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Safety and Buildings <br /> ov <br /> commerce.wi. 10541N RANCH ROAD <br /> g HAYWARD WI 54843 <br /> TDD#:(608)264-8777 <br /> isco n s i n www.Commerce.wi.gov/sb/ <br /> Department of Commerce www.wisconsin.gov <br /> Jim Doyle,Governor <br /> Mary P.Burke,Secretary <br /> July 08,2005 <br /> CUST ID No.224059 ATTN:POWTS Inspector <br /> ZONING OFFICE <br /> KEITH E STONER BURNETT COUNTY SPIA <br /> 23220 WOOD CREEK RD 7410 CTH K#102 <br /> SIREN WI 54872 SIREN WI 54872 <br /> CONDITIONAL APPROVAL <br /> PLAN APPROVAL EXPIRES: 07/08/2007 Identification Numbers <br /> Transaction ID No. 1151131 <br /> SITE: Site ID No.700929 <br /> Pierce Properties Please refer to both identification numbers, <br /> Meadow Creek Dr above,in all correspondence with thea enc . <br /> Town of Scott <br /> Burnett County <br /> Government Lot(S)5,S36,T40N,R14W <br /> Lot: 1, Subdivision:Meadow Creek Acres <br /> FOR: 3 bedrrom holding tank <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 1026454 <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: <br /> A copy of the approved plans, specifications and this letter shall be on-site during construction and open to <br /> inspection by authorized representatives of the Department,which may include local inspectors. All permits <br /> required by the state or the local municipality shall be obtained prior to commencement of <br /> construction/installation/operation. <br /> In granting this approval the Division of Safety&Buildings reserves the right to require changes or additions <br /> should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this <br /> review 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 to the owner and any others who are responsible for the <br /> installation,operation or maintenance of the POWTS. <br /> Sincerely, Fee Required$ 60.00 <br /> Fee Received$ 60.00 <br /> 4v�� <br /> Balance Due $ 0.00 <br /> Wastewater Specialist,Integrated Services WiSMART code: 7633 <br /> (715)634-3484, <br /> clippert@commerce.state.wi.us <br />