Septic to Sewer Conversion Program

Please complete this form to apply for the Septic to Sewer Conversion Program.

Conversion Type

Choose one My property is served by municipal water My property is served by a well

First Name

Last Name

Address

Address 2 (Optional)

City

State

Choose one Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Is Northwest Territories Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Postal Code

Phone

Email

Confirm Email

I have proper authority to submit this application. I understand and agree that: (1) this is an application only, and I am not guaranteed funding upon submission or approval to participate; (2) this is a reimbursement program that covers only 85% of eligible conversion costs for approved participants up to a maximum reimbursement of $40,000, when funding is available and all program requirements have been met; and (3) if approved to participate, I will abandon my septic system and connect to a public sewer, and the SNWA will not be responsible or liable for and provides no guarantees or warranty of any kind with respect to any project design, engineering or construction.