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PRIVY INSTALLATION AGREEMENT <br /> To be completed in black ink. (Attach copy to Non-Plumbing Sanitary Application) <br /> Property Owner(s): <br /> Wilderness Fellowship <br /> Attn:Randy Klawitter r� REFEREPICE Mailing Address: <br /> 21897 Spirit Lake Rd W o o <br /> Frederic,WI 54837 <br /> Property Address: <br /> 21897 Spirit Lake Rd W <br /> Location <br /> '/�, S 11 ,T 37 N, R 18 W <br /> Town Of: <br /> Trade Lake <br /> Parcel Identification Number: <br /> 07-034-2-37-18-11-5 05-002-011000 <br /> Legal Description: <br /> GOV LOT 2 EX PCLS E OF TN HWY,V 229 P 458,V 236 P 393,PCL TO L <br /> PETERSON <br /> Tax ID: <br /> 23413 <br /> Return To: Burnett County Land Services Dept. <br /> 7410 County Road K,#120 <br /> Siren,WI 54872 <br /> 1. No plumbing will be installed in the privy. <br /> 2. No plumbing will be installed on the premises 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 Building Lake/Stream Additional Setbacks <br /> Open Pit 50 Ft 10 Ft Min.75 Ft 25 Ft to all lot lines <br /> Sealed Pit 25 Ft 5 Ft Min.75 Ft 25 Ft to all lot lines <br /> 4. Privies for public buildings shall comply with Wis.Adm.Code.SPS 391. <br /> 5. Privies used for one-and-two-family purposes shall be constructed in such a manner so as to exclude flies,rats and other vermin. Doors should be <br /> 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 with intent of Wis. <br /> Adm.Code SPS 383.20&SPS 391. <br /> 7. SPS 391.12 Privies—requires the storage chamber of a vault privy to conform with SPS 384.25 requirements. The vault shall have a minimum <br /> storage capacity of 200 gallons or one cubic 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 /> riinte4O�w_r}er( 1)amee(s)::: , Subscribed and sworn top before me on this date: <br /> TI� 1It tit <br /> u.(( i tde cl��vtlle5s)5 Ce <br /> Owner(s) Signature: Notary Public: <br /> Ce - ai_LatutAit Cd59-ccei) <br /> �,{.AVER +� My commission expires on: <br /> ��y •. i2-10S <br /> j {ed :, {`Bufnett'Fot Land Services Department Date: <br /> Personal irs 'ti..!ou rideopa}t Cured for secondary purposes.[Privacy Law,s.1504(I)(m)] <br /> s <br /> • :2• 3 <br /> vo <br /> z pV8 •R <br /> 4341/4,`ys I,T NONN .. <br />