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2014/06/17 - SANITARY - SAN - Other
Burnett-County
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TOWN OF WOOD RIVER
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29487
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2014/06/17 - SANITARY - SAN - Other
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Last modified
3/5/2020 11:48:26 AM
Creation date
10/4/2017 9:00:31 PM
Metadata
Fields
Template:
Property Files v2
Document Date
6/17/2014
Document Type 1
SANITARY
Document Type 2
SAN
Document Type 3
Other
Tax ID
29487
Pin Number
07-042-2-38-18-34-5 15-276-011000
Legacy Pin
042905001100
Municipality
TOWN OF WOOD RIVER
Owner Name
DAVID G ANDERSON JANELLE R JACOBSON
Property Address
22620 HANSONS POINT RD
City
GRANTSBURG
State
WI
Zip
54840
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HOLDING TANK SERVICING CONTRACT <br /> Commet Date: <br /> This contract is made between the Holding Tank Owner and the Pumper. <br /> Holl^^dlingt Tank Owner(s)Name(s <br /> ): Pumper's Name: / <br /> YJ�U/� �/✓)ale1^Sd�l ��v /'/�Q. 3o/JzlSo� <br /> We acknowledge the installation of(a)holding tank(s)on the following property(Provide legal <br /> _ description and computer number): <br /> GoT ( RXAU;V-I/S OyrnT <br /> c�-o42-2.5%-r8-3Y-� rS'Z�IO"orr000 <br /> 1. The owner agrees to file a copy of this contract with the local govemmenml unit hereinafter called the <br /> "municipality",which has signed the pumping agreement required in Ch. ILHR 83.18(4)(h),Wis. <br /> Adm.Code and with the County of Burnett. <br /> 2. The owner agrees to have the holding tonk(s)serviced by the pumper and guarantees to permit the <br /> pumper to have access and to enter 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 tank(s)as mutually agreed upon by the owner and pumper. <br /> 3. The pumper agrees to submit to the municipality which has signed the pumping agreement required by <br /> s.ILHR 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 /> a. The name and address of the person irsponsible for servicing the holding and; <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 took 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 orpumper terminates this contract. In the event <br /> of a change in this contract,the owner agrees to file a copy of my changes to this service contract Ora <br /> copy of a new service contract with the municipality and the County named above within ten(10) <br /> business days from the date of change to this service contra t. <br /> n <br /> Owger(s)Names(s (Print) Owne�sgi nature(e) <br /> Pumper's Name(Print) Pu s ignamrc <br /> t Regisis/>1s r <br /> P taper's tmp[inn Numbcr <br /> �l /Q� <br />
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