Title 5 Septic System Forms

Additives, Conditioners, and Effluent Filters Forms

• BRP WP 62 - Septic System Additives, Effluent Tee Filters, Grease Removal Devices

Title 5 Enforcement Forms

• Title 5 Letter of Non-Compliance 
• Title 5 Enforcement Order 

Title 5 Innovative/Alternative Technologies Forms

• BRP WP 57,64,64c - Title 5 Alternative Systems Installations
• BRP WP 61a,b,75a,b - Approval of Title 5 Alternative Technologies

Title 5 Inspections and Pumping Forms

• Title 5 Official Inspection Form 
• Inspection and O&M Form for Title 5 I/A Treatment and Disposal Systems 
• Inspection and O&M Form and Checklist for Title 5 Greywater Disposal Systems Piloting 
• Bottomless Sand Filter Technology Checklist 
• Operation & Maintenance Inspection Checklist Form for Recirculating Sand Filter (RSF) Systems 
• System Pumping Record (Title 5) 
• Application for Septage Hauler Permit 
• Septage Hauler Permit 

Title 5 New Construction and Repairs Forms

• Soil Suitability Assessment for On-Site Sewage Disposal 
• Percolation Test 
• Application for Disposal System Construction Permit 
• Disposal System Construction Permit 
• Certificate of Compliance (Title 5) 
• Septic System Installation Checklist 
• BRP WP 63 - Disposal System Construction Permit for State or Federal Facilities
• BRP WP 64a - Approval of Tight Tank
• BRP WP 67 - Title 5 - Approval for Pumping Sewage Prior to Septic Tank
• BRP WP 58a - Approval of a Nitrogen Aggregation Loading Plan

Title 5 Shared Systems Forms

• BRP WP 58b - Approval for installation of Shared System
• Application for Shared Disposal System Construction Permit 
• Form 10b - Shared Disposal System Construction Permit 
• Certificate of Compliance for Shared Disposal System 

Title 5 Variances and Local Upgrade Approvals Forms

• BRP WP 59b - MassDEP Approval of Variance Granted by Board of Health
• BRP WP 59c - MassDEP Approval or Issuance of Variance for Increased Flow
• BRP WP 60 - Variances for Schools
• BRP WP 66a,b - Title 5 Large System Upgrades
• BRP WP 70: Alternative Design Flow for Title 5 Systems
• Application for Local Upgrade Approval (Title 5) 
• Local Upgrade Approval Form (Title 5)