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Water / Wastewater Allocation Application

  1. Water and/or Wastewater Allocation Approval Application
  2. Application Fee: $25.00 Water / $25.00 Wastewater
  3. Applicant Information
  4. Please enter "none" if you do not have an active email address.

  5. Owner Information

    If different than applicant

  6. Consultant/Engineer Information
  7. Project Information

    It is recommended all applicants meet with DPW staff prior to submitting an allocation application.  Staff will be able to discuss the site location, and provide local record drawings, when available.  All projects must be designed to Town of Milton DPW Specifications.  Links to helpful resource, i.e., local ordinances and State rules, are available on the DPW Website at http://miltonvt.gov/464/Helpful-Resources

    Construction of public infrastructure requires following the public infrastructure acceptance process. For further information see Section 110 of the Milton DPW Specifications, located at Public-Works-Specifications-PDF (miltonvt.gov).

  8. If not applicable, please enter "N/A"

  9. If not applicable, please enter "0"

  10. If not applicable, please enter "0"

  11. As required by the Water & Wastewater Ordinances, a copy of the Registered Professional Engineer’s (RPE’s) calculations for the water/wastewater volume, including peak, maximum and average day flow rate, wastewater strength and any other characteristics determined to be appropriate by the Water & Wastewater Department is to be submitted with this application.
  12. Must be signed by consulting engineer to be deemed complete.

  13. Please provide the following information about your project:
  14. If the proposed project is not within a current service area as indicated in the Water and Wastewater Ordinances, please answer the following:
  15. If this request is for a project/building not yet existing, please answer the following:
  16. I/We certify that the calculations and information above is correct to the best of my/our knowledge:
  17. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  18. Application payments may be submitted in one of the following ways:
    • Online Payment (Please not there is a 3% service fee charged for any debit/credit card transactions) 

    Pay Online Here

    • Mail a check to the Municipal Office at 43 Bombardier Road, Milton, VT 05468 (All checks made out to "Town of Milton").
    • Pay in person with cash, check or card at the Municipal Office.
  19. *NOTE; If applicant is different than owner, further confirmation and/or signatures may be required by the property owner at a later date.
  20. Leave This Blank:

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