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Safety and Buildings <br /> 10541 N RANCH ROAD <br /> HAYWARD WI 54843 <br /> TDD#: (608)264-8777 <br /> www.commerce.state <br /> -wi.us/sb` isconsin <br /> www.wisconsin.gov <br /> Department of Commerce Scott McCallum,Governor <br /> Philip Edw.Albert,Acting Secretary <br /> November 01,2001 <br /> CUST ID No.225229 ATTN: pOWTS Inspector <br /> NELS D KOERPER ZONING OFFICE <br /> CENTRAL PLUMBING AND HEATING BURNETT COUNTY SPIA <br /> 7845 CTY RDD 7410 CTH K#102 <br /> WEBSTER WI 54893 SIREN WI 54872 <br /> CONDITIONAL APPROVAL Identification Numbers <br /> PLAN APPROVAL EXPIRES: 11/01/2003 nabove, <br /> ction ID 7 684523 <br /> No.637903 <br /> SITE: refer to both identification numbers, <br /> Ted&Sara Wolkerstorfer in all cones ondencewith thea enc . <br /> Cth D <br /> Town of Wood River <br /> Burnett County <br /> SW1/4,NE1/4,S2,T38N,R18W <br /> FOR: New holding tank,3 bed room residence <br /> Object Type:POWT System Regulated Object ID No.: 817518 <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. o <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: CO i2�4 p <br /> I, <br /> General Approval Conditions: i <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> OE t S, <br /> "Holding Tank Component Manual,SBD-10571-P(R.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, ("Of <br /> maintenance and monitoring duties as described the Holding Tank Component Manual are complied with. <br /> copy of this information must be given to the owner upon completion of the project. <br /> • A Sanitary Permit must be obtained from the county where this project is located in accordance with the <br /> requirements of Sec. 145.135 and 145.19,Wis.Stats. <br /> Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with <br /> the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis.Stats. <br /> • The maintenance plan for this system must be given to the owner of the POWTS. <br /> • Note: County regulations concerning the prohibition of holding tanks may vary. Check with the local permit <br /> issuing agency. <br /> • Note:The servicing of POWTS holding and treatment components,including septic tanks and holding tanks,is <br /> required to be performed by licensed pumpers under chs.NR 113 and NR 114. <br /> Site Specific Conditions: <br />