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.

Exemple : C1B 0X1 ou 12345
Exemple : 902-555-5555
Exemple : 902-555-5555
Exemple : 902-555-5555