Gallatin City-County Health Department Wastewater Treatment System Application Completed Form Examples and Samples

View filled-out examples and samples of the Gallatin City-County Health Department Wastewater Treatment System Application. Our guides help you correctly complete the septic permit form for new construction, repairs, and other projects in Gallatin County, MT.
Gallatin City-County Health Department Wastewater Treatment System Application has a complex Form Complexity Index of 72/100 — Instafill’s AI completes it in under a minute.
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Completed Gallatin City-County Health Department Wastewater Treatment System Application for a new single-family residence.

Gallatin County Wastewater System Application Example – New Home Construction

How this form was filled:

This sample shows a filled-out Gallatin City-County Wastewater Treatment System Application for a new 4-bedroom single-family home. It correctly details the applicant information, legal property description, project type (new construction), and proposed standard septic system with a well.

Information used to fill out the document:

  • Applicant Name: Jane & John Smith
  • Mailing Address: PO Box 1234, Bozeman, MT 59715
  • Phone Number: 406-555-0123
  • Email Address: [email protected]
  • Property Address: 456 Elk Run Trail, Bozeman, MT 59718
  • Legal Description: Lot 7, Block 3 of the Bridger View Estates Subdivision
  • Geocode/Parcel Number: 06-0815-12-3-45-67-0000
  • Lot Size: 2.5 Acres
  • Project Type: New Single-Family Residence
  • Proposed Number of Bedrooms: 4
  • Water Supply Source: New Individual Well
  • System Designer: Big Sky Septic Design
  • System Installer: Montana Earthworks Inc.
  • Proposed System Type: Standard Septic Tank & Drainfield
  • Signature of Owner: Jane Smith
  • Date of Application: 02/15/2026

What this filled form sample shows:

  • Accurately filled Applicant Information and contact details.
  • Complete Property Location and Legal Description, essential for permit processing.
  • Clear project scope defined as a New Single-Family Residence with 4 bedrooms.
  • Specification of a standard septic system and individual well, a common scenario in the county.
  • Inclusion of licensed System Designer and Installer information.
  • A correctly formatted signature and application date for 2026.

Form specifications and details:

Use Case: New Residential Construction (Single-Family Home)
Jurisdiction: Gallatin City-County Health Department, Montana
Form Name: Wastewater Treatment System Application
Categories: health department forms, health forms, health treatment forms, KC Water forms
Created: March 07, 2026 12:58 AM
Completed Gallatin City-County Health Department Wastewater Treatment System Application for a new single-family residence.