www.mmdhd.org
MID-MICHIGAN DISTRICT HEALTH DEPARTMENT
Clinton Branch Office                                                                           Gratiot Branch Office                                                             Montcalm Branch Office
1307 E Townsend Rd                                                                             151 Commerce Drive                                                                615 N. State t., Suite 1
St. Johns, MI 48879                                                                                 Ithaca, MI 48847                                                                          Stanton, MI 48888
989-224-2195                                                                                           989-875-3681                                                                                989-831-5237
Septic Permits Campgrounds/Swimming Pools
  233 2000 Vacant Land Evaluation 145.00   248 2500 Temporary or Annual License App. (State Fee)  
  228 2020 Permit w/previous vacant land evaluation 175.00   247 2501 Inspection Fee Annual Campgrounds 85.00
  228 2001 Permit - New 315.00   257 2400 Inspection Fee - MMDHD (Per Pool)        x 85.00  
  228 2022 Gravity Mound w/previous vacant land 200.00 Plats/Subdivisions
  228 2023 Aerobic Treatment Unit w/previous vacant land 270.00   259 2600 On-Site Sewage and Private Water Sys App Fee 505.00
  228 2024 Sand Filter w/previous vacant land 270.00   259 2601 Per Lot Fee:                                                   x35.00  
  228 2025 Pressure Mound w/previous vacant land 270.00   259 2602 Sanitary Sewer and Private Water Sys App Fee 435.00
  232 2002 Repair Tank Only 115.00   259 2603 Per Lot Fee:                                                   x 20.00  
  232 2003 Repair Drainfield 190.00   259 2604 On-Site Sewage and Public Water Sys App Fee 435.00
  228 2004 Reissuance of Alternative Permit 70.00   259 2605 Per Lot Fee:                                                   x 35.00  
  228 2005 Permit Renewal Prior to Expiration 40.00 Food Service Program
  228 2006 Revisit Vacant Land / Relocation 115.00 Fixed Food
  228 2007 Re-inspection Fee for Alternative System 80.00   266 4040 Type I 170.00
Non-Residential Sewage Permits   266 4041 Type II 160.00
  229 2008 0 - 1,000 gpd - New 390.00   266 4042 Type III 445.00
  229 2009 >1,000 gpd<10,000 gpd - New 515.00   266 4043 Type IV 465.00
  229 2040 >10,000 gpd<20,000 gpd - New 665.00   266 4044 Type V 490.00
  230 2008 0 - 1,000 gpd - Repair 390.00   268 4005 Mobile 305.00
  230 2009 >1,000 gpd<10,000 gpd - Repair 515.00   272 4017 STFU License Fee (State Fee)  
Septic Waste Hauler Program   272 4018 STFU Inspection Fee (State Fee)  
  227 2801 New Evaluation - per 20 acres:          x 180.00       4019 Consultation Fee 155.00
  227 2802 Annual Site Inspection Fee 180.00   266 4016 Late License Fee 0-30 days 115.00
  227 2803 Truck Inspection Fee 65.00   266 4016 Late License Fee 31-60 days 230.00
Well Permits   266 4016 Late License Fee 61-90 days 340.00
  236 2010 Private - New 194.00   266 4016 Late License Fee 91 & over days 455.00
  237 2010 Private - Repair 194.00   266 4045 Full Service School Kitchen Inspection 170.00
  240 2011 Type II - New 235.00   266 4046 Satellite School Kitchen Inspection 60.00
  241 2011 Type II - Repair 235.00   266 4047 Increased Inspection Frequency 180.00
  238 2011 Type III - New 281.00   266 4048 Re-Inspection After Hearing 180.00
  239 2011 Type III - Repair 281.00   266 4049 Repeat Informal Hearing Fee 260.00
Sewage/Well Evaluations   266 4050 Formal Hearing Fee 455.00
  208 2012 Sewage Evaluation 150.00 Temporary
  209 2013 Water Evaluation 161.00   267 4010 Profit 60.00
  208 2014 Sewage Evaluation - Combined 110.00   267 4011 Non-Profit 60.00
  209 2018 Water Evaluation - Combined 143.00   267 4016 Late License Fee 20.00
  209 2030 Lead Water Sample 61.00     2705 State Fee  
    2021 Existing Site Septic/Well Evaluation 90.00 Vending
D.H.S. Facility Inspection   270 4020 Vendor Fee 115.00
  217 2300 Partial Inspection Request 158.00   270 4013 Each Additional Machine                                x 20.00    
  216 2301 Full Inspection Request 232.00   270 4021 Vendor Location/License Fee                         x 15.00  
  216 2302 Plan Review - Full Facility 155.00 Plan Review
Other     4022 Full Review or Major Remodel 490.00
  228 2700 Septic Installers Registration - $85.00/2 yrs.       4023 Partial Review or Minor Remodel 245.00
  228 2708 Septic Installers Registration - Test/Late Fee 60.00 Training Fees
  207 2706 F.O.I.A. ($ Based on time & supplies used)       4026 Non-Profit Food Handling Training 105.00
  228 2026 AOI Inspection Fee 95.00     4027 Profit - Food Handling Training 105.00
    2709 County Surcharge 20.00          
                   
       
 
       
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Address        
 
Township                                             Section #  
Permit #                                               Client ID # RECEIVED BY:
   
Rev. 10/01/2007 White - Finance                                                  Yellow - Branch Office                                                     Pink - Client