Pacific Southwest Large Capacity Cesspool Backfilling Final Completion Report

To document proper closure of a large-capacity cesspool that receives 1,000 gallons per day (gpd) or less, you must submit this completed and signed LCC Backfilling Final Completion report to: R9_LCC_Coordinator@epa.gov. If the large-capacity cesspool receives more than 1,000 gpd, then you need to contact Hawaii Department of Health Safe Drinking Water Branch Underground Injection Control Program for proper closure instructions.

• EPA Region 9 Large Capacity Cesspool (less than 1,000 GPD) Backfilling Final Completion Report (pdf) (108.97 KB, June 2022)
  PLEASE BE SURE to save this form to your device, open in Acrobat Reader, then use the 'Fill & Sign' tool to complete. Send the completed and signed form to EPA at the email address noted on the form.