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Applications, Forms, Permits & Documents
Required Notice to Health Department for In Person and Catered Events with attendance above the State's social gathering limits
Applications, Forms, Checklists & Fee Schedule
- Application for a Permit to Operate (PDF)
- Bathing Beach Safety Plan Checklist (PDF)
- Environmental Health FOIL Request Form (DOC)
- Executive Order 4 of 2018 - Compliance Certification Project Information Sheet and Certification
- Fee Schedule for Permits and Other Applications as of January 1, 2017 (PDF)
- Notice of Intent to Construct, Enlarge, or Convert, for Occupancy - Instructions and Application (PDF)
- Report on Operation of Swimming Pool (PDF)
- Swimming Pool Safety Plan Checklist (PDF)
- Workers Compensation Requirement (PDF)
Engineering Plan Submissions
- Backflow Prevention Device Checklist (PDF)
- Engineering Report for Swimming Pool Plans (DOH-1309) (PDF)
- NYS Appendix 5-B Standards for Water Wells (PDF)
- NYS Appendix 5-D Special Requirements for Wells Serving Public Water Systems (PDF)
- NYSDEC Design Standards for Intermediate Sized Wastewater Treatment (2014)
- NYSDOH Design Handbook Residential Wastewater Treatment (2012)
- OCHD Design Policy and Standards - Appendix 75-A and Design Handbook (PDF)
- Realty Subdivision Application (PDF)
- Realty Subdivision Checklist (PDF)
- Sewage Disposal System Application (PDF)
- Sewage Disposal System Checklist (PDF)
- Soil Mitigation Requirements (PDF)
- Water System Improvement Application (PDF)
- Water System Improvement Checklist (Mains, Pumps, and Tanks) (PDF)
First Aid & Water Safety
- 2013 Sex Offender Registry Fact Sheet (PDF)
- 2016 Epinephrine Auto-Injector Program Certification (PDF)
- 2017 Camp Trip Swimming Safety Certifications (PDF)
- 2017 Certifications for Children's Camp Aquatic Director (PDF)
- 2017 Certifications for Level III Aquatic Staff (PDF)
- 2017 CPR (PDF)
- 2017 CPR Certifications for Level III and IV Aquatic Staff (PDF)
- 2017 Fact Sheets Memo (PDF)
- 2017 First Aid Certification for Children's Camp Staff (PDF)
- 2017 Learn-to-Swim Acceptable Programs (PDF)
- 2017 Lifeguard Certifications (PDF)
- 2017 Progressive Swimming Instructor (PDF)
- 2017 Swimming Pool Operator Acceptable Courses (PDF)
- Swimming Pool Safety Plan Checklist (PDF)
Food Service Permit Applications and Information
- Food Service FAQs (PDF)
- Food Service Permit Application (PDF)
- Food Service Plan Approval Application (PDF)
- Food Service Plan Preparation Guide (PDF)
- Mobile Food Service Permit Application (PDF)
- Mobile Food Service Permit Application Commissary Letter (PDF)
- Temp Food Pre-Inspection Checklist and Handwash Guide (PDF)
- Temporary Food Service Checklist (PDF)
- Temporary Food Service Establishment Application (PDF)
- Temporary Food Service FAQs (Farmers Markets, Fairs, Festivals and Fund Raisers)
- Vending- Food and Beverage Machine Permitting Application (PDF)
Public Water Systems
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