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ILHR 833 Appendix
WISCONSIN ADMINISTRATIVE CODE
PRIVY INSTALLATION AGREEMENT -COPY TO BE ATTACHED TO THE SANITARY PERMIT APPLICATION.
Property Ownertsl:
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Location:
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Parcel Tax Number;
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1. No plumbing will be installed in the privy.
2_
3
4
5
6
7
Reserved For Recording Data
RegiWr's 0*0 ) ss
(lawyer County
Flee ived tar record this _— ear of
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M and recorded as vol.
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Register
Deputy
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No plumbing will be installed in the premises served by the privy unless a code compliant soil absorption system or
holding tank exists, or a valid sanitary permii to install such a system has been issued.
A privy vault/ pit shall maintain minimum setbacks as specified in Table 1.
I
Table 1
Well
Building
Lake / Stream
Additional County Setbacks
Open Pit
50 FL
25 Ft
Min. 75 Ft
Sealed Vault
25 Ft
25 Ft
Min 75 Ft
Privies for public buildings shall comply with ILHR 52.63, Wis Adm Code
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 self -closing and vault ventilators should terminate at least one foot above the roof
A privy vault shall be constructed of watertight plastic, fiberglass, coated steel or monolithic concrete. Materials shall
comply the intent with ILHR 83.20, Wls. Adm. Code. Counties may, by ordinance, establish minimum sealed vault sizes
and type or construction within the guidelines of ILHR 83.20, Wis. Adm. Code.
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.
8. This agreement shall be binding on the owner, their heirs and assignees. This document shall be recorded by the
register of deeds in a manner which allows its existence to be determined by reference to the property where the
privy is installed.
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Subscrib d and sworn to befor me on this date:
Notary Public C '
My commission expires on:
IV
SBD-6432(R.OV91) NOTE: This document was drafted by the State Department of Industrv. Labor and Human
Bureau of Building Water Systems.
Register, February. 1994. No. •158
VOL 6 T 6 PC 2 45