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Permit 1113938 <br /> Burnett County Zoning Administr n <br /> BURNETT COUNTY GOVERNMENT CENT �^ <br /> Route 1 , Box 300-102 s l��P� 715/349-2138 <br /> Siren, Wisconsin 54872 <br /> SEPTIC TANK MAINTENANCE AGREEME <br /> ,,�i�-�Sv2 f Bev•-ivn o.N FD <br /> Owner: f/A/rc/A. 7 ,F j5,1o,trr Date: <br /> Address: ,/- Bax /i 3 Z — 26/i a Phone: 63-1- 3 ,51/3 <br /> W/, 5-480/ <br /> RE: Property located in the _1/4 of _1/4 or Gov't Lot Section /3 <br /> T 3'� N-R /'/ W or Subdivision Lot A Block <br /> Township of A4 5,e 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 certi-fication 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:,_7A42_4_,5.. <br /> Date: N <br />