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POWTS MAINTENANCE AGREEMENT <br /> For Holding Tanks <br /> Owner Name(s) <br /> Ke r-(-1 A. (ass c4.r EcI tIt <br /> ia <br /> p ek a _so(i 'ts°e'1 + Ot41 <br /> Parcel Identification Number(PIN) Agreement Date <br /> 07-034 0 -oc3 31cco ) /J a l.D-o )nD- <br /> LegalDescriptionofProperty: I .o117 Lf'fl'e (aGE K6t <br /> Sec a.l i vt 37 R3 (S3 <br /> Lot 0..CSM (4375 1/a3 <br /> P33 LItAoS`6 (CAL..3) CLof 9) Retue To: <br /> /��.e��e �� Burnett County Land Use/Zoning Office <br /> As an inducement to the county of Burnett to issue a sanitary permit for a holding tank on the above-described property, <br /> the owner agrees to conform to all applicable requirements of Ch. SPS 383, Wis. Adm. Code relating to holding tank <br /> management, including the following: <br /> 1. The owner agrees to contract with a person who is licensed under Ch. NR 113, Wis. Adm. Code, except as <br /> provided by Section 281.48 (3) (d), Stats., to have the holding tank properly serviced and to file a copy of the <br /> service contract with the governmental unit The owner further agrees to file a copy of any changes to the service <br /> contract, or a copy of a new service contract, with the governmental unit within ten (10) business days from the <br /> date of change to the service contract. <br /> 2. The owner agrees to contract with a person licensed under Ch. NR 113, Wis. Adm. Code, who shall submit <br /> pumping reports to the governmental unit in accordance with Ch. SPS 383.55, Wis. Adm. Code, for the servicing <br /> of the holding tank. In the case of exemption under Section 281.48 (3) (d), Stats., the owner shall submit the <br /> report to the governmental unit. The governmental unit may enter upon the property to investigate the condition <br /> of the holding tank when pumping reports may indicate the holding tank is not being properly maintained. <br /> 3. If the owner fails to have the holding tank properly serviced in response to orders issued by the governmental unit <br /> to prevent or abate a human health hazard as described in Section. 254.59, Stats., the governmental unit may <br /> enter upon the property and service, or cause the tank to be serviced. Pursuant to Section 145.20(4)Wis. Stats., <br /> a governmental unit may assess the owner of a private sewage system for costs related to the pumping of a <br /> septic or holding tank. The charges will be assessed as prescribed by Section 66.0703, stats. The owner agrees <br /> to pay all charges and cost incurred by the governmental unit for inspection, pumping, hauling, or otherwise <br /> servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard <br /> caused by the holding tank. <br /> 4. This agreement will remain in effect only until the governmental unit responsible for the regulation of private <br /> sewage systems certifies that either a soil absorption system that complies with Ch. SPS 383, Wis. Adm. Code, or <br /> a municipal sewer serves the property. In addition, this agreement may be cancelled by executing and recording <br /> said certification with reference to this agreement in such manner which will permit the existence of the <br /> certification to be determined by reference to the property. <br /> 5. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner <br /> shall submit the agreement to the register of deeds, and the agreement shall be recorded by the register of deeds <br /> in a manner, which will permit the existence of the agreement to be determined by reference to the property <br /> where the holding tank is installed. <br /> Owner(s)Na► e(s)-Please Print Subscribed and m to before me on this date: <br /> KestkAt. fCme.16._ Jor1i150k1 ZA.-,,_0-zZ <br /> Notariz ner( Si nature(s) Notary Publfc `‘‘% VILSjp i°, <br /> • <br /> My Com ion Expi • 42�• O Pai • <br /> z <br /> Drafted by: Burnett County Land Use/Zoning Office • •, pV >8 • <br /> Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(q(mp r P�, • ' C~ 4. <br /> r • O <br /> F <br /> rr O iW <br />