2003/12/30 - SANITARY - SAN - Other

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Document NumbctrPlso I.D.No. HOLDING TANK AGREEMENT This agreement is made between the government unit and holding tank owns s►. Name ane Rawtn Adetess Al 7 ST�� 1W � � hmm (W somberWIN) D _ �O Af �P C Gave—U Hold ingA ash s) We acknowledge that application is being made for the installation of(a)bolding=k(s)m the followino pMpeMry (provide legal description Use reverse side if space is ooetkd) 40 7` / or that conunuad use of the eustng yremses requires chat a iWldins tattle 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 tyPa of private sewage system ae Permuted under Ch. ILHR 83.Wis.Adm. Coda.or Ch.148.Stats. _to issue a sanitary permit for the above described property.we agree to do the foUowiaV. As an inducement to the -&)PW1. Owner agrees to conform to all applicable requuvmenra of Ch. 11-HR 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 governmental unit to prevent or abate a human health hazard as described in s. 254.59.Sots.. the governmedral unit may Outer upon the property and service the tank or cause to have the tank tobe serviced and charge the owner by placing the charges on the Cox:bill as a special assessment for current services rendered The charges will be assessed u prescribed by e 88.60.Stats. 2. The owner agrees..pursuant to a.tLHR 83.18(10),Wis.Adm.Code.to have a water meter installed in a new building or new structure. The water motor shell be installed by a plumber authorised by the State to conduct such installations,with said installation complying with State regulations and manufacturers speci5c1Lt301L11. The owner agrees te be fieally responsible for the on regular let btu te road ntena ce. and r the airwato mthe water meter.and agree n&lbw the governmental unit m eater the above described property r. 1. Owner agreas to pay all charges and cost incurred by the governmental unit for inspection. pumping, hauling, or otherwise servicing and maintaining the holding tank in each a manner as to prevent or abate any human health hazard caused by the holding rank. The governmental unit shall notify the owner of any mets which shall be paid by the ownei within thirty(30)days from the date of nota. in the event the owner does not pay the costs within thirty(30)days.rhe owner specifically agrees that all the mets and charges may be Placed on the tax MU u a special asaesemeot for the abatement of a human health hazard,and the tax shall be collected at provided by law. 1. The owner.except as lirovided by s. 146.20(3)(d).Stats.,agrees to contract with a person who is licensed under Ch.NR 113.Ws.Adm.Code.to have the holding tank serviced and to file a copy of the coatrtut or the owaer s registration with the governmental unit. The owner further agrees to fila a copy of any changes m the service contract.or a copy o[a new service Contrect with the gevernmeatal unit within ten(10)bnsiness days fro8�e:s date of change to the service csnusm S. The owner agrees to contract with a person licensed under Ch NR 113.Win Adm Code.who shall submit to the governmental unit and the County on a semiannual basis a report in accordance with s. II.HR 83.18(4)(a)1. Wis.Adm. Coda, for the servicing of the holding tank. In the ase of registration under a. 146.20(3)(d),State.,the owner shall submit the report to the governmental unit and the county. The governmental unitbr county may enter upon the property to investigate the condition of the holding tank when pumping reports and motor readings may indican that the holding tank is not being propadY m&rntained. o. This agreement will remain in effect only until the governmental unit responsible for the regulation of private im 83, yuwa�rsC� To certifies addioa this property s served by either a municipal sawar or a soil absorption with reference this agreeesystem thigg tomphas with Ch. mennt in such manner which will Parsed the agreement may be canceled by e:eeuting and recordingsaid existence of the certfieacion to be determined by rekreme to the pteperty This agreement shall be binding upon the owner.the heirs of the owner.and assignees of the owner. The owner shall submit the agreeme1U m the 7. register of deeds.and the agreement shall be recorded by the rooster of deeds in a manwr which will permit the exiarance of the agreement to be determined by reference to the Property where rbc holding task u installad. Names)-Pleas\:Print Una O sae Print and svrotn an this dale: tree.Pkatw*uu Public s)Sigerutelsl :R"111 Ww+ry A'�-4 1 Drafted by �G///h I / � K+rOW��10'1'e"p1O"'m wag'a'qd rw tecosdiry vwpars IPnvst7'taw.atsAt(1)(011. • I]FINIARTMA M.DEABREU OfANIIvUBtI .WWESMVA psinbsloa Esplan Jos.11,2100 r