Sanitarian and Environmental HealthTama County Annex
divider
Tama County Public Health and Home Care
Environmental Health and Sanitarian

Environmental Health Home

Meet the Administrator

General Information

Forms

Continuing Education

 

 

 

Tama County Environmental Health
Forms

Septic Permit

Tama County Septic Permit Request Form

Discharge From On-site Wastewater Treatment & Disposal System DNR 542-1541


Septic Time Of Transfer Inspection

Binding Agreement for Future Inspection - DNR 542-0062

Binding Agreement for Building Demolition - DNR 542-0063

Binding Agreement for Future Installation – DNR 542-0064


Request for Water Test

Private Well Water Testing Background Information - DNR 542-1207


Well Construction or Abandonment

Application for Non-Public Water Well Construction Permit – DNR 542-0988

Private Well Water Testing Background Information - DNR 542-1207

Abandoned Water Well Plugging Record – DNR 542-1226

Private Water Well Rehabilitation Record – DNR 542-1519


Ground Water Statement

 REAL ESTATE TRANSFER - GROUNDWATER HAZARD STATEMENT - TO BE COMPLETED BY TRANSFEROR - DNR 542-0960

 GROUNDWATER HAZARD STATEMENT - ATTACHMENT #1 - NOTICE OF WASTE DISPOSAL SITE - DNR 542-0960a


Report of Health Hazard

County Nuisance Complaint Form

 

 

Septic System Operations

Well Operations

Rules & Regulations

 

 

 

 

 

divider
Assessor - Attorney - Auditor - Board of Supervisors
Central Point of Coordination - Conservation Board - Emergency Management
Engineer - General Relief - Planning & Zoning - Public Health & Home Care
Recorder - Sanitarian & Environmental Health - Sheriff - Treasurer - Veteran's Affairs
Helpful Links - Home

Site design by Thede Web Works Copyright 2001-2014
CAST: Bobby WorldWide Approved 508