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floni`n6- Permit #13459 <br /> Burnett Countpp r on <br /> BURNETT COIRNTC C <br /> Route 1, Box 300-102h`b 715 38 <br /> Siren, Wisconsin 54872 Yj ; <br /> SEPTIC TANK MAINTENANCE AGREEMENT <br /> i <br /> Owner: , ! lj r ) f d; /+hK'i Date: <br /> Address: 66 JJ(o Phone: �7/S) ��t-0 <br /> RE: Property located in the ga.S 1/4 of ar„ 1/4 or Gov't LotSection <br /> T�, NN-R�W or Subdivision Lot_, Block <br /> Township of ffiee,�.o ,: Burnett County, Wisconsi . <br /> Improper use and maintenance of your septic system could result in its premature <br /> failure to handle wastes. Proper use maintenance should extend the life of the <br /> system considerably. Proper maintenance consists of pumping out the septic tank <br /> every 2 - 3 years or as needed by a licensed septic tank pumper. What you put <br /> into the system can affect the function of the septic tank as a treatment stage <br /> in the waste disposal system. <br /> Burnett County residents may be eligible to receive some cost share funding for <br /> the replacement of failing systems whereby such systems were in operation prior <br /> to July 1, 1978. In providing any cost sharing, the state does require that owners <br /> of all new systems agree to keep their systems properly maintained. Naturally, <br /> the proper maintenance is beneficial to you and the general public. <br /> The property owner agrees to submit to the county a certification form (to be <br /> provided by the county) every 3 years - signed by the owner and signed by <br /> master plumber, journeyman plumber, restricted plumber, or a licensed septage <br /> hauler. The form shall require certification of the following: <br /> a. That the on-site wastewater disposal <br /> system is in proper operation condition. <br /> b. That after inspection and after pumping <br /> (if necessary) , the septic tank is less <br /> than 1/3 full of sludge and scum. <br /> I, the undersigned, have read the above requirements and I agree to maintain the <br /> private sewage disposal system in accordance with the standards set forth, herein, <br /> as set by the Wisconsin Department of Natural Resources. <br /> Signed: , Gfha��.� �> „ 4-C <br /> Date: <br />