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Septic Permit Application

  1. County of Dubuque
    Department of Health
    Environmental Health Division
    13047 City View Drive
    Dubuque, IA 52003
    Phone: 563-557-7396
  2. Class of Work
  3. Occupancy
  4. Building / Structure
  5. Type of Water Supply
  6. Facility Used
  7. Gravity Dosing
  8. Pressure Dosing
  9. Drop Boxes
  10. Special Approvals
  11. Water Softener - Zoning
  12. Garbage Disposal - Engineer
  13. Jacuzzi / Whirlpool Tub - IDNR
  14. N.O.I. - IDOT
  15. Perc Test
  16. Soil Boring
  17. I hereby certify that the above information is correct and that all proposed work will be completed in accordance with the Dubuque County Rules and Regulations regarding Private Sewage Disposal. I also agree to construct the system in accordance to the condition listed herein.
  18. Leave This Blank:

  19. This field is not part of the form submission.