On-Site Sewage Disposal Site Evaluation Form

Use this if you want to see if a parcel of vacant land 'percs'

To avoid delays, revisits and the possibility of evaluation of the wrong property, your application must include the following information and be accompanied by a check or money order for the correct fee amount. 

You must supply the following INFORMATION:

  • property tax number - may be obtained from your property tax bill or receipt, Township Office, or County Equalization Office
  • subdivision and lot number, if applicable
  • township and section number
  • driving directions to site - including road name, distance and direction in feet or 1/10 mile from nearest road

You must supply a SITE PLAN that shows:

  • landmarks - building, trees, fences, signs, etc.
  • property dimensions
  • site location to be tested

Complete this field work PRIOR to our site visit:

  • mark lot corners and lot lines
  • flag the lot so it is easily identifiable from the road
  • flag the area you would like us to evaluate
  • Miss Dig (800-482-7171) MUST be called and site flagged prior to our arrival

Benzie County Form
Leelanau County Form

As of January 1, 2018 the Health Department is no longer accepting credit cards.