Engineering Forms & Info
 For your convenience, the forms provided here are in both PDF and MS Word formats which you can view, fill in on-screen, and print.
Construction Related Forms
Required Plan Notes
Building Permit Requirements
Information On Using These Forms
Construction Related Forms
- Commercial Account Sub-classification Code System
PDF Format 
The account sub-classification code system is designed to manage industrial and commercial customers based upon two-letter codes that represent the nature of their discharge.
- Backflow Prevention Device Certification
PDF Format / MS Word Format
This form is needed when testing a backflow device to ensure
that it is operating in accordance with the manufacturer's
specifications.
- Utility Construction Permit Application
PDF Format/ MS Word Format
This form is needed to begin construction on projects approved by Department of Public Utilities.
- Construction Record
PDF Format/ MS Word Format
This form outlines the responsibility of Developer versus the Department of Public Utilities in regard to a specific project.
- Dedicated Capital Assets List
PDF Format
/ MS Word Format
This form is needed to summarize cost incurred during construction that will be dedicated to the County.
- Food Service and Industrial and Strong Waste Forms
These forms are needed to determine type of business.
(For additional information see:
- Food Service Wastewater Discharge,
- Strong Waste Brochure.)
Food Service Waste Survey Form Additional Information
PDF Format / MS Word Format
Industrial & Strong Waste Survey Form
PDF Format / MS Word Format
Industrial & Strong Waste Survey Form Additional Information
PDF Format / MS Word Format
- Water Meter Sizing Form
PDF Format / MS Word Format
This form is needed when customers are adding fixtures to existing structures, new structures or adding an irrigation system (commercial only).
Department of Public Utilities - Building Permit Requirements
Required Plan Notes
- Sequence of Construction, Testing, and Flushing of New Waterline
PDF Format
Required on all construction plans that include water main construction.
- Standard Sewer and Water Notes
Notes Page 1 PDF Format
Notes Page 2 PDF Format
Required on all construction plans that include water main and/or sanitary sewer construction.
Information On Using These Forms
- Click on a form title listed above.
- While viewing the form on-screen, fill-in required information.
- Click on the Print button or select Print from the File menu.
- Hand-carry or Mail the completed form accompanied by a check
or money order for any applicable fee(s) to our office:
Public Utilities
P.O. Box 470
7516 County Complex Road
Hanover, VA 23069-0470
Questions Or Comments
Call (804) 365-6024, Fax (804) 365-6245, or Email us: PublicUtilities@co.hanover.va.us
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