Notice: Before using any of these forms, please call the Environmental Health Office at (517) 788-4433 to ensure you are using the correct form.
Failure to call ahead may result in your having to resubmit forms.
Click on the individual form or pamphlet below which you are interested in opening for printing and or submitting to the Environmental Health Office. Some of the forms are linked with state sites.
Application Addendum – Must be completed by applicant for an existing or replacement sewage system permit. Commercial Septic Worksheet – Must be completed when applying for a commercial well or sewage system permit. Raw Land Application -To be used only when determining if a property is suitable for an onsite sewage disposal system. It does not replace the requirement for a site evaluation prior to permit issuance. Typically used during real estate transactions. Site Evaluation Application – Must be completed prior to issuance of permits. The only exception may be subdivision lots. Contact the office if you have questions. Site Evaluation Grid (Plot Plan) – This is the form for submitting a detailed plot plan. This grid must be submitted with the site evaluation application. Site Evaluation Grid Sample – This is an example of how the grid should be completed. Well Plugging Agreement – Must be completed with application when replacing an existing well. Well or Sewage System Permit Application – Application required for well or sewage system permits.
