WHEN RECORDED MAIL TO

Name_____________________________________
Street_____________________________________
Address___________________________________
City______________________________________
State____________________
Zip_____________________

RECORDING REQUESTED BY

SPACE ABOVE THIS LINE

FOR RECORDER'S USE

DEED RESTRICTION
WASTE NITROGEN SEQUESTERING

NOTICE is hereby given that:

1) The undersigned is owner of the interest stated below in the property hereinafter
described as: ___________________________________________________________
_______________________________________________________________________

2) The NAME (including that of the undersigned), ADDRESS and NATURE OF TITLE of
every person owning any interest in such property is as follows:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________

3) To comply with Regional Water Quality Control Board Region 3, Resolution 83-13 and
83-12 and subsequent resolutions made upon the above subject property the parties above
have made interim alternative Septic system improvements to enhance basin water quality
for as long as there is not a sewer lateral supplied to the property or to such a time that the
above water board deems necessary.

4) A work of improvement on the property hereinafter described was PERMITTED

UNDER:
_______________________________________________________________________
5) The name of the CONTRACTOR, if any, for such work of improvement was:
______________________________________________________________________________
______________________________________________________________________________
____________________________________________________________
7) THE IMPROVEMENTS ARE DESCRIBED AS:
A nitrogen sequestering system that isolates urine into a separate holding tank for transfer
outside Morro Bay Estuary Watershed by a County certified waste hauler. The system

1
utilizes human behavior modification to remove 50 to 80% of the total nitrogen component
in the waste stream from entering the ground from the above described property as it is
located in the Morro Bay Estuary Watershed and subject to RWQCB-3 actions to protect
groundwater. The system and actions required to operate it are the subject of this deed
restriction. The system and actions are described in the attached manual (EXHIBIT 1).

8) COVENANTS AND RESTRICTIONS HEREWITH ARE BASED ON SYSTEM

COMPONENTS AND THEIR OPERATION and may be subject to proof of operation to
the following controlling agencies: County of San Luis Obispo Building Department,
Regional Water Quality Control Board Region 3, Los Osos community Service District.
Each agency should be contacted prior to title transfer and queried about the Agencies
historic relation to the improvement described above.

STATE OF CALIFORNIA
COUNTY OF __________________________________________
The undersigned, being duly sworn, say(s) that he/she/they is/are
the owner(s) of the aforesaid interest or estate in the property
described in the foregoing notice; that he/she/they has/have read
the same and know(s) the contents thereof; that the facts stated
are true; and that he/she/they executed the same in his/her/their
authorized capacity(ies).

Signature of Individual Owner:

Dated:____________________________________________________

Signed: ___________________________________________________

IN the County of:___________________________________________

NOTARY SIGNATURE

SUBSCRIBED AND SWORN TO_______________________________________

before me on__________________________

Signature_____________________________

Name________________________________

( This area for official notarial seal )