Environmental Health Forms
Form 1 Cattaraugus County Health Department Plan
Review Fee Determination Schedule
Form 2 Application For A Small Sewage Disposal
System Construction Permit 71 KB, PDF (Updated: October 03, 2008)
Form 3 Water-Sewage Survey Request Form
Form 4 Fees For Cattaraugus County Health Department Services 75 KB, PDF (Updated: October 03, 2008)
Form 5 Water Systems Operation Report (Chlorination)
Form 5A Water Systems Operation Report (UV)
Form 6 Application For Public Access To Records (FOIL)
Form 9 Application For Registration As A Membership Association
Pursuant To The NYS Clean Indoor Air Act
Form 9A Application For Registration As A Membership Association
Pursuant To The NYS Clean Indoor Air Act (Renewal), Size: 153 KB, Format: Word Document
Form 10 Consent by parent or legal guardian to the body piercing of a minor
Form 11 Temporary Food Establishment Application and Information
Form 12 Complaint Referral Form, Format: PDF, File Size: 53 KB
Form 13 Application for a Permit to Operate, Format: PDF, File Size: 1000.69 KB

Environmental Health Reference Guides
Reference 1 Sanitary Code of the Catt. County Health District size: 209 KB (Updated: September 04, 2008, posted: Oct. 03, 2008)
Reference 2 Certified Water Testing Services
Reference 3 E. coli Awareness
Reference 4 Disinfection of Private Water Systems Updated: August 13, 2009
Reference 5 Coliform Bacteria in Drinking Water Supplies Updated: March 25, 2009
Reference 6 Septic Systems Operation & Maintenance
Reference 7 Standards for Water Wells
  • Format: PDF
  • Size: 171 KB
Reference 8 Appendix 5-D: Special Requirements for Wells Serving Public Water Systems

Statutory Authority: Public Health Law, Subdivision 206(18) and Section 225

  • Format: PDF
  • Size: 144 KB
Reference 9 Subpart 14-2 of the NYS Sanitary Code - Temporary Food Service Establishments
  • Format: PDF
  • Size: 1.94 MB
Reference 10 Instructions for Soil Percolation Test & Subsoil Investigation Holes
  • Format: PDF
  • Size: 124 KB

New York State Tobacco Laws
Reference 8 Regulation of Smoking in Certain Public Area
Reference 9 Regulation of Tobacco Products and Herbal Cigarettes; Distribution to Minors
Reference 10 Sanitary Code Part 31 of the Catt. County Health District size: 51 KB

 

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