Act 537 Sewage Facilities
Program Administration Electronic Forms

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Act 537 Local Agency Program Evaluation Questionnaire(3800-FM-WSWM0092,  Rev. 7/2004)
bulletAvailable from the eLibrary.
Used by DEP personnel when conducting evaluations of Local Agency performance as authorized in Title 25, Pa. Code, Section 72.43.

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Activity Record for Enforcement of Act 537 (3800-FM-WSWM0039, Rev. 4/2001)
bulletAvailable from the eLibrary.
Used by SEO's to record program activities.

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Application For Act 537 Sewage Facilities Planning Assistance  (3800-FM-WSWM0009, Rev. 5/2001)
bulletAvailable from the eLibrary.
Used by local municipalities to apply for an assistance grant to offset costs associated with Act 537 Official Plan preparation.

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Application for Reimbursement for Enforcing the Pennsylvania Sewage Facilities Act (3800-FM-WSFR0280, 11/2005)
bulletAvailable from the eLibrary.
Used by local municipalities when applying for the annual reimbursement for expenses incurred during permit-related, malfunction, complaint investigation activities, etc.

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Application for Reimbursement of Expenses for Sewage Management Program Administration Under the Pennsylvania Sewage Facilities Act, Act 537 (3800-FM-WSFR0284, 11/2005)
bulletAvailable from the eLibrary.
Used by local municipalities to apply annually for reimbursement of costs associated with Act 537 permitting and enforcement activities

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Bonded Disposal System Confirmation (3800-FM-WSWM0148, Rev. 5/2001)
bulletAvailable from the eLibrary.
Used to assist local municipalities and landowners to meet the requirements of Bonded Disposal Systems.

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Experimental Drip Irrigation System Monitoring Record (3800-FM-WSWM0159, 12/2001)
bulletAvailable from the eLibrary.

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Field Narrative Form (3800-FM-WSWM0282, 6/2001)
bulletAvailable from the eLibrary.
Used by DEP staff (optional) to record field information, investigations, inspections or other similar activities.

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Municipal Request for Pennsylvania Natural Diversity Inventory (PNDI) Data (3800-FM-WSWM0001, 9/2002)
bulletAvailable from the eLibrary.
Used by local municipalities and their consultants to request Pennsylvania Natural Diversity Inventory (PNDI) Data when preparing an Act 537 Official Plan Update Revision.

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Pre-Qualification for Increased Municipal Reimbursement and New Land Development Planning Review Delegation (3800-PM-WSWM0081, Rev. 2/2002)
bulletAvailable from the eLibrary.
Used by municipal officials and DEP staff to document qualification for increased reimbursement for administering Act 537 and/or to document qualification for delegation of Sewage Facilities Act new land development planning review authority.

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SEO Major Evaluation Report Form (3800-FM-WSWM0093, Rev. 9/2004)
bulletAvailable from the elibrary.
Used by DEP personnel when conducting evaluations of SEO performance as authorized in Title 25, Pa. Code, Section 72.43.

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SEO Minor Evaluation Report Form (3800-FM-WSWM0094, 9/2004)
bulletAvailable from the elibrary.
Used by DEP personnel when conducting evaluations of SEO performance as authorized in Title 25, Pa. Code, Section 72.43.

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Site Investigation And Percolation Test Report For Onlot Disposal Of Sewage (3800-FM-WSWM0290A, 10/2003)
bulletAvailable from the eLibrary.
This form is to be utilized to record the results of site testing for installation of an onlot system.

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Task/Activity Report (3800-FM-WSWM0005, 1/2004)
bulletAvailable from the eLibrary.
Used by consultants and municipal officials to submit estimates of activities and costs anticipated for preparation of an Act 537 Plan Update Revision for DEP for review and approval.

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Verification Of Prior Testing (3800-FM-WSWM0290B, Rev. 9/2001)
bulletAvailable from the eLibrary.
Used by SEOs to verify prior soils testing conducted by another SEO.

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