Documents & Forms

Billing Forms & Related Applications

ACH Change in Bank Information Form

  • Use this form if you are already enrolled in AutoPay (that drafts on the 15th of each month) and need to change your bank information.  
  • If you enrolled in AutoPay on the customer portal and your payment drafts on the due date, you will need to update the information on your customer portal.
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PDF icon ACH Change in Bank Information Form30.35 KB

AutoPay/ACH Application (payment drafts on 15th of each month)

  • Use this form if you are new to AutoPay and are just signing up for this feature   -OR-
  • Elect to sign up for AutoPay on the customer portal, which will draft on the billing due date and you will not need to complete this application.
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PDF icon ACH Application122.5 KB

Change of Address Form

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PDF icon Change of Address Form37.62 KB

E-Bill Request Form

You can also sign up for E-billing directly on the customer portal.

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PDF icon E-Bill Request Form52.47 KB

Name Change Request Form

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PDF icon Name Change Request Form49.24 KB

Settlement Cancellation Notice

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PDF icon Settlement Cancellation Notice35.79 KB

Settlement Request Form

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PDF icon Settlement Request Form50.73 KB

Sewage Pump Agreement_Continued Maintenance

Use this Sewage Pump Agreement if the sewer connection has already been connected/established and this is for purposes of an ownership change for a property that utilizes a grinder pump.

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PDF icon sewage_pump_agreement_continued_maintenance_rev_9.14.2020.pdf104.28 KB

Grinder Pump Loaner Program Forms

Grinder Pump Loan Request/Agreement

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PDF icon Grinder Pump Loan Request/Agreement187.04 KB

Sewage Pump Agreement for Grinder Pump Loaner Program

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PDF icon Sewage Pump Agreement for Grinder Pump Loaner Program77.63 KB

HTMA Rules & Regulations/Ordinances

HTMA Administrative Policies

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PDF icon htma_administrative_policies_1.19.2023649.26 KB

Ordinance No. 36

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PDF icon Ordinance No. 36434.76 KB

Ordinance No. 86

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PDF icon Ordinance No. 86522.76 KB

Sanitary Sewer Lateral and Building Sewer Connection Only (For use by Property Owners and Contractors)

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PDF icon Sanitary Sewer Lateral and Building Sewer Connection Only (For use by Property Owners and Contractors)1.09 MB

Standards and Material Specifications for Wastewater Collection System Extensions

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PDF icon Standards and Material Specifications for Wastewater Collection System Extensions2.61 MB

Hydromatic Grinder Pump Installation Materials from Manufacturer's Representative

Hydromatic TL-Pro Grinder Pump General Installation Notes

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PDF icon Hydromatic TL-Pro Grinder Pump General Installation Notes

Source: 

J.T. Seeley & Company, LLC
855.76 KB

Hydromatic TL-Pro Grinder Pump Pictoral

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PDF icon Hydromatic TL-Pro Grinder Pump Pictoral

Source: 

J.T. Seeley & Company, LLC
1.53 MB

Recommended Tank Adaptor

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PDF icon Recommended Tank Adaptor76.64 KB

Other Forms

Building Sewer Information Request Form

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PDF icon Building Sewer Information Request Form47.55 KB

Right to Know Request Form

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PDF icon Right to Know Request Form10.42 KB

Plumber/Contractor Licensing

Licensing Rules and Regulations for Sewer Laterals

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PDF icon Licensing Rules and Regulations for Sewer Laterals70.43 KB

Sewer Lateral Construction and Installation License Application

Click the link below to pay the $46.00 Licensing Application Fee.  Payment methods are as follows:

  • Credit Card Payment - subject to 2.75% fee per transaction
  • E-Check Payment - $2.00 fee per transaction

Click here to pay License Application Fee

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PDF icon Sewer Lateral Construction and Installation License Application81.11 KB

Sewer Permit

Building Sewer Line Repair-Replacement Permit Application

This permit is used for repairs and/or replacements of building sewer lines which require excavation for existing sewer connections.  Click on the link below to pay the $25.00 Building Sewer Line Repair-Replacement Permit Application Fee.  Payment methods are as follows:

  • Credit Card Payment - subject to 2.75% fee per transaction
  • E-Check Payment - $2.00 fee per transaction

Click here to make Building Sewer Line Repair-Replacement Permit Application Fee Payment

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PDF icon Building Sewer Line Repair-Replacement Permit Application553.22 KB

Domestic Building Sewer Application

This application is for new construction or connection for single-family residential dwellings. 

Click on the link below to pay the applicable permitting fees for a Domestic Building Sewer Permit Application.  Applicable fees may include the following:

  • Domestic Building Sewer Permit Application - $4,500.00 per EDU/unit (all permits)
  • Sewer Permit Fee - $25.00 (all permits)
  • Sewage Pump Agreement Filing Fee - $38.50 (all permits that require the utilization of a grinder pump)

Payment methods available are as follows:

  • Credit Card Payment - subject to 2.75% fee per transaction
  • E-Check Payment - $2.00 fee per transaction

Click here to make Domestic Sewer Permit Application Fee Payment

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PDF icon Domestic Building Sewer Application373.04 KB

Non-domestic Building Sewer Application

This application is used for new connections for businesses/commercial accounts.

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PDF icon non-domestic_building_sewer_application.pdf125.49 KB

Roadway Agreement (Required if State or Township Roadway is involved)

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PDF icon Roadway Agreement (Required if State or Township Roadway is involved)76.27 KB

Sewage Pump Agreement (Required if Connection Utilizes Grinder Pump)

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PDF icon Sewage Pump Agreement (Required if Connection Utilizes Grinder Pump)110.79 KB