Forms

Time of Transfer Septic System Inspection Forms

  1. 542-0063 DNRTime of Transfer demolition inspection waiver
  2. Certified Time of Transfer Inspector Packet (PDF)
  3. Time of Transfer Inspection Authorization (PDF)
  4. Time of Transfer Inspection Worksheet (PDF)

Septic Installer Certification Forms

  1. Counties-that-require-CIOWTS-02-23-16pdf (3)

Septic Permits

Radon Information

  1. A Citizens Guide to Protecting Yourself and Your Family from Radon (PDF)
  2. EPAs Guide to Building Radon Resistant Homes (PDF)
  3. Home Buyers and Sellers Guide to Radon (PDF)
  4. Radon A Radioactive Gas Brochure (PDF)
  5. Radon Buyers-Sellers Factsheet (PDF)
  6. WHO Handbook on Indoor Radon - A Public Health Perspective (PDF)

General Forms

  1. Abandoned Well Record (PDF)
  2. Application For Well Permit (PDF)
  3. Nuisance Compliant Form (PDF)
  4. OSWAP (Septic System Financial Assistance) Brochure (PDF)
  5. OSWAP Lender Packet
  6. Septic Permit application
  7. Septic System - Do Not Flush Sheet (PDF)
  8. Septic System Troubleshooting Guide for Homeowners (PDF)
  9. Well Rehabilitation Record (PDF)
  10. What do I need to do when installing a new Septic System (PDF)

Contact Us

  1. Jeff Sherman

    Jeff Sherman

    Environmental Health Administrator
    Email Jeff Sherman

  2. Board of Health

    Physical Address
    101 S Main Street
    Suite 206
    Charles City, IA 50616

    Phone 641-257-6145

    Directory