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?

Please include all bedrooms in outbuildings connected to the same septic system.
Septic System Specific Questions
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)
Drinking Water Specific Questions
Is the property served by a 1- or 2-party private well?
Accessibility
Are there physical constraints that prevent access to the septic system area(s) or the well and well components by the Health District for inspection? For example: Dogs; Gates; Locked buildings, etc.
Is this evaluation for a 2-party well?
Other Information
If you have any additional comments please list them here
Application Services
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Specific Attachments
NOTE: PDF, JPG and GIF files are allowed. File size limit is 10 Megabytes.
Items marked with * are required. 

Record Drawing
A record drawing for homes must be attached if there are no septic records or the well location is not documented in Health District 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