*These forms can be emailed to chesterfield_eh@vdh.virginia.gov.
Once the application has been submitted, please call (804)-748-1691 to pay the $40 fee (effective July 1, 2011) using Visa or Master card. Payments may also be received by mail or in person at
9501 Lucy Corr Circle
Chesterfield, VA 23832
Fees effective as of July 1, 2011
| Program | Plan Review Fee | Annual Permit Fee |
| Hotels/Motels | $40 | $40 |
| Restaurants | $40 | $40 |
| Summer Camps | $40 | $40 |
| Campgrounds | $40 | $40 |
| Temporary Food Permit | $40 Annual Permit Fee | |
| Hotel, Summer Camp, Campground, & Migrant Labor Camp Applications, Forms, & Regulations | |
| Name: | Description: |
| Hotel Permit Application | Application for a Virginia Department of Health Hotel |
| Hotel Plan Review Application | Application for a Hotel Plan Review |
| Sanitary Regulations for Hotels | Virginia Department of Health Sanitary Regulations for Hotels |
| Chapter 460. Regulations Governing Tourist Establishment Swimming Pools and Other Public Pools | Virginia Department of Health Regulations for Tourist Establishment Swimming Pools |
| Chapter 462. Swimming Pool Regulations Governing the Posting of Water Quality Test Results | Virginia Department of Health Regulations for Posting Water Quality Test Results |
| Campground Application | |
| Onsite Sewage (Septic) & Well Water Program | |
| Name: | Description: |
| Commonwealth of VA Septic & Well Application | Application for Sewage System & Water Supply |
| SAP Application | Safe, Adequate, & Proper (SAP) Application |
| Survey Plot Waiver | Request for a Waiver to the Survey Requirement |
| Verification of System Location | Documentation Verifying Sewage System Location |
| Temporary Pump & Haul | Application for Pump & Haul |
| Sewage Handler | Application for Sewage Handling Permit |
| Find an Operator, OSE | VDH Septic System & Private Well Service Providers |
| VDH Water Services | VDH Description of On-Site Water & Wastewater Services |
| Regulations & Current Regulatory Activity | VDH Regulations & Current Regulatory Activity |
| APPLICATION TYPE | FEE (effective July 1, 2019) |
| Certification letter with OSE/PE documentation, < = 1,000 gpd | $370 |
| Certification letter with OSE/PE documentation, > = 1,000 gpd | $1,450 |
| Construction permit for only onsite sewage system with OSE/PE documentation, < = 1,000 gpd | $275 |
| Construction permit for only onsite sewage system with OSE/PE documentation, > = 1,000 gpd | $1,450 |
| Private well only, with or without OSE/PE documentation | $300 |
| Repair permit for a treatment works, < 1,000 gpd with OSE/PE documentation | $225 |
| Repair permit for a treatment works, > 1,000 gpd with OSE/PE documentation | $1,400 |
| Voluntary Upgrade for a treatment works, < 1,000 gpd with OSE/PE documentation | $225 |
| Voluntary Upgrade for a treatment works, > 1,000 gpd with OSE/PE documentation | $1,400 |
| Safe, adequate, and proper evaluation with OSE/PE/Installer/Operator Documentation | $100 |