Application for a Pumper's License

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Personal information on this form is collected under section 14 of the Environmental Protection Act, Sewage Disposal Systems Regulations, as it relates directly to and is necessary for an application for a Pumper’s License. If you have any questions about this collection of personal information, you may contact the Drinking Water and Wastewater Supervisor, 11 Kent Street, PO Box 2000, Charlottetown, PE C1A 7N8 or by phone at 902-368-5043.

For example C1B 0X1 or 12345
For example 902-555-5555
For example 902-555-5555
For example 902-555-5555