Forms

Wells & Septic Forms

AWWTS Maintenance Agreement
Advanced Wastewater Treatment System Maintenance and Repair Agreement
Application for Certification
Application for Certification for Civil Engineer, Excavator, Well Driller, and Pump Installer
COSA Application
Certificate of On-Site Systems Approval Application
COSA Checklist
Cosa Checklist
COSA Recommened Home Owner Questionaire
Certificate of On-Site Systems Approval Recommended Home Owner Questionaire
Change Order
Change Order
Fees - COSA
Fee sheet to be submitted with COSA application
Fees - Other Miscellaneous
Fee sheet for items other than permit or COSA
Fees - Permit
Fee sheet to be submitted with permit application
IDSF Maintenance Log
IDSF Maintenance Log
Inspection Report
On-Site Wastewater Inspection Report
Lift Station Pump Vault Maint Log
Lift Station Pump Vault Maint Log
Pump Installation Log
Pump Installation Log
Septic System Owner Installer Agreement
On-Site may issue an approval for a homeowner to perform work on an on-site wastewater disposal system to serve that individual's owner-occupied, single-family or duplex home.
Septic/Well Permit Application
Septic and Well permit application
Soils Log - Percolation Test
Soils Log - Percolation Test
Waiver not Submitted with COSA or Permit Application
Application for a waiver not submitted with COSA or Permit
Well Decommissioning
Fill this out when decommissioning a well
Well Log
The well driller shall provide a well log to the On-Site Water and Wastewater Section within 30 days of completion