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HOLDING TANK SERVICING CONTRACT <br /> Contract Date: 47-S-17 <br /> This contract is made between the Holdlag Task Owner and the Pumper. <br /> Holding Tank Owner(s)Name(s): Pamper-s Name: <br /> Y t ('i Cj�VL° LUI'f7�7 <br /> We acknowledge thg installation of(a)holding taak(s)on the following property(Provide legal <br /> description and computer number): JCC OO /tN1Jy0A1 9"lam <br /> yceff 7'wp 4t3 al# V•z P�4y /'� <br /> as-aooi- o f O00 Z /T�rp L r- <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 eater 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 taak(s)as mutually agreed upon by the owner and peunper. <br /> 3. The pumper agrees to submit to the municipality which has signed the pumping agreement required by <br /> s.ELHR 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 /> it. 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 contrack the owner agrees to file a ropy of any changes to this service contract or a <br /> copy of a new service contract with the municipality and the Canty named above within ten(10) <br /> business days from the date of change to this service contract <br /> Owner(s)Names(s)(Print)W S' s) <br /> Pumper's Name(Print) 111moer,s Signature <br /> 6/duC . <br /> Pumper's RegistrationNumber <br /> Z yin R <br />