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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 /> August 10„ 2010 <br /> Wade Rufsholm <br /> Box 514 <br /> Siren,WI 54872 <br /> Conditional Approval <br /> Sanitary Permit Expires August 10,2012. <br /> unless renewed prior to expiration <br /> SITE: 3848 North Bass Lake Road PIN No.: 07-012-2-40-15-23-505-002-013000 <br /> Truman Smith <br /> Parcel in Gov.Lot 2,Section 23,T40N R15W,Town of Jackson <br /> FOR: POWTS,Conventional In-ground <br /> Maintenance required: 450 Gallons/day(3 bed room) <br /> POWTS component manual: In-ground Soil Absorption Version 2.0 SBD-10705-P(N.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 9480. <br /> • Maintain well and waterline setbacks per COMM 83.43(8)(i) <br /> • Materials sball conform to the requirements of COMM 84. <br /> • Properly abandon existing POWTS components,should they be determined to be unsuitable to <br /> return to service in the future. <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 tinstallation. <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 1 <br /> Craig Croy <br /> Assistant Zoning Admmistmtor. <br />