Sanitary Sewer Main Application

If you need assistance with this application, please call the New Service Contact Center at (317) 927-4444.

General Information

Utility
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Project Name
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Project Description Project Description is Required

Primary Contact Information

Primary Contact First Name
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Primary Contact Last Name
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Requested Project Location

Permit Address
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State

Township

City
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Postal Code
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Subdivision (if applicable)

Section (if applicable)

Owner/Developer Information

Company Name
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Address
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City
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State

Postal Code
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Contact Person First Name
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Design Firm Information

Company Name
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Address
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City
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State

Postal Code
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Contractor Information

Contractor Name

Phone

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Citizens Bond #

Address

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Sanitary Sewer Design Summary

Gravity Sanitary Sewers/MH's
YesNo
Force Main
YesNo

Lift Stations
Yes, Level 2Yes, Level 3No
Wet Well
YesNo

The new sewer/forcemain will be connected to an existing

-inch diameter sewer

(relative to streets)

Design Flow

ADF = Average Daily Flow
GPD = Gallons Per Day
EDU = Equivalent Dwelling Units

Onsite Flow (Proposed Development)

Type of Unit	ADF/Unit, gpd	# Units	ADF, gpd
Single Family Home	310	X =	0
1 Bdrm Apt/Condo	200	X =	0
2 Bdrm Apt/Condo	300	X =	0
3 Bdrm Apt/Condo	350	X =	0
Commercial		X =	0
		X =	0
		X =	0
Total Onsite Acreage	ac.	Onsite ADF	0 gpd
Peaking Factor		Onsite Peak Flow	0 gpd
Total EDUs

Offsite Flow

	Area, ac.	ADF, gpd
Undeveloped Offsite
Developed Unsewered Offsite
Total Offsite	0 ac.	0 gpd

Total Design Flow - Total Service Area

Total Service Area Acreage	ac.
Total Service Area ADF	gpd
Total Service Area Peaking Factor
Total Service Peak Flow	0 gpd

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Terms and Conditions

By clicking below, the applicant agrees to comply at all times with Terms and Conditions for Sewage Disposal Service, Sanitary Standards, and all other applicable rules, regulations, and standards (Local, City, State and Federal).

I agree to the Terms and Conditions and I have been authorized by the property owner to perform the work described in this application

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