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Virginia Administrative Code
Title 12. Health
Agency 5. Department of Health
Chapter 610. Sewage Handling and Disposal Regulations
11/8/2024

FORMS (12VAC5-610).

Application for a Sewage Disposal System Construction Permit, C.H.S. 200 (rev. 4/1983)

Sewage Disposal System Construction Permit, C.H.S. 202A (rev. 6/1984)

Schematic Drawing of Sewage Disposal System and Topographic, C.H.S. 202B (rev. 6/1984)

Application for Sewage Handling Permit, B.W.E. 23‑1

Application for Pump and Haul, B.W.E. 25‑1

Pump and Haul Storage Facility Construction Permit, B.W.E. 26‑1

Soil Evaluation Form, C.H.S. 201 (rev. 4/1983)

Soils Evaluation Percolation Test Data

Record of Inspection - Non-Public Drinking Water Supply System

Completion Statement, C.H.S. 204 (rev. 4/1983)

Gravelless Material: Application for General Approval (undated)

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