NOTICE OF INTENT + FINAL APPROVAL
  The Department will evaluate your site for all options relating to on-site wastewater treatment and disposal.
  You will receive a recommendation for disposal systems appropriate for your site. The Department will also approve the installation once it occurs.  
    * Required fields 
 
Site Information
Site Address / Street Name * 
Zip *   
County * 
City * 
State * 
Acreage *    (>0 acres)  
       
Contact Information
Name * 
Mailing Address * 
Zip * 
City * 
State *   
Email Address *    Re-Enter Email Address
Phone #1 * 
Phone #2 * 
Number Of Bedrooms  *      Number Of Occupants  * 
Are there pets on the premises *    Yes     No
Is there a locked gate to the property *    Yes     No
Will this be Public or Private water  * 
Notes/Directions   
 
  An Invoice of $197.50 + a processing fee will be emailed within one(1) business day.