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Safety and Buildings <br /> commerce.wl. OV 10541N RANCH ROAD <br /> g HAYWARD WI 54843 <br /> TDD M(608)264-8777 <br /> tiDsconsin www.commerce.wi.gov/sb/ <br /> epartment of Commerce www.wisconsin.gov <br /> Jim Doyle,Governor <br /> Mary P.Burke,Secretary <br /> November 01,2005 <br /> CUST ID No. 225229 ATTIC•POWTS Inspector <br /> NELS D KOERPER ZONING OFFICE <br /> CENTRAL PLUMBING AND HEATING BURNETT COUNTY SPIA <br /> 7845 CTY RD D 7410 CTH K CO2 <br /> WEBSTER WI 54893 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 11/01/2007 Identification Numbers <br /> Transaction ID No. 1210991 <br /> SITE: Site ED No. 706869 <br /> Kristin Erickson Lee Please refer to both identification numbers, <br /> 22735 Hanson Point Rd above,in all correspondence with theagency. <br /> Town of Wood River <br /> Burnett County <br /> SEI/4,NEIA,S33,T38N,R18W <br /> FOR:Description:New holding tank,3 bedroom residence <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1049114 <br /> Maintenance required; 300 GPD Flow rate; System(s):Holding Tank Component Manual,SBD-10571-P(R.6/99) <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner,as defined in <br /> chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. <br /> No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, <br /> stats. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: Co, <br /> Kev Item(s) P <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the DEPAR <br /> "Holding Tank Component Manual,SBD-10571-P(8.6/99)" <br /> • In the event this holding tank malfunctions so as to create a health hazard,the property owner must follow the <br /> contingency plan as described in the approved plans.In addition, the owner must insure that the operation, SEE C <br /> maintenance and monitoring duties as described the Holding Tank Component Manual are complied with.A <br /> copy of this information must be given to the owner upon completion of the project. <br /> • A copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file <br /> with the Department. Changes to the approved plan must be submitted for review and approval. Failure to <br /> properly attach the approval and index page to plans that match the copy on file with the Department may result <br /> in enforcement action under s. 145.10,Stats. <br /> • A service road shall be provided within 25 feet of all holding tank manholes. <br /> • Install building sewer per COMM 8230(11)(c)(re: depth of bury). <br /> Reminders <br /> • Anchor tank as necessary to negate buoyant forces per COMM 83.43(8)(g). <br /> • Materials shall conform to the requirements of COMM 84. <br /> • The existing POWTS must be properly abandoned per Comm 83.33 Wis.Adm.Code. <br /> • Maintain well and waterline set backs per COMM 83.43(8)(i). <br />