Preventing Illness and Promoting Wellness for Communities in Eastern Connecticut

  • Andover
  • Ashford
  • Bolton
  • Chaplin
  • Columbia
  • Coventry
  • Mansfield
  • Scotland
  • Tolland
  • Willington

The following forms are in PDF format and may be filled out prior to printing. Can't open the forms? You may need to install or upgrade Adobe Acrobat - Download Acrobat here

Septic Systems and Plan Reviews

  • Application for Plan Review - needed when submitting plans for review of new septic system designs, repair system plans, alterations and septic tank replacements.
  • Staking Verification Memo for Engineer Designed Systems
  • Instructions for Non-Engineered Systems
  • Proposed Design Information Worksheet for Non-Engineered Systems
  • Application for Soil Testing - needed when submitting plans for new property development, subdivision, septic system repair, B100a soil testing and for future repairs at time of property sales.
  • B100a Application - for building conversion, change of use, building addition, accessory structure and lot line change.
  • Septic System Application - Application for Permit to Construct or Repair a Sewage Disposal System
  • Septic System As-Built Plan - needed when permitted installation is completed and approved. An accurate as-built helps homeowners find the septic tank and leaching field components for easier maintenance and care of the system.

      Food Service

      Other Forms or Applications