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Contact Us |
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If you have questions concerning any of
our programs, please call us at (304)530-6355.
We'll be glad to help you! |
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Animal Encounter
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SG-58
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Animal Encounter Report Online Form (Complete Form, Print,
and Deliver to us!) |
Body Piercing/ Tattoo Studio
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SG-49
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General Sanitation Permit Application
(Complete Form, Print, and Deliver to us!) |
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SG-86 |
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Piercing Studio Plan Review |
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SG-88
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Piercing Technician Certification Application |
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SG-89
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Information & Notification |
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SG-90
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Hepatitis B Declination |
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64-80A
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Body Piercing Studio Rule Public Notice |
Child Care Centers
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SG-49
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General Sanitation Permit Application
(Complete Form, Print, and Deliver to us!) |
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SG-99
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Plan
Review Information for Child Care Centers (New or Remodeled) |
Complaint
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SG-51
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Online Complaint Form (Complete Form, Print, and Deliver to us!) |
Food Sanitation
General Sanitation
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SG-49
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General Sanitation Permit Application
(Complete Form, Print, and Deliver to us!) |
Mobile Home Park
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SG-49
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General Sanitation Permit Application
(Complete Form, Print, and Deliver to us!) |
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EG-1
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Mobile Home Park Specification and Plan Review Summary Form |
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EG-2
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Application for a permit to Construct, Install, Alter, or Extend a Mobile
Home Park |
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EG-4
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Sewage System Data Sheet |
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EG-5
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Water System Designs |
Recreational Water Facility
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SG-49
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General Sanitation Permit Application
(Complete Form, Print, and Deliver to us!) |
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ER-32
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Recreational Water Facility Weekly Report |
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SR-153
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Recreation Water Facilities Tables |
Sewage
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SS-182 |
Application for a Permit to Construct, Modify,
or Abandon a Water Well and/or Install or Modify a Small Sewage Disposal System
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SS-182A
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Application to Install or Modify a Small Sewage Disposal System |
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ES-57 |
Affidavit |
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Home Aeration Unit
(HAU) Forms: |
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HAU |
HAU Application Package |
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SS-188 |
Sewage System with Discharge Permit Application |
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SS-188A
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Surface Discharge Site Evaluation Report |
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SS-191
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Annual Report For 600 GPD Point Source Discharge System |
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Subdivision Forms: |
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ES-76 |
Subdivision Application |
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Home Loan Evaluation
Forms: |
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SG-55 |
Home Loan Evaluation Report |
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SG-55A
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Home Loan Evaluation Procedures |
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Septic Tank Cleaner
Forms: |
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SS-181 |
Application For Sewage Tank Cleaning Permit |
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For Installers Only: |
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SS-192 |
Installer Certification Renewal Application |
Water
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The forms are in PDF format
and require that your computer
uses Adobe® Reader software. Click on the icon above to download free
software.
Please Note

If you experience difficulty in
downloading or printing forms, please refer to the Adobe Web Site for
troubleshooting and support guidelines.
Helpful Tip

The online forms
will not save your information. you must type in responses and
print the document before closing. Mail document to address on the
contact page or walk in and deliver form to us.
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