Berrien County, MI · Berrien County
Application for Water Supply/Sewage System Evaluation
Berrien County property owners or their representatives use this application to request an evaluation of a home’s water supply, sewage system, or both.
At a glance
- Issued by
- City of Berrien County · Berrien County, Berrien County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- berriencounty.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request an evaluation of a property’s water supply, sewage system, or both. It asks for applicant and owner contact information, home and property details, and information about the water supply and sewage system. The form also includes a property sketch and fee options; incomplete requests are returned, and arrangements or inspections wait until all information and documentation are received.
Who needs it
A property owner or person requesting the evaluation on the owner’s behalf should complete this application for a water supply, sewage system, or combined evaluation.
How to submit it
Submit by email to [email protected], as shown on the form. The form also lists Berrien County Health Department addresses in Benton Harbor and Niles.
About notarization
This application is signed and dated without a notary; if the septic tank has not been pumped within six months, a licensed hauler must pump it and submit a pumper report.
How to submit this form
- 1
Download the Application
Download the Water Supply/Sewage System Evaluation Application.
- 2
Complete the Application
Provide applicant and owner contact details, property information, water supply and sewage system details, and the requested evaluation type.
- 3
Gather Required Documentation
Include the information and documentation needed for a complete request. If the septic tank has not been pumped within six months, obtain a pumper report from a licensed hauler.
- 4
Submit to the County
Email the completed application to [email protected].
Frequently asked questions
- What does the Water Supply/Sewage System Evaluation Application request?
- It requests an evaluation of a property’s water supply, sewage system, or both. The application collects contact, home, system, and property sketch information.
- Do I need a notary for the Water Supply/Sewage System Evaluation Application?
- No. The application asks for a signature and date, not notarization. If the septic tank has not been pumped within six months, a licensed hauler must pump it and submit a pumper report.
- How do I submit the Water Supply/Sewage System Evaluation Application?
- Email the application to [email protected], the submission email printed on the form. The form also lists Health Department addresses in Benton Harbor and Niles.