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BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER, ROOM 130 <br /> 7410 County Road K,#102; Siren,Wisconsin 54872 Phone(715)349-2138 <br /> Private Onsite as Treatment System <br /> MAINTENANCE AGREEMENT <br /> Owner: 51{ K IPr,Ke r y� <br /> Mailing Address: <br /> - <br /> MPJ -r4,v # 1 mV. lid <br /> Phone: 6S/- LS-3- 970S <br /> Legal Description of Property: Pc U n hDt 3 Sec 2? T30" <br /> nu) D n 1elT��-�L( 5p - .A (�� CD u n j)/ <br /> 2-31K-s;teAddress: 312-31K- tlnliM knk& j& sifPMl , lt1Z S- MA <br /> Maintenance of your (POWTS) sanitary system is important, in that proper maintenance will ensure its <br /> efficiency and extend the life of the system. Improper use and poor maintenance of your sanitary system <br /> could result in the premature failure of your system and lead to costly repairs. <br /> Comm. 83.54 requires that all(POWTS)sanitary systems be inspected at least once every three years, or <br /> at a frequency outlined in the speck management plan. Note: The System Management Plan may <br /> require additional inspections than required for certification below. <br /> Burnett County residents may be eligible to receive some cost sharing funding for the replacement of <br /> failing systems whereby such systems were in operation prior to July 1, 1978 meeting specific criteria. <br /> The property owner agrees to submit to the County a Certification Form(to be provided by the County) <br /> every three years signed by a Master Plumber, Master Plumber Restricted, WI POWTS Inspector, WI <br /> POWTS Maintainer,or a Licensed Septage Hauler. The form shall require certification of the following: <br /> A. That after inspection or pumping an aerobic treatment tank is less than 1/3 full of sludge <br /> and scum, and a pump chamber component, if applicable, is inspected as directed by the <br /> plumber's management plan. <br /> B. And that the dispersal component has been inspected to determine whether wastewater or <br /> effluent is ponding on the surface of the ground. <br /> I, the undersigned, have read the above requirements and I agree to maintain the private sewage disposal <br /> system in accordance with the management plan for the specific system provided by the plumber, and as <br /> set by the Wisconsin Department of Commerce and the Burnett County Sanitary Ordinance. <br /> Signed' i i�`yiGJ�I/L/ Dated: Ste/ O o1 <br />