Forms - Lake County, IL

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	Health Department County Forms

Closed Loop Well Construction Notification (PDF format 17KB)
Acknowledgement for Closed Loop Well Construction
Date: 5/28/2010
Collecting Water Samples for Bacteriological Analysis (PDF format 31KB)
Steps for Collecting Water Samples for Bacteriological Analysis
Date: 6/18/2010
FOIA - Freedom of Information Act Form (PDF format 32KB)
Please use this form for FOIA requests related to Lake County Health Department programs and services. Additional FOIA information can be found at: http://www.lakecountyil.gov/foia
Date: 1/21/2010
Food and Beverage Vending Companies Permit Application (PDF format 58KB)
Food and Beverage Vending Companies Permit Application
Date: 6/18/2010
Food Service Permits - Change of Owner (PDF format 241KB)
Change of owner permit application
Date: 12/7/2011
Food Service Permits - New Food Facility (PDF format 156KB)
New food facility permit application
Date: 12/7/2011
Food Service Permits - Plan Review (PDF format 240KB)
Food service facility plan review application
Date: 12/7/2011
Individual Sewage Disposal Construction Permit Application (PDF format 36KB)
Individual Sewage Disposal Construction Permit Application
Date: 5/28/2010
Individual Sewage Disposal Permits (PDF format 17KB)
Application for individual sewage disposal
Date: 5/28/2010
Individual Sewage Disposal Procedure Guide (PDF format 177KB)
Individual Sewage Disposal Procedure Guide
Date: 3/17/2011
Instructions/Options for Certificate of Septic Field Restrictions and Land Covenants (PDF format 8KB)
Required for Approval of Individual Sewage Disposal File
Date: 12/28/2010
Non-Complying Water System Notification (PDF format 20KB)
Non-Complying Water System Notification Form
Date: 5/28/2010
Private Water Supply and Sewage Disposal Evaluation Application (PDF format 23KB)
Private Water Supply and Sewage Disposal Evaluation Application
Date: 5/28/2010
Property Alteration Request (PDF format 32KB)
Property Alteration Request Form
Date: 5/28/2010
Site Monitoring Request for ISD (PDF format 74KB)
Site Monitoring Request Form for Individual Sewage Disposal
Date: 12/28/2010
Soil and Site Evaluation Form (PDF format 133KB)
Soil and Evaluation Form for individual Sewage Disposal
Date: 7/19/2011
Soil and Site Evaluation Form Instructions (PDF format 54KB)
Soil and Site Evaluation Form Instructions for Individual Sewage Disposal
Tobacco Sales Application (PDF format 52KB)
Application for tobacco sales permit
Date: 6/18/2010
Water Well Construction and Sealing Permit Application (PDF format 179KB)
Application for water well permits
Date: 5/28/2010
Well Sealing Completion Form (PDF format 290KB)
Well Sealing Completion Form
Date: 5/28/2010

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