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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.