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Notification/Application For Constructing A Domestic Wastewater Collection/Transmission System


Complete Form 62-604.300(3)(a) by clicking on the document (pdf) above.

Please review the Electronic Submission Instructions and Domestic Wastewater Permit Application Fees documents prior to submitting a form electronically.
Please email the completed form to the appropriate DEP District Office’s email address
Note, if your facility is regulated by a delegated local program and you want to submit the form electronically, please contact your delegated local program.

Form Number: 
Effective-Revision Date: 
Monday, October 4, 2021
Last Modified:
October 5, 2021 - 10:53am

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