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The following forms are for property owners, developers and any applicant needing assistance with well and septic systems.

FormAppendixDescription
Soil Percolation Test ApplicationA-1Use this form when applying for approval to perform percolation testing of soils to evaluate a property for subdivision of land or development using onsite sewage disposal systems.
Perc Application ChecklistA-2This reference sheet provides a brief description of what information is required to process an application for a percolation test in Baltimore County. First, a perc application must be filled out and submitted to the Department of Environmental Protection and Sustainability (EPS) along with a $75 fee for each lot and four copies of a map scaled 1:60 or less of the property showing property lines, topography and nearby streams. Once the application has been reviewed and approved by EPS, the property owner needs to hire the services of a backhoe operator who will then schedule an appointment to perform the tests with a EPS Environmental Health Specialist. More detailed information about soil percolation testing is available in the Ground Water Management (GWM) Policy Manual. 
Justification for Variance to the Master Water and Sewerage PlanA-3Any applicant may request to install a private well or onsite sewage disposal system to serve a property that is within an existing or planned public water and sewer service area.
Interim AgreementA-4Request permission to install a private well or onsite sewage disposal system to serve a property that is within a planned public water and sewer service area in Baltimore County, but has obtained a Justification for Variance to the Master Water and Sewer Plan indicating that the property does not have reasonable access to existing public utilities.
Agreement for Ongoing Maintenance of a Conventional Onsite Sewage Disposal System with Sewage Pretreatment  A-5This form is to be used where Baltimore County EPS is requiring a perpetual service agreement be maintained for use of a sewage pre-treatment unit BAT on approved onsite sewage disposal system for new construction. Call the office at 410-887-2762 to receive a copy of the most current form.
Agreement for Ongoing Maintenance of an Alternative Onsite Sewage Disposal SystemA-6This form is to be used where Baltimore County EPS is requiring a perpetual service agreement be maintained for use of an onsite sewage disposal system using "alternative" technology. Call the office at 410-887-2762 to receive a copy of the most current form.
Agreement and Easement for Installation of an Innovative OSDSA-7This form is to be used where Baltimore County EPS and Maryland Department of the Environment is approving the use of an onsite sewage disposal system using “innovative” technology as defined in COBAR 01.03.01.02 B. Call the office at 410-887-2762 to receive a copy of the most current form.
Onsite Sewage Disposal System and Well Justification and Explanation
Onsite Sewage Disposal System Inspection Form 
Water Usage Letter Form
A-8These forms are to be used by a property owner who is seeking a building permit or change-of-use permit for a property served by a well or Onsite Sewage Disposal System. The information will be used by GWM to to assess the adequacy of the existing well or onsite sewage disposal system for the proposed use.
Holding Tank AgreementA-9This form is to be used when requesting approval to utilize a holding tank for the disposal of domestic wastewater in Baltimore County.
Onsite Sewage Disposal System Abandonment FormA-10This form is to be completed by contractors who perform an abandonment of an onsite sewage disposal system.
Well Siting AgreementA-11This form is used by developers of a major subdivisions to be served by individual well water supplies.
Water Well Yield Test ReportA-12This form is to be used by licensed well drillers and pump installers to document yield test data for domestic water wells. For the purpose of property transfers, well yield tests are valid for three years.
Water Well Fracturing ReportA-13This form is to be used by licensed well drillers for wells that have been hydrofractured.
Geothermal Well ReportA-14This form is to be used by licensed well drillers for wells to be used as part of a geothermal heat pump system.
General Requirements for Hydrogeologic StudiesA-15This form is to be used by applicants proposing a major subdivision of land four lots or more or any non-residential development in Baltimore County.
Request to Install a UV Disinfection SystemA-16This form is to be used by property owners seeking to obtain a variance from bacteriological requirements for domestic well water supplies by installation of a ultra-violet UV disinfection device.
Request for Permanent Deviation to the COPA-17This form is to be used by property owners seeking to obtain a permanent deviation from the Certificate of Potability COP requirements for  a domestic well water supply.
Waiver of Chemical Quality Prior to ConveyanceA-18This form is to be used for property transfers in which the Buyer agrees to purchase an improved property without a well meeting the water quality requirements. According to Baltimore County Code, this waiver form must be submitted to the EPS at least six days prior to settlement.
Waiver of Yield Requirement for Improved PropertyA-19This form is to be used for property transfers in which the Buyer agrees to purchase an improved property without a well meeting the minimum yield test requirements. According to Baltimore County Code, this waiver form must be submitted to EPS at least six days prior to settlement.
Waiver of Yield Requirement for Unimproved PropertyA-20This form is to be used for property transfers in which the Buyer agrees to purchase an unimproved property without a well meeting the minimum yield test requirements. According to Baltimore County Code, this waiver form must be submitted to EPS at least six days prior to settlement.
GWM Concept Plan Review Standard CommentsA-21This form is to be used by GWM staff to review a Concept Plan submitted for a proposed subdivision to be served by private wells or onsite sewage disposal system.
Tank Closure ReportA-22This form is to be used by GWM Staff to document the removal of residential underground storage tanks.
Setbacks for Well and Septic SystemsA-23This reference sheet provides well and septic setback distances that comply with state and local regulation and policy.
GWM Site Plan RequirementsA-24This guidance document provides specific details about how to create a site plan that will meet the GWM requirements for building permit applications.
Propane Tank CertificationA-25This form is to be used by a contractor proposing to install a propane tank on a property served by a private well and septic system.
UST Removal NotificationA-26This form is to be used by a contractor proposing to remove an underground fuel storage tank.
Onsite Sewage Disposal System Installation Permit ApplicationA-27This form is to be used by a licensed onsite sewage disposal system installers to submit as part of a plumbing permit application.

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Ground Water Management

County Office Building
111 West Chesapeake Avenue, Room 305
Towson, Maryland 21204

Hours

Monday through Friday
8:30 a.m. to 4:30 p.m.

Phone

Fax

410-887-4817

Director

Horacio Tablada