Property Conveyance and Water Status Report Application

What to expect: When your application is submitted, you will be shown a receipt. You will also receive an email from noreply@skipthepaper.com. If you do not receive the email, please check your email program's spam filter and spam settings.

Required fields are indicated with red.

Applicant's Address
First Name:
Last Name:

Business Name:

Street 1:

Street 2:

City:
State:
Zip/Postal:


Email (will receive email updates):
Phone:
Property Information

Street 1:

Street 2:

City:
State:
Zip/Postal:


Property Tax Account #:
Current Property Owner

First Name:
Last Name:

Street 1:

Street 2:

City:
State:
Zip/Postal:


Email (will receive email updates):
Phone:
Seller's Agent
First Name:
Last Name:

Email (will receive email updates):
Buyer's Agent
First Name:
Last Name:

Email (will receive email updates):
Title Company Contact
First Name:
Last Name:

Email (will receive email updates):
Question Section
QuestionAnswer
General
Is the home currently occupied?
How many bedrooms does the home contain?
What year was the home built?
Is the current property owner the original property owner?
Is the current property address the original property address?
Are there dogs or other constraints present, which would prevent access to the septic system area(s) for inspection by the Health District?
Is there a second unit with a separate septic system on the property to be transferred? (PLEASE NOTE: Full application fees will be required for second units with a separate septic system, unless application is made at the same time).
Acknowledgments
Is the drainfield area clear of vegetation and accessible for inspection? (Please note: This is a requirement. Secondary inspections will require re-application with additional fees.)
Is the property served by an alternative septic system, which requires an annual Operation & Maintenance Contract?
Do the septic system records include a Record of Construction or a Record Drawing? (i.e. As-Built)
I understand that if it is found that the tank(s) are constructed of metal that it will be required that the tank(s) be replaced.
A non frost-free hose bib is available on the outside of the home for taking the water sample.

Please note that taking water samples from frost-free hose bibs is not advisable.
Other
If you have any additional comments please list them here
Water Status Report Specific Questions
Is this evaluation for a 2 party well?
Has the water system been disinfected within the last 30 days?
Application Services
Choose One

Specific Attachments
NOTE: PDF, JPG and GIF files are allowed. File size limit is 5 Megabytes.
Items marked with * are required. 

Record Drawing (for homes without records)

Pump Report (within last 3 years)

Water Samples by Qualified 3rd party

Billing Address

First Name:
Last Name:

Business Name:

Street 1:

Street 2:

City:
State:
Zip/Postal:


Terms and Conditions

By clicking on the Submit button below, you agree to the terms and conditions outlined above.



ORME Application v3.0