Water Quality Division Preliminary Engineering Report Form
Subdivision Plat Approval
I. Subdivision/Development Information
1. Name of development/subdivision: ______________________________
2. County: ______________________________
Revised 7/1/2012 DEQ FORM 641-581P
REPORT FOR ON-SITE SEWAGE TREATMENT
SOIL PERCOLATION TEST System No.
(PLEASE PRINT or TYPE) Date Rec’d
Name and Mailing Address of Property Owner:
First Name Last Name Mailing Address City Zip...
OKLAHOMA DEPARTMENT OF HUMAN SERVICES Area Agency on Aging (AAA) Quarterly Report Fiscal year Quarter Months AAA name AAA director This report summarizes specific AAA activities. This report is due to the appropriate OKDHS Aging...
OKLAHOMADEPARTMENT OF HUMAN SERVICES
Area Agency On Aging (AAA) Quarterly Report - AListed below are the Title III service categories for the National Aging Program Information System (NAPIS) report. Complete below by providing the...
Revised April 2012
Fee of $280.00 Must Accompany Application ($250.00 license fee & $30.00 Application Fee
Application Fee is NOT Refundable
Type or print your name in ink as it appears on your driver’s license .
File Original Only
OKLAHOMA CORPORATION COMMISSION
Please Type or Use Black Ink
Oil & Gas Conservation Division
Post Office Box 52000
1. API No.
Oklahoma City, Oklahoma 73152-2000
4. Application For (check one)
2. OTC Prod. Unit...