BSSRAP Application

I/We hereby request participation in the Downers Grove Sanitary District Building Sanitary Service Repair Assistance Program, hereinafter called the "Program."
I/We own, and this Application is for, the following property:
Address*
Street Address
City*
Zip Code
Zip Code
Zip Code
Zip Code
Zip Code
Zip Code
Parcel Number (P.I.N.)*
You may obtain the Parcel Number (P.I.N.) from your real estate tax bill or search for your P.I.N. at the DuPage County Treasurer’s website.
In order for the District to consider your property for participation in our program, attach a copy of one of the following documents (dated within the last year):
- Rodding Invoice;
- Plumber’s Repair Proposal; or
- Televising Invoice.
Upload File(s)
Drop files here or
- I/We have received copies of the Program Requirements for the Building Sanitary Service Repair Assistance Program and for the Private Property Infiltration and Inflow Removal Program attached to and made a part of this Application. This Application will apply to both Programs.
- I/We agree to allow the Downers Grove Sanitary District or its representatives to make any and all inspections and testing as detailed in the Program Requirements.
- I/We agree to be sure that all pets are confined, for District Personnel arrival and the duration of the inspection, to an area where my/our pets will not have contact with District Personnel for the safety of my/our pets and District Personnel.
- I/We have received sample copies of the Agreement for Building Sanitary Service Repair Assistance Program and the Building Sanitary Service Access Agreement and understand that said Agreements must be signed in order to participate in the Program.
Acknowledgement*
I acknowledge the above statements.
Property Owner Signature*
By printing your name here, you acknowledge that all the above information is correct, and authorize the Sanitary District to determine eligibility for the above referenced property to participate in the District's Building Sanitary Service Repair Assistance Program.
Additional Property Owner Name (if applicable)
If there is more than one property owner, this information assists the District in the preparation of program agreements.
Phone number*
Email*
Preferred method of contact: (please select one)*
- Phone number
- Email
Today's Date04/02/2020

Sewer Problems? Call (630) 969-0664
Our technicians are available at all hours to help you.

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2710 Curtiss Street
P.O. Box 1412
Downers Grove, Illinois 60515-0703

Phone: (630) 969-0664
Fax: (630) 969-0827

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Monday - Friday 8 a.m. - 4:30 p.m.

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BSSRAP Application

Sewer Problems? Call (630) 969-0664Our technicians are available at all hours to help you.

BSSRAP Application

Sewer Problems? Call (630) 969-0664Our technicians are available at all hours to help you.

Quick Links

Contact Information

Office Hours

Contact Us

Social

Sewer Problems? Call (630) 969-0664
Our technicians are available at all hours to help you.

Sewer Problems? Call (630) 969-0664
Our technicians are available at all hours to help you.