SAY YES TO HEALTH For more information, call 330-296-9919
Programs & Services
Portage County Health Department - Applications & Forms
Home - Health Department 2005 Funding Sources About the Board of Health Nursing Services Environmental Services Plumbing Services Administrative Services Applications & Forms Birth & Death Records Health Related Links ********** Home - Portage County Elected Officials Departments
Note: Opening and/or saving the files below require Adobe Acrobat Reader, which is available free at www.adobe.com.
Health Department Applications and Forms
Septic Systems/Sewage Disposal | Plumbing Bathing Beaches | Water Systems/Wells
Homeowners Checklist 4.1.05.pdf Animal Bite Report Form.PDF
FSO-RFE Complaint Form.pdf Notice of Intent to Fill Form 12.15.04.pdf Nuisance Complaint Form.pdf
Application For Household Sewage Treatment System Site Evaluation Home Sale Well & Septic Info Sheet.pdf Layout Plans or As Built Records Layout Plan or Design Plan New Septic Installer Registration Form Professional Soil Scientists List Semi Public Wastewater Application 11.28.04.pdf Sewage System Soil and Lot Evaluation Sewage Treatment System Permit Site and Soil Evaluation for Sewage Treatment and Dispersal Soil Area Test Hole Map Variance Application Procedures for Sewage Disposal 7.7.06.pdf
Plumber App New Registration Form Plumbing Permit Requirements Plumber Registration Letter Plumbing Permit Application May 2005.pdf Notarized Statement Homeowner Plumber Exemption
Disinfection Procedures for Drinking Water Wells Home Well & Septic Info Sheet.pdf Well Permit Procedures Water Sampling Request
Bathing Beach Inspection Checklist.pdf License Procedure for Bathing Beaches.pdf
Top of page
449 S. Meridian St., 3rd Floor, Portage County Admin. Bldg. Ravenna, Ohio 44266 Ph: 330-296-9919 Fax: 330-297-3597 E-Mail: pchd@portageco.com ********
Home | Elected Officials | Departments | Boards & Commissions Portage Communities | State Officials & Agencies | Federal Officials Last Modified: September 03, 2008 - Web Services by: Department of Information Technologies: webmaster@portageco.com Copyright 2006 Portage County. Ohio. All rights reserved.
Back to top of page
