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PRIVY INSTALLATION AGREEMENT (Copy To Be Attached To The Sanitary Application) <br /> To be completed In black lak. <br /> Property Owner(s): Reserved For Recording Date <br /> Tr" avid LAeN 6 t(on,ihf, 391228 <br /> Mailing Address: 3 04-3 Z Int S�-• N�E: BURNETT COUNTY <br /> Rit> Ra nCha N rn WISCONSIN <br /> 4ocatlqn: <br /> RECENED AND RECORDED <br /> IJh�i Nuri s/D T3S R1`7 MAY 3 1 2007 <br /> City,Village,Township Of: m <br /> f/ f1 le-�S j 3:05 P.M. <br /> Parcel Tax Number: 416 ._ 61__ )60 <br /> R GIS F DEEDS <br /> Legal Description: S 1/a 1v w 'I`4 N <br /> Personal infornution you provide may be used for secondary pu`f ryaes.(Privacy law,a. 1504(Ixm)] Return To: Burnett County Zoning <br /> 7410 Canty Road 1C,#102 <br /> I. No plumbing will be installed in the privy. Siren,W1 SU72 <br /> 2. No plumbing will be installed in 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 vauldpit shall maintain minimum setbacks as specified in Table 1. <br /> Table 1 Well Building Lake/Stream Additional County etbacks <br /> Open Pit 50 Ft 10 Ft Min. 75 Ft 1 25 Ft to all lot lines <br /> Sealed Pit 25 Ft 5 Ft Min.75 Ft 1 25 Ft to all lot lines <br /> 4. Privies for public buildings shall comply with ILHR 52.63,Wis.Adm.Code. <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 <br /> be 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 the intent with <br /> Comm 83.20,Wis.Adm Code. <br /> 7. Comm 91.12 Privies—requires the storage chamber of a vault privy to conform with Comm 84.25 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 hews 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 /> Printed Owners)Name(s): Subscribed and swom to before me on this date: <br /> t Co0/1if <br /> Owne a Notary Public <br /> My commission expires on: �' <br />