Subsurface Wastewater Disposal System Permit

 
Property Owner Name:
Street Address
City State Zip
Telephone
E-mail
Applicant Name:
Street Address
City State Zip
Telephone
E-mail
System Installer Name:
Street Address
City State Zip
Telephone
E-mail

Information on Proposed Construction Site
Town
Map  Lot

Type of Project 

New Septic System    Replacement System
Seasonal Conversion   System Expansion    Tank Only
Signature:                                      Date
1. Print this form
and send it to:   

 

 Water Resources
Portland Water District
1 White Rock Road
Standish, ME 04088
2. Include with you application:

 

 

HHE-Form
Variance Form (if required)
Floor Plan (existing and proposed if building expansion is proposed)
Erosion and Sedimentation Control Plan.