REGULATIONS
Vol. 32 Iss. 13 - February 22, 2016

TITLE 12. HEALTH
STATE BOARD OF HEALTH
Chapter 640
Forms

REGISTRAR'S NOTICE: Forms used in administering the following regulation have been filed by the State Board of Health. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, General Assembly Building, 2nd Floor, Richmond, Virginia 23219.

Title of Regulation: 12VAC5-640. Alternative Discharging Sewage Treatment Regulations for Individual Single Family Dwellings.

Contact Information: Marcia Degen, Office of Environmental Health Services, Department of Health, 109 Governor Street, Richmond VA 23219, telephone (804) 387-1883, or email marcia.degen@vdh.virginia.gov.

FORMS (12VAC5-640)

Combined Application-Virginia Department of Health Discharging System Application for Single Family Dwellings Discharging Sewage Less Than or Equal to 1,000 Gallons Per Day and State Water Control Board Virginia Pollutant Discharge Elimination System General Permit Registration Statement for Domestic Sewage Discharges Less Than or Equal to 1,000 Gallons Per Day (rev. 9/2011)

Permit Transfer under 12 VAC 5-640-220.E (undated)

Completion Statement (undated)

Combined Application-Virginia Department of Health Discharging System Application for Single Family Dwellings Discharging Sewage Less Than or Equal to 1,000 Gallons Per Day and State Water Control Board Virginia Pollutant Discharge Elimination System General Permit Registration Statement for Domestic Sewage Discharges Less Than or Equal to 1,000 Gallons Per Day (rev. 4/2014)

Permit Transfer under 12 VAC 5-640-220.E (rev. 2/2016)

Completion Statement (rev. 4/2014)

VA.R. Doc. No. R16-4632; Filed February 3, 2016, 2:10 p.m.