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Septic Permit Application

  1. Once you have submitted this application, please review the information on the page that pops up regarding procedures.

  2. Address is preferable, but a legal description will suffice if no address is assigned

  3. Water Source is:*

  4. Distance to proposed septic tank and leach field

  5. System Use:*

  6. Assume 150 gallons/bedroom/day if residential

  7. Please include a sketch of the septic layout in relation to surroundings on a separate page.

  8. The following is to be completed by the Environmental Health Specialist (Sanitarian):

  9. Gallons

  10. Square feet

  11. Any easements, depth recommendations, etc.

  12. Leave This Blank:

  13. This field is not part of the form submission.