Dye Test Application - Scott Township

Instructions: Please provide the information listed below and click the submit button. Your information will be forwarded to the Compliance Officer who will prepare a Dye Test Application that will be available for pickup in the second floor lobby of the Township Building at 301 Lindsay Road, Carnegie PA 15106. Please allow two days for the completion of the form. The compliance Officer can be reached at 412-276-5300 Ext 218.

Name of Property Owner*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email

Contact Person (if other than property owner)

First Last

Phone*

Dye Testing Application