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Operating Permit Assessment

  1. Septic System Operating Permit Assessment Application

    Request for the Assessment of Septic requirements such as; flow, waste strength, or other septic concerns for the development of an operating permit.

  2. The above named applicant hereby agrees to have an assessment of the Septic System for the issuance of an operating permit. The assessment must be conducted by an appropriately Licensed Septic Professional and submitted to Goodhue County Environmental Health by September 1st 2018. The assessment must include monitoring and mitigation efforts to ensure that the septic system is operating within the requirements of state and local regulations.

    I hereby swear and affirm that all of the above information is true and correct to the best of my knowledge and I understand that failure to comply with the provisions established in this agreement shall constitute a misdemeanor and subject to enforcement by Goodhue County.

  3. Disclaimer*

    By checking the “Accept” box you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature as the applicant on this form.

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  5. This field is not part of the form submission.