Land Development Services

CONTACT INFORMATION: Monday through Thursday, 8 a.m. - 4 p.m. and Friday, 9:15 a.m. - 4 p.m. Please note that visitors may not be added to in-person queues past 3:45 p.m.
703-222-0801 TTY 711
12055 Government Center Pkwy
Fairfax, VA 22035
Bill Hicks
Director

Application for Sewerage Service

Complete the information below and click "Submit" to apply for sewerage service. Reviews will be processed in the order they are received and may take up to two working days to process.

* Indicates a mandatory field.


Applicant/Payer Information

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Project Information

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1. Property Address/Comments:

Lot/Suite:   Permit #:  

 

2. Property Address/Comments: 

Lot/Suite:   Permit #: 

 

3. Property Address/Comments: 

Lot/Suite:   Permit #: 

 

4. Property Address/Comments: 

Lot/Suite:    Permit #: 

 

5. Property Address/Comments: 

Lot/Suite:    Permit #: 

 

6. Property Address/Comments: 

Lot/Suite:    Permit #: 

 

7. Property Address/Comments: 

Lot/Suite:    Permit #: 

 

8. Property Address/Comments: 

Lot/Suite:    Permit #: 


I, as the owner or agent of the property, agree to observe and comply with all ordinances, rules and regulations adopted by the Fairfax County Board of Supervisors concerning connections to and use of Fairfax County sewerage facilities. I further agree to pay all charges for services rendered to the premises described herein whether such service is rendered until such time as proper notice to discontinue service is received by the Department of Public Works and Environmental Services. In the case of new construction, it is agreed that no occupancy will occur until a final plumbing connection permit is approved.

Do you accept the above?*    Yes   No

 

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