2009/08/31 - SANITARY - SAN - Other

Home Browse Search

• USE BLACK INK ONLY- 405099 BURNETT COUNTY POWTS MAINTENANCE AGREEMENT WISCONSIN Received and Recorded September 04, 2009 at 1:50 PM Owner's Name(s)as shown on deed: ll J��H v, 1411 Jeanine e CSI o a M M l L-� Register off Deeds Parcel Identification Number: Recording Fee $13.00 (12 Digit Legacy ID) 1q- Z3 ' -03 - DGb - OIl Lagal Description of Property: Number of Pages 2 -SEE ATTACHED SHEET- We acknowledge that application is being made for the installation of a holding tank(s)on the property d/e�ssedbed on the attached sheet. Return To: aume/4--l:( u nr As an inducement to 3unle4t aun6Y to issue a sanitary permit for a holding tank on the above-described property,the owner is responsible for the operation and maintenance of ththufdw9 tank,locking device, alarm and access,and agrees to conform to all applicable requirements of Ch.Comm 83,Wis.Adm.Gode relating to holding tank management,including the following: 1. The owner agrees 4o contract with a person who is licensed under Ch. NR 113,Wis.Adm. Code,except as provided by Section 281.48(3) (d), Stats.,to have the holding tank properly serviced and to file a copy of the service contract with the governmental unit. 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 govemmental;unit within ton(10)business days from the date of change to the service contract. 2. The owner agrees to contract with a person licensed under Ch.NR 113,Wis.Adm. Code,who shall submit pumping reports to the governmental unit in accordance with Ch.Comm 83.55,Wis.Adm.Code,for the servicing of the holding tank. In the case of exemption under Section 281.48(3)(d),Stats.,the owner shall submit the report to the governmental unit. The govemmental unit nay enter upon the property to investigate the condition of the holding tank when pumping reports may indicate the holding tank is not being properly maintained. 3. If the owner fails to have theholdmy tank properly serviced in response to orders issued by the govemmental unit to prevent or abate a human health hazard as described in Section.254.59, Stats.,the governmental unit may enter upon the property and service, or cause the tank to be serviced. Pursuant to Section 145.20(4)Wis. Stats., a governmental unit may assess the owner of a private sewage system for costs related to the pumping of a septic or holding tank.The charges will be assessed as prescribed by Section 66.0703,stats. The owner agrees to pay all charges and cost incurred by the govemmental unit 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. 4. This agreement will remain in effect only until the governmental unit responsible for the regulation of private sewage systems certifies that either a soil absorption system that complies with Ch. Comm 83,Wis.Adm. Code, or a municipal sewer serves the property. In addition,this agreement may be cancelled by executarg 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. 5. This agreement shaii 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. -Only one owner signature required- CKNOWLEDGEMENT Ow e is Signa ure, State of: County of: kk1LC9 O is ame: Subscribed and sworn to before me on this bS 4! r2 lL� �llJJ1 �'1 . (At trrururi, Z� I daif 1j, 0,Ar 20b Date: 11- 7 ' Tfary Public Signature: l Drafted thy: _�t f 'tritgry Public Name: G e(� �]y=ommission expires on: Personal information you provide may be used for secondary purddS6arilhiivgly Law, §15.04(I)(m)]