SAY YES TO HEALTH
For more information, call 330-296-9919

Programs & Services

 Portage County  Health Department - Applications & Forms


 









 


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   Health Department Applications and Forms


Home Sewage Treatment Systems | Plumbing | Water Systems/Wells
 

 

Homeowner’s Checklist For Planning And Building A Home
Animal Bite Report Form

FSO-RFE Complaint Form
Notice of Intent to Fill Form
Nuisance Complaint Form


HOME SEWAGE TREATMENT SYSTEMS

Application For Household Sewage Treatment System Site Evaluation
Home Sale Well & Septic Info Sheet
Layout Plans
New Septic Installer Registration Letter and Application
Professional Soil Scientists List
Sewage System Soil and Lot Evaluation
Sewage Treatment System Permit
Variance Application Procedures for Sewage Disposal


PLUMBING

New Plumber Registration Letter and Application
Plumbing Permit Requirements
Plumbing Permit Application
Homeowner Statement for Plumber Exemption


WATER SYSTEMS / WELLS

Disinfection Procedures for Drinking Water Wells
Home Sale Well & Septic Info Sheet
Well Permit Procedures
Water Sampling Request
Fracking Water Sampling Request



 

  

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Contact Us

705 Oakwood St., 2nd floor
Ravenna, Ohio 44266
Ph: 330-296-9919  Fax: 330-297-3597 E-Mail: pchd@portageco.com
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