Caroline County Health Department
Division of Environmental Health
403 S 7th Street, P.O. Box 10, Denton, MD 21629
Hours 8-5p.m., M-F; Phone: 410/479-8045    FAX: 410/479-4187


[E/H HOME PAGE]   [FEE SCHEDULE]    [FORMS/APPLICATIONS]    [QUESTIONS-ANSWERS]

Instructions for completing the soil and site evaluation application

A) Applicant's Name and mailing address:   This is where the perc results will be sent. Note day phone number(s).

B) Property Description:   Note property owner's name if applicant not owner, rest of information can be obtained from tax records.

C) Existing parcel:   Note in this section if existing home/structures, wells/septic systems on the parcel.

D) Proposed use:   Note here plans for the property, such as residential home or business.

E) Type of Test:

F) Authorization: Read conditions in this section before signing—if applicant not the property owner attach an "Authorization Form" signed by the legal owner, or a handwritten authorization (letter) from the owner permitting the applicant to apply for a perc test on this property.

G) Signature is required.

copyright  ©  CCHD2005 ¦ Legal Disclaimer & Privacy Notices;   Leland Spencer, M.D., Health Officer