Well and Septic Forms
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.
| Form | Appendix | Description |
|---|---|---|
| Soil Percolation Test Application | A-1 | Apply 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 Checklist | A-2 | This 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 Plan | A-3 | Request a variance to the Master Water and Sewer Plan in Baltimore County. |
| Interim Agreement | A-4 | Complete 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-5 | Request 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 System | A-6 | Request 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 OSDS | A-7 | Request 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-8 | For 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 Agreement | A-9 | Request approval to utilize a holding tank for the disposal of domestic wastewater in Baltimore County. |
| Onsite Sewage Disposal System Abandonment Form | A-10 | For use by contractors who perform an abandonment of an OSDS. |
| Well Siting Agreement | A-11 | For use by developers of a major subdivisions to be served by individual well water supplies. |
| Water Well Yield Test Report | A-12 | For 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 Report | A-13 | For use by licensed well drillers for wells that have been hydrofractured. |
| Geothermal Well Report | A-14 | For use by licensed well drillers for wells to be used as part of a geothermal heat pump system. |
| General Requirements for Hydrogeologic Studies | A-15 | For 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 System | A-16 | For 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 COP | A-17 | For 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 Conveyance | A-18 | Use 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 Property | A-19 | This 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 Property | A-20 | Use 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. |
| GWM Concept Plan Review Standard Comments | A-21 | For use by GWM staff to review a concept plan submitted for a proposed subdivision to be served by private wells or OSDS. |
| Tank Closure Report | A-22 | For use by GWM staff to document the removal of residential underground storage tanks. |
| Setbacks for Well and Septic Systems | A-23 | This reference sheet provides well and septic setback distances that comply with state and local regulation and policy. |
| GWM Site Plan Requirements | A-24 | This guidance document provides specific details about how to create a site plan that will meet the GWM requirements for building permit applications. |
| Propane Tank Certification | A-25 | For use by a contractor proposing to install a propane tank on a property served by a private well and septic system. |
| UST Removal Notification | A-26 | For use by a contractor proposing to remove an underground fuel storage tank. |
| Onsite Sewage Disposal System Installation Permit Application | A-27 | For use by a licensed OSDS installers to submit as part of a plumbing permit application. |