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Burnett County Zoning Administration <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 County Road K, #102 Phone(715) 349-2138 <br /> Siren,Wisconsin 54872SFPTIC TANK MAINTENANCE A <br /> i <br /> OWNER: es SOH IV S0(\J <br /> 0 <br /> ADDRESS: 4(o'2-(o H tL-L-V A I,E Nv e Nu E t\zq-T 4 <br /> PHONE: CSD I Z 7-3 -1 �j 4�J <br /> LEGAL DESCRIPTION OF PROPERTY: T GSM \/CIL 2- Phi -T(O <br /> IN NE NE 5Er- 28NENE 5EC, -2- <br /> PROPERTY ADDRESS: s`, k X w 155 T(�1Aj((15 l(� C} fP 1)6� AVGt' �11I )t <br /> IMPROPER USE AND MAINTENANCE OF YOUR SEPTIC COULD RESULT IN ITS PREMATURE FAILURE TO <br /> HANDLE WASTE. PROPER USE AND MAINTENANCE SHOULD EXTEND THE LIFE OF THE SYSTEM <br /> CONSIDERABLY. PROPER MAINTENANCE CONSISTS OF PUMPING OUT THE SEPTIC TANK <br /> EVERY 3 YEARS OR AS NEEDED BY A LICENSED SEPTIC TANK PUMPER. WHAT YOU PUT <br /> INTO THE SYSTEM CAN AFFECT THE FUNCTION OF THE SEPTIC TANK AS A TREATMENT STAGE IN THE <br /> WASTE DISPOSAL SYSTEM. <br /> BURNETT COUNTY RESIDENTS MAY BE ELIGIBLE TO RECEIVE SOME COST SHARING FUNDING FOR <br /> THE REPLACEMENT OF FAILING SYSTEMS WHEREBY SUCH SYSTEMS WERE IN OPERATION PRIOR TO <br /> JULY 1, 1978. IN PROVIDING ANY COST SHARING, THE STATE DOES REQUIRE THAT OWNERS OF ALL <br /> NEW SYSTEMS AGREE TO KEEP THEIR SYSTEMS PROPERLY MAINTAINED. NATURALLY, THE PROPER <br /> MAINTENANCE IS BENEFICIAL TO YOU AND THE GENERAL PUBLIC. <br /> THE PROPERTY OWNER AGREES TO SUBMIT TO THE COUNTY A CERTIFICATION FORM (TO BE <br /> PROVIDED BY THE COUNTY) EVERY 3 YEARS - SIGNED BY THE OWNER AND SIGNED BY A MASTER <br /> PLUMBER, JOURNEYMAN PLUMBER, RESTRICTED PLUMBER OR A LICENSED SEPTAGE HAULER. THE <br /> FORM SHALL REQUIRE CERTIFICATION OF THE FOLLOWING: <br /> A. THAT THE ONSITE WASTEWATER DISPOSAL SYSTEM IS IN PROPER OPERATIONAL <br /> CONDITION. <br /> B. THAT AFTER INSPECTION AND AFTER PUMPING (IF NECESSARY), THE SEPTIC TANK <br /> IS LESS THAN 1/3 FULL OF SLUDGE AND SCUM. <br /> I, THE UNDERSIGNED, HAVE READ THE ABOVE REQUIREMENTS AND I AGREE TO MAINTAIN THE <br /> PRIVATE SEWAGE DISPOSAL SYSTEM IN ACCORDANCE WITH THE STANDARDS SET FORTH, HEREIN, <br /> AS SET BY THE WISCONSIN DEPARTMENT OF COMMERCE AND THE BURNETT COUNTY SANITARY <br /> ORDINANCE / ` h <br /> SIGNED: DATED: /a( 7 7 <br />