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County Home > Departments > Environmental Health > Forms and Applications
FORMS AND APPLICATIONS
This page is still under construction. If you do not see the form or application that you are looking for, please call our office at the number below.

Please call our office at 336-570-6367 if you have any questions.

You may fax applications that require no fees to: 336-570-6362

You may mail applications that require a fee to: 
        Environmental Health Section
        209 N. Graham-Hopedale Rd. 
        Burlington, NC 27217

Please make checks payable to: Alamance County Health Department
* We do not except credit or debit cards.

Click on this Link to See User Fee's Effective July 1, 2008

Well Permit Application
     A fee of $300.00 is required to apply for a permit to construct a new well, a replacement well, and $200 to apply for a well repair permit. There is no charge to apply for a well abandonment, but an application is required as well as notification.

Septic Repair Application
     There is no charge to apply for a wastewater/septic repair permit. Please fill out this application as completely as possible.

Water Sample Request Application
     Please see application for fees required for each type of sample. 

Existing System Check Application    
    Use this application if you have an existing wastewater/septic system and you are adding bedrooms to your home, making additions to your home that increase the footprint of the home, adding outbuilding such as a detached garage or when adding a swimming pool.

This application is also required when moving/replacing houses or mobile homes and for plat approvals required by the Alamance County Planning Department (please check with that office prior to making application).


                        

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