Environmental Health
Applications & Forms
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The links below provide the applications and forms that can be downloaded and/or printed.
| * EH Fees are subject to change. |
| Type of Application / Form |
Description |
Price |
|
Environmental Health Services Application |
Raw Land Evaluation |
$162.00 |
Water System Evaluation |
$162.00 |
On-Site Sewage Treatment Disposal System Evaluation |
$162.00 |
Water System and OSTDS Evaluation |
$217.00 |
Water Sample Collection (lab fees additional) |
$54.00 |
|
|
On-Site Sewage Treatment/Disposal System & Well Construction Permit Application |
On-Site Sewage Treatment/Disposal System - (new systems with prior approval) |
$228.00 |
Repair or Replacement of OSTDS |
$228.00 |
Earthen Privy |
$162.00 |
Vaulted Privy |
$120.00 |
Septic Tank Replacement |
$120.00 |
Residential Well (new or replacement) |
$217.00 |
Type II Well (new or replacement) |
$379.00 |
Type III Well (new or replacement) |
$325.00 |
|
Write-Off
Of Existing Sewage System Application |
Request to utilize existing sewage system (with Soil Test) |
$162.00 |
|
|
Parcels |
Onsite Sewage & Water Supply for Parcels Less than 1 Acre |
N/A |
|
|
Authorization Form |
Property owners authorization for a representative to sign permits |
N/A |
|
|
Temporary Food Service Application |
A temporary food service license for food service establishments operating on a
temporary basis. [Less than two weeks]. (Price is if applied for seven or more days prior to event). |
$58.00 |
|
| Food Service Plan Review |
|
|
Variance Request Form |
| Request for deviation/variance. |
$62.00 |
|
|
FOIA Request Form |
| Request for information pursuant to the Freedom of Information Act. |
Varies |
|
