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Permit 1118380 <br /> Burnett County Zoning Administration <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 County Road K, #102 Phone (715) 349-2138 <br /> Siren, Wisconsin 54872 <br /> SEPTIC TANK MAINTENANCE AGREEMENT <br /> OWNER: <br /> ADDRESS: 2-S3O AV —kN <br /> R w � s�l18g3 <br /> PHONE: (71S) - -SSS S <br /> RE: PROPERTY LOCATED IN THE 1/4 OF 1/4 OR GO 'T. LOT <br /> OR LOT BLOCK SUBDIVISION <br /> SECTION—LLT-o N-R l± W, TOWNSHIP OF aco-ir- <br /> IMPROPER USE AND MAINTENANCE OF YOUR SEPTIC COULD SESULT IN ITS <br /> PREMATURE FAILURE TO HANDLE WASTE. PROPER USE AND ANCE <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 SEPTIC TANK AS A <br /> TREATMENT STAGE IN THE WASTE DISPOSAL SYSTEM. <br /> BURNETT COUNTY RESIDENj TS MAY BE ELIGIBLE TO REC 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 NEW SYSTEMS <br /> AGREE TO KEEP THEIR SYSTEMS PROPERLY MAINTAINED. NATURALLY, THE <br /> PROPER MAINTENANCE IS BENEFICIAL TO YOU AND THE GENERAL PUBLIC. <br /> THE PROPERTY OWNER AGREES TO SUBMIT TO THE COUNTY A CERTIFICATION <br /> FORM (TO BE PROVIDED BY THE COUNTY) EVERY 3 YEARS - SIGNED BY THE <br /> OWNER AND SIGNED BY A MASTER PLUMBER, JOURNE 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 DISPOS <br /> SYSTEM IS IN PROPER OPERATION CO TTIQ <br /> B. THAT AFTER INSPECTION AND AFTER P PiNa <br /> (IF NECESSARY), THE SEPTIC TANK IS MAY 51995 <br /> THAN 1/3 FULL OF SLUDGE AND SCUM <br /> I,THE UNDERSIGNED, HAVE READ THE ABOVE REQ -� <br /> MAINTAIN THE PRIVATE SEWAGE DISPOSAL SYSTEM IN ACCORDANCE WITH THE <br /> STANDARDS SET FORTH, HEREIN, AS SET BY THE WISCONSIN DEPARTMENT OF <br /> NATURAL RESOURCES. <br /> SIGNED: <br /> DATE: Z8 1995- <br />