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FLOWS AND LOADS <br /> AFFIDAVIT 366671 <br /> Legal Description: <br /> 17-10-17 lURNE'R'CITY <br /> SE '/4, SE%/excepting therefrom the West 33 feet and that part of WOCONM <br /> said SE%, SE Y.that lies East of County Highway F as RECENEO AND RECORDED <br /> now laid out and traveled. <br /> Parcel ID#: 036-4417-04-300 Township: Union MAY 2 0 2004 <br /> LREGI�STER <br /> 0:05 A.M. <br /> Property Owner: Patrick Stuart —.�—�Mailing Address: 27950 Yellow Lake Road F DEEDS <br /> City, State,Zip: Webster,WI 54893 Return to: Burnett County Zoning <br /> I (we) do hereby acknowledge that the use of the existing private onsite wastewater treatment <br /> system (POWTS), as installed on the above described real estate is based on the following <br /> flows and loads: <br /> i <br /> 300 gallons per day ` <br /> 220 mg/L BODS 150 mg/L TSS 30 mg/L FOG (monthly average of each) <br /> Furthermore, I (we) acknowledge that the modification to the structure served by the existing <br /> POWTS will not result in a change that affects the wastewater flow or wastewater contaminant <br /> load beyond the maximum capabilities of the existing POWTS and the following flows and loads <br /> shall not be exceeded: <br /> 300 gallons per day 4 persons (maximum occupancy for structure) <br /> 220 mg/L BODS 150 mg/L TSS 30 mg/L FOG (monthly average of each) <br /> I (we) hereby state that should the flows or loads increase beyond those indicated, the POWTS <br /> shall be modified to conform to all applicable rules. I (we) also state that should the existing <br /> POWTS show any signs of failure in any component of the POWTS, said POWTS shall be <br /> repaired or replaced according to applicable rules. <br /> Owner Name(Print) Subscribed and sworn to before me o this date: <br /> Patrick Stuart O <br /> •�J <br /> Notarized Owner Signature 11 Notary 'gnature <br /> My commission expires: <br /> �C <br /> r <br /> Drafted By Burnett County Zoning Office <br />