Permit Forms – Forms needed to obtain a construction, alteration, sealing, or conversion permit for a private water system. Persons working on a private water system must be registered with the Ohio Department of Health prior to working on a private water system;
- Permit Application with Site Plan
- Additional Plans
Local Health District Forms - Additional forms needed by the local health district to administer the private water systems program, such as:
- Administrative Summary
- Transmittal Forms
- Literature Request Form
- Contractor Inspection Forms
- Down-Hole Camera Request Form
Private Water Systems Contractor Forms - Forms required for the construction, alteration, or sealing or a private water systems, such as:
- Well Logs
- Sealing Reports
- Job Status/Completion Forms
- Filter Labels
Registration to work on a Private Water Systems – Registration forms for persons planning to conduct work on private water systems as part of a business, property owners must contact their local health district or private water systems program staff to obtain the needed forms.
- Private Water Systems Contractor Registration
- Homeowners/Property Owners Registration
- Water Hauler Registration
- Contractor Lists
Well Log and Sealing Report Search - Ohio Department of Natural Resources website where you can locate well logs and sealing reports of previously constructed wells in the State of Ohio.
- Well Log Search
- Sealing Report Search
If you are unable to locate a specific form, please contact the ODH Private Water System’s staff at (614) 644-7558.
Page updated: 11/25/2015