{"id":885,"date":"2016-05-10T15:00:06","date_gmt":"2016-05-10T15:00:06","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/environmental-health\/?page_id=885"},"modified":"2025-02-05T10:49:03","modified_gmt":"2025-02-05T15:49:03","slug":"gmp-2015-01-forms","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/environmental-health\/gmp-2015-01-forms\/","title":{"rendered":"GMP 2017 &#8211; 01 Forms"},"content":{"rendered":"<div class=\"Content_Secondary\">\n<ul>\n<li>Form 1: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2025\/02\/Septic-and-Well-Application-11-11-24-1-1.pdf\">Application for a Sewage Disposal System and\/or Private Well Construction Permit<\/a><\/li>\n<li>Form 2: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2016\/05\/OSE-PE-Cover-Page-1.pdf\">Cover Page<\/a><\/li>\n<li>Form 2W: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2018\/07\/Well-Permit-Application-Cover-Page-Final-6.21.2018.pdf\">Well Only Cover Page<\/a><\/li>\n<li>Form 3: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2016\/05\/OSE-PE-Inspection-Report.pdf\">OSE\/PE inspection form<\/a><\/li>\n<li>Form 4: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2016\/05\/Application-for-Subdivision-Review.pdf\">Example request for subdivision review<\/a><\/li>\n<li>Form 5: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2016\/05\/Request-for-Courtesy-Review.pdf\">Request for professional courtesy review<\/a><\/li>\n<li>Form 6:\u00a0<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2018\/10\/Site-and-Soil-Evaluation.pdf\">Site and soil evaluation report<\/a><\/li>\n<li>Form 7: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2016\/05\/Construction-Drawing.pdf\">Example construction drawing page<\/a><\/li>\n<li>Form 7W: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2018\/07\/Well-Permit-Application-Construction-Drawing.pdf\">Example Well Only construction drawing page<\/a><\/li>\n<li>Form 8: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2016\/05\/System-Specifications.pdf\">Example system specifications worksheet<\/a><\/li>\n<li>Form 9: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2016\/05\/Well-Specifications.pdf\">Example private well specification worksheet<\/a><\/li>\n<li>Form 10: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2016\/05\/Well-Abandonment-Specifications.pdf\">Example private well abandonment specification worksheet<\/a><\/li>\n<li>Form 11: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2016\/05\/Request-for-Survey-Waiver.pdf\">Request for Survey Waiver<\/a><\/li>\n<li>Form 12: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2016\/05\/Verification-of-Sewage-System-Location.pdf\">Verification of Sewage System Location<\/a><\/li>\n<li>Form 13: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2016\/05\/Refund-Affidavit.pdf\">Refund Affidavit<\/a><\/li>\n<li>Form 14: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2018\/02\/Condition-Assessment-02-20-2018.docx\">Condition\u00a0Assessment<\/a><\/li>\n<li>Form 15: <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2016\/05\/PERMIT-TRANSFER-FORM-dst.pdf\">Permit Transfer Form<\/a><\/li>\n<li>Form 16 <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/20\/2019\/09\/Completion-Statement-9-19-19.pdf\">Completion Statement<\/a><\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Form 1: Application for a Sewage Disposal System and\/or Private Well Construction Permit Form 2: Cover Page Form 2W: Well Only Cover Page Form 3: OSE\/PE inspection form Form 4: Example request for subdivision review Form 5: Request for professional courtesy review Form 6:\u00a0Site and soil evaluation report Form 7: Example construction drawing page Form [&hellip;]<\/p>\n","protected":false},"author":172,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-885","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GMP 2017 - 01 Forms - Environmental Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/environmental-health\/gmp-2015-01-forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"GMP 2017 - 01 Forms - Environmental Health\" \/>\n<meta property=\"og:description\" content=\"Form 1: Application for a Sewage Disposal System and\/or Private Well Construction Permit Form 2: Cover Page Form 2W: Well Only Cover Page Form 3: OSE\/PE inspection form Form 4: Example request for subdivision review Form 5: Request for professional courtesy review Form 6:\u00a0Site and soil evaluation report Form 7: Example construction drawing page Form [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.vdh.virginia.gov\/environmental-health\/gmp-2015-01-forms\/\" \/>\n<meta property=\"og:site_name\" content=\"Environmental Health\" \/>\n<meta property=\"article:modified_time\" content=\"2025-02-05T15:49:03+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/environmental-health\\\/gmp-2015-01-forms\\\/\",\"url\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/environmental-health\\\/gmp-2015-01-forms\\\/\",\"name\":\"GMP 2017 - 01 Forms - Environmental Health\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/environmental-health\\\/#website\"},\"datePublished\":\"2016-05-10T15:00:06+00:00\",\"dateModified\":\"2025-02-05T15:49:03+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/environmental-health\\\/gmp-2015-01-forms\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.vdh.virginia.gov\\\/environmental-health\\\/gmp-2015-01-forms\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/environmental-health\\\/gmp-2015-01-forms\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/environmental-health\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"GMP 2017 &#8211; 01 Forms\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/environmental-health\\\/#website\",\"url\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/environmental-health\\\/\",\"name\":\"Environmental Health\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/environmental-health\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"GMP 2017 - 01 Forms - Environmental Health","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.vdh.virginia.gov\/environmental-health\/gmp-2015-01-forms\/","og_locale":"en_US","og_type":"article","og_title":"GMP 2017 - 01 Forms - Environmental Health","og_description":"Form 1: Application for a Sewage Disposal System and\/or Private Well Construction Permit Form 2: Cover Page Form 2W: Well Only Cover Page Form 3: OSE\/PE inspection form Form 4: Example request for subdivision review Form 5: Request for professional courtesy review Form 6:\u00a0Site and soil evaluation report Form 7: Example construction drawing page Form [&hellip;]","og_url":"https:\/\/www.vdh.virginia.gov\/environmental-health\/gmp-2015-01-forms\/","og_site_name":"Environmental Health","article_modified_time":"2025-02-05T15:49:03+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.vdh.virginia.gov\/environmental-health\/gmp-2015-01-forms\/","url":"https:\/\/www.vdh.virginia.gov\/environmental-health\/gmp-2015-01-forms\/","name":"GMP 2017 - 01 Forms - Environmental Health","isPartOf":{"@id":"https:\/\/www.vdh.virginia.gov\/environmental-health\/#website"},"datePublished":"2016-05-10T15:00:06+00:00","dateModified":"2025-02-05T15:49:03+00:00","breadcrumb":{"@id":"https:\/\/www.vdh.virginia.gov\/environmental-health\/gmp-2015-01-forms\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.vdh.virginia.gov\/environmental-health\/gmp-2015-01-forms\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.vdh.virginia.gov\/environmental-health\/gmp-2015-01-forms\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.vdh.virginia.gov\/environmental-health\/"},{"@type":"ListItem","position":2,"name":"GMP 2017 &#8211; 01 Forms"}]},{"@type":"WebSite","@id":"https:\/\/www.vdh.virginia.gov\/environmental-health\/#website","url":"https:\/\/www.vdh.virginia.gov\/environmental-health\/","name":"Environmental Health","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.vdh.virginia.gov\/environmental-health\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/www.vdh.virginia.gov\/environmental-health\/wp-json\/wp\/v2\/pages\/885","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vdh.virginia.gov\/environmental-health\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.vdh.virginia.gov\/environmental-health\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.vdh.virginia.gov\/environmental-health\/wp-json\/wp\/v2\/users\/172"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vdh.virginia.gov\/environmental-health\/wp-json\/wp\/v2\/comments?post=885"}],"version-history":[{"count":21,"href":"https:\/\/www.vdh.virginia.gov\/environmental-health\/wp-json\/wp\/v2\/pages\/885\/revisions"}],"predecessor-version":[{"id":19177,"href":"https:\/\/www.vdh.virginia.gov\/environmental-health\/wp-json\/wp\/v2\/pages\/885\/revisions\/19177"}],"wp:attachment":[{"href":"https:\/\/www.vdh.virginia.gov\/environmental-health\/wp-json\/wp\/v2\/media?parent=885"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vdh.virginia.gov\/environmental-health\/wp-json\/wp\/v2\/tags?post=885"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}