Documents and Forms

Find Environmental Health Permitting Forms & Documents

Update as of Dec 2025: ** iPhone users: Please note that you will need the Acrobat Reader app from Adobe (free) to submit a fillable pdf. Go to https://www.adobe.com/acrobat/mobile.html for more information. 

Fee Schedule

Download the Fee Schedule as of Feb. 1, 2024

Food Safety Program

Visit the Food Safety Program Web page for all documents. 

Drinking Water Program

• Water Availability Verification (Public WS)
  • SOLICITUD DE VERIFICACIÓN DE LA DISPONIBILIDAD DE AGUA (ES)
  • APLIKASYON SA PAGPAPATUNAY NG PAGKAKAROON NG TUBIG (TL)
• Water Availability Verification (Individual Well)
  • SOLICITUD DE VERIFICACIÓN DE DISPONIBILIDAD DE AGUA - INDIVIDUALES (ES)
  • APLIKASYON SA PAGPAPATUNAY NG PAGKAKAROON NG TUBIG - INDIBIDWAL (TL)
• Where Should I Site My Well?
• Application for Well Site Inspection
  • SOLICITUD DE INSPECCIÓN DEL LUGAR DE PERFORACIÓN DE UN POZO (ES)
  • APLIKASYON PARA SA PAG-INSPEKSYON SA LUGAR NG BALON (WELL) (TL)
• Two-Party Water System Guide For Approval
  • GUÍA PARA LA APROBACIÓN DE UN SUMINISTRO PÚBLICO DE AGUA PARA POZOS DE DOS PARTES
  • GABAY PARA SA PAG-APRUBA NG PAMPUBLIKONG SUPLAY NG TUBIG PARA SA DALAWANG-PARTIDONG BALON
• Group B Water System Guide for Approval
• Certificate of Water Availability for New Water Systems
• Water System Application
• Certification of Inspection and Installation
  • CERTIFICACIÓN DE INSPECCIÓN E INSTALACIÓN DE UN SISTEMA DE AGUA DE DOS PARTES
  • SERTIPIKASYON NG PAG-INSPEKSYON AT PAG-INSTALL NG DALAWANG PARTIDONG SISTEMA NG TUBIG
• Water Conservation Guidelines
• Satellite Management Agencies (SMAs)

Onsite Sewage (Septic) Program

Licensed Septic Industry

• Island County Septic Professionals List

Forms for Licensed Professionals only

• Application for Site Evaluation (Soil Testing)
  • SOLICITUD DE EVALUACIÓN DEL LUGAR DE PERFORACIÓN (ANÁLISIS DEL SUELO)
  • APLIKASYON PARA SA PAGTATASA SA LUGAR (PAGSUSURI SA LUPA)
• Site Registration
• Septic Permit
  • New Construction/Conforming Repair Septic Permit
  • Non-Conforming Repair Septic Permit
  • Universal Plot Plan 
  • OSS Permit Contact Sheet
• Island County Septic Waiver
• State Septic Waiver
• Island County Agent Authorization Form
• Installer Statement of Compliance - to be submitted with the Septic Asbuilt
• Conforming OSS Locate
• Unknown Onsite Locate/Evaluation 
• Abandonment of Sewage Tanks
• Offsite Drainfield Easement

Onsite Sewage Licensing Information

On-Site Wastewater Designer

• Department of Licensing licenses for On-Site Wastewater Designers.
• Primary Drip Design Parameters

Septic Installer

• Procedures for becoming a licensed Septic Installer
• Exam Application
• After Passing Installer Exam Procedures
• Commercial Installer's Bond and/or Maintenance Service Provider Specialist's Bond
• Septic Installer Application
• Copy of your current Contractor's License

Maintenance Service Provider (MSP) 

• Procedures for becoming a licensed Maintenance Service Provider
• Exam Application
• After Passing MSP Exam Procedures
• Commercial Installer's Bond and/or Maintenance Service Provider Specialist's Bond
• Maintenance Service Provider Application - After Passing the exam

Island County Sewage and/or Waste Remover (Septic Pumper)

• Procedures for becoming a licensed Sewage and/or Waste Remover (Pumper)
• Sewage and/or Waste Removers (Pumper) License Application
• $2000 Septic Tank Pumper's Bond (For Septic Pumpers only). If you are also a licensed Island County Septic Installer or MSP, this bond is not required.

 Homeowner Information

• Complaint Investigation Request (Complaint Form)
• Homeowner Evaluation Form
• Homebuyer's Guide to Septic Systems
  • Guía Sobre Sistemas Sépticos Para Compradores De Casas Nuevas
  • Gabay ng Bagong Mamimili ng Bahay para sa Mga Septic System
• Septic System Deficiencies Explained
  • Explicación de las deficiencias del sistema séptico
  • Paliwanag sa Mga Kakulangan sa Sistema ng Septic
• Landscaping Your Drainfield
  • Cómo diseñar el jardín en el área del campo de drenaje séptico
  • Pag-landscape ng Iyong Drainfield
• Maintaining Your On-site Septic System Brochure
• Septic System Failures Brochure
• Island County Septic System Permitting Process Brochure
• Island County Septic System Permitting Archeology Guide

Get to Know Your ...

• Septic Tank
• Conventional Drainfield
• Pressure Distribution System
• Sand Filter System
• Aerobic Treatment Units (ATU)
• Drip Distribution System

Land-Use Program

• Plat Approval Requirements for Drinking Water
• Plat Approval Requirements for Sewage Disposal

Animal Bites

• Animal Bite Form
  • Reporte de mordudura de animal (ES)
  • ULAT NG KAGAT NG HAYOP (TL)

Outdoor Burn Program

Burn permits must be submitted in person at our Coupeville or Camano Island office.

• Burn Permit Application
  • Permiso de quema
  • Pahintulot sa Pagsusunog