SEPTIC, LLC
MAINTENANCE CONTRACT FOR AN ON-SITE SEWAGE FACILITY (OSSF) TREATMENT SYSTEM
Customer:_______________________________________________________Phone:________________________________________EmailAddress:________________________________________________
Address:_________________________________________________________________________City:______________________________________________ZipCode:_________________________________
Subdivision:________________________________________________________ Gate Code:___________________________ Permitting Authority:______________________________________________
Brand/System Name: _________________________ Model#: ______________ Serial#:________________________Install Date: _______________________ Permit #:________________________
M.J. Septic, LLC will inspect and service your aerobic septic system once every 4 months for the duration of your contract. For a new single family dwelling, this date is the date of installation,
required by state guidelines dated June 13, 2001. For an existing single family dwelling, this date is the date the notice of approval is issued by the permitting authority. The effective date
of this maintenance contract, shall be, the date the license to operate is issued.
Before this service policy expires, the owner of the OSSF is required to have a new signed maintenance contract. A copy of the new contract shall be submitted to the permitting authority
at least 30 days before the current contract expires. If the property owner or maintenance company desires to discontinue the maintenance contract, the new maintenance company shall
notify, in writing, the permitting authority at least 30 days prior to the date the service will our company will cease. If a maintenance company discontinues business, the property owner
shall, within 30 days of the termination date, contract with another approved maintenance company and provide the permitting authority with a copy of the newly signed maintenance
contract.
SELECT OPTION:
Additional Service Calls are $75.00 per call, this includes any visit that is not regularly scheduled
Maintenance Company:
SELECT PAYMENT:
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Contract Verified (Office Use Only) : _____________
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Check #________________