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BURNETT COUNTY ZONING ADMINISTRATION <br /> Statement of POWTS Capabilities <br /> (Private Onsite Waste Treatment System) <br /> 34563 <br /> I (we) David Caithamer understand the <br /> POWTS serving the structure located at 1970 Rainbow BURNESIN <br /> COUNTY <br /> Road was designed for the following capabilities: WISCC ONNSI <br /> RECEIb►ED AND RECORDED <br /> Treatment Tank(s)Approx.: 360 GPD MAR 1 8 2002 <br /> Soil Absorption Cell(s)Peak: 300GPD 200 Average GPD <br /> 220 mg/L BODS 150 mg/L TSS 30 mg/L FOG T 3:4� <br /> Permit Number: 20452 Installed: 6/10/97 <br /> Reia`K& EDS <br /> The POWTS serving this structure is presently sized to <br /> accommodate a total of four people. Return To: Burnett County Zoning <br /> 7410 County Road K,#102 <br /> Comm 83.54 outlines the management requirements for Siren,WI 54872 <br /> these POWTS and I agree to comply with those <br /> maintenance provisions as they apply to this system. Tax Parcel Number: 024-3103-01-400 <br /> Should my use of the structure described above increase flows above the capacity of the POWTS, I agree <br /> to upgrade my system to meet the standards required in Comm 83. <br /> Should my POWTS fail, as defined in Section 145.01 (16) Wisconsin Statutes, I will obtain the required <br /> permit for the installation of a code-compliant POWTS with the installation completed as ordered. <br /> LEGAL DESCRIPTION: See <br /> �Attached. <br /> SIGNATURE(S) 4�`v'At <br /> DATED THIS 1 �' DAY OF <br /> ."..Sp IFRIPED AND SWORN TO BEFORE ME ON THIS DATE: <br /> c� <br /> o rY <br /> �.� !t � n <br /> `� rvlAeig11 r <br /> �,-, PWIC GC b viSa✓1 <br /> .Y..COI9SION EXPIRES: Tr t��, 3r alaQS— <br /> THIS INSTRUMENT WAS DRAFTED BY: Burnett County Zoning Office; 7410 County Road K,#102;Siren, WI 54872;715-349-2138 <br />