2008/07/17 - SANITARY - SAN - Other - 13133

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HOLDING TANK SERVICING CONTRACT Contract Dale" This contract is made between the - Holding Tank Owners)Names) J and I Pumper's Name Eugene Becker Boone's Septic Service I We acknowledge the installation of(a) holding tank(s) on the following property: (Provide legal description:) NW}, NW,'-, S21 T38N R17W - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1. The owner agrees to file a copy of this contract with the local governmental unit hereinafter called the "municipality", which has signed the pumping agreement required in Ch. ILHR 83.18 (4) (b),Wis. Adm. Code and - with the County of Burnett 2. The owner agrees to have the holding tank(s)serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the all-weather access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutuallyagreed upon by the owner and pumper. 3. The pumper agrees to submit to the municipality which has signed the pumping agreement required by s. ILHR 83.18(4) (b), Wis. Adm. Code, and to the county, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the person responsible for servicing the holding tank; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; I. The volumes in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the municipality and the County named above within ten (10) business days from the date of change to this service contract. Owner(s)Name(s)(Print) I owner's Signature(s) zv-. r- 14.. !,eC __ _. _ . Subscribed and sworn to before me on this date: June 15, 1987 Pumper's Name(Print) I Pumper's Signature �g Notary ry Public C C/ My commission expires: Boone 's Septic Service I 10-25-87 Pumper's Registration Number SBD-7574(N.11185) This instrument was drafted by the State of Wisconsin Department of Industry, Labor and Human Relations, Bureau of Plumbing.