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Permit #19382 <br /> Burnett County Zoning Administration <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 County Road K, #102 ` �R ,(715) 349-2138 <br /> Siren, Wisconsin 54872 J <br /> SEPTIC TANK MAINTENANCE AGREEMENT \�\ <br /> OWNER• /` j, <br /> ADDRESS: 2 ys / 6� l -�4 -"e I <br /> PHONE: 3 z_ 4 — <br /> RE: PROPERTY LOCATED IN THE� 1/4 OF &4 1/4 OR GO 'T. LOT , <br /> O —S <br /> SECTION_33 Th/o N-R (W, TOWNSHIP OF 1 ),,0 <br /> �i4x /U- o7 -o Z2- 2, -Yo —/(- -33 -0 aZSor� <br /> IMPROPER USE AND MAINTENANCE OF YOUR SEPTIC COULD SULT IN ITS <br /> PREMATURE FAILURE TO HANDLE WASTE. PROPER USE AND MAINTENANCE <br /> SHOULD EXTEND THE LIFE OF THE SYSTEM CONSIDERABLY. PROPER <br /> MAINTENANCE CONSISTS OF PUMPING OUT THE SEPTIC TANK EVERY 2 TO 3 <br /> YEARS OR AS NEEDED BY A LICENSED SEPTIC TANK PUMPER. WIAT YOU PUT <br /> INTO THE SYSTEM CAN AFFECT THE FUNCTION OF THE SEPTM TANK AS A <br /> TREATMENT STAGE IN THE WASTE DISPOSAL SYSTEM. <br /> BURNETT COUNTY RESIDENTS MAY BE ELIGIBLE TO RECEIVE SOME COST <br /> SHARING FUNDING FOR THE REPLACEMENT OF FAILING SYSTEMS Y SUCH <br /> SYSTEMS WERE IN OPERATION PRIOR TO JULY 1, 1978. IN PROVIDING ANY <br /> COST SHARING, THE STATE DOES REQUIRE THAT OWNERS OF ALL SMW SYSTEMS <br /> AGREE TO KEEP THEIR SYSTEMS PROPERLY MAINTAINED. NAT jRALLy, THE <br /> PROPER MAINTENANCE IS BENEFICIAL TO YOU AND THE GEM 1RAL PUBLIC. <br /> THE PROPERTY OWNER AGREES TO SUBMIT TO THE COUNTY A CERTIFICATION <br /> FORM (TO BE PROVIDED BY THE COUNTY) EVERY 3 YEARS - SI NED BY THE <br /> OWNER AND SIGNED BY A MASTER PLUMBER, JOURNEYWN PLUMBER, <br /> RESTRICTED PLUMBER OR A LICENSED SEPTAGE HAULER. THE FORM SHALL <br /> REQUIRE CERTIFICATION OF THE FOLLOWING: <br /> A. THAT THE ON-SITE WASTEWATER DISPOSAL <br /> SYSTEM IS IN PROPER OPERATION CONDITION. <br /> B. THAT AFTER INSPECTION AND AFTER PUMPING <br /> (IF NECESSARY), THE SEPTIC TANK IS LESS <br /> THAN 1/3 FULL OF SLUDGE AND SCUM. <br /> I, THE UNDERSIGNED, HAVE READ THE ABOVE REQUIREMENTS AND I AGREE TO <br /> MAINTAIN THE PRIVATE SEWAGE DISPOSAL SYSTEM IN ACCORDAI ICE WITH THE <br /> STANDARDS SET FORTH, HEREIN, AS SET BY THE WISCONSIN D ARTMENT OF <br /> NATURAL RESOURCES. <br /> SIGNED: — <br /> DATE: /f o �i <br />