- Home
- Departments
- Health Department
- Environmental Health
- Forms, Documents & Fees
Forms, Documents & Fees
Included below are application forms, documents related to those forms and a fee schedule. Please note that most of these forms are required to be filled out on carbon copy forms available at the Monroe County Health Department. Forms provided online as a guide to the required information that you must bring with you to accurately fill out the forms.
- Licensing rules for Child Care Centers (PDF)
- Licensing rules for Adult Care Facilities
- Request for Environmental Health Inspection (PDF) at a new or existing facility
- For licensing issues, complaints or to view state rules regarding adult care facilities, please visit the State of Michigan website.
- Affidavit (DOC) (must be printed on legal size paper 8.5 by 14 inches) for permit approval to construct engineered or alternative onsite sewage disposal facilities for residential and nonresidential settings
- Application to Construct an Addition (DOCX)
- Application to Install Sewage Disposal Facility for Nonresidential Construction (DOC)
- Application to Install Sewage Disposal Facility for Residential Construction (PDF)
- Chapter 5 of the Monroe County Environmental Health Sanitary Code (PDF)
- A Homeowners Guide to Construction of a Sewage Disposal System (PDF)
- Licensed Sewage Contractors (DOCX)
- List of Registered Sanitarians and Professional Engineers (DOCX) who have submitted sewage plans to our office
- Pump and Haul Affidavit (PDF) (must be printed on legal size paper 8.5 by 14 inches) for permit approval
- Pump and Haul Reporting Form (PDF)
- Request for Deviation to Install Onsite Sewage Disposal System (DOCX)
- Site Assessment Application Form (PDF)
- Affidavit for Permit Approval to Construct Alternative Water Supply (PDF) (Must be printed on legal size paper 8.5 by 14 inches)
- Application to Install Geothermal Heat Pump System (DOC)
- Application to Install Hauled Water System (PDF)
- Application to Install Non-Potable Well System (DOC)
- Application to Install Water Supply Facility (PDF) (Current edition not available online) however Application to Install Water Supply Facility (PDF) provides the information that you need
- Bulk Storage Tank System Design and Sizing (PDF)
- Chapter 3 of the Monroe County Environmental (PDF)
- Chlorination Instructions (PDF)
- Diagram Hauled Water Storage System (PDF)
- Plan Submittal Packet for Hauled Water (PDF)
- Request for Deviation Water Well Installation Form (PDF)
- Site Plan for Non-Potable Well System (PDF)
- Site Plan for Proposed Onsite Water Supply (PDF)
- What is a Hauled Water System Pamphlet (PDF)