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Permit //20422 <br /> Burnett County Zoning Administration <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 County Road K,#102 !, ,ane(715)349-2138 <br /> Siren,Wisconsin 54872 <br /> SEPTIC TANK MAINTENANCE AGRIFE <br /> F. <br /> OWNER: !�/e <br /> N <br /> ADDRESS: l 7 3 8� /111 // C x E <br /> PHONE: '✓ 7 C� . <br /> I <br /> LEGAL DESCRIPTION OF PROPERTY: G ,4 /l AN D S A16 -S <br /> S 410 Al,4 ie /6 w <br /> PROPERTY ADDRESS: ljl,4 <br /> IMPROPER USE AND MAINTENANCE OF YOUR SEPTIC COULD RESULT IN ITS PREMATURE FAILURE TO <br /> HANDLE WASTE. PROPER USE AND MAINTENANCE SHOULD EXTEND THE LIFE OF THE SYSTEM <br /> CONSIDERABLY. PROPER MAINTENANCE CONSISTS OF PUMPING OUT THE SEPTIC TANK <br /> EVERY 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 IN THE <br /> WASTE DISPOSAL SYSTEM. <br /> BURNETT COUNTY RESIDENTS MAY BE ELIGIBLE TO RECEIVE SOME COST SHARING FUNDING FOR <br /> THE REPLACEMENT OF FAILING SYSTEMS WHEREBY SUCH SYSTEMS WERE IN OPERATION PRIOR TO <br /> JULY 1, 1978. IN PROVIDING ANY COST SHARING, THE STATE DOES REQUIRE THAT OWNERS OF ALL <br /> NEW SYSTEMS AGREE TO KEEP THEIR SYSTEMS PROPERLY MAINTAINED. NATURALLY, THE PROPER <br /> 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 MASTER <br /> PLUMBER, JOURNEYMAN PLUMBER, RESTRICTED PLUMBER OR A LICENSED SEPTAGE HAULER. THE <br /> FORM SHALL REQUIRE CERTIFICATION OF THE FOLLOWING: <br /> A. THAT THE ONSITE WASTEWATER DISPOSAL SYSTEM IS IN PROPER OPERATIONAL <br /> CONDITION. <br /> B. THAT AFTER INSPECTION AND AFTER PUMPING(IF NECESSARY), THE SEPTIC TANK <br /> IS LESS THAN 1/3 FULL OF SLUDGE AND SCUM. <br /> I, 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 DEPAR ENT OF COMMERCE AND THE BURNETT COUNTY SANITARY <br /> ORDINANCE. <br /> SIGNED: L< DATED: <br />