About Publication Forms

The forms below are used in our office.   They are listed by category. If you don't see the form you need call (561) 355-3070. 

The following documents are available for downloading in pdf (requires Adobe Acrobat Reader Software). There are also some PowerPoint files.

• Download a free copy of Adobe Acrobat Reader software

• Viewers can convert a pdf file to html through Adobe.

Note: links for all pdfs open in a new window

Drinking Water

• dep_62.555.900-1.pdf  
  Application for:
  - Public Drinking Water Facility Construction Permit
   
• dep_62.555.900-7.pdf 
  Application for:
  - Notification for Use of General Permit for Constructions of an   Extension to a Public Drinking Water Distribution System
   
• dep_62.555.900-9.pdf 
  Application for:
  - Certification Construction completion and request for a letter of   Clearance to Place a Public Drinking Water Facility
    into service.
• pbchd_ecrII-12-2-a.pdf 
  Application for:
  - Permit to Construct an Onsite Water Distribution System
    Regulated Under Palm Beach County
    Environmental Control Rule II
   
• pbchd_ecrII-12-3-a.pdf   
  Application for:
  - Certification of Construction Completion and Request for a         Letter of Clearance to Place an Onsite Water Distribution    System into Service for Systems

Wastewater Systems

• dep_62-604-300-8-a.pdf   
  Application for:
  - Notification/Application for Constructing a Domestic   Wastewater Collection/Transmission system.
   
• dep_62-604-300-8-b.pdf 
  Application for:
  - Domestic Wastewater Collection/Transmission System   Request for Approval for Operation.
   
• PBCHD_62-604-Supplement.pdf 
  Application for:
  - Supplement to Construction Application
  (For Sewers discharging through 3 or more Utilities)
   
• pbchd_lift_station_checklist.pdf 
  
  - Force Main/Lift Station Check List
   
• pbchd_water_distrubution_checklist.pdf 
  
  - Water Distribution Check List
   
• pbchd_sewage_collection_checklist.pdf 
  
  - Sewage Collection Check List

Permitting Release Requirements

• pbchd_permitting_release_requirements.pdf 
  Permitting Release Requirements
   
• pbchd_permitting_release_guidelines.pdf 
  Permitting Release Guidelines

Application/Forms  Prefix & Terms explained:

Prefix
- dep - (Department of Environmental Protection)
- pbchd - Palm Beach County Health Dept. Forms
- doh  - State of Florida Department of Health Forms
- der  - (Department of Environmental Regulation)

Terms
  n/a