Ossms Permit Application Form – Fill Out and Use This PDF

Ossms is proud to offer an online Permit Application Form, making it easy to get started and begin the process of applying for a permit. There are various steps to take in order to ensure everything is properly filled out so you can receive your official document quickly. The form is simple to follow, offering walkthroughs that aid in smooth completion of the application. It ensures all required forms, such as proof of compliance documents and supporting information, are submitted along with your permit application. The expertise offered makes it efficient; sending all aspects of your application correctly secures a pass through the review system without any potential delays.

Ossms Permit Application Form PDF Details

Making an application for a permit can be daunting, especially when presented with pages of paperwork and complex forms. Fortunately, the Ontario Special Species Management System (OSSMS) has made it much easier to apply for a range of permits related to species at risk. Through this blog post, we'll give you all the information you need about the OSSMS Permit Application Form so that you can be confident in submitting your own application!

Question	Answer
Form Name	Ossms Permit Application Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	Septic System Application NHC mtcc marion nc form

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Newton Environmental Health Services

1113 Usher Street – Suite 303

Covington, GA 30014

Phone: 770.784.2121

Fax: 770.784.2129

			OSSMS Permit Application Form					www.newtonhealthdept.com

Application Date: ______________________				⁯ Residential		⁯ Commercial (Non-residential)
	⁯ New Construction		⁯ Repair of failing system			⁯ Addition or system modification

OWNER INFORMATION					APPLICANT INFORMATION (if other than owner)
Name _____________________________________________					Name ___________________________________________
Address ___________________________________________					Business Name ___________________________________
City,State,Zip ______________________________________					Address _________________________________________
Home Phone (		) _________________________________			City,State,Zip ____________________________________
Work Phone (		)__________________________________			Home Phone (		) _______________________________
Fax (	) ________________________________________				Work Phone (		)_______________________________
Other Phone (		) _________________________________			Fax (	) _____________________________________
*Contractor: _______________________________________					Other Phone (		) _______________________________
*If you have chosen a septic contractor, they may act as your agent in					E-MAIL ________________________________________
applying and picking up a repair permit. However, you must indicate this is
the contractor of your choosing.

Property Address: _________________________________________ City, State, Zip ____________________________________

Subdivision ____________________________________________________________ Lot _________ Block ________


Current or Proposed # Bedrooms ________			Number of Gallons Per Day if Commercial __________ GPD
Garbage Disposal:	yes / no	Property Water: public / well		Lot Size (Sq. Ft.)** _______________
Stub out location: basement		/ crawl space / slab (basement w/plumbing)		Distance to Structure______________
Check all below that are on or within 100’ of property and indicate location:				(From Front Property Line)
___Creeks ___Ponds	___ Well, Spring, Sink Hole		___Embankments ___ Gullies

⁯ Soil Report (It is strongly recommended that the owner obtain a site specific soil report as well as consult with an engineer experienced in onsite sewage disposal systems.)

Type of Structure: single family residence / multi-family residence / commercial / restaurant / other: _______________

Repair or addition please complete this section
Original Septic Installed Date (If known) _______________		Year home constructed __________________
When was tank last pumped?_________________		⁯O.K. to enter yard ⁯Fence with gate ⁯Dogs in yard
Laundry Loads per week _______	Tank size (if known) _______________
Check if sewage is: ⁯Backing up in house/business		⁯Surfacing in yard

A permit is hereby granted to install or construct the on-site sewage management system described above. This permit is not valid unless properly signed below, and expires twelve (12) months from date of issued. Issuance of a construction permit for an on-site sewage management system, and subsequent approval of same by representatives of the State Department of Human Resources or Newton County Board of Health shall not be constructed as a guarantee that such systems will function satisfactorily for a given period of time; furthermore, said representatives do not by any action taken in effecting compliance with these rules assume any liability for damages which are caused or which may be caused by the malfunction of such system.

PROPERTY OWNER'S/AUTHORIZED AGENT'S SIGNATURE: _________________________________________________________________________

OFFICIAL USE ONLY


⁯ No record on file	⁯ Drawing of existing system attached				⁯ Failure Report Completed
Complaint on file:	⁯ No	⁯Yes	Assigned to __________			Complaint #: ______________
Name & Date approved: _______________________________________						Disapproved _________________________________
Fee paid _________________________________
				PLEASE WRITE DIRECTIONS TO PROPERTY ON BACK OF FORM
						*Square Feet = Acres x 43,560

2Randall Estates II Exempt Plat Review Comments October 5, 2006

Ossms Permit Application Form – Fill Out and Use This PDF

Ossms Permit Application Form PDF Details

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