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Safety and Buildings <br /> commerce.wi. ov 10541N RANCH ROAD <br /> g HAYWARD WI 54843 <br /> !epa <br /> a TDD#:(608)264.8777 <br /> sconsinwww.commerce.wi.gov/sbi <br /> rtment of Commerce www.wisconsin.gov <br /> Jim Doyle,Governor <br /> Mary P.Burke,Secretary <br /> November 02,2005 <br /> CUST ID No. 225851 ATIN: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 <br /> PLAN APPROVAL EXPIRES: 11/02/2007 Identification Numbers <br /> Transaction ID No. 1209540 <br /> SITE: Site ID No. 706587 <br /> Arlan Pope Please refer to both identification numbers, <br /> 5390 CO RD A above,in all correspondence with theagency. <br /> Town of Jackson <br /> Burnett County <br /> SWIA,SW1/4,S32,T40N,R15W <br /> FOR:Description: New non pressurized in ground system,2 employees and 1 floor drain <br /> Object Type:POWTS Component Manual Regulated Object ID No.: 1047743 <br /> Maintenance required; 77 GPD Flow rate; 102 in Soil minimum depth to limiting factor from original grade; <br /> System(s):Conventional POWTS Component Manual,SBD-10567-P(R.6/99); Commercial System P.O Vy <br /> The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes Colt d iti <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. ARPR <br /> Etll <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, P i OF SAFE E <br /> stats. <br /> The following conditions shall be met during construction or installation and prior to occupancy or use: <br /> General Approval Conditions: <br /> SEE CORRI <br /> • This system is to be constructed and located in accordance with the enclosed approved plans and with the <br /> design manuals noted above. <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 section VIII of <br /> the mound component manual are complied with.A copy of this information must be given to the owner upon <br /> completion of the project. <br /> Key Item(s) <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 /> • The plumbing for this project discharges to a private sewage system. The approval covers only <br /> domesticlsanitary wastes directed into this system. The Department of Natural Resources(WDNR)must <br /> be contacted regarding the treatment and disposal of all industrial wastes,including those combined with <br /> domestic/sanitary wastes. <br /> • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater <br /> particle size. Pursuant to outlet filter product approval stipulations,maintenance information must be given to <br />