RESTRICTIVE COVENANT
The grantor(s) herein is (are) the owner(s) of (an interest in) the following described real estate situated in
_______________________________ County, State of Washington:
____________________________________________________________________________________ _________
_____________________________________________________________________________________________
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The grantee(s) herein, own(s) and operate(s) a well and waterworks supplying water for public use, located upon the
following described real estate situated in ______________ ____________ County, State of Washington:
_____________________________________________________________________________________________
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which well and waterworks are in close proximity to the land of the grantor(s), and said grantee(s) is (are) required to
keep the water supplied from said well free from impurities which might be injurious to the public health.
It is the purpose of these grants and covenants to prevent certain practices hereinafter enumerated in the use of the
said grantor(s) land which might contaminate said water supply.
NOW, THEREFORE, the grantor(s) agree(s) and covenant(s) with said grantee(s), its successors and assigns, said
covenants to run with the land for the benefit of the land of the grantee(s), that said grantor(s), his (her) (their) heirs,
successors and assigns will not construct, maintain, or suffer to be constructed or maintained upon the said land of the
grantor(s) and within 100 (One Hundred) feet of the well herein described, so long as the same is operated to furnish
water for public consumption, any potential source of contamination, such as septic tanks and drainfields, sewerlines,
underground storage tanks, roads, railroad tracks, vehicles, structures, barns, feed stations, grazing animals, enclosures
for maintaining fowl or animal manure, liquid or dry chemical storage, herbicides, insecticides, hazardous waste, or
garbage of any kind or description.
These covenants shall run with the land and shall be binding to all parties having or acquiring any right, title, or interest
in the land described herein or any part thereof, and shall inure to the benefit of each owner thereof.
WITNESS _______________hand ____________this _______________day of _____________, 19______.
____________________________________________________(Seal)
____________________________________________________(Seal)
Grantor(s)
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 ________________________, 19_______, 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.
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Notary Public in and for the State of Washington, residing at _____________________
My Commission Expires: _________________________________________________