Application Forms
Some application forms are available in two formats: eForm and PDF. The
eForm format is an MS Word document that can be filled in on-screen and
then printed for signing. The PDF format requires that the Adobe Acrobat
Reader be installed on your computer. The PDF file must be printed and
then filled in and signed.
Mail or deliver completed application forms to:
Hanover County Public Works
P.O. Box 470
Hanover, VA 23069
If you have any questions Public Works can be reached by calling 804-365-6181
or by emailing jmflagg@co.hanover.va.us.
Environmental Application Forms
Project Information and Tracking Sheet (for use with all site plans, commercial subdivision plans, residential subdivision plans, or erosion and sediment control plans)
This form must be provided with the initial submission of a site plan, commercial subdivision plan, residential subdivision plan, or erosion and sediment control plan. An updated form should be provided with subsequent plan submissions if any of the information changes as projects proceed through the plan approval process. The information on the Project Information and Tracking Sheet allows the Department of Public Works to track important information about your project.
Erosion and Sediment Control and Chesapeake Bay Permit Application (for use with the building permit application for single family dwelling or accessory structure.)
This application form is required with the building permit application
for construction of a single family dwelling or accessory structure. The
form requires applicant information, the attachments listed on the form,
and identification of the areas of impervious cover for the site.
In addition, the application form includes an "Agreement in Lieu
of Erosion and Sediment Control Plan", which requires identification
of the Responsible Land Disturber. The form also provides for a County
determination of Chesapeake Bay Preservation compliance, for qualified
applicants.
Security Forms (required for issuance of most Erosion & Sediment
Control Permits)
Security documents secure performance obligations pursuant to the Erosion
and Sediment Control laws and regulations. Three different types of security
are available to applicants: letters of credit, surety bonds, and cash
bonds. Approved security is required for an Erosion and sediment Control
Permit, except for certain single family dwellings and accessory buildings.
The "Instructions" document provides more detail as to requirements
for use of these forms.
Water Quality Impact Assessment (for use with applications for
approval of site plans, subdivision plans, and other land disturbance
activities)
This form is required for most development approvals. More detail relating
to the requirements is available in the Hanover
County Code, Chapter 10, Article II, Chesapeake Bay Preservation.
The form requires applicant information, site-specific environmental information,
and certain attachments.
In addition, the Water Quality Impact Assessment form includes certifications
relating to a site-specific perennial flow and wetlands determination.
Land Disturbance Permit Application (for use with all regulated
land disturbance activities)
This application form is required for land disturbance activities that
are (1) equal to or greater than 2,500 square feet in a Chesapeake Bay
Preservation Area or (2) equal to or greater than 10,000 square feet in
a non-Chesapeake Bay Preservation Area, except those activities allowed
under the single family building or accessory structure permit.
Permit approval requires: an Erosion and Sediment Control Plan prepared
by a qualified professional, a Water Quality Impact Assessment, including
the delineation of wetlands and Chesapeake Bay Preservation Areas, and
security in an amount approved by the Department of Public Works, to cover
the cost of the required Erosion and Sediment Control measures.
Exception Request Application (for use when requesting an exception
to the County's Chesapeake Bay Preservation ordinance, $400 fee when public
hearing is required)
The County Code provisions relating to Chesapeake Bay Preservation allow
exceptions to the requirements in limited circumstances. The Exception
form must be submitted in order for such an exception to be considered
by the Director or the Planning Commission, as applicable.
The Exception Request Application requires applicant information, certain
attachments, and information as to the circumstances on which the request
is based. Some exception requests require review of the Planning Commission,
which may act only following a public hearing.
Vesting Determination Application (for use when requesting a vested
rights determination under the County's Chesapeake Bay Preservation ordinance)
The county Code provisions relating to Chesapeake Bay Preservation allow
an applicant to request a vested rights determination in certain circumstances.
The Vesting form must be submitted in order for vested rights to be considered
by the Director.
The Vesting Determination Application requires applicant information,
certain attachments and information as to the status of the development
on which the determination request is based. Vesting determinations are
evaluated on a case-by-case basis.
Septic Tank Pump-out Program Forms
- Compliance Letter
 - This form can be filled out and sent to us by email or US Postal Service. Be sure to fill out your name, address and phone number on the bottom of the form. We request your phone number in case there are any questions about the information.
- Checklist - This is a useful form for you to print off and keep for your records. It is a convenient way to organize your maintenance records for your septic tank.
- FAQ - Provides answers to frequently asked questions about the program.
- Brochure - This is an informational brochure about septic tanks.
Solid Waste Application Forms
No Charge Residential Waste Account
Approval of this application allows County citizens to dispose of up to
4000 lbs. of residential solid waste, other than construction or
demolition waste, at no charge, in an oversized vehicle or trailer.
Solid Waste Disposal Charge Account
This application form must be filed to apply for a charge account
that is required for a Waste Account for commercial users.
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