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Request for Discharge Authorization

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Form Instructions

INSTRUCTIONS: MARICOPA COUNTY REQUEST FOR DISCHARGE AUTHORIZATION TO OPERATE A SEPTIC TANK AND DISPOSAL FIELD SYSTEM

To obtain authorization to operate a septic tank and disposal field system in Maricopa County, you should file the request form discussed in this article. This document can be obtained from the official website of Maricopa County.

Maricopa County Request For Discharge Authorization To Operate A Septic Tank And Disposal Field System Step 1: On the first blank line, enter the property owner's name.

Maricopa County Request For Discharge Authorization To Operate A Septic Tank And Disposal Field System Step 2: On the second blank line, enter their permit number.

Maricopa County Request For Discharge Authorization To Operate A Septic Tank And Disposal Field System Step 3: On the third and fourth blank lines, enter the site address.

Maricopa County Request For Discharge Authorization To Operate A Septic Tank And Disposal Field System Step 4: On the fifth blank line, enter the name of the agent.

Maricopa County Request For Discharge Authorization To Operate A Septic Tank And Disposal Field System Step 5: On the sixth and seventh blank lines, enter the address of the agent.

Maricopa County Request For Discharge Authorization To Operate A Septic Tank And Disposal Field System Step 6: On the eighth blank line, enter the agent's phone number.

Maricopa County Request For Discharge Authorization To Operate A Septic Tank And Disposal Field System Step 7: On the ninth blank line, enter the agent's fax number.

Maricopa County Request For Discharge Authorization To Operate A Septic Tank And Disposal Field System Step 8: On the tenth blank line, enter the agent's email address.

Maricopa County Request For Discharge Authorization To Operate A Septic Tank And Disposal Field System Step 9: On the eleventh blank line, enter the installer's address.

Maricopa County Request For Discharge Authorization To Operate A Septic Tank And Disposal Field System Step 10: Provide the installer's mailing address, phone number, fax number and email address.

Maricopa County Request For Discharge Authorization To Operate A Septic Tank And Disposal Field System Step 11: Indicate how the onsite wastewater system was built with a check mark. Provide its manufacturer name, model name and number, and capacity.

Maricopa County Request For Discharge Authorization To Operate A Septic Tank And Disposal Field System Step 12: The owner or agent should print and sign their name and enter the date.

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