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4088819 <br /> PRIVY INSTALLATION AGREEMENT BURNETT COUNTY <br /> To be completed in black ink. (Copy To Be Attached To The Sanitary Application) WISCONSIN <br /> Property Owner(s): Received and Recorded <br /> Ke.VI n 4- 7jfCj,ne_4_ ee m eekano June 04, 2010 at 3:40 PM <br /> Mailing Address: Jeanine C ell <br /> goSE be&vVooQealZe- Register of Deeds <br /> Maple Grove mA) S53L9 <br /> �} Recording Fe $11.00 <br /> Location: <br /> NE /a, A)W /a, S / ,T N,R /Jo W <br /> City,Village,Township Of: <br /> (11QeY1 On Number of Pages 1 <br /> Parcel Tax Number: <br /> 018-3�ag- <br /> Legal Description: [ <br /> Personal information you provide may be used for secondary purposes.[Privacy Law,s. 1504(1)(m)] Return To: Burnett County Zoning <br /> 7410 County Road K,4102 <br /> 1. No plumbing will be installed in the privy. Siren,W1 54872 <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 vault/pit shall maintain minimum setbacks as specified in Table 1. <br /> Table 1 Well BuildingLake/Stream Additional CountySetbacks <br /> Oen 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 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 lemnin. 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 vai.It 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, Nis.Adm. Code. <br /> 9. This agreement shall be binding on the owner,their heirs and assignees. This documentation shall be recorded by the reg ster 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 onstructed. <br /> Printed Owners)Name(s): Subscribed and sworn to before me on this d te: <br /> niAmF HUS <br /> sa�l� <br /> KEvIN AAEp2AN0 <br /> y <br /> Owner(s) Signature: <br /> 94_6;­ �A� v <br /> My commission expires on: ja <br /> Drafted By: Burnett County Zoning Office; 7410 County Road K, 4102;Siren, WI 54872 <br />