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POWTS MAINTENANCE AGREEMENT <br />For Holding Tanks <br />Owner Name (s) <br />Parcel Identification Number (PIN) Agreement Date <br />14-03-s�.s-00,3 <br />- �d7oep <br />Legal Description of Property: <br />s . 3 r,3'5X/ 9 i6 tv <br />(� 6 ✓ "f- L. m -/- of d- -�' L o -,�- 5- <br />447696 <br />I Id'NI IIf IIUI'll''lll l'I <br />BURNET'T COUNTY WISCONSIN <br />RECORDED ON: <br />09/28/2017 10.49 AM <br />PAGES: 2 <br />JEANINECHELL <br />REGISTER OF DEEDS <br />REC FEE: 30.00 <br />TRANSFER FEE: 0.00 <br />FEE EXEMPT # <br />Return To: <br />Burnett County Land Use/Zoning Office <br />As an inducement to the County of Burnett to issue a sanitary permit for a holding tank on the above-described property, <br />the owner agrees to conform to all applicable requirements of Ch. SPS 383, Wis. Adm. Code and Burnett County <br />Ordinance relating to holding tank management, including the following: <br />1. The owner agrees to contract with a person who is licensed under Ch. NR 113, Wis. Adm. Code, except as <br />provided by Section 281.48 (3) (d), Stats., to have the holding tank properly serviced and to file a copy of the <br />service contract with the governmental unit. The owner further agrees to file a copy of any changes to the service <br />contract, or a copy of a new service contract, with the governmental unit within ten (10) business days from the <br />date of change to the service contract. <br />2. The owner agrees to contract with a person licensed under Ch. NR 113, Wis. Adm. Code, who shall submit <br />pumping reports to the governmental unit in accordance with Ch. SPS 383.55, Wis. Adm. Code, and Burnett <br />County Ordinance for the servicing of the holding tank. In the case of exemption under Section 281.48 (3) (d), <br />Stat., the owner shall submit the report to the governmental unit. The governmental unit may enter upon the <br />property to investigate the condition of the holding tank when pumping reports may indicate the holding tank is not <br />being properly maintained. <br />3. If the owner fails to have the holding tank properly serviced in response to orders issued by the governmental unit <br />to prevent or abate a human health hazard as described in Section. 254.59, Stat., the governmental unit may <br />enter upon the property and service, or cause the tank to be serviced. Pursuant to Section 145.20(4) Wis. Stats., <br />a governmental unit may assess the owner of a private sewage system for costs related to the pumping of a <br />septic or holding tank. The charges will be assessed as prescribed by Section 66.0703, stats. The owner agrees <br />to pay all charges and cost incurred by the governmental unit for inspection, pumping, hauling, or otherwise <br />servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard <br />caused by the holding tank. <br />4. This agreement will remain in effect only until the governmental unit responsible for the regulation of private <br />sewage systems certifies that either a soil absorption system that complies with Ch. SPS 383, Wis. Adm. Code, or <br />a municipal sewer serves the property. In addition, this agreement may be cancelled by executing and recording <br />said certification with reference to this agreement in such manner which will permit the existence of the <br />certification to be determined by reference to the property. <br />This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner <br />shall submit the agreement to the register of deeds, and the agreement shall be recorded by the register of deeds <br />in a manner, which will permit the existence of the agreement to be determined by reference to the property <br />where the holding tank is installed. <br />.�uurrruu�,,. <br />(s) Name(s) — lease Print <br />OW((g0 o <br />Subscribed and sworn to before me on this datg ` E H <br />Notarized Owner(s) — Signature(s) <br />Nota lic <br />�.10Tq/?y <br />My Commis ion �xpires: <br />Drafted by: Burnett County Land Use/Zoning Office <br />Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] <br />