Get Existing Cesspool Information Form - Hawaii Department Of Health

The Existing Cesspool Information Form is a crucial document required by the Hawaii Department of Health for maintaining records of cesspools. This guide provides comprehensive, step-by-step instructions on how to accurately fill out the form online, ensuring compliance and facilitating the documentation process.

Follow the steps to complete the form accurately.

1. Use the 'Get Form' button to access the Existing Cesspool Information Form and open it for editing.
2. Begin by entering the Tax Map Key (TMK) for the property, which is a unique identifier for land parcels in Hawaii.
3. Input the lot number associated with the property, which helps in identifying the specific area within the TMK.
4. Provide the Individual Wastewater System (IWS) Permit Number. This number is essential for compliance with local regulations.
5. Fill in the property owner's name in the designated field to identify who is responsible for the cesspool.
6. Indicate the number of bedrooms in the property, which may be relevant for assessing the cesspool's capacity.
7. Enter the project address, including the street name and number, to specify where the cesspool is located.
8. Fill in the city name where the property is situated, ensuring accurate geographical identification.
9. Provide the name of the engineer and contractor involved in the project. This information is vital for verification and communication.
10. Record the distance from the building to the cesspool in feet, as this may impact the cesspool’s performance and safety.
11. Measure the distance from the cesspool to the property line in feet, as required by local regulations.
12. Indicate the cesspool diameter in feet, which is necessary for size assessment.
13. Enter the cesspool cover diameter in feet for safety and maintenance considerations.
14. Document the cesspool depth in feet, measured from the inlet piping to the bottom of the cesspool.
15. Select whether access is provided for the cesspool by circling 'Yes' or 'No'.
16. If applicable, indicate whether the cesspool has a 6-inch inspection port with a cap to grade by circling 'Yes' or 'No'.
17. Specify the type of lining used if required, and enter the size of the access opening in inches.
18. Record the distance from the finished ground to the top of cover in feet.
19. Indicate whether there is water in the cesspool by circling 'Yes' or 'No'. If 'Yes', specify the distance from the inlet piping to the water level in feet.
20. Enter the date when the cesspool was inspected by the engineer or contractor.
21. The inspecting engineer or contractor must confirm the cesspool’s condition by providing their license number and signing the form.
22. Ensure to provide a plot plan in the space provided to visually depict the cesspool's location and arrangement.
23. Finally, save your changes, and you may choose to download, print, or share the completed form as needed.

Complete the Existing Cesspool Information Form online to ensure compliance with health regulations.