Entrance Permit Application

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The undersigned hereby requests a permit to connect a building sewer to facilities of the Brunswick Sewer District. For information on entrance fees and permit requirements, view the District's entrance charge policy here: http://www.brunswicksewer.org/pdf/EntranceChargeProgramJune2020.pdf.

Street Address of Property *

Town of Brunswick Map # *

Your permit application will be denied if a valid map and lot number are not provided. An answer of "not sure" or "I don't know" will result in rejection of the application. The town of Brunswick GIS and Brunswick Sewer District online GIS systems can help you find the map and lot number. http://brunswicksewer.maps.arcgis.com

Town of Brunswick Lot # *

Property Owner *

Owner's Address

Name of Contractor *

Address of Contractor *

Direct Phone Number for Contractor *

Applicant Name *

Applicant Address *

Application Phone *

Applicant Email *

Type of service requested *

Residential

Commercial

Non-regulated

Required

Type(s) of work to be performed *

Install and/or connect to main line sewer

Repair and/or replace a defective building sewer connection

Remodeling and/or changing building(s) existing use

Adding an accessory apartment

Connect a Floor Drain

Other:

Required

Please describe the work being done. Be as detailed as possible, it makes the approval process faster. *

If you have a drawing or sketch of the project, please email it directly to rpontau@bsewer.org with the subject "Entrance Permit Sketch."

IN CONSIDERATION OF THIS APPLICATION, THE APPLICANT AGREES TO THE FOLLOWING TERMS AND CONDITIONS: *

To know, accept, and abide by the provisions of the Brunswick Sewer District Charter, all acts additional and amendatory thereto, and all ordinances, policies, rules and regulations adopted thereunder, as may now be in effect or may later be adopted, receipt of which is hereby acknowledged.

To enter the public sewer system at a location determined by the District.

To be responsible for bringing the building sewer to its connection with the public sewer system and for maintaining the building sewer at no expense to the District.

To be responsible for securing and complying with all conditions of required permits, including ensuring that ground, surface and other drainage water from roof drains, gutters, and sump pumps are not connected to the sanitary sewer system.

To furnish any additional information relative to the proposed work that shall be requested by the District.

No person or firm shall build, fill, pave over and/or excavate any existing manhole, sewer main or sewer service line without prior approval of the Brunswick Sewer District.

To notify the District's duly appointed representative when the work is ready for inspection (24 hours minimum notice required). All work is to be under the direct supervision of the District’s authorized representative.

To be responsible for complying with all conditions of Maine Dig-Safe statutes and regulations.

To install a potable water meter if water is provided by a source other than a public water system, and to ensure that all potable water that enters the property goes through the meter.

Please note that in order to receive a credit for outside watering or irrigation, a sub meter must utilized or no credits will be given.

Required

By clicking submit, you agree to the terms and conditions of the permit and that all information provided is accurate.

If you agree, please click submit.

Submit

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