Subsurface Wastewater Team Forms

AutoCAD Files | MS Word Files | Adobe PDF Files | MS Excel Files


Please note that the HHE-200 Form, pages 1 through 3, are available in AutoCAD and Adobe PDF formats. You will need to have either a CAD compatible program to view our CAD files, or you will need a viewer.


AutoCAD Files

Subsurface Wastewater Disposal System Application
HHE-200 Form, page 1

Subsurface Wastewater Disposal System Application
HHE-200 Form, page 2 (grid)

Subsurface Wastewater Disposal System Application
HHE-200 Form, page 2 (no grid)

Subsurface Wastewater Disposal System Application
HHE-200 Form 2 with extra soil logs

Subsurface Wastewater Disposal System Application
HHE-200 Form, page 3 (grid)

Subsurface Wastewater Disposal System Application
HHE-200 Form, page 3 (no grid)

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MS Word Files

Notice of Permit for use when a suburface wastewater system permit is issued.

Variance Request Form HHE-204 Form

Personal Reference Form for S.E. Exam HHE-217 Form

Product Registration HHE-221 Form (Word)

Holding Tank Application HHE-233 Form

Notice of Intent to Install a Subsurface Wastewater Disposal System...Expanded Structure HHE-234

Minimum Lot Size Law Waiver Application HHE-236

Statement of Rule Compliance HHE-238A

Affidavit of Site Preparation HHE-238B

Certificates of Approval HHE-239

Holding Tank Deed Covenant HHE-300

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Adobe PDF Files

Inspection Checklist for LPIs

HHE-200 Form, Page 1

HHE-200 Form, Page 1 (fillable PDF version). You may fill out the form online and print directly from your web browser or Adobe Acrobat, or save it to your computer.

HHE-200 Form, Page 2

HHE-200 Form, Page 2 (no grid)

HHE-200 Form, Page 2 with extra soil logs

HHE-200 Form, Page 3

HHE-200 Form, Page 3 (no grid)

Variance Request Form HHE-204 Form

Internal Plumbing Permit Application HHE-211 Form for printing blank forms

Internal Plumbing Permit Application, HHE-211 Form Fillable PDF

This is a ‘fillable’ PDF form which can be printed and completed by hand or filled-in using your computer.  To use on your computer, simply follow these easy steps:

  1. Download the blank form and save it to your computer, either on your desktop or in a folder you can easily access
  2. Each time a new permit is issued, open the blank form at its location on your computer
  3. ‘Save As’, re-naming the document using the permit number, applicant name or address, and/or other pertinent information
  4. Using your computer keyboard, fill-in all applicable fields; use the TAB key to navigate through the document
  5. Click ‘Save’
  6. Print

Engineered System Application HHE-220 Form

Statement of Compliance for Engineered Systems HHE-220A Form

Product Registration HHE-221 Form

MS Excel Files

Voluntary Septic System Inspection Form (Each tab in the spreadsheet comprises one page of the report.)

Water Use Records Percentile Calculator Spreadsheet

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