Onsite Sewage Forms and Application Fees

On this page you will find the forms, guidance documents, and fee information needed to file an application for an onsite sewage system and/or private well.

 

VAC Code

Regulation

Applicable Forms

 

12 VAC 5-570

 

Sanitary Regulations for Marinas and Boat Moorings

12 VAC 5-610 Sewage Handling and Disposal Regulations
 

12 VAC 5-613

Regulations for Alternative Onsite Sewage Systems
  • See forms for 12 VAC 5-610
 

12 VAC 5-620

Regulations Governing Application Fees for Onsite Sewage Systems and Private Wells
 

12 VAC 5-630

 

Private Well Regulations

 

12 VAC 5-640

Alternative Discharging Sewage Treatment Regulations for Individual Single Family Dwellings
12 VAC 5-650 Schedule of Civil Penalties          No forms at this time

ONSITE SEWAGE APPLICATION FEES (Effective July 1, 2010)

Application Type  Fee 
Certification letter, no OSE/PE documentation (no charge for well) $350
Construction permit for onsite sewage system only, no OSE/PE documentation $425
Combined well and onsite system construction permit, no OSE/PE documentation $725
Certification letter with OSE/PE documentation,  <= 1,000 gpd $320
Certification letter with OSE/PE documentation, > 1,000 gpd $1,400
Construction permit for only onsite sewage with OSE/PE documentation, <= 1,000 gpd $225
Construction permit for only onsite sewage with OSE/PE documentation, > 1,000 gpd $1,400
Combined well and onsite system construction permit with OSE/PE documentation,  <= 1,000 gpd $525
Combined well and onsite system construction permit with OSE/PE documentation, > 1,000 gpd $1,700
Private well only, with or without OSE/PE documentation $300

No application fee is charged for repairing a failing onsite sewage disposal system or for replacing a well, if the well it replaces is properly abandoned.  No fee is charged for a voluntary upgrade.  An Applicant whose family income falls below the Federal Poverty Guidelines is eligible for a waiver.  The local government may have an additional fee.  Contact your local health department for more information about fees.