Ownership Disclosure Form

Use this Ownership Disclosure Statement if you are requesting an approval from the Board of the RVRSA for:

  • Treatment Works Approval (TWA) endorsement request, WQM-003 for sewer main extensions; or
  • For an Industrial Sewer Connection Permit (ISCP) under the Industrial Pretreatment Program; or
  • For Time Extension Request to renew the NJDEP issued TWA permit; or
  • Wetlands Waiver / Mapping Revision requests for Environmentally Sensitive Areas (ESA).

Click here to download the Ownership Disclosure Statement Form