SEPTIC PERMIT - ON-SITE SEWAGE TREATMENT SYSTEM PUMPING

2. ON-SITE SEWAGE TREATMENT SYSTEM PUMPING PERMIT APPLICATION

   Permits may only be applied for by ISTS Maintainers / pumpers licensed by the Minnesota Pollution Control Agency of the State of Minnesota.

   Permits may only be applied for by ISTS Maintainers / pumpers licensed by the Minnesota Pollution Control Agency of the State of Minnesota.

3. 

7. SEPTIC PERMIT PUMPING RECORD

   CLICK HERE: Septic Permit Pumping Record Form

   You will be re-directed to the City of Andover Form for Septic Permit Pumping Record. The linked form is fillable and must be scanned and uploaded with this Pumping Permit Application.

8. UPLOAD SEPTIC PERMIT PUMPING RECORD*

   PLEASE VERIFY ALL ADDRESSES ARE IN THE CITY OF ANDOVER, then upload your completed Septic Permit Pumping Record. Enter number of pumpings below to determine and pay pumping fees. Fifteen (15) maximum per transaction.

10. SEPTIC MAINTAINER'S / PUMPER'S REPORT FORM

    CLICK HERE: Septic Maintainer's Report Form

    Septic maintainers / pumpers may use this form to inform property owners and the city of septic system condition and needed repairs.

14. ISTS MAINTAINER / PUMPING CONTRACTOR NAME:*

16. CONTACT PERSON: Last Name

17. First Name

19. MPCA ISTS Maintainer / Pumper License Number*

    MPCA ISTS License is Required.

20. E-Mail Address

22. ISTS Maintainer / Pumper Address*

24. City*

25. State*

26. Zip*

28. ISTS Maintainer / Pumper Telephone*

29. Mobile Telephone

33. Acknowledgement & Agreement*

    By checking the box below, I hereby represent that I am either the property owner or a licensed contractor. I hereby certify and acknowledge: that I have read and examined this application; the information I have provided above is complete and accurate; the subject work will be in conformance with the ordinances and codes of the City of Andover and the Minnesota State Building Code; and, I understand this is an application for permit and upon completing this transaction a permit is issued by the City of Andover. Separate permits are required for building, plumbing, mechanical, fire suppression, electrical and required fire alarm systems. This application and any issued permit may become null and void if misrepresentation occurs or if work is not commenced within 180 days or is suspended or abandoned for a period of 180 days. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law.

    1. I Agree
35. Electronic Signature*

    By checking the box below, the permitee agrees and acknowledges the electronic signature is valid and binding in the same force and effect as a handwritten signature.

    1. I Agree

39. ADDITIONAL CHARGES APPLY TO ONLINE TRANSACTIONS:

    Please note that in addition to the City Pumping Permit Fee, the on-line payment system provider charges a 3.95% processing fee.

    Please note that in addition to the City Pumping Permit Fee, the on-line payment system provider charges a 3.95% processing fee.

43. On-Site Sewage Treatment System Pumping Permit

    $20.00 Permit Fee per Pump-Out

44. Permit Fee - Each Pump-Out

45. Quantity - Total Number of Pump-Outs Listed on Septic Permit Pumping Record*

47. Taxable

48. Shipping Cost

Leave This Blank:


49. Calculate Totals Proceed to Checkout

* indicates a required field