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September 21, 2018 <br />CUST ID No. 225851 <br />DIVISION OF INDUSTRY SERVICES <br />10541 N RANCH RD <br />HAYWARD WI 54843-6462 <br />Contact Through Relay <br />htp:/Idsps.wi.gov/programs/industry-services <br />www.wisconsin.gov <br />ATTN.• POWTS Inspector <br />Scott Walker, Governor <br />Laura Gutierrez, Secretary <br />RIC1 ARD 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: 09/21/2020 Identification Numbers <br />Transaction ID No. 3160172 <br />SITE: Site ID No. 853940 <br />Ken Brooks Please refer to both identification numbers, <br />27497 Cth H above, in all correspondence with the agency. <br />Town of Scott <br />Burnett County <br />, S33, T40N, R14W <br />FOR: <br />Object Type: POWTS Component Manual Regulated Object ID No.: 1797473 <br />Maintenance required; 450 GPD Flow rate; System(s): In -ground POWTS Component - Ver <br />(N.01/01, R. 10/12), Mound Component Manual - Ver. 2.0, SBD-10691-P (N.01/01, R. 10/1'. <br />The submittal described above has been reviewed for conformance with applicable Wisconsin AC <br />and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system <br />and located in accordance with the enclosed approved plans and with any component manual(s) ri <br />The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance v <br />requirements. <br />A copy of the approved plans, specifications and this letter shall be on -site during construction an <br />inspection by authorized representatives of the Department, which may include local inspectors. <br />required by the state or the local municipality shall be obtained prior to commencement of <br />construction/installation/operation. 1 <br />2.0, SBD-10705-P <br />Effluent Filter COAD1 <br />�nisV,gj"Codes APP <br />rto M ronsthmte"prt IT AND <br />6renced abov')ZWSZON OF IA <br />h all code <br />open to / 1 <br />11 permits <br />S - OPR. RE <br />In granting this approval the Division of Industry Services reserves the right to require changes or additions should <br />conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review <br />shall relieve the designer of the responsibility for designing a safe building, structure, or component. <br />Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address <br />on this letterhead. <br />The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any <br />others who are responsible for the installation, operation or maintenance of the POWTS. <br />Sincerely, <br />Edw' A Taylor <br />Wastewater Specialist, Division of Industry Services <br />(715)634-3484 , Mon-fri, 8:00 a.m. - 4:30 p.m. <br />edwin.taylor@wi.gov <br />Fee Required $ 250.00 <br />Fee Received $ 250.00 <br />Balance Due $ 0.00 <br />WiSMART code: 7633 <br />