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'BURN <br /> EUT COUNTY ZONING DEP<-'�R"�T <br /> Phone: (713) 866-4361 <br /> SEPTIC TANK MAINTENANCE AGRF�IF,NT <br /> Owner: '' - '" Date: ;; G�' <br /> Address: � ����G� Phone:���-�7��� <br /> i'L: Property located in thej4 a of a or GL , Sec., , T R _Z or ` <br /> Subdivision Tot # Block # <br /> Tbwnship of �� �, Burnett County, Wisconsin. <br /> Improper use and maintenance of your septic system could result in its premature <br /> failure to handle wastes. Proper use maintenance should extend the life of the <br /> system considerably. Proper maintenance consists of pumping out the septic tank <br /> every 2 - 3 years or as needed by a licensed septic tank pumper. What you put <br /> into the system can affect the function of the septic tank as a treatment stage <br /> in the waste disposal system. <br /> Burnett County residents may be eligible to receive some cost share funding for <br /> the replacement of failing systems whereby such systems were in operation prior <br /> to July 1, 1978. In providing any cost sharing, the state does require that owners <br /> of all new systems agree to keep their systems properly maintained. Naturally, <br /> the proper maintenance is beneficial to you and the general public. <br /> The property owner agrees to submit to the county a certification form (to be <br /> provided by the county) every 3 years - signed by the owner and signed by a <br /> :Waster plumber, journeyman plumber, restricted plumber, or a licensed septage <br /> hauler. The form shall. require certification of the following: <br /> a. that the on-site wastewater disposal <br /> system 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 <br /> private sewage disposal system in accordance with the standards set forth, herein, <br /> as set by the Wisconsin Department of Natural Resources. <br /> r' <br /> Sign _14) \ <br /> Date: <br />