /> Lot 4,CSM Vol. i pg 223,Gov.Lot 2&NW'/4 SE'/4,Section 23,T40N R15 W,Jackson. <br /> FOR: POWTS,conventional in-ground with lift <br /> Maintenance required: 300 gallons/day <br /> POWTS component manuals: In-ground Soil Absorption 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 Conditionally ARproyed. 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 94.50. <br /> • Maintain well and waterline setbacks per COMM 83.43(8)(i) <br /> • Materials sbail 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 /> constructimilmstallation. <br /> In granting this approval,Burrett 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 /> r <br /> y, <br /> 1 tvvwy <br /> Craig CohrOy <br /> Assistant Zoning Administrator. <br />