APPLICATION FOR SEPTIC SYSTEM PERMIT APPLICATION FOR SEPTIC SYSTEM PERMIT NOTE: A $75.00 NON-REFUNDABLE/NON-TRANSFERABLE FEE IS REQUIRED Any construction requiring placement or replacement of structures (including manufactured housing) must apply to the Building Department. Property Owner's Name * date_range access_time Mailing Address * date_range access_time City * date_range access_time Zip * date_range access_time Telephone Home date_range access_time Work date_range access_time Contract Buyer (if applicable) date_range access_time Mailing Address date_range access_time City date_range access_time Zip date_range access_time Telephone Home date_range access_time Work date_range access_time INFORMATION REGARDING PROPERTY Permit needed for New Sysytem Repair System Property Address date_range access_time City date_range access_time Zip date_range access_time Township date_range access_time NE NW SE SW Quarter of Section Please select an option NE NW SE SW N;R date_range access_time W; (from legal) date_range access_time Water Source Public Well Cistern Lot Size (acres) date_range access_time Type of Dwelling Conventional Manufactured Builder date_range access_time (specify type) date_range access_time Number of Bedrooms date_range access_time Number of Occupants date_range access_time Septic Installer date_range access_time PLEASE GIVE SPECIFIC DIRECTIONS TO THE PROPERTY BEGINNING FROM THE COURTHOUSE navigate_nextContinue Your Session Is About To Expire Click continue to extend your session. Your Session Has Expired Close your browser or click OK to begin a new session.