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HOLDING TANK AGREEMENT `9 4 3�8 9 ° <br /> Use black ink only) <br /> Agreement Date This agreement is made between the <br /> governmental unit and holding tank SURMETT COUNTY <br /> oc-6Dbe'/ IiRom <br /> owner(s) WISCONSIN <br /> County or Local Governmental Unit Holdi g Tank Owner s) Yr RECEIVED AND RECORDED <br /> tyle o ,—I"«�rtsh ooh/T`�( u 07 <br /> Called Munic' alit below) d � O l�(j' -el- <br /> We <br /> � n O V O 1QY' <br /> We acknowledge that application is being made for the installation of <br /> holding tankand <br /> on the following property(Provide legal description and <br /> computer number): <br /> AF- '1¢ NW'/4 S�d�lwll0., r39/u RIIoW 01 FDEEDS <br /> Tow/J of M6"O?-1 <br /> Recording Area <br /> 07 01$' 239 /!e /D 2 nl two oNovo Return To Burnett County Zoning Office,Siren <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. Also,the <br /> 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. <br /> As an inducement to the County of Burnett to issue a sanitary permit for the above described property,we agree to do the following: <br /> 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 <br /> 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,Slats.,the <br /> 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 <br /> bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s.66.60,Stats. <br /> 2. Owner agrees to pay all charges and cost incurred by the municipality for inspection,pumping,hauling,or otherwise servicing and maintaining the holding <br /> 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 <br /> 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 <br /> 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 <br /> shall be collected as provided by law. - <br /> 3. 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 <br /> 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 <br /> service contract,with the municipality within ten(10)business days from the date of change to the service contract. <br /> 4. 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 <br /> 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 <br /> condition of the holding tank when pumping reports and meter readings may indicate that the holding tank is not being properly maintained. <br /> S. This agreement will remain in effect only until the local governmental unit responsible for the regulation of private sewage systems certifies that the property <br /> 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 <br /> cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to <br /> be determined by reference to the property. <br /> 6. 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 <br /> 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 <br /> reference to the property where the holding tank is installed. <br /> Use BLACK Ink Only) <br /> Oer(s)Names(s)(Print) Not ed Owner(S tur ) Subscribed and sworn to before me on this d <br /> Municipal Official Name—Print Municipal Official Signature 5ta ub is nt) <br /> �Y Y LA I_• J 0 h n fon Notary Public gnature) <br /> Municipa Official Title-Print My ommi lion expires: 45?- 0, -U <br /> 'Town Chair <br /> The information you provide may be used by other governmen gen programs[Privacy Law,s. 15.04(1)(m)] <br /> Drafted By: Burnett County Zoning Office; 7410 County Road K, #102;Siren, WI 54872 ft*Vft*-ftft Of Vacol131n <br />