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2010/10/08 - SANITARY - SAN - Other
Burnett-County
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TOWN OF WOOD RIVER
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28947
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2010/10/08 - SANITARY - SAN - Other
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Last modified
3/5/2020 11:37:15 AM
Creation date
9/30/2017 12:53:38 AM
Metadata
Fields
Template:
Property Files v2
Document Date
10/8/2010
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
Tax ID
28947
Pin Number
07-042-2-38-18-24-4 02-000-011000
Legacy Pin
042252403700
Municipality
TOWN OF WOOD RIVER
Owner Name
DAVID E & KAY S KALLMAN
Property Address
10769 SURREL RD
City
GRANTSBURG
State
WI
Zip
54840
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HOLDING TANK SERVICING CONTRACT <br /> Contract Date: 09-09-2010 <br /> This contract is made between the Holding Tank Owner and the Pumper. <br /> Holding Tank Owner(s)Name(s): Pumper's Name: <br /> David&Kay Kallman GRANTSBURG SANITARY SERVICE <br /> We acknowledge the installation of(a)holding tank(s)on the following property(Provide legal <br /> description and computer number): <br /> 07-042-2-38-18-24-4 02-000-011000 <br /> N 15A NW/,SE ASEC 24T38NR 18W <br /> TOWN OF WOOD RIVER <br /> 10769 SURREL RD.GRANTSBURG,WI 45840 <br /> 1. The owner agrees to file a copy of this contract with the local governmental unit hereinafter called the <br /> "municipality", which has signed the pumping agreement required in Ch. ILHR 83.18(4)(b),Wis. <br /> Adm. Code and with the County of Burnett. <br /> 2. The owner agrees to have the holding tank(s)serviced by the pumper and guarantees to permit the <br /> pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). <br /> The owner agrees to maintain the all-weather access road or drive so that the pumper can service the <br /> holding tank(s)with the pumping equipment. The owner further agrees to pay the pumper for a <br /> 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 <br /> s. ILHR 83.18(4)(b),Wis.Adm. Code,and to the county,a report for the servicing of the holding <br /> tank(s)on a semiannual basis. The pumper further agrees to include the following in the semiannual <br /> 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 gallons of the contents pumped from the holding tank for each servicing; <br /> g. The disposal sites to which the contents from the holding tank were delivered. <br /> 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event <br /> of a change in this contract,the owner agrees to file a copy of any changes to this service contract or a <br /> copy of a new service contract with the municipality and the County named above within ten(10) <br /> business days from the date of change to this service contract. <br /> Owner(s)Names(s)(Print) er's Sigl atur ) <br /> DAVID KALLMAN <br /> - ....._.-_.-.-..._.-..-......................-.-_.....-...-------------------------- - - - - - ---------............... ........-------------- <br /> KAY KALLMAN <br /> Pumper's Name(Print) Signature <br /> MAURICE JOHNSON <br /> Pumper's Registration Number <br />
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