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HOLDING TANK SERVICING CONTRACT <br />Contract Date: Z, !Z — /fo <br />This contract is made between the Holding Tank Owner and the Pumper. <br />Holding Tank Owner(s) Name(s): Pumper's Name: <br />�I-tve Ca-�,5 <br />We acknowledge the installation of (a) holding tank(s) on the following property (Provide legal <br />description and computer numlge�r): <br />, CG Z o / LU �l k�N K !K S �Df� riap <br />G o f� Gyh? <br />V6 /Om <br />The owner agrees to file a copy of this contract with the local governmental unit hereinafter called the <br />"municipality", which has signed the pumping agreement required in Ch. IL14R 83.18 (4) (b), Wis. <br />Adm. Code and with the County of Burnett. <br />2. The owner agrees to have the holding tank(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 tanks) as mutually agreed upon by the owner and pumper. <br />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 responsible for servicing the holding tank; <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 tank 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 or pumper terminates this contract. In the event <br />of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a <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 contract. <br />ONV Nres(s) (Print) <br />O is e(s) <br />Pumper's Name (Print) <br />rIev Corh_�_, <br />PumpWs Signature <br />I J_,� <br />Pumper's Registration Number <br />2�ely <br />