Laserfiche WebLink
PRIVY INSTALLATION AGREEMENT <br />To be completed in black ink. (Conv To Be Attached To The Sanitary Annlicatinn) <br />Property Owner(s): �_, <br />&u,e 10��� NE' �s � h <br />-% CA^ <br />Mailing Address:ir?Ltg <br />6A a9LP <br />I'll <br />LgX39Address: 1k <br />Location <br />'/< S T <br />N, R W <br />Town Of: <br />sOA SC)f\ <br />Parcel Identification Number: <br />04-600 <br />Legal Description: <br /># 3 t4 i OA-4 q v <br />►S <br />, � Ktffr ZA '/ <br />—SE- <br />-01I0c1 o <br />iir ;n i <br />TX :4034313 <br />BURNETT COUNTY WISCONSIN <br />RECORDED ON: <br />06/10/2019 01:53 PM <br />PAGES; 2 <br />JEANINECHELL <br />REGISTER OF DEEDS <br />REC FEE: $30.00 <br />TRANSFER FEE: T. <br />FEE EXEMPT 4 <br />Return To: Burnett County Zoning <br />7410 County Road K, #102 <br />No plumbing will be installed in the privy. Siren, WI 54872 <br />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 />A privy vault/pit shall maintain minimum setbacks as specified in Table 1. <br />Table 1 <br />Well <br />Building <br />Lake/Stream <br />Additional County Setbacks <br />Open Pit <br />50 Ft <br />10 Ft <br />Min. 75 Ft <br />25 Ft to all lot lines <br />Sealed Pit <br />25 Ft <br />5 Ft <br />Min. 75 Ft <br />25 Ft to all lot lines <br />4. Privies for public buildings shall comply with 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 be <br />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 with intent of SPS <br />383.20, Wis. Adm. Code. <br />7. SPS 391.12 Privies — requires the storage chamber of a vault privy to conform with SPS 384.25 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 be 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 sworn to before me on this date: <br />4 <br />St!ature: <br />E RA C �01 <br />Notary Public <br />g�Not <br />State of Minnesota <br />My commission expires on: 90 <br />Drafted By: Burnett County Zoning Office; 7410 County Road K, #102; Siren, WI 54872 <br />Personal information you provide may be used for secondary purposes. [Privacy Law, s. 1504 (l)(m)] <br />