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BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER,ROOM 130 <br /> 7410 County Road K,#102;Siren,Wisconsin 54872 Phone(713)349-2138 <br /> Private Onsite Waste Treatment&stem <br /> MAINTENANCE AGREEMENT <br /> Owner. �A� FO 4g4n� n <br /> Mailing Address: 2�'S8� Afc ter Joy&7r' ' <br /> 411.1 <br /> &.r C'y.M/ <br /> Phone: <br /> Legal Description of Properly: .6'6 r 7 L 7-.2 9 /Z 4t/ <br /> site address: 2YZI l2oo 4z 1,' 4�Mk�,, Auc <br /> Maintenance of your (POWTS) sanitary system is important, in that proper maintenance will ensure its <br /> efficiency and extend the life of the system. Improper use and poor maintenance of your sanitary system <br /> could result in the premature failure of your system and lead to costly repairs. <br /> Comm 83.54 requires that all(POWTS)sanitary systems be inspected at least once every throe years,or <br /> at a fiequercy outlined in the specific management plan. Note: The System Management Phis may <br /> require additional inspections than required for certi8eation below. <br /> Burnett County residents may be eligible to receive some cost sharing funding for the replacement of <br /> failing systems whereby such systems were in operation prior to July 1, 1978 meeting specific criteria. <br /> The property owner agrees to submit to the County a Certification Form(to be provided by the County) <br /> every three years signed by a Master Plumber, Master Plumber Restricted, WI POWTS Inspector, WI <br /> POWTS Maintainer,or a Licensed Septage Hauler. The form shall require certification of the following: <br /> A. That after inspection or pumping an aerobic treatment tank is less than 1/3 full of sludge <br /> and scum,and a pump chamber component, if applicable, is inspected as directed by the <br /> plumber's management plan. <br /> B. And that the dispersal component las been inspected to determine whether wastewater or <br /> effluent is ponding on the surface of the ground. <br /> I, the undersigned, have read the above requirements and I agree to maintain the private sewage disposal <br /> system in accordance with the management plan for the specific system provided by the plumber, and as <br /> set by the Wisconsin Department of and the Burnett County Sanitary Ordinance. <br /> gigue• Dated: <br />