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Permit #20472 <br />Burnett County Zoning Administration <br />BURNETT COUNTY GOVERNMENT CENTER <br />7410 County Road K, #102 Phone (715) 349-2138 <br />Siren, Wisconsin 54872 <br />SEPTIC TANK MAINTENANCE AGREEMENT <br />OWNER:_r J /� q "� k j /� � f ✓V S <br />ADDRESS: 5� 3 P1 Alf F— S /.:--IV 3) U. <br />PHONE: '71S-- 6 �, ( 73 T <br />LEGAL DESCRIPTION OF PROPERTY: To to ts / © l o i,�' <br />f a R r -e-/- 'j* 07--G)&6 -'fO - i7 -jam -p 01200 <br />PROPERTY ADDRESS: I H E P i N7a- S �-O—FS --)— `- 3 6 L)-,- I <br />IMPROPER USE AND MAINTENANCE OF YOUR SEPTIC COULD RESULT IN ITS PREMATURE FAILURE TO <br />HANDLE WASTE. PROPER USE AND MAINTENANCE SHOULD EXTEND THE LIFE OF THE SYSTEM <br />CONSIDERABLY. PROPER MAINTENANCE CONSISTS OF PUMPING OUT THE SEPTIC TANK <br />EVERY 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 IN THE <br />WASTE DISPOSAL SYSTEM. <br />BURNETT COUNTY RESIDENTS MAY BE ELIGIBLE TO RECEIVE SOME COST SHARING FUNDING FOR <br />THE REPLACEMENT OF FAILING SYSTEMS WHEREBY SUCH SYSTEMS WERE IN OPERATION PRIOR TO <br />JULY 1, 1978. IN PROVIDING ANY COST SHARING, THE STATE DOES REQUIRE THAT OWNERS OF ALL <br />NEW SYSTEMS AGREE TO KEEP THEIR SYSTEMS PROPERLY MAINTAINED. NATURALLY, THE PROPER <br />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 MASTER <br />PLUMBER, JOURNEYMAN PLUMBER, RESTRICTED PLUMBER OR A LICENSED SEPTAGE HAULER. THE <br />FORM SHALL REQUIRE CERTIFICATION OF THE FOLLOWING: <br />A. THAT THE ONSITE WASTEWATER DISPOSAL SYSTEM IS IN PROPER OPERATIONAL <br />CONDITION. <br />B. THAT AFTER INSPECTION AND AFTER PUMPING (IF NECESSARY), THE SEPTIC TANK <br />IS LESS 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 COMMERCE AND THE BURNETT COUNTY SANITARY <br />ORDINANCE. <br />SIGNED: <br />�l <br />DATED: `� 7 <br />