2004/02/12 - SANITARY - SAN - Other

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HOLDING TANK AGREEMENT 360255 Agreement Date This agreement is made between the governmental unit and holding tank IJ3 owner(s) Countv or Local Govemmental Unit Holding Tank Owner(s) "NMCOUNTY Strc� %om Lewis WISCONSIN (called blunici ali below) I RECEIVED MWD RECORDED We acknowledge that application is being made for the installation of(a) holding tank(s)on the following property(Provide legal description and SEP - 5 M computer number): r 38N Ow �' 4:15 P.M. #, Recording rea p w P4 pco 0 30 — 03 *%-DO Return To Burnett County Zoning Office,Siren 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. Also,the property cannot now be served by a municipal sewer,or any other type of private sewage system as permitted by the Burnett County Sanitary Ordinance. As an inducement to the County of Burnett to issue a sanitary permit for the above described property,we agree to do the following: I. Owner agrees to conform to all applicable requirements of Ch.Comm 83,Wis.Adm.Code relating to holding tanks. If the owner fails to have the 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,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 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. 2. The owner agrees,pursuant to s.Comm 83.54(2)(c) 1,Wis.Adm.Code,to have a water meter installed in the structure. The water meter shall be installed by a plumber authorized by the State to conduct such installations,with said installation complying with State regulations and manufacturers specifications. The owner agrees to be financially responsible for the purchase,installation,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 and/or inspect the water meter. 3. Owner agrees to pay all charges and cost incurred by the municipality for inspection,pumping,hauling,or otherwise servicing and maintaining the 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 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 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 a human health hazard,and the tax shall be collected as provided by law. 4. The owner agrees to contract with a person who is licensed under Ch.NR 113,Wis.Adm.Code,to have 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 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 change to the service contract. 5. The owner agrees to contract with a person licensed under Ch.NR 113,Wis.Adm.Code,who shall submit to the municipality on an annual basis a report in accordance with s.Comm 83.55,Wis.Adm.Code,for the servicing of the holding tank. The municipality may enter upon the property to investigate the condition of the holding tank when pumping reports and meter readings may indicate that the holding tank is not being properly maintained. 6. This agreement will remain in effect only until the local governmental unit responsible for the regulation of private sewage systems certifies that the property is served by either a municipal sewer or a soil absorption system that complies with Ch.Comm 83,Wis.Adm.Code. In addition,this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 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 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 determined by reference to the property where the holding tank is installed. Owner(s)Names(s)(Print) Notarized wner(s)Sign re(s Subscribed and sworn to before me on this date: Municipal Official Name—Print Municipal Official Signature �* /1 �/ NotarY P b -ba . /,,/ � ^�//,� �� Notary Public(Signature) Munici al Official Title—Print x10�'v" �Jr� My commission expires:�„e 2 .Q v The information you provide maybe used by other government agency programs(Privacy Law,s. 15.04(1)(m)] Drafted By: Burnett County Zoning Office; 7410 County Road K, #102;Siren, W1 54872