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Permit #1562-5 <br /> Burnett County Zoning Administrati n <br /> BURNETT COUNTY GOVERNMENT CENTER �� <br /> 7410 County Road K,#102 JAB49.2138 <br /> Siren,Wisconsin 54872 1'I / i ,. <br /> SEPTIC TANK MAINTENANCE AGREEMENT <br /> OWNER: ,_Q �2_ i3, �(,t�p, DATE: <br /> ADDRESS:_4,�; /t? L A7 S-M o PHONE: <br /> Ll " h u rr (A-)- / t4,?3o <br /> RE: Property located in theA5 1/4 ofk� 1/4 or Gov't. Lot Section �_, <br /> or Lot Block Subdivision T__�(e N-R /_'W <br /> Township of s I!J l S's Burnett County, Wisconsin. <br /> Improper use and maintenance of your septic system could result in its premature failure <br /> to handle wastes. Proper use maintenance should extend the life of the system consider- <br /> ably. Proper maintenance consists of pumping out the septic tank every 2 to 3 years or <br /> as needed by a licensed septic tank pumper. What you put into the system can affect the <br /> function of the septic tank as a treatment stage in the waste disposal system. <br /> Burnett County residents may be eligible to receive some cost share funding for the <br /> replacement of failing systems whereby such systems were in operation prior to July 1, <br /> 1978. In providing any cost sharing, the state does require that owners of all new <br /> systems agree to keep their systems properly maintained. Naturally, the proper mainten- <br /> ance is beneficial to you and the general public. <br /> The property owner agrees to submit to the county a certification form (to be provided by <br /> the county) every 3 years - signed by the owner and signed by a master plumber, journey- <br /> man plumber, restricted plumber, or a licensed septage hauler. The form shall require <br /> certification of the following: <br /> a. That the on-site wastewater disposal system <br /> is in proper operation condition. <br /> b. That after inspection and after pumping <br /> (if necessary) , the septic tank is less <br /> than 1/3 full of sludge and scum. <br /> I, the undersigned, have read the above requirements and I agree to maintain the private <br /> sewage disposal system in accordance with the s ndards se o herein, as set by the <br /> Wisconsin Department of Natural Resources. <br /> Signed: <br /> Date: < <br />