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Environmental Health

1203 Maple Street, Greensboro 27405

(336) 641-3771

SeamlessDocs

Supporting documentation must be attached in

PDF format only

to submit application. If you have more than one pump, please print a blank page 2 of the application and add it as an attachment.


Document may be downloaded, saved, and/or printed after acknowledgment.


Incomplete applications will not be accepted.

Please check that you agree before continuing.
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.
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Additional Signatures Required

Pump Specifications w/Curve Click Here to Upload
Drain Cover Specifications Click Here to Upload
Skimmer Equalizer Fittings Specifications Click Here to Upload
Engineer's Certification (if flow of pump has been reduced) Click Here to Upload
Additional Pumps (page 2) Click Here to Upload