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Permit #14600 <br /> Burnett County Zoning Administration <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 Co. Rd. K, #102 Phone: 715/349-2138 <br /> Siren, Wisconsin 54872 <br /> �j SEPTIC TANK MAINTENANCE AGREEMENT <br /> Q' <br /> Owner: , z",,,,_,!L , (�_ �iaaQ," Date: <br /> Address: �d / 6 7 Phone: <br /> IVi <br /> RE: Property located in the 1/4 of 1/4 or Gov't Lot , Section a g <br /> T ..3dpN-R_W or Subdivision Lot / , Block <br /> Township of -A , Burnett County, Wisconsin. <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 a <br /> master plumber, journeyman plumber, restricted plumber, or a licensed septage <br /> hauler. The form shall require certification of the following: M <br /> a. That the on-site wastewater disposal <br /> r <br /> system is in proper operation condition. V <br /> b. That after inspection and after pumping U`U <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 <br /> .� Resources. <br /> Signed: <br /> Date: 9-- R 0 - f c315—"IJ� <br />