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Permit /15862 <br /> Burnett County Zoning Administration <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 County Road K,#102 <br /> Phone(715)349-2138 <br /> ( ) <br /> Siren,Wisconsin 54872 �I ��� ,j O1'yg� �l <br /> SEPTIC TANK MAINTENANCE AGREEMENT L: <br /> OWNER: gIc fob q- aole*L Bl &Aree DATE: / (� <br /> ADDRESS: J"EF-IeI ES — Rp. PHONE: <br /> RE: Property located in the 1/4 of 1/4 or Gov 't. Lot Section P.? , <br /> or Lot Block Subdivision TiQ N-R—A�--W <br /> Township of 4*k L6A1 Burnett County, Wisconsin. <br /> Improper use and maintenance of your septic system could result in its premature failure <br /> to handle wastes. Proper use maintenance should extend the life of the system consider- <br /> ably. Proper maintenance consists of pumping out the septic tank every 2 to 3 years or <br /> as needed by a licensed septic tank pumper. What you put into the system can affect the <br /> function of the septic tank as a treatment stage in the waste disposal system. <br /> Burnett County residents may be eligible to receive some cost share funding for the <br /> replacement of failing systems whereby such systems were in operation prior to July 1, <br /> 1978. In providing any cost sharing, the state does require that owners of all new <br /> systems agree to keep their systems properly maintained. Naturally, the proper mainten- <br /> ance is beneficial to you and the general public. <br /> The property owner agrees to submit to the county a certification form (to be provided by <br /> the county) every 3 years - signed by the owner and signed by a master plumber, journey- <br /> man plumber, restricted plumber, or a licensed septage hauler. The form shall require <br /> certification of the following: <br /> a. That the on-site wastewater disposal system <br /> 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 private <br /> sewage disposal system in accordance with the standards set forth, herein, as set by the <br /> Wisconsin Department of Natural Resources. <br /> Signed: , , <br /> Date: —�}�l�j • :L7�—�� <br />