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10541N RANCH ROAD <br /> HAYWARD WI 54843 <br /> TDD#:(608)264-8777 <br /> 84sconsin www.commerw.Vsconsin.gov <br /> www.wisconsin.gov <br /> Department of Commerce <br /> Jim Doyle,Governor <br /> Cory L.Nettles,Secretary <br /> December 01,2003 <br /> CUST ID No.225851 ATTN:POWTS Inspector <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: 12/01/2005 Transaction ED No.945666 <br /> Site ID No. 184659 <br /> SITE: <br /> Please refer too both identification numbers, <br /> Dave Montgomery Mobile Home/Rv Pk&Campground above,in all correspondence with the agency. <br /> E Yellow River Rd <br /> Town of Oakland, 54893 <br /> Burnett County <br /> S5,T40N,R16W <br /> FOR: New non-pressurized in ground system,540 GPD <br /> Object Type:POWT System Regulated Object ID No.: 931975 <br /> V.* t, <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes L <br /> and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner,as defined in yi t <br /> chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. `V ` <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: �EpP00 <br /> 0�S�ONO� <br /> General Approval Conditions: �-.- <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the "In- C <br /> Ground Soil Absorption Manual, SBD-10705-P(N.01101)" . 5 <br /> • In the event this soil absorption system or any of its component parts malfunctions so as to create a health <br /> hazard,the property owner must follow the contingency plan as described in the approved plans.In addition, <br /> the owner must insure that the operation,maintenance and monitoring duties as described in the "In-Ground <br /> Soil Absorption Manual System"are complied with.A copy of this information must be given to the owner <br /> upon completion of the project. <br /> Key item(s) <br /> • This approval is for a non pressurized in-ground system that serves a 12 site RV campground. <br /> • The designer proposes to install an outlet filter to achieve the requirement of wastewater particle size. <br /> Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic <br /> tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations. <br /> • This approval does not include plans for the general plumbing systems or sewer piping leading to the <br /> septic/holding tank that may be required for this project. See section COMM 82.20,Wis.Adm. Code,to <br /> determine if plan submittal and approval is required. <br /> Reminder <br /> • Materials shall conform to the requirements of COMM 84. <br /> • The revised soil test on which this approval is based shall be recorded with the original soil test. <br />