Blooming Grove Township Forms
Please click the form you wish to view - it will download as a PDF
Public Record Forms & Policies
Please complete the “Right To Know Request” form and email it to joanna.donahue@bloominggrovetownship.com
Right-To-Know Appeals Contact:
Address: Office of Open Records 333 Market Street, 16th Floor Harrisburg, PA 17101-2234
Fax: (717) 425-5343
E-mail: ORORegistration@pa.gov
Building & Construction Checklists
- Complete Building Inspection Checklist
- Final Inspection Checklist
- Backfill and Drain Inspection Checklist
- Concrete Slab-On-Ground Inspection Checklist
- Decay and Termite Protection Inspection Checklist
- Floor and Ceiling Framing Inspection Checklist
- Footing Inspection Checklist
- Foundation Inspection Checklist
- Pennsylvania's Alternative Residential Energy Provisions
- Rough-In Framing Inspection Checklist
- Rough-In Table Checklist
- Sheathing Inspection Checklist
- Wall Framing Inspection Checklist
Permit Applications
Sewage Forms
The Sewage Enforcement Officer (SEO) for Blooming Grove Township is Glen Martin. All inquiries regarding wells, septic systems and perc testing should be directed to him. He is only at Blooming Grove Township building on Mondays but is available during the below office hours at other Township locations.
Weekly Office Schedule:
Blooming Grove Township: (570) 775-6461 ext. 5
Monday 8:30am-12:30pm
Greene Township: (570) 676-9974
Wednesday 8:00am-noon
Palmyra Township: (570) 226-2230 ext. 104
Tuesday 8:30am-12:30pm
Thursday 8:30am-12:30pm
How to Submit Permit Applications
**A hard copy of any permit, and the fees via check payable to “Blooming Grove Township” (credit cards and cash are not accepted), must be returned in person or via USPS to Blooming Grove Township at the address below. Please contact Glen Martin for the appropriate fees.
Blooming Grove Township
C/O Glen Martin
488 Rt. 739
Blooming Grove, PA 18428
Sewage Permit Application
The attached sewage applications must be used to apply for a permit and to be used to soil test your property.
Applicant is to only complete Part I. APPLICANT AND SITE INFORMATION of the application, sign and date at the bottom, then return to Blooming Grove Township with the appropriate fees.
Well Permit Application
The below Well Permit Application must be used to apply for a permit to install a well.
Applicant is to fill out Part 1 and DRILLING CONTRACTOR information in Part 2, sign and date at the bottom, then return to Blooming Grove Township with the appropriate fees. Please read the instructions under the IMPORTANT section.
Zoning
- Instructions for All Applicants of Zoning Permits
- Application for Zoning Hearing Board
- Application for Request for Conditional Use Hearing
- Conditional Use Summary
- Conditional Use Stenographic
- Major Subdivision Status Log & Checklist
- Minor Subdivision Status Log & Checklist
- Land Development Status Log & Checklist
- Lot Improvement Status Log & Checklist
- Application for Zoning Permit
- Short Term Rental Ordinance
- Short Term Rental Application
Sample Plot Plans – For Informational Purposes Only