Camp Fire Recovery: Septic Repair and Replacement Pilot Program Online Webform

Applicant Information

The Camp Fire Recovery Septic Repair and Replacement Pilot Program is a Grant Program serving residents in the Town of Paradise located in Butte County, California. After the Town has contacted you in response to your request to be added to the Grant program waitlist, please complete the following application within fifteen (15) days of the initial (first) contact (see date below, if available). Qualifying applications will be reviewed for approval by the Septic Grant Committee. Applicants will be contacted with the committee’s decision either by mail or email.

Was your septic system destroyed in the Camp Fire? *
Please check all that apply *
Has a licensed Septic Contractor evaluated your existing Septic System? *
Has the Town of Paradise On-Site Wasterwater Division completed a soils evaluation on your property? *

"Warning: Any person who knowingly makes a false claim or statement may be subject to civil or criminal penalties under 18 U.S.C. 287, 1001 and 31 U.S.C. 3729."

I/We, the above-referenced applicant(s), do hereby authorize any agencies, offices, groups, organizations, or business entities to release to the California State Water and Resources Control Board or it’s Agents any information or materials that are deemed necessary to complete and verify an application for participation, qualify, or maintain eligibility under the Camp Fire Recovery Septic Repair and Replacement Pilot Program. 

Your typed name will serve as your signature
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