DHHS → MeCDC → Environmental and Community Health → Subsurface Wastewater Unit → Site Map 2
Subsurface Wastewater Forms by Document Type
MS Word Files
- Registration Form for Public Swimming Pools and Spas HHE-23
- Replacement System Variance Request Form HHE-204 Form
- First Time System Variance Request Form HHE-215 Form
- Application for Engineered Onsite Sewage Disposal System HHE-220 Form
- Statement of Compliance for Engineered Systems HHE-220a Form
- Product Registration HHE-221 Form
- Holding Tank Application HHE-233 Form
- Minimum Lot Size Law Waiver Application HHE-236
- Statement of Rule Compliance HHE-238A
PDF Files
- HHE-200 Form, Fillable, Page 1
- HHE-200 Form, Page 1
- HHE-200 Form, Page 2
- HHE-200 Form, Page 2 with extra soil logs
- HHE-200 Form, Page 3
- Internal Plumbing Permit Application - HHE-211: Download PDF Electronic Form – Standard (Complete by Hand)
- Notice of Intent to Install a Subsurface Wastewater Disposal System...Expanded Structure HHE-234
- Notice of Intent to Install a Subsurface Wastewater Disposal System...Replacement System HHE-234A
- Notice of Intent to Install a Subsurface Wastewater Disposal System in the Shoreland Zone HHE-234B
- Notice of Intent to Install a Subsurface Wastewater Disposal System Outside the Shoreland Zone HHE-234-C
- Well Setback Release Form HHE-306
MS Excel Files
- Voluntary System Inspection Form HHE-240 Form
- Water Use Records Percentile Calculator Spreadsheet
5/24/2024