Forms and Applications

These forms can be filled out online then printed or printed and filled out by hand and then submitted to the health department.

On-Site System Design Application

On-Site System Repair Application

On-Site System Remodel Application

Record Drawing Request or you can search for your Record Drawing online.

Record Drawing Application

Application for Report of System Status (358 kb) - To submit a Report of System Status Application online click here.

Request for Exemption from Report of System Status (58 kb)

Installer Backfill Notification/Verification (109 kb)

Septic/Pump Tank Decommissioning Certification (181 kb)

Change of Designer Request (80 kb)

Water Availability Letter  (90 kb)

Requirements for Remodel Applications - Residential and Commercial (238 kb)

Operation & Maintenance Application

Well Applications

Individual Well Application and Guidelines

Public Water Site Inspection and Guidelines

Water Source Inspection for Remodel Application

Online Forms and Applications

Report of System Status

Record Drawing Request

Change of Address Request

Final Inspection

Stub-Out Request

Onsite Professionals Forms and Applications

Technician - Specialist Application
Operation & Maintenance Firm Application

Installation Firm Application
Individual Installer Application

Designer and Professional Engineer Application

For more information please call (253) 798-6470 or email us.