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Application for Connection Permit

  1. Urbana & Champaign Sanitary District
    (217) 367-3409 Fax (217) 367-2603
    Repair Permits - Complete information requested in Section 1-6, 9 & 10. Submit by email, online, fax, or deliver to the UCSD office. UCSD will fax the permit authorization and inspection form to the appropriate Municipality's inspection department. The Installer can pick up the permit at that office. UCSD will process applications received before 12:00 noon by 4:00 pm that day, after 12:00 noon by 12:00 noon the following day.

    New Connection Permits - Complete information requested in all Sections 1-10. Email, fax, or deliver to UCSD office. Pay the required connection fee and pick up permit at UCSD's office between 8-10 AM and 2:30-4:30 PM. Allow 24 hours for permit processing. Fee questions? Email: The fee increases May 1st of this year.
  2. For Office Use Only
    Parcel # _______-_______-_______-_______-_______
  3. 1. Permit Type*
    Check one
  4. 7. Property Use*
  5. 9. Storm water drainage provided for building
    Check all that apply
  6. I hereby certify that information supplied is true, completed and accurate to the best of my knowledge.
  7. For Office Use Only
    Municipality: ___________ Permit No: _____________ Date Issued: ___________

    Sewer Connection: Interceptor ______ Lateral ______ Use Code _______

    Connection Units: P.E. ______ Amount Paid _______________ Check # _____

    Manhole Policy: Yes _____ No _____ Interceptor Tap Policy: Yes _____ No _____

    Repair Permit Authorization: _____________________ Date: _________________
  8. Leave This Blank:

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