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MERCHANTVILLE SEWER UTILITY (Borough of Merchantville)

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Country of origin: US
File type: PDF

U.S.A. forms for Borough of Merchantville

BROWSE BOROUGH OF MERCHANTVILLE (NJ) FORMS

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MERCHANTVILLE SEWER UTILITY
ONE WEST MAPLE AVENUE
MERCHANTVILLE NJ 08109
856-662-2474 fax 856-662-0461
APPLICATION FOR SEWER CONNECTION PERMIT
Please allow 3 business days for review
1. PERMIT TO BE ISSUED FOR: Block ____________ Lot ___________
Address: __________________________________________________________________
__________________________________________________________________________
Owner: ____________________________________________________________________
Phone #: ___________________________________________________________________
2. Owners Mailing address (if different from above)
__________________________________________________________________________
__________________________________________________________________________
3. When was property acquired by owner?
Month ___________ Day ___________________ Year ___________
4. Has property been subdivided? YES ____________ DATE ______________ NO _________
5. If property has not been subdivided, how long has the property been in existence?
(Information is available from assessor)
____________________________________________________________________________
6. Proposed use of Property _______________________________________________________
7. Number and Type of Plumbing Connections ________________________________________
8. Anticipated gallons per day of sewer usage _________________________________________
(Average single family residence used 285 gallons)
9. When will the proposed structure be completed? ____________________________________
10. When will the connection be made? _______________________________________________
11. Plumber or Builder’s name ______________________________________________________
Plumber / Builder (check one)
12. Type of Material used __________________________________________________________
13. Type of Connection ____________________________________________________________
48 HOURS ADVANCE NOTICE MUST BE GIVEN PRIOR TO OMPLETING THE CONNECTION BY
CALLING (856) 665-0590. DO NOT MAKE FINAL CONNECTION TO SEWER MAIN WITHOUT
A REPRESENTATIVE FROM MERCHANTVILLE SEWER UTILITY BEING PRESENT.
------------------------------------------------------------------------------------------------------------------------------------
FOR MERCHANTVILLE SEWER UTILITY USE ONLY
DISPOSITION ___________________________________________________________________
REASON FOR DENIAL (IF DENIED)_________________________________________________
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MERCHANTVILLE SEWER UTILITY (Borough of Merchantville)

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Completed 23 January 2021

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