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8062841 <br /> Tx:4035968 <br /> 458200 <br /> BURNETT COUNTY WISCONSIN <br /> RECORDED ON: <br /> FLOWS AND LOADS 09/11/2019 02:31 PM <br /> AFFIDAVIT PAGES: 1 <br /> }-{ SM V Zb ?� , D S I'Z,-) 7 JEANINE CHELL <br /> / IL /. - r REGISTER OF DEEDS <br /> Legal Description: bbv <br /> Le 'V�JY{ ��� 18�d REC FEE:$30.00 <br /> � y <br /> Parcel ID: 0-]^ O/3� -Z^37-1 8 -��'-� ° TRANSFER FEE:§. <br /> l FEE EXEMPT# <br /> Property Owner: aW6 A- <br /> r <br /> Mailing Address: Iy9o5 N <br /> City,State,Zip: 5(V�3 Return to: Burnett County Zoning <br /> i (we) do hereby acknowledge that the use of the existing private onsite wastewater treatment <br /> system (POWTS), as installed on the above described real estate is based on the following <br /> flows and loads: <br /> 450 gallons per day <br /> 220 mg/L BOD5 150 mg/L TSS 30 mg/L FOG (monthly average of each) <br /> Furthermore, I (we) acknowledge that the modification to the structure served by the existing <br /> POWTS will not result in a change that affects the wastewater flow or wastewater contaminant <br /> load beyond the maximum capabilities of the existing POWTS and the following flows and loads <br /> shall not be exceeded: <br /> 450 gallons per day 6 persons (maximum occupancy for structure) <br /> 220 mg/L BOD5 150 mg/L TSS 30 mg/L FOG (monthly average of each) <br /> I (we) hereby state that should the flows or loads increase beyond those indicated, the POWTS <br /> shall be modified to conform to all applicable rules. I (we) also state that, should the existing <br /> POWTS show any signs of failure in any component of the POWTS, said POWTS shall be <br /> repaired or replaced according to applicable rules. <br /> Owner Nam int)pe�ep,�o k,) Subscribed and sworn to before me on this date: <br /> e Pr <br /> Notarized Owner Sign ure Nota S,gnatu <br /> y co mission exp,r <br /> �l <br /> Drafted By: Burnett County Land Use/Zoning Office <br /> HEATHER J SEURER <br /> Notary Public <br /> ;y <br /> . ,g_ Minnesota <br /> My Commission Expires <br /> Jan 31, 2024 <br />