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'Wisconsin Department of Industry, HOLDING TANK AGREEMENT Safety and Buildings Division
<br /> Labor and Human Relations Bureau of Buildings and Water Systems
<br /> Document No./Plan Identification No. This agreement is made between the This space reserved for recording data11r
<br /> 3221722 governmental unit and holding tank Y0: • PA<<[�a7(J
<br /> Agreement Date n
<br /> owner(s) BURNETT COUNTY
<br /> S- -7 —7 9 W1SC;ON:Ire!
<br /> County or/Local Governmental Unit Holding Tank Owner((ss)).] / RECRVED A"� NECORDED
<br /> calledMunici alit below MAY 1 1 1999 .
<br /> We acknowledge that applicatio of(a)holding
<br /> tank(s)on the following property SProvide gd113[1d descriptio ATI:-0-0 - O'CLOCK—A.Y.
<br /> ma y - Y �aZ� 0 j VOL. 623 PA E 690
<br /> ;5 TJ`p7 /f 0 �(2e� S REG)4�TER OF DEEDS
<br /> –� / — �O �G G , U 0 O Return To f(I-OLi-11I'
<br /> j�CLS �oiJ Ga7- ,2 ---- l��W V, ���cu.� ekwt
<br /> -----------------------------------------------------
<br /> or that continued use of the existing premises requires that a holding tank be installed on the property for the purpose of proper containment of sewage-
<br /> Also,the property cannot now be served by a municipal sewer,or any other type of private sewage system as permitted under Ch. [LHR 83,Wis.Adm.
<br /> Code,or Ch.145,Stats.
<br /> As an inducement to the County of/- t" II'AJL to issue a sanitary permit for the above described property,we agree to do the following:
<br /> 1. Owner agrees to conform to all applicable requirements of Ch. ILHR 83.Wis-Adm Code relating to holding tanks. If the owner fails to have the
<br /> holding tank properly serviced in response to orders issued by the municipality to prevent or abate a human health hazard as described in s.254.59,
<br /> Stats.,the municipality may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing
<br /> the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s.66.60,Stats.
<br /> 2. The owner agrees,pursuant to S.ILHR 83.18(10),Wis.Adm.Code,to have installed in a new building or new structure a water meter approved by
<br /> the County and State. The water meter shall be installed by a plumber authorized by the State to conduct such installations,with said installation
<br /> complying with State regulations and manufacturers specifications. The owner agrees to be financially responsible for the purchase, installation,
<br /> maintenance,and repair of the water meter,and agrees to allow the municipality to enter the above described property on a regular basis to read
<br /> and/or inspect the water meter
<br /> 3. Owner agrees to pay all charges and cost incurred by the municipality for inspection,pumping,hauling,or otherwise servicing and maintaining the
<br /> holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank_ The municipality shall notify the owner
<br /> of any costs which shall be paid by the owner within thirty(30)days from the date of notice. In the event the owner does not pay the costs within
<br /> thirty(30)days,the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of
<br /> a human health hazard,and the tax shall be collected as provided by law.
<br /> 4. The owner,except as provided by s. 146.20(3)(d),Stats.,agrees to contract with a person who is licensed under Ch.NR 113,Wis.Adm.Code,to have
<br /> the holding tank serviced and to file a copy of the contract or the owner's registration with the municipality_ The owner further agrees to file a copy
<br /> of any changes to the service contract,or a copy of a new service contract,with the municipality within ten (10) business days from the date of
<br /> change to the service contract.
<br /> 5. The owner agrees to contract with a person licensed under Ch-NR 113,Wis Adm.Code,who shall submit to the municipality on a semiannual basis a
<br /> report in accordance with s-ILHR 83.18 (4)(a)2.,Wis.Adm.Code,for the servicing of the holding tank. In the case of registration under s. 146.20(3)
<br /> (d),Stats.,the owner shall submit the report to the municipality. The municipality may enter upon the property to investigate the condition of the
<br /> holding tank when pumping reports and meter readings may indicate that the holding tank is not being properly maintained.
<br /> 6. This agreement will remain in effect only until the local governmental unit responsible for the regulation of private sewage systems certifies that the
<br /> property is served by either a municipal sewer or a soil absorption system that complies with Ch. ILHR 83, Wis. Adm. Code. In addition, this
<br /> agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the
<br /> existence of the certification to be determined by reference to the property.
<br /> 7. This agreement shall be binding upon the owner,the heirs of the owner,and assignees of the owner. The owner shall submit the agreement to the
<br /> register of deeds,and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be
<br /> determined by reference to the property where the holding tank is installed.
<br /> Nqtrg0 r(s)Signature(s)
<br /> Subscribed and sworn to before me on this date:
<br /> ` •,,.., P u f.�, c
<br /> ((�` ARY PUBLIC M;ti^.'-� y
<br /> nAvnTA COUNTY $
<br /> Municipal Official Name- int Municipal OficalSignature ' My CommissionExpireS.2nI " ?r
<br /> ! 4c r hra l ry➢* r fe
<br /> Municipal Official Title-Print �_ �
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<br /> SBD-6123(R.04194)
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