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2016/12/12 - SANITARY - SAN - Other
Burnett-County
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TOWN OF WOOD RIVER
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29239
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2016/12/12 - SANITARY - SAN - Other
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Last modified
3/5/2020 11:42:12 AM
Creation date
9/30/2017 12:41:43 PM
Metadata
Fields
Template:
Property Files v2
Document Date
12/12/2016
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
Tax ID
29239
Pin Number
07-042-2-38-18-32-1 01-000-011000
Legacy Pin
042253201200
Municipality
TOWN OF WOOD RIVER
Owner Name
BERNARD BRUCE LEE JULIE M WALTERS-LEE
Property Address
12277 WOOD LAKE RD
City
GRANTSBURG
State
WI
Zip
54840
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HOLDING TANK SERVICING CONTRACT <br /> This contract is made between the Holding Tank Owner and the Pumper. <br /> Holdine TanJ fl�yner(s}Name(sj_ Pumper's Name: <br /> I iel-nar, Lee <br /> L,ju 1;-e Grid ffer-r-z-A4 <br /> We acknowledge the installation of(a)holding tank(s)on the fallowing property(Provide legal <br /> 1"- on and computer nuanbe. / ��' W" sy <br /> /•2z -7 Wood LaZ�c c«d, (rr-u.. � 8 +! <br /> %h t <br /> IV*)-f'), 2-3 ra d-s /VE <br /> lOwn£hrP 38 Nairn.t Qkny� /$ YlKSfi r3urht (dun �yrs�a� let <br /> I. 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 perout 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 att-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(The <br /> 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. IL.HR 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 scrvicing 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 /> c. 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 /> Owger(sl Names{s)(Print)----[owner-,Signature(sj — <br /> Pumper's Name(Prim) Pumper' Signature <br /> �7�evt? CJwf <br /> Pumper's Registration Number <br /> 2y <br /> COMM. izo5o�s21 �l /I P <br /> Notary KW � � 1p, /a <br />
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