This loan program is designed to help low-income rural homeowners construct or upgrade household septic systems. The funding is provided through USDA Decentralized Water and Wastewater Program. This application will not save your progress, so please try to complete the application in one sitting. All supporting documents must be submitted to Golden Triangle RC&D in order for application to be processed, if there are any extenuating circumstances as to why you can't provide any of the below information, please email waterwell@goldentrianglercd.org or call (229) 995-2027.

The Golden Triangle Resource Conservation and Development (RC&D) is a 501(c)(3) non-profit organization made up of action-oriented volunteers and local leaders.  This material is based on work supported under a grant by the Decentralized Water and Wastewater Program, United States Department of Agriculture (USDA). Golden Triangle RC&D Area Council, Inc. and USDA are an equal opportunity provider, employer, and lender.  

Program Information may be available in languages other that English.  Persons with disabilities who require alternative means of communication to obtain program information (e.g., Braille, large print, audiotape, American Sign Language) should contact the responsible Mission Area, agency, or staff office; the USDA TARGET CENTER at (202) 720-2600 (voice and TTY); or the Federal Relay Service at (800) 877-8339

A Co-Signer is often required when an applicants monthly income is less than the known monthly expenses

You can find a list of Certified Septic Tank Installer Companies in Southwest Georgia here : www.GoldenTriangleRCD.org/septic. 

 You can contact Golden Triangle RC&D if you need assistance in finding a Septic Tank Installer in your area.  

In order for application to be recieved and processed, applicants are responsible for providing the following documentation:

 - 3 Most Recent Bank Statements

- Most Recent Pay Stubs

- Most Recent Filed Income Tax Return

- Deed or Certificate of Trust

- Two Written Bids / Estimates from Licensed Well Drillers

- Health Department Permit

Documents may also be mailed to

Golden Triangle RC&D 4344 Albany Hwy, Dawson, GA 39842

or Emailed to waterwell@goldentrianglercd.org

If there are any extenuating circumstances as to why you can't provide any of this information, please call us at (229) 995 - 2027 or email waterwell@goldentrianglercd.org

My signature below grants permission to the Golden Triangle RC&D Council or its designated agent to verify any or all information contained herein with respect to this application for assistance. I understand the information in this application is strictly confidential and is provided solely for the purpose of determining my eligibility under this program. No information contained herein will be released to any other local, state, or federal agency without my expressed written consent, except as it may pertain to my receipt of the funding sources made available through this application.

I authorize you to make whatever credit inquiries you consider necessary concerning the statements made in this loan application. I agree that the application shall remain your property whether or not the loan is granted. I also agree that you may give information regarding my experience with you to credit bureaus and other proper persons. Under penalties of perjury, I certify that I have provided my correct Social Security/Taxpayer Identification Number.

This material is based upon work supported under a grant by the Decentralized Water and Wastewater Program, United States Department of Agriculture (USDA).  Golden Triangle RC&D Area Council, Inc. and USDA are an equal opportunity provider, employer, and lender.  

The undersigned applicant(s) herby certifies to the best of his/her knowledge that the information provided in this application is correct. The applicant(s) is the owner and occupant of the property, for which he/she is applying for a well loan.

The undersigned further understands that the Golden Triangle Resource Conservation and Development Council will pay the requested loan amount to the contractor and the undersigned is responsible for any balance due to the contractor assigned to the well project on the property described above.

In consideration for any loan proceeds paid on behalf of the applicant, the undersigned hereby releases and agrees to indemnify and hold harmless the Golden Triangle RC&D Council and its authorized representatives and the referring agency and its authorized representatives from any and all liability in connection with the performance of the repairs and/or improvements.

The undersigned agrees to provide the Golden Triangle RC&D, access to the property at a reasonable time for the purpose of inspecting the work, and conducting follow-up visits if desired or necessary.

The Golden Triangle Resource Conservation and Development Council (Golden Triangle RC&D) or its designee and the referring agency, its staff, or authorized representative’s permission to release information contained in my file to help provide the services.

The following information is requested by the Federal Government in order to monitor the Recipient’s compliance with Section 504 of the Rehabilitation Act of 1973, The Americans with Disabilities Act of 1990, Title VI of the Civil Rights Act of 1964, and the Age Discrimination Act of 1975.

You are not required to furnish this information but are encouraged to do so. The law requires that the Recipient may neither discriminate on the basis of this information, nor on whether you choose to furnish it. However, if you choose not to furnish it, under Federal regulations the Recipient is required to note race and sex on the basis of visual observation or surname.

The Household Water Well Systems Program is provided without regard to race, color, national origin, religion, sex, gender identity or gender expression, sexual orientation, physical or mental disability, age, marital status, family/paternal status, receipt of income from public assistance or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. 

Golden Triangle RC&D Area Council Inc. and USDA are an equal opportunity provider, employer, and lender