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i 8 <br /> 8 0 0 5 7 6 1 <br /> FLOWS AND LOADS Tx:4003473 <br /> AFFIDAVIT 426312 <br /> BURNETT COUNTY WISCONSIN <br /> RECORDED ON: <br /> Legal Description: Lot 2 of Certified Survey Map Vol. 14 Pg. 59 in Gov. 1111 5/2013 11:58 AM <br /> Lot 2 Sec.26 T40N-R 15W Township of Jackson in Burnell County PAGES:1 <br /> ma,. =3666 <br /> Parcel ID R 07-012-210-15-26-5 05-002-015000 IEANINE CHELL <br /> REGISTER OF DEEDS <br /> Property Owner: Carl Bandt TRANSFER:30.RES FE FEE:00 <br /> 0.00 <br /> Mailing Address: 1 Snowy Owl Lane FEE EXEMPT Y <br /> City,State,Zip North Oaks MN 55127 <br /> QYh, la6,f.rf)/7ynh, 0(F;ce <br /> I (we) do hereby acknowledge that the use of the existing private onsite wastewater treatment <br /> system (POWTS), as installed on the above described real estate is based on the following <br /> flows and loads: <br /> 675 gallons per day <br /> 5 30 mg/L BODE s30 mg/L TSS 530 mg/L FOG (monthly average of each) <br /> Furthermore, I (we) acknowledge that the modification to the structure served by the existing <br /> POWTS will not result in a change that affects the wastewater flow or wastewater contaminant <br /> load beyond the maximum capabilities of the existing POWTS and the following flows and loads <br /> shall not be exceeded: <br /> 675 gallons per day 9 persons (maximum occupancy for structure) <br /> <30 mg/L BODS <_ 30 mg/L TSS S30 mg/L FOG (monthly average of each) ' <br /> A monthly geometric mean of 10,000 fecal coliform colony forming units per 100ml <br /> I (we) hereby state that should the flows or loads increase beyond those indicated, the POWTS <br /> shall be modified to conform to all applicable rules. I (we) also state that should the existing <br /> POWTS show any signs of failure in any component of the POWTS, said POWTS shall be <br /> repaired or replaced according to applicable rules. <br /> Owner Name(Print) Subscribed and sworn to before me on this date:•;• �Ah}„J1��'• <br /> Carl Bandt y,: " y" .•� . <br /> Notarized Owner Signature Notary S' nature t� , <br /> i <br /> y commission expires: '4^^ '•, Yy 1 V :. 7 <br /> Vo' Ile <br /> Drafted By:Keith E Stoner Designer 1575-007 <br />