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Permit #15941 <br /> ` Burnett County Zoning Administrate = •• E <br /> BURNETT COUNTY GOVERNMENT CENTER ,� C L/���77 <br /> 7410 County Road K,#102 �/rOCT -PtioY15)f -2138 <br /> Siren,Wisconsin 54872 LJ <br /> SEPTIC TANK MAINTENANCE AGREEMENT `] <br /> eJ 1ekis,nl�� rL <br /> OWNER: Ai <br /> F 7"%�f 41( DATE: Q - -tel <br /> ADDRESS: /4)5 /.)e. . PHONE: w F 2 - L 3 - '-7.7 <br /> /V a k.► 'de) 64 7-04- 0/+61 ,55-0 2— <br /> RE: Property located in the U&e t 1/4 of 1/4 or Gov't. Lot , Section .? 5 , <br /> or Lot Block Subdivision , T 4L0 N-R it/ W <br /> Township of ,SQ.E; }-fi Burnett County, Wisconsin. <br /> Improper use and maintenance of your septic system could result in its premature failure <br /> to handle wastes. Proper use maintenance should extend the life of the system consider- <br /> ably. Proper maintenance consists of pumping out the septic tank every 2 to 3 years or <br /> as needed by a licensed septic tank pumper. What you put into the system can affect the <br /> function of the septic tank as a treatment stage in the waste disposal system. <br /> Burnett County residents may be eligible to receive some cost share funding for the <br /> replacement of failing systems whereby such systems were in operation prior to July 1, <br /> 1978. In providing any cost sharing, the state does require that owners of all new <br /> systems agree to keep their systems properly maintained. Naturally, the proper mainten- <br /> ance is beneficial to you and the general public. <br /> The property owner agrees to submit to the county a certification form (to be provided by <br /> the county) every 3 years - signed by the owner and signed by a master plumber, journey- <br /> man plumber, restricted plumber, or a licensed septage hauler. The form shall require <br /> certification of the following: <br /> a. That the on-site wastewater disposal system <br /> 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 private <br /> sewage disposal system in accordance with the tandards set forth, herein, as set by the <br /> Wisconsin Department of Natural Resources. <br /> Signed: �•� <br /> Date: ?-30 --?/ <br />