Please submit the following information to receive a Sewer System Concept Evaluation, which will identify the connection to the county sewer system.

Engineer info:

     Name / Address / Contact Person / Phone #

Developer info:

     Name / Address / Contact Person / Phone #

Project Name:

Tax Map & Parcel(s):

Proposed EDUs:

Current Zoning:

Proposed Zoning:

Acreage:

Concept Plan Drawing is optional

Payment: $1,000.00 payable to “Sussex County Council”

Submit to:  Sussex County Engineering Department
                    Attn: John Ashman
                    2 The Circle
                    PO Box 589
                    Georgetown, DE 19947