BOROUGH OF LINDENWOLD
SEWER DEPARTMENT
861 GIBBSBORO RD
LINDENWOLD, NJ 08021
LICENSED OPERATOR
IDENTIFICATION
Management/ Owner
The State of New Jersey Department of Environmental Protection requires a Licensed Operator to operate and
maintain private sewer collection systems. The systems are classified by size of population. The classification of public
wastewater collection systems are as follows.
Table (Collection Systems License)
System class C1 C2 C3 C4
Population
served 251 1,501 15,001 50,001
To To To
or population 1,500 15,000 50,000 or more
equivalent people people people people
The Borough of Lindenwold requires that all facilities that require a licensed operate fill out this form so that we may keep an
updated list of Operators on hand in the event of an emergency that pertains to the facilities sewer system. This requirement
is in accordance with state law and N.JD.E.P Rules and Regulations# N.J.S.A. 50:11-64; and N.J.A.C.7:10-13. Please fill out
this form in its entirety and submit it to the Sewer Department for review or email to Sewer@Lindenwold.Net
1: The complete name of the facility or complex:
_________________________________________________________________________________________________________
2: How many one(1) bedroom units: How many two(2) bedroom units
____________________________ __________________________
3: Total number of residents living in complex:
____________________________________
4: Licensed Operator Name: Operator Phone Number:
___________________________ _______________________________
5: Facility maintenance person (On-call or 24 hr contact):
______________________________________________________________
6: Does the facility or complex have a sewerage pumping station on the property? (please check appropriate box)
YES:_____________ NO:_______________
Date: _______/________/_________
Signature: _________________________________
