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Forms and Permits

PAYMENT INFORMATION: 

  • You may pay by credit card if you submit your applications to our division email,  alleganeh@allegancounty.org , and provide us with a call back number to pay by phone.  For security reasons, please do not put any credit card information in your email, only the contact number where you would like us to reach you.
  • If you are mailing a check with your application, you may make it payable to ADHD and send it to the address on the top of the form.
  • Our lobby is also available 8:00 A.M. – 5:00 P.M., Monday – Friday
 
 

 Application Forms, Permits, and Requests

 
  
  
Notes
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collapse Category : Applications ‎(5)
ONSITE WATER AND OR SEWAGE DISPOSAL APPLICATION.pdf
  
Use this application for a permit to install an onsite sewage disposal system and/or a well for new construction or repairs.
 
SITE PLAN EXAMPLE.pdf
  
This document shows the expectations for submitting the site plan required with your (see above) "ONSITE WATER AND OR SEWAGE DISPOSAL APPLICATION"
 
SOIL EVALUATION APPLICATION.pdf
  
Use this form for an evaluation of undeveloped land for soil boring, raw land evaluation or preliminary plat.
 
TYPE II WATER SUPPLY APPLICATION.pdf
  
Use this application for permits or modifications to a public type II water supply.
 
WATER SUPPLY SEWAGE DISPOSAL EVALUATION APPLICATION.pdf
  
Use this form for evaluations requested by mortgage lenders (which can also be provided by a private entity / inspector) or for change of use to existing systems. Please observe that our service goal is 21 BUSINESS days.
 
collapse Category : General ‎(2)
Maintenance (Pump Out) Record.pdf
  
 
Sanitarian Field Map.pdf
  
 
collapse Category : Requests ‎(3)
Access to Environmental Health Records Request.pdf
  
Use this form if you would like to request information from our environmental health records.
 
Assignment of Address Request.pdf
  
 
Variance Deviation Request.pdf
  
Use this form for requesting a variance to an isolation distance.
 
collapse Category : Soil Erosion and Sedimentation Controls ‎(3)
Ordinance.aspx
  
 
SESC Application.pdf
  
This application is required if you are disturbing soil within 500ft of a stream, drain, and/or body of water, or disturbing greater than 1 acre of land.
 
SESC Packet.pdf
  
Basic information to help with submitting a SESC permit application.
 

 

 

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