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 Certification Form
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.
- Construction Permit
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 Asset Form
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.)
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 
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
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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