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NYS DEC Septic Replacement Grant Application

  1. Purchasing image
  2. Washington County Septic System Grant Replacement Application
  3. Complete this application form and submit it with the required documents, or determination and assistance may be delayed.

  4. A. Applicant/Owner Information
  5. B. Property Information
  6. 4. Property Type:
  7. 4B. If you checked Residential, please indicate whether the property is used as
  8. C. Project Information
  9. 1A. If system has a septic tank:
  10. e. Has tank been pumped more than once?
  11. 1B. What is septic tank constructed of?
  12. 1C. Is an "As-Built" drawing of the construction of the septic system available?
  13. 2. Project Type:
  14. By signing this application form, the undersigned states that all the information contained in this application is true and correct.

  15. Leave This Blank: