Permit numbers are required for all submissions. The permit number is located on the pumping notice sent to the contact of record for the system. If you need Land Records and Regulations Staff to relocate the permit number for you there is a $10 fee. (You can attempt to find a permit number for a holding tank here: Holding Tank Spreadsheet for Pumpers
Your answer
Is the system being pumped a Holding Tank? *
Choose
Yes
No
Is the system ponding? *
Choose
Yes
No
Pumping Date *
MM
/
DD
/
YYYY
Estimated gallons pumped? *
Please enter "0" if the system will be deferred.
Your answer
Was pumping deferred? *
If pumping was deferred, please indicate pumped gallons as "0".
Choose
Yes
No
If pumping was deferred, please explain why:
Your answer
Any other notes:
Your answer
A copy of your responses will be emailed to the address you provided.