Monroe County, MI · Monroe County
Site Assessment Application Form
This application lets property applicants provide information for a site assessment, including property details, water supply, and proposed split assessment.
At a glance
- Issued by
- City of Monroe County · Monroe County, Monroe County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- co.monroe.mi.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form to provide information for a site assessment and indicate whether a general assessment is requested for a proposed split. It asks for applicant and property details, such as the property address, tax roll number, acreage, lot dimensions, bedrooms, and water supply. The form also lists fees for site assessment, re-boring, and plan review, without stating amounts.
Who needs it
Applicants seeking a site assessment for property in Monroe County can use this form to provide the requested applicant and property information.
How to submit it
The form lists the Monroe County Health Department Environmental Health Division at 2353 South Custer, Monroe, MI 48161, and fax (734) 240-7948.
About notarization
This document is signed and dated without a notary; the signer confirms the information and owner permission for soil borings, with no notarized attachment stated.
How to submit this form
- 1
Download the Application
Download the Site Assessment Application Form.
- 2
Complete the Form
Print or type the applicant and property information, indicate the water supply and assessment choices, then sign and date.
- 3
Review Soil Boring Information
See the attached Site Assessment for specific soil boring information.
- 4
Send the Form to the County
Use the Environmental Health Division address or fax number listed on the form.
Frequently asked questions
- What is the Site Assessment Application for?
- It collects applicant and property information for a site assessment, including details about the property, water supply, and whether a general assessment is requested for a proposed split.
- Who fills out this application?
- The applicant provides contact and property details, signs and dates the form, and confirms that the information is accurate and the owner has permitted soil borings.
- Do I need a notary for the Site Assessment Application?
- No. This document is signed and dated without a notary; the signer confirms the information and owner permission for soil borings, and no notarized attachment is stated.
- How do I submit the Site Assessment Application?
- The form lists the Monroe County Health Department Environmental Health Division at 2353 South Custer, Monroe, MI 48161, and fax (734) 240-7948.