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13URNM COUNTY ZONING DEPAR'lMEMC <br /> Phone: (713) 66c-4361 <br /> SEPTIC TANK MAINTENANCE AGRE&ti1E[4'I' <br /> Owner: s u i t C f f F+s fr.e 1_ Date: j e • X9, <br /> Address: / V $ C, ^ A irl t, L Phone: <br /> Fig: Property located in the &(A4 of SCJR< or GL , Sec. �� , T y© �R: or <br /> Subdivision _ , Lot # / Block # <br /> Township of S C 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 /> master plumber, journeyman plumber, restricted plumber, or a licensed septage <br /> hauler. The form shallrequire 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 /> 1, 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 /> Signed: (/ <br /> D <br /> Date: <br />