Laserfiche WebLink
HOLDING TANK SERVICING CONTRACT ��Sg� <br /> Contract Date <br /> L4/4910 7 This contract is made between the <br /> Holding Tank Owner(s)Name(s) �0 9�� Jrd�" 775 and Pumper's Name .. <br /> _"os tf�X TCk nJ MCAT-Y Iky%"% T I F1 CGiGV (��YCCI SCL► o k'lOV\ <br /> -r�lo Yh Cr.S 47y0 y cii R/ Tt+'iC cP j J e F P C LCa uscv-\ <br /> S %.TT <br /> We acknowledge the installation of(a) holding tank(s)on the following property: (Provide legal description:) <br /> Loi '1, C" ie4 Swevey Map 4 30SI, Mor-ded in Vol • 14, ?35 Qd 4-33 <br /> 9.S c7�ocutr>it- Jb 2$39.9^7, Jn �4 o4'ci VrRg,,111 111 ,DeWs � /Y // <br /> Crovn , Gili't -,;7, Gov '- /0�q 5'"0" 20, T 37nl, <br /> COMPUTER #: <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> 1. The owner agrees to fie a copy of this contract with the local governmental unit hereinafter called the "municipality", which ha <br /> signed the pumping ag eement required in Ch. ILHR 83.18(4) (b),Wis. Adm. Code and <br /> with the County of &Cl r4 C <br /> 2. The owner agrees to h ve the holding tank(s)serviced by the pumper and guarantees to permit the pumper to have access and t <br /> enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the all-weather acces <br /> road or drive so that t e pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pa <br /> the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. <br /> 3. The pumper agrees to submit to the municipality which has signed the pumping agreement required by s. ILHR 83.18 (4) (b),Wit <br /> Adm. Code, and to the ounty, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agree <br /> to include the following in the semiannual report: <br /> a. The name and address of the person responsible for servicing the holding tank; <br /> b. The name of the owner of the holding tank; <br /> c. The location of the property on which the holding tank is installed; <br /> d. The sanitary permit number issued for the holding tank; <br /> e. The dates on which the holding tank was serviced; <br /> f. The volumes in ga Ions of the contents pumped from the holding tank for each servicing; <br /> g. The disposal sites o which the contents from the holding tank were delivered. <br /> 4. This agreement will re nain in effect until the owner or pumper terminates this contract. In the event of a change in this contrac <br /> the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the minicipalit <br /> and the County named above within ten(10) business days from the date of cha <br /> AMTAUXXBEmwmoom <br /> TM <br /> Notary PtbNo <br /> Owner(s)Names)(Print) I Owner's Signature(s)�J Rl 011iallrhn6 <br /> 31,2009 <br /> -TOS e-P -T yn4$ I / Subscribed and sworn to before me on this date: <br /> ------- <br /> MarytniNtGtSj- <br /> Pumper's Name(Print) I Pumper's Signature Notary Publi <br /> IJ �y� My commission expires:1 V <br /> 31 �aao � <br /> Pumper's Registration Number <br /> atlo _`i, <br /> SBD-7574(R.09/88) This instrument was drafted by the State of Wisconsin Department <br /> of Industry, Labor and Human Relations <br />