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Notice of Transfer of Ownership For Onsite Wastewater Treatment Facility (Septic System)

Steps

  1. 1. Transfer Information
  2. 2. Inspection Information
  3. 3. Form Submittal Information
  • Transfer Information

    1. NOT Header

    2. 1. Property Information

    3. Property Type*

    4. 2. Transferor/Seller/Former Owner of Property

    5. 3. Transferee /Buyer/New Owner of Property

    6. Inspection Exemption Criteria

      An inspection is not required if both of the following conditions apply (Buyer shall check applicable boxes to affirm that these conditions are met, provide the file number and authorization date, then skip directly to Item 8 before submitting this form):

    7. Inspection Exemption Condition #1

      (See Inspection Exemption Criteria Above)

    8. (See Inspection Exemption Condition #1 Above)

    9. (See Inspection Exemption Condition #1 Above)

    10. Inspection Exemption Condition #2

      (See Inspection Exemption Criteria Above)