Engineering Forms & Info

For your convenience, the forms provided here are in PDF format which you can view, fill in on-screen, and print. Please contact DPU at 804-365-6024 with questions.
 

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

  Please contact DPU at 804-365-6024 with questions.
   

  
  PDF 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
  This form is needed to begin construction on projects approved by Department of Public Utilities.
   
• Construction Record
  PDF 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
  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
    
  Industrial & Strong Waste Survey Form
  PDF Format
   
  Industrial & Strong Waste Survey Form Additional Information
  PDF Format

• Water Meter Sizing Form
  PDF 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

• Building Permit Requirements
  PDF Format
  

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

1. Click on a form title listed above.
2. While viewing the form on-screen, fill-in required information.
3. Click on the Print button or select Print from the File menu.
4. 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