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Burnett Ce. ;-I ll , .Jmr1:1. <br /> Burnett Ge. um1. "'enter <br /> Route 1, 6cx 300-102 <br /> DUPNI:uPi Cl)UM! �Jh INI: <br /> Siren, WI 54872 <br /> Phone: 71 <br /> SEPTIC TikNK AT1 INTRA ANCE A t2 F 1LN'P <br /> Owner: iYObe Je4,re--"7 ----- Date:_�r <br /> Mdress:_ -1_--_/�©k � _ Phone:_ <br /> loot 46w Gl, :5 rk 3d <br /> __; , <br /> RE: Property located in the of AIV or GL Sec. , T Yd R /,6 or <br /> Subdivision Lot # _ _, Block <br /> Township of _ 0 OA//4 p Burnett County, Wisconsin. <br /> Improper use and maintenance of your septic system could result in its premature <br /> failure to handle wastes. Proper use maintenance should extend the life of the <br /> .system considerably. Proper maintenance consists of pumping out the septic tank <br /> every 2 - 3 years or as needed by a licensed septictank punp'er. what you put <br /> into the system can affect the function of the septic tank as a treatment stage <br /> in the waste disposal system. <br /> Burnett County residents may be eligible to receive some cost share funding for <br /> the replacement of failing systems whereby such systems were in operation prior <br /> to July 1, 1978. in providing any cost sharing, the state does require that owners <br /> of all new systems agree to keep their systems properly maintained. Naturally, <br /> the proper 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 <br /> master plumber, journeyman pl.unber, restricted plumber, or a licensed septage <br /> hauler. The form shall, require certification of the following: <br /> a. that the on-site wastewater disposal <br /> system, is in proper_ operation condition. <br /> b. that after inspection and after pumping <br /> (if necessary) , the septic tank is less <br /> 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 Department of Natural Resources. <br /> Signed:--_���� _�// <br /> Date:----q XV7 �17� — <br />