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PRIVY INSTALLATION AGREEMENT (Copy To Be Attached To The Sanitary pplication) <br /> o be completed in black ink <br /> Property Owner( Reserved For Recording Date <br /> hNc m4e Z�yIs <br /> Mailing Address: sso,3 392337 <br /> /1/ <br /> Loca n: BURNETT COUN <br /> WISCONSIN <br /> City,Village,Town p Qt: RECEIVED AND RECOFIDED <br /> Parcel Tax Number: J U L 2 U 2007 <br /> 03-.\= 5a3 — b 3:00 P.M. <br /> Legal Description: T <br /> 5 ism V. 8 p, +-a mar yD 1536 <br /> REGIS. DEEDS <br /> Personal information you provide maybe res d for aeeendary purposes.[Privacy law,s.1504(I)(m)] Return To: Sumen County Zoning <br /> 7410 Cc unty Road K,#102 <br /> I. No plumbing will be installed in the privy. Siren,W1 54872 <br /> 2. No plumbing will be installed in the premises served by the privy unless a code compliant soil absorption system or holding tank <br /> exists,or a valid sanitary permit to install such a system has been issued. <br /> 3. A privy vault/pit shall maintain minimum setbacks as specified in Table 1. <br /> Table 1 Well Building Lake/Stream Additional Countyetbacks <br /> Open Pit 50 Ft 10 Ft I Min. 75 Ft 1 25 Ft to all lot lines <br /> Sealed Pit 25 Ft 5 Ft I Min.75 Ft 1 25 Ft to all lot lines <br /> 4. Privies for public buildings shall comply with ILHR 52.63,Wis.Adm Code. <br /> 5. Privies used for one-and-two-family purposes shall be constructed in such a manner so as to exclude flies,tats and other vermin. Doors should <br /> be self-closing and vault ventilators should terminate at least one foot above the roof. <br /> 6. A privy vault shall be constructed of watertight plastic,fiberglass,coated steel or monolithic concrete. Malcn s shall comply the intent with <br /> Comm 83.20,Wis.Adm.Code. <br /> 7. Comm 91.12 Privies—requires the storage chamber of a vault privy to conform with Comm 84.25 requiremen . The vault shall have a minimum <br /> storage rapacity of 200 gallons or one cubic yard. <br /> 8. The privy shall be kept clean and sanitary. The contents of the pit or vault shall be disposed in accordance wit NR 113,Wis.Adm.Code. <br /> 9. This agreement shall be binding on the owner,their heirs and assignees. This documentation shall be recordet by the register of deeds in a <br /> manner which allows its existence to be determined by reference to the property where the privy is installed. <br /> 10. The property owner shall notify the County for inspection immediately after the non-plumbing sanitary syste has been constructed. <br /> Printed Owner(s)Name(s): Subscribed and sworn to before me on this date: <br /> a � <br /> -tea <br /> Owner(s Signa Notary Public 4 <br /> FQ- <br /> My commission expires on: — f . <br />