Portland Water District

ABOUT US

	Contact Information
	Who We Are
	Our Promise & Vision
	History
	Annual Reports
	Trustees
	Trustee Meeting Schedule and Agendas
	Employment Opportunities
	Directions
	FAQ

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.