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BURNETT COUN'CY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER,ROOM 130 <br /> 7410 County Road K,#102; Siren,Wisconsin 54872 Phone(715)349-2138 <br /> SEPTIC TA/NK MAINTENANCE AGREEMENT <br /> OWNER: L f- J cz- Cl t� V C' N <br /> ADDRESS: 1220 ZRAIA ,,12G110 . 9 cl . >C <br /> 2O 6AJ,'3L k)l(SC <br /> PHONE: t/i 2 -sl o <br /> LEGAL DESCRIPTION OF PROPERTY: <br /> W,=,) D f12 b-5 [9 7� Ll> 1) DS ,5t Al E <br /> PROPERTY ADDRESS: _[d 5 0 /P le- <br /> IMPROPER USE AND MAINTENANCE OF YOUR SEPTIC COULD RESULT IN ITS PREMATURE <br /> FAILURE TO HANDLE WASTE. PROPER USE AND MAINTENANCE S14OULD EXTEND THE <br /> LIFE OF THE SYSTEM CONSIDERABLY. PROPERTY MAINTENANCE CONSISTS OF <br /> PUMPING OUT THE SEPTIC TANK EVERY 3 YEARS OR AS NEEDED BY A LICENSED SEPTIC <br /> TANK PUMPER, WHAT YOU PUT INTO THE SYSTEM CAN AFFECT THE FUNCTION OF THE <br /> SEPTIC TANK AS A TREATMENT STAGE IN THE WASTE DISPOSAL SYSTEM. <br /> BU NUT COUNTY RESIDENTS MAY BE ELIGIBLE TO RECEIVE SOME <br /> ' FOR THE RE "NjjFfiNW0WWWHEREBYSUCH SYSTEMS <br /> IN IN PROVIDING ANY COST SHARING, THE <br /> STATE DOES REQUIRE THAT OWNERS OF ALL NEW SYSTEMS AGREE TO KEEP THEIR <br /> SYSTEMS PROPERLY MAINTAINED. NATURALLY, THE PROPER MAINTENANCE IS <br /> BENEFICIAL TO YOU ANI)THE GENERAL PUBLIC. <br /> THE PROPERTY OWNER AGREES TO SUBMIT TO THE COUNTY A CEiRTIFICATION FORM <br /> (TO BE PROVIDED BY THE COUNTY)EVERY 3 YEARS-IF INSPECTED, SIGNED BY A <br /> MASTER PLUMBER, JOURNEYMAN PLUMBER, RESTRICTED PLUMBER OR WI POWTS <br /> INSPECTOR OR IF PUMPED,A LICENSED SEPTAGE HAULER. THE FORM SHALL REQUIRE <br /> CERTIFICATION OF ONE OF THE FOLLOWING: <br /> A. THAT AFTER INSPECTION, THE SEPTIC TANK IS LESS THAN 113 FULL OF <br /> SLUDGE AND SCUM AND APPEARS TO BE IN OPERATING CONDITION. <br /> B. THAT THE SEPTIC TANK ONSITE HAS BEEN PROPERLY PUMPED. <br /> I, THE UNDERSIGNED, HAVE READ THE ABOVE REQUIREMENTS AND I AGREE TO <br /> MAINTAIN THE PRIVATE SEWAGE DISPOSAL SYSTEM IN ACCORDANCE WITH THE <br /> STANDARDS SET FORTH, HEREIN, AS SET BY THE WISCONSIN DEPARTMENT OF <br /> COMMERCE AND THE BURNETT COUNTY SANITARY ORDINANCE. <br /> SIGNED: _ DATED: �b ` <br />