Skip Navigation

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

For forms not linked below, call 410-887-2762 or email groundwater@baltimorecountymd.gov to receive a copy of the most current form.

FormAppendixDescription
Soil Percolation Test ApplicationA-1Apply for approval to perform percolation testing of soils to evaluate a property for subdivision of land or development using onsite sewage disposal systems (OSDS).
Perc Application ChecklistA-2This checklist provides a summary of the information required to process an application for a soil percolation test in Baltimore County.
Justification for Variance to the Master Water and Sewerage PlanA-3Request a variance to the Master Water and Sewer Plan in Baltimore County.
Interim AgreementA-4Complete this agreement to install a private well or OSDS on a property that is located in a planned public water and sewer service area in Baltimore County.
Agreement for Ongoing Maintenance of a Conventional Onsite Sewage Disposal System With Sewage Pretreatment A-5Request a sewage pretreatment unit or BAT that will be installed as part of a conventional OSDS in Baltimore County.
Agreement for Ongoing Maintenance of an Alternative Onsite Sewage Disposal SystemA-6Request a sewage pretreatment unit or BAT that will be installed as part of of an alternative OSDS in Baltimore County. 
Agreement and Easement for Installation of an Innovative OSDSA-7Request a sewage pretreatment unit or BAT that will be installed as part of an innovative OSDS in Baltimore County. 
Onsite Sewage Disposal System and Well Justification and Explanation
Onsite Sewage Disposal System Inspection Form 
Water Usage Letter Form
A-8For use by property owners seeking a building permit or change-of-use permit for a property served by a well or OSDS. The information will be used by GWM to to assess the adequacy of the existing well or OSDS for the proposed use.
Holding Tank AgreementA-9Request approval to utilize a holding tank for the disposal of domestic wastewater in Baltimore County.
Onsite Sewage Disposal System Abandonment FormA-10For use by contractors who perform an abandonment of an OSDS.
Well Siting AgreementA-11For use by developers of a major subdivisions to be served by individual well water supplies.
Water Well Yield Test ReportA-12For use 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-13For use by licensed well drillers for wells that have been hydrofractured.
Geothermal Well ReportA-14For use by licensed well drillers for wells to be used as part of a geothermal heat pump system.
General Requirements for Hydrogeologic StudiesA-15For use by applicants proposing a major subdivision of land four lots or more or any nonresidential development in Baltimore County.
Request to Install a UV Disinfection SystemA-16For use 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-17For use 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-18Use 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-19Use 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-20Use 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-21For use by GWM staff to review a concept plan submitted for a proposed subdivision to be served by private wells or OSDS.
Tank Closure ReportA-22For use 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-25For use by a contractor proposing to install a propane tank on a property served by a private well and septic system.
UST Removal NotificationA-26For use by a contractor proposing to remove an underground fuel storage tank.
Onsite Sewage Disposal System Installation Permit ApplicationA-27For use by a licensed OSDS installers to submit as part of a plumbing permit application.

Explore Ground Water Management

Contact Us

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