Laserfiche WebLink
PRIVY INSTALLATION AGREEMENT 8 0Tx?4014855 8 <br /> To be completed in black ink. (Copy To Be Attached To The Sanitary Application) 438797 <br /> Property Owner(s): k)�yz l S�47 K,5 eAJ <br /> BURNETT COUNTY WISCONSIN <br /> 7 ii1 �a149)� /2026 RECORDED :49 <br /> N <br /> Mailing Address: /� 7 7 41 7 711Sf�e�T S 1-1 W14 ta4 OlfZ1 PAGES: 1049 AM <br /> 7EANINE CHELL <br /> Location: / REGISTER OF DEEDS <br /> r/, S ,T C7 N,R REC FEE:30.00 <br /> TRANSFER FEE:0.00 <br /> Town Of: FEE EXEMPT# <br /> SWISS <br /> Parcel Identification Number: <br /> 07 f23.2_ 211115_ 0q s S e134152a <br /> Legal Description: F 1,37• ,4 D <br /> J_ 6 cLRL's acR,;trs <br /> Personal information you provide may be used for secondary purposes.[Privacy Law,s. 1504(1)(m)] Return To: Burnett County Zoning <br /> 7410 County Road K,#102 <br /> 1. No plumbing will be installed in the privy. Siren,Wl 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 County Setbacks <br /> Open Pit 50 Ft 10 Ft Min. 75 Ft 25 Ft to all lot lines <br /> Sealed Pit 25 Ft 5 Ft Min. 75 Ft 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,rats 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. Materials 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 requirements. The vault shall have a minimum <br /> storage capacity 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 with NR 113,Wis.Adm.Code. <br /> 9. This agreement shall be binding on the owner,their heirs and assignees. This documentation shall he recorded 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 system has been constructed. <br /> Printed Owner(s)Name(s): Subscribed and swom to before me on this date: <br /> o-c Soh r'o,v l <br /> 1�2_vtltrl_W' ozXz_e'_ <br /> N <br /> Nobuy PubNc <br /> IuHnnee to <br /> Ea <br /> My commission expires on: <br /> Drafted By: Burn County Zoning Dice; 7410 County Road K, #102; Siren, W1 54872 <br />