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PRIVY INSTALLATION AGREEMENT (Copy To Be Attached To The Sanitary Application) <br /> Pro erty Owner((1$): Reserved For Recording Date <br /> .A �e <br /> Mailing VJ <br /> 34 <br /> Add ess• 6532 <br /> 39MCs� � <br /> ('Y -Qkjem o1~5 <br /> Local on: BUR EcoCOUNTY <br /> m <br /> City,Village owns l" RECERIEDAND RECORDED <br /> i S1. <br /> Parcel Tax Number: APR 2 4 W <br /> 3d- ? Im T 8:50 A.M. <br /> Legal Description; <br /> L4f // /Wo, ek c (r4 r <br /> Asw,—hal <br /> Personal information you provide may be used for secondary purposes.(Privacy taw,s.1504(1)(m)] r\p -C-t�L.rt ro <br /> I. No plumbing will be installed in the privy. Cy-2 <br /> 2. No plumbing will be installed in the promises 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 1. <br /> Table 1 Well Well Lake/Stream Additional Count Setbacks <br /> 0 en <br /> it 50 Ft 25 Ft Min.75 Ft 125 Ft to all lot lines <br /> Sealed Pit 25 Ft 25 Ft Min.75 Ft 125 Ft to all lot lines <br /> 4. Privies for public buildings shall comply with ILHR 52.63,Wis.Adm.Code. <br /> 5. Privies used for one-and-rwo-family purposes shall be constructed in such a manner so as to exclude flies,rats and other vermin. Doors should <br /> be 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 the intent with <br /> Comm 83.20,Wis.Adm.Code. <br /> 7. Comm 91.12 Privies—requires the storage chamber of a vault privy to conform with Comm 84.25 requirements. The vault shall have a minimum <br /> storage capacity of 200 gallons or one cable 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 /> eu , l L°Sri l a3, dCa2— <br /> Owner( i ture: Notary Public <br /> µ. <br /> My commission expires on: <br />