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• I I IIIIIII III II II II III III <br /> PRIVY INSTALLATION AGREEMENT $ �x34018599 <br /> To be completed in black ink. (Copy To Be Attached To The Sanitary Application) 442321 <br /> Property Owner s): <br /> �} /� 1 BURNETT COUNTY WISCONSIN <br /> U f A/c—# L 0(jAl g RECORDED ON: <br /> Mailing Address: -7!y `� S • 10/03/2016 9:34 AM <br /> ID GOdN/ /� )/'t�N /�f/Z Sy�7.?. PAGES: <br /> 7EANINE CHELL <br /> Local Address: REGISTER OF DEEDS <br /> REC FEE:30.00 <br /> A / TRANSFER FEE:0.00 <br /> Sf/mC ry OOd C FEE EXEMPT# <br /> Location: <br /> S 30 ,T VO N,R is <br /> Town Of: <br /> J �t.ckfor✓ <br /> Parcel Identification Number: <br /> o7- oia -a- yo- /S-3o -s os- DD/n - d//000 <br /> Legal Description: <br /> Return To: Burnett County Zoning <br /> 7410 County Road K,#102 <br /> Siren,WI 54872 <br /> 1. No plumbing will be installed in the privy. <br /> 2. No plumbing will be installed in the premises served by the privy unless a code compliant soil absorption system or holding tank <br /> exists,or a valid sanitary permit to install such a system has been issued. <br /> 3. A privy vault/pit shall maintain minimum setbacks as specified in Table I. <br /> Table 1 Well Building Lake/Stream Additional County Setbacks <br /> Open Pit 50 Ft 10 Ft Min. 75 Ft 25 Ft to all lot lines <br /> Sealed Pit 25 Ft 5 Ft Min. 75 Ft 25 Ft to all lot lines <br /> 4. Privies for public buildings shall comply with Wis. Adm.Code. <br /> 5. Privies used for one-and-two-family purposes shall be constructed in such a manner so as to exclude flies,rats and other vermin. Doors should be <br /> self-closing and vault ventilators should terminate at least one foot above the roof. <br /> 6. A privy vault shall be constructed of watertight plastic,fiberglass,coated steel or monolithic concrete. Materials shall comply with intent of SPS <br /> 383.20,Wis.Adm.Code. <br /> 7. SPS 391.12 Privies—requires the storage chamber of a vault privy to conform with SPS 384.25 requirements. The vault shall have a minimum <br /> storage capacity of 200 gallons or one cubic yard. <br /> 8. The privy shall be kept clean and sanitary. The contents of the pit or vault shall be disposed in accordance with NR 113,Wis.Adm.Code. <br /> 9. This agreement shall be binding on the owner,their heirs and assignees. This documentation shall be recorded by the register of deeds in a <br /> manner which allows its existence to be determined by reference to the property where the privy is installed. <br /> 10. The property owner shall notify the County for inspection immediately after the non-plumbing sanitary system has been constructed. <br /> Printed Owner(s)Name(s): Subscribed and sworn to before me on this date: <br /> •nfvG�l <br /> Owner(s) Signature: Notary Public <br /> • <br /> `T CEv <br /> My commission expires on: <br /> Drafted By: Burnett County Zoning Office; 7410 County Road K, #102;Siren, W1 54872 <br /> Personal information you provide may be used for secondary purposes.[Privacy law,s. 1504(Ixm)] <br />