2019/11/19 - SANITARY - SAN - New HT - SAN-19-253

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POWTS MAINTENANCE AGREEMENT For Holding Tanks Owner Name(s) t ;C,< JGL�!ts'C x1S t6G Parcel Identification �y Number(PIN)(24 digit) Agreement Date Tax ID#: e` . Legal Description of Property: Property Address:Stc-Q3 Tt, ,It-{ Lo-i I (,sr A )?, t't Return To: Washburn County Zoning Department We acknovAedge that application is being made for the installation of a holding tank(s)on the property described above and/or on the attached sheet. As an inducement to the County of Washburn to issue a sanitary permit for a holding tank on the above-described property,the owner agrees to conform to all applicable requirements of Ch.SPS 383,Wis.Adm.Code and Washburn County Ordinances relating to holding tank management, including the following: 1. The owner agrees to contract with a person who is licensed under Ch.NR 113,Wis.Adm.Code,except as provided by Section 281.48(3)(d),Stalls.,to have the holding tank properly serviced and to file a copy of the service contract with the governmental unit. The owner further agrees to file a copy of any changes to the service contract,or a copy of a new service contract,with the governmental unit within ten(10)business days from the date of change to the service contract. 2. The owner agrees to contract with a person licensed under Ch. NR 113,Wis, Adm. Code,who shall submit pumping reports to the governmental unit in accordance with Ch. SPS 383,55,Wis. Adm. Code, and Washburn County Ordinance for the servicing of the holding tank. In the case of exemption under Section 281.48 (3)(d), Stat., the owner shall submit the report to the governmental unit. The governmental unit may enter upon the property to investigate the condition of the holding tank when pumping reports may indicate the holding tank is not being properly maintained. 3. 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 Section. 254.59, Stat., the governmental unit may enter upon the property and service,or cause the tank to be serviced. Pursuant to Section 145.20(4)Wis. Stats,, a governmental unit may assess the owner of a private sewage system for costs related to the pumping of a septic or holding tank. The charges will be assessed as prescribed by Section 66.0703, stats. The owner agrees to pay all charges and cost incurred by the governmental unit for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. 4. This agreement will remain in effect only until the governmental unit responsible for the regulation of private sewage systems certifies that either a soil absorption system that complies with Ch. SPS 383,Wis. Adm. Code, or a municipal sewer serves the property, In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 5. This agreement shall be binding upon the owner,the heirs of the owner, and assignees of the owner. The owner shall submit the agreement and $30 to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner, which will permit the existence of the agreement to be determined by reference to the property where the holding tank is installed. Print Owner's Name: State of: E County of: Ca6� f��" Subscribed and sworn to before me on this Pwner's Signature,: day of 20 J By=.L e Date:. Notary Public Name: t Drafted by:r Notary Public Signature: ` I My commission expires Personal Information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)] '... CAITLYN MARIE HANEY NOTARY PUBLIC•MINNESOTA lie MY COMMISSION EXPIRES 01/31124