Forms & Applications

Forms for Individual Separate Sewage Treatment Systems, Commercial Sewage and Realty Subdivisions.

• PCHD Form CP-97 Construction Permit for Sewage Treatment System  (submit in triplicate)
• PCHD Form CC-97 Certificate of Construction Compliance for Sewage Treatment System (submit in triplicate)
• PCHD Form WP-97 Application to Construction a Water Well (submit in triplicate)
• PCHD Form WA-97 Application to Abandon a Water Well (submit in triplicate)
• PCHD Form WC-97 Well Completion Report (submit in triplicate)
• PCHD Form DD-97 Design Data Sheet (2 page form)

• PCHD Form PC-97, Rev. 8/99   Application for Approval of Plans for a Wastewater Treatment System  (2 page form)

• PCHD Form LA-97 Letter of Authorization
• PCHD Form CA-97 Affidavit Corporate Owner
• PCHD Form GS-97 Guarantee of Subsurface Treatment System (submit in triplicate) 
• PCHD Form WAR-97 Well Abandonment Report
• PCHD Form FIR-99 Request for Final Inspection
• PCHD Form Fieldtest Request for Field Testing
• PCHD Form E911 Address Verification Form
• Appendix E Format Construction Permit Neighbor Notification Letter
• SEQR Short Environmental Assessment Form (2 page form)
• Form HD Gen 157 Application for Approval of Sanitary Facilities for Realty Subdivision (2 page form)