Surface Water Supply System Permit

For those wanting to install a surface water supply system. Please complete the enclosed form and return with applicable fee.

Surface Water Supply System Permit

Steps

  1. 1. Page 1
  2. 2. Page 2
  • Page 1

    1. Livingston County Health Department
    2. APPLICATION FOR SURFACE WATER SUPPLY SYSTEM PERMIT
    3. Permit Fee: $100.00
    4. 3. Water Treatment System (check one):
    5. Minimum Sand Surface Area:
    6. Water Storage Tank:
    7. ☐ Cartridge Filtration:
    8. 4. Disinfection (check one):
    9. ☐ Chlorine (Hypochlorinator)
    10. ☐ Ultraviolet Disinfection
    1. Environmental Health


      Mailing Address
      310 E Torrance Avenue
      Pontiac, IL 61764

      Phone: 815-842-5916
      Fax: 815-842-4070