2. Request for Information about Connecting to County Water and/or Sewer
4. Information Requests
   Requests for information about connecting to County water and/or sewer are initiated by completing the form below. The County will generate a response that contains the requested information along with contact information should there be any additional questions. Please note that all correspondence will be sent to the address listed under "Requestor Contact Information" and, if the requestor is not the property owner, a copy of the correspondence will be sent to the property owner listed in the State Department of Assessments and Taxation (SDAT) database.
6. *Denotes required field
8. Date of Request*
   Date of Request
10. Requestor Contact Information
12. First Name*
13. Last Name*
15. Company Name (if applicable)
17. Relationship to Property (i.e, owner, agent, etc.)*
19. Address1*
21. Address2
23. City*
24. State*
25. Zip*
27. Phone Number*
28. Email Address
30. Property Owner Information
32. Property Owner Information

    1. Same as above
34. If the requestor is not the property owner, please provide the following information regarding the property owner:
36. First Name
37. Last Name
39. Address1
41. Address2
43. City
44. State
45. Zip
47. Property Information
49. Property Address*
51. Location Map Upload (optional)
53. If unknown, the information requested below may be obtained from the State of Maryland Department of Assessments and Taxation.
55. Lot Number
56. Tax Map Number
57. Tax ID Number
58. Parcel Number
60. Nature of Request (Ex: Can this property connect to the County water and/or sewer system?)*
Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit

* indicates a required field