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Safety and Buildings <br /> 10541N RANCH ROAD <br /> commerce.Wl.gov HAYWARD WI 54843 <br /> TDD#:(608)264-8777 <br /> isconsin www.commerce.wi.gov/sbi <br /> sin.go l <br /> www.wisconsin.gov <br /> Department of Commerce <br /> Jim Doyle,Governor <br /> Mary P.Burke,Secretary <br /> May 12,2005 <br /> CUST ID No.225851 AM. POWTSInspector <br /> RICHARD 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 Identification Numbers <br /> PLAN APPROVAL EXPIRES:05/12/2007 Transaction 1D No.1134236 <br /> Site ID No.698051 <br /> SITE: Please refer to both identification numbers, <br /> Virginia King above,in all correspondence with the agency. <br /> 27925 Lone Pine Rd <br /> Town of Oakland <br /> Burnett County <br /> ,S29,T40N,R16W <br /> FOR:Description:New holding tank,2 bedroom residence <br /> Object Type: POWTS Component Manual Regulated Object ID No.: 1016989 <br /> Maintenance required; 200 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(l0),Wisconsin Statutes,is responsible for compliance with all code requirements. P.O.' <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, Condit <br /> stats. �i, <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: �'U <br /> DEp RTMENT <br /> Key Items) I)IV6140F SAFE <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the /4- <br /> "Holding Tank Component Manual,SBD-10571-P(R.6/99)" ;EE t',ORRE <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, <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 service road shall be provided within 25 feet of all holding tank manholes. <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 /> • Maintain well and waterline set backs per COMM 83.43(S)(i). <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 />