2003/12/03 - SANITARY - SAN - Other

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BURNETT COUNTY ZONING ADMINISTRATION BURNETT COUNTY GOVERNMENT CENTER, ROOM 130 7410 County Road K,#102; Siren,Wisconsin 54872 Phone(715)349-2138 SEPTIC TANK MAINTENANCE AGREEMENT OWNER: G�Ti IL��Q, YYl GIrQUQ� ADDRESS: `L✓J JQQ �� �r��2riG wT , SO 3`7 PHONE: _b65- aVf3 1465 -aq � - LEGAL DESCRIPTION OF PROPERTY: L D-� 5 C S ro V i 5 P L a _ CSL 5 CNw 5W 0 - 37.1 PROPERTY ADDRESS: IMPROPER USE AND MAINTENANCE OF YOUR SEPTIC COULD RESULT IN ITS PREMATURE FAILURE TO HANDLE WASTE, PROPER USE AND MAINTENANCE SHOULD EXTEND THE LIFE OF THE SYSTEM CONSIDERABLY, PROPERTY MAINTENANCE CONSISTS OF PUMPING OUT THE SEPTIC TANK EVERY 3 YEARS OR AS NEEDED BY A LICENSED SEPTIC TANK PUMPER, WHAT YOU PUT INTO THE SYSTEM CAN AFFECT THE FUNCTION OF THE SEPTIC TANK AS A TREATMENT STAGE IN THE WASTE DISPOSAL SYSTEM, BURNETT COUNTY RESIDENTS MAY BE ELIGIBLE TO RECEIVE SOME COST SHARING FUNDING FOR THE REPLACEMENT OF FAILING SYSTEMS WHEREBY SUCH SYSTEMS WERE 1N OPERATION PRIOR TO JULY 1, 1978. 1N PROVIDING ANY COST SHARING, THE STATE DOES REQUIRE THAT OWNERS OF ALL NEW SYSTEMS AGREE TO KEEP THEIR SYSTEMS PROPERLY MAINTAINED. NATURALLY, THE PROPER MAINTENANCE IS BENEFICIAL TO YOU AND THE GENERAL PUBLIC. THE PROPERTY OWNER AGREES TO SUBMIT TO THE COUNTY A CERTIFICATION FORM (TO BE PROVIDED BY THE COUNTY)EVERY 3 YEARS—IF INSPECTED, SIGNED BY A MASTER PLUMBER, JOURNEYMAN PLUMBER RESTRICTED PLUMBER OR WI POWTS INSPECTOR OR IF PUMPED, A LICENSED SEPTAGE HAULER, THE FORM SHALL REQUIRE CERTIFICATION OF ONE OF THE FOLLOWING: A. THAT AFTER INSPECTION, THE SEPTIC TANK IS LESS THAN 1/3 FULL OF SLUDGE AND SCUM AND APPEARS TO BE IN OPERATING CONDITION. B. THAT THE SEPTIC TANK ONSITE HAS BEEN PROPERLY PUMPED, 1, THE UNDERSIGNED, HAVE READ THE ABOVE REQUIREMENTS AND 1 AGREE TO MAINTAIN THE PRIVATE SEWAGE DISPOSAL SYSTEM IN ACCORDANCE WITH THE STANDARDS SET FORTH, HEREIN, AS SET BY THE WISCONSIN DEPARTMENT OF COMMERCE AND THE BURNETT COUNTY SANITARY ORDINANCE. SIGNED: f� C° .) � [ J - DATED: