Restrictive Covenant Individual Private Water Supply - King County Page 3

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the keeping or maintenance of fowl, or animal (s)
;
(either partial or completely within the 100 foot radius)
underground storage tanks; hazardous waste sites; storage of liquid or dry chemicals, herbicides, or
insecticides; public roads; surface water; railroad tracks; power utility or gas lines
(except for individual
or known or suspected sources of contamination such as use or
residential power lines for service);
application of liquid or dry chemicals, herbicides or insecticides on or around household foundations or
any other structural foundations; and fuel storage tanks. No well shall be drilled within 1000 feet of
known sanitary and abandoned landfills.
These covenants shall run with the land and shall be binding on all parties having or acquiring any right,
title, or interest in the land described herein or any part thereof, as long as said individual private well is
.
used for the purpose of furnishing potable water for individual private consumption
WITNESS_________________________hand___this_______________day of____________, 20 _____
___________________________(Seal)
___________________________(Seal)
Grantor____
State of Washington
)
County of_________________________)
I, the undersigned, a Notary Public in and for the above named County and State, do hereby certify that
on this_________ day of_______________________ , 20_____, personally appeared before
me______________________________________________
_____________________________________________________________________________________
to me known to be the individual(s)___described in and who executed the within instrument, and
acknowledge that he/she(they) signed and sealed the same as__________free and voluntary act and deed,
for the uses and purposes therein mentioned.
GIVEN under my hand and official seal the day and year last above written.
_________________________________________
(Notary Public in and for the State of Washington,
residing at ______________________________
3

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