Complete Your Custom ORHA Rental Form

Please Fill In the Form

Save/Update Auto-Fill Entries

M18 : WELL AGREEMENT

Required entries are indicated by blue icons or *

Tenant(s)* (required)

Tenant(s)

et al (and all others)

Property Address* (required)

Unit #

City (Oregon ONLY)

OREGON Zip Code

Agreement Terms

The leased property uses a residential well to provide water for drinking, washing and waste removal.
For a property to be sold in Oregon, the well must be capable of producing a minimum of five gallons per minute under normal conditions. This amount can vary depending on season, so if Tenant(s) experiences some slowing of water flow, usage should be adjusted and care taken to not run the well dry by performing only one water task at a time. If the water level drops below the level of the pump, the pump will continue to run, will suck air instead of water, and may burn out requiring replacement.
Tenant(s) is responsible for monitoring water usage to ensure this doesn't happen. Should water flow become measurably reduced at any time, Tenant(s) must stop water usage, and notify Owner/Agent immediately.

In freezing conditions, Tenant(s) agrees to protect pipes from freezing by leaving light on in well house, or using space heater in well house as needed.

Well water has been tested for contaminants as follows:

Nitrates

Fecal Coliform

Arsenic

Other

Description

Date of last testing:

mm/dd/yyyy

If Tenant(s) notice odd odor or color to water, Tenant(s) agree to stop using system and notify Owner/Agent immediately.

Tenant(s) agree(s) to accept responsibility for damage caused to well system due to failure to abide by these instructions.

Please Note: Signature fields must be filled in and signed by all parties after printing.



Tenant	Date	Tenant	Date

Tenant	Date	Tenant	Date

Tenant	Date	Tenant	Date

Owner/Agent	Date	Owner/Agent	Date

M18 : WELL AGREEMENT

Rev.12/18

Click "Preview Form" below to check your information.
If the form is correct, close the preview to return to this page, then click"Generate PDF". Your form will be created and added to your cart.
From your cart, you can return to the Forms Store to create more forms, delete forms from your cart or purchase the items in your cart.

Preview Form