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BURNETT COUNTY ZONING ADMINISTRATION <br /> Statement of POWTS Capabilities <br /> (Private Onsite Waste Treatment System) <br /> 340449 <br /> I, David Weise understand the POWTS serving the BURNETT COUNTY <br /> structure located at 3468 Richey Road was designed for the WISCONSIN <br /> following capabilities: RECEIVED AND RECORDED <br /> Treatment Tank(s)Approx. S o n GPD A U 6 2 6 2001 <br /> Soil Absorption Cell(s)Peak 3 00 GPD Q 00 Average GPD AT 11:40 A.M. <br /> e2;t 0 mg/L BODS X50 mg/L TSS an mg/L FOG " �~ <br /> Permit Number: 9132 Year installed: 1980 <br /> as DEEDS <br /> The POWTS serving this structure is presently sized to <br /> accommodate a total of 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: 012-4224-02-300 <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 permit for the <br /> installation of a code-compliant POWTS with the installation completed as ordered. <br /> LEGAL DESCRIPTION- 109 CSM Volume 5, Page 224, in Government Lots 1 and 2, Section <br /> 4, Township 40 No th,Range 15 West, Town of Jackson. <br /> SIGNATURES) 1 <br /> DATED THIS 19 44x DAY OF A uiauaT O O <br /> pauil E. Uletse �Q <br /> SUBSCRIBED AND SWORN TO BEFORE ME ON THIS DATE: k. W else00* <br /> • r <br /> JOANN M.JOHNSON <br /> NOTA*"U IC - NOTARY PUBLIC-MINNESOTA <br /> My Commission Expires Jan.31,2005 <br /> MY COMMISSION EXPIRES: <br /> a <br /> THIS INSTRUMENT WAS DRAFTED BY: Burnett County Zoning Office;7410 County Road K,#102;Siren, WI 54872;715-349-2138 <br /> I <br />