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��3s� I II IIIIII IIIDII IIIIIIII <br /> 8021101 <br /> FLOWS AND LOADS Tx:4013217 <br /> AFFIDAVIT 437291 <br /> BURNETT COUNTY WISCONSIN <br /> RECORDED ON: <br /> Legal Description:— Lot 1 CSM#3195 V 15 P.74 in Gov't Lot 2 10/01/2015 11:41 AM <br /> PAGES: 1 <br /> Section 2, T40N R16W <br /> 3EANINECHELL <br /> REGISTER OF DEEDS <br /> REC FEE:30.00 <br /> Parcel ID#: 07-020-2-40-16-02-5-05-002-015000 Township: Oakland TRANSFER FEE:0.00 <br /> FEE EXEMPT# <br /> Property Owner: John and Karen Tonsager <br /> Mailing Address: 19015 Blaine Ave <br /> City, State,Zip: Farmington, MN 55024 Return to: Burnett County Zoning <br /> 1 (eve)do hereby-— nowtedge that the-use of the existing private onsite wastewater Vestment System (POVvTS), <br /> as installed on the above described real estate is based on the following flows and loads: <br /> 300 gallons per day <br /> 220 mg/L BODS 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 POWTS will not <br /> result in a change that affects the wastewater flow or wastewater contaminant load beyond the maximum <br /> capabilities of the existing POWTS and the following flows and loads shall not be exceeded: <br /> 300 gallons per day 4 persons (maximum occupancy for structure) <br /> 220 mg1L BODS 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 shall be <br /> modified to conform to all applicable rules. I (we) also state that should the existing POWTS show any signs of <br /> failure in any component of the POWTS, said POWTS shall be repaired or replaced according to applicable <br /> rules. <br /> Owner Name(Print) Subscribed and sworn to before me on this date <br /> rj& X0/5 <br /> tari O er S Lure Notary Signature C/ <br /> My commission expires: <br /> /- 3/- C;2 <br /> Drafted By Burnett County Zoning Office <br /> CAAOhi. j <br /> p&Ok y Puselc <br /> MMjFSOiAMY GO/M89R7ri E%iAN 3t <br />