ECLS Forms

 

Highway Spill Remediation
210-001 Highway Spill Cleanup License Application
Individual and Small Public Onsite Sewage Treatment Systems

641-005 Request for Services

641-575 Request for Authorization to Construct

641-581Cert Certification Documentation Form

641-576AS Onsite Sewage Inspection Report

641-581P Soil Percolation Test Onsite Sewage Report

641-581SP Soil Profile Onsite Sewage Report

Certified Installers

641-002 Certified Installer Application

641-001 Certificate Bond for Certified Installers and Soil Profilers

Affidavit Regarding Citizenship DEQ Form 002-028

Soil Profilers

641-011 Soil Profiler Application

Affidavit Regarding Citizenship DEQ Form 002-028

Minor Public Water Supply Systems

624-001 Minor Water Authorization Application

624-002 Wellhead Protection Checklist

624-003 Request Final Inspection

624-011 Minor Water Application Amend

624-012 Minor Water Application Variance

624-013 Certification of Exemption

Septage Pumpers and Transporters

645-001 Septage Pumper and Transporter Application

645-004 Consent for Disposal of Septage

645-006 Application for Permit to Land Apply Septage

645-007 Acknowledgement Form

645-009 Septage Bypass Form

645-011 Application for Permit to Treat Septage

645-012 Application for Authorization to Operate a Storage Facility

Affidavit Regarding Citizenship DEQ Form 002-028

Total Retention Lagoons

619-001 Total Retention Lagoon Monthly Operating Report

619-011TRL_BypassReportForm