Laserfiche WebLink
402972 <br /> FLOWS AND LOADS BURNETT COUNTY <br /> WISCONSIN <br /> AFFIDAVIT Received and Recorded <br /> May 19, 2009 at 2:45 PM <br /> Legal Description: Jeanine Chell <br /> LQ f a d5rn V a t9, 134 in Gov. Lnt,4.,MA04 q,7a Register of Deeds <br /> 6PChr)n 35f -TU vun 3344 ea4lsvo Recording Fee $11.00 <br /> ParcellD#: Township: L.QF�IIP� � <br /> Property Owner: Frances Wilson Number of Pages 1 <br /> Mailing Address: 4 1 a Zn+et'1G1oJ" en L/1 <br /> City, State,Zip: lTlit56n TX '731747-145-3 <br /> I (we) do hereby acknowledge that the use of the existing private onsite wastewater treatment <br /> system (POWTS), as installed on the above described real estate is based on the following <br /> flows and loads: <br /> 300 gallons per day <br /> 220 mg/L BODS 150 mg/L TSS 30 mg/L FOG (monthly average of each) <br /> Furthermore, I (we) acknowledge that the modification to the structure served by the existing <br /> POWTS will not result in a change that affects the wastewater flow or wastewater contaminant <br /> load beyond the maximum capabilities of the existing POWTS and the following flows and loads <br /> shall not be exceeded: <br /> 300 gallons per day 4 persons (maximum occupancy for structure) <br /> 220 mg/L BODS 150 mg/L TSS 30 mg/L FOG (monthly average of each) <br /> I (we) hereby state that should the flows or loads increase beyond those indicated, the POWTS <br /> shall be modified to conform to all applicable rules. I (we) also state that should the existing <br /> POWTS show any signs of failure in any component of the POWTS, said POWTS shall be <br /> repaired or replaced according to applicable rules. <br /> Owner Name(Print) Subscribed and sworn to before me on this date: ., <br /> Notarized Owner Signature „/ Notary n ure , <br /> y commission expires: t. <br /> o <br /> Drafted By Burnett County Zoning Office <br />