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� D I L H R SANITARY PERMIT <br /> County <br /> GROUNDWATER SURCHARGE <br /> RQlfiTfi V.LiiBGR 6 MIM�I ifLRI1d1S <br /> Sanitary Permit No. <br /> I <br /> On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more com- <br /> monly known as the groundwater protection law. This change in statutes was the result of over <br /> 2 years of steady negotiation and public debate. The groundwater bill included the creation of <br /> surcharges (fees) for a number of regulated practices which can effect groundwater. The <br /> surcharge took effect on July 1, 1984. All of the water that is used in your building is returned to <br /> the groundwater through your soil absorption system or the disposal site used by your holding <br /> tank pumper. <br /> The monies collected through these surcharges are credited to the groundwater fund adminis- <br /> tered by the Department of Natural Resources. These funds are used for monitoring ground- <br /> water, groundwater contamination investigations and establishment of standards. Groundwater, <br /> it's worth protecting. <br /> Ground <br /> Signature of Issuing Agent: Groundwater Fee: Date: WI$CD e . <br /> buried <br /> DILHR SBD-7289 IN.05184) _ a <br /> i <br />