Septic industry forms and applications

• Application cover page for property transfer inspection report
  
  
• Application for Appeal, King County Sewage Review Committee:
  
  • Instructions for Preparing an Appeal to the Health Officer via the King County Sewage Review Committee (SRC) Process
    
    
• Application for Certificate of Competency, On-site System Maintainer (OSM)
  • On-site System Maintainer Certification Checklist
    
    
• Application to Change Designer of Record
  
  
• Application for Final Subdivision
  
  
• Application for Health Department Approval of Building Permit
  
  
• Application for Health Department Review of Boundary Line Adjustment or Rezone
  
  
• Application for Pumper Business Owner for Certificate of Competency
  
  
• Application for Pumper Business Owner, RENEWAL of Certificate of Competency
  
  
• Application for Pumper Employee for Certificate of Competency
  
  
• Application for Pumper Employee, RENEWAL of Certificate of Competency
  
  
• Application for reconsideration of Decision/order, via the King County Sewage Review Committee Process
  
  
• Application for Renewal of Associate Installer Certificate of Competency
  
  
• Application for Renewal of Certificate of Competency, Master Installer of On-site Sewage Systems (OSS)
  
  
• Application for Winter Water Table Review (WWTR)
  
  
• Pre-Application for Review of Subdivision

• As-built Drawing Request form
  Print this form, fill in the details of your request, sign the bottom and mail it or bring it in person to:
  
  Black River Environmental Health
  900 Oakesdale Ave. SW, Suite 100
  Renton, WA 98057
  
  You may also fax it to 206-296-4919.
  
  
• Buyer's Declaration of Receipt of Copy of Notice of On-Site Sewage System Operation and Maintenance Requirements
  
  
• Drainfield Easement Form (example only)
  
  
• Declaration of Covenant: Detached Structure Restriction (example only)
  
  
• Declaration of Covenant: Bedroom Restriction (example only)
  
  
• Liquid Waste Vehicle Inspection Report
  
  
• Monthly Wastewater Pumping Report
  
  
• Nonconforming Notice on Title
  
  
• "Notice on Title" Generic Form: Notice of On-site Sewage System Operation and Maintenance Requirements (OSSM)
  
  
• Explanation of OSSM - Generic Form
  
  
• OSS Performance Demonstration Report
  
  
• On-site Sewage System/Sewage Tank Service Report
  
  
• Report of Wastewater Tank Abandonment
  
  
• Request form of public information needed by OSM to complete inspection report
  
  
• Sample Operation/ Performance Monitoring Report form (official copy of this form is made available only to licensed OSM)
  
  
• Training & Continuing Education (CE) Record Form
  
  
• Waiver form for property transfer inspection
  
  
• Water Table Data Collection Form

• Appellant Notice, Neighboring Property Owner
  
  
• Application cover page for property transfer inspection report
  
  
• Approved Wastewater Tanks for OSS
  
  
• Checklist for Associate Installer Applicants
  
  
• Checklist for Pumper and/or Liquid Waste Hauler Certificate
  
  
• Disposal Site Letter for Authorization
  
  
• District Waiver Request Form
  
  
• Guidance for Conducting Evaluation of Failed On-site Sewage System (OSS)
  
  
• Guidelines Manual for OSM
  
  
• Instructions for Notifying Property Owners
  
  
• Instructions for Preparing an Appeal to the Health Officer via the King County Sewage Review Committee (SRC) Process
  
  
• Notification of Property Owners via King County Sewage Review Committee
  
  
• Performance Demonstration Report Form - Page 3 for Subsurface Drip Systems
  
  
• Process for getting OSS designed, installed and approved
  
  
• Property Owner Notification Letter
  
  
• Record Drawing Checklist (OSS)
  
  
• Site Design Application Form for Individual On-Site Sewage System (OSS)
  
  
• Site Application Template - Requirements for Submitting an OSS design in King County
  
  
• Site Design Checklist (OSS)
  
  
• Study List for the Associate Installer Exam
  
  
• Well and Drinking Water Forms and Covenants