Forms

Conditional Deed Transfer Agreement PDF Format

Conditional Deed Transfer Agreement Word Format

 

Driveway Culvert Permit Application** PDF Format

Driveway Culvert Permit Application** Word Format

 

Special Hauling Permit Application** PDF Format         Updated 2019-Aug

Special Hauling Permit Application** Word Format       Updated 2019-Aug

* Applications for Special Hauling Permits are needed on loads or equipment that weigh in excess of 80,000 pounds or are either over length or over width. 

 

Utility Installation Permit Application** PDF Format         

Utility Installation Permit Application** Word Format   Updated 2015-Jun

 

PLEASE CONTACT: Belmont County Sanitary Sewer District for water / sewer locations
Kelly Porter – Director 740-695-3144

 

Oil and Gas Public Safety Checklist

 

Road Use Maintenance Agreement WORD Format

 

NOTE:

The forms listed on this page, the applications for culverts, special hauling, utility installation and the road use maintenance agreement are meant to be used for county roadway issues. These forms can be modified and used for other government entities, like Townships, Cities and Villages BUT all references to the Belmont County Engineer, the Belmont County Engineer’s Office and the Belmont County Commissioners are to be removed prior to using and submitting these forms.

** Allow 24 hours for permit processing

 

Complete forms and mail to:

Belmont County Engineer’s Office
101 West Main Street, Courthouse
St. Clairsville, Ohio 43950

Fax to 740-695-8894
Phone 740-699-2160

Or email to Office Manager –