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Environmental Management

Administration

Home > Government > Environmental Management > Administration > Forms

Main Body Content

Environmental Management Department Forms

The forms below are in PDF format

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Left Column

Left Column Content

Hazardous Materials / Solid Waste Programs

(CUPA, Medical Waste, Storage Tanks, Business Plans)

Hazardous Materials (CUPA)

Hazardous Waste Generator/Tiered Permitting
Hazardous Materials Storage/Business Plans
Aboveground Storage Tanks
Underground Storage Tanks
Hazardous Materials Statement
Business Plan Exemption Statement
Emergency Response Business Plan
Application for Monitoring Wells
Application for Site Investigation / Remediation
Application for UST Installation/Modification/Repair
Application for UST Closure (Removal/Abandonment/Temporary Closure)

Medical Waste

Medical Waste Management Act Packet (this packet includes all the forms below)
Pre-Application Questionnaire
Certification for Non-Medical Waste Generators & Medical Waste Generators not Required to Register
Medical Waste Registration / Permit Application
Medical Waste Tracking Document
Limited Hauling Exemption Application
Medical Waste Fee Schedule

Center Column

Center Column Content

Environmental Health Programs

(Caterers, Food facilities, Mobile Food, Mobile Food Prep Units, Special Events, Temporary Food Booths, Wineries, Plan Reviews)

Caterers

Time / Temperature Log for Catered Events
Verification of Commissary for Caterers
Cook-for-Hire Statement

Food Facilities

Food Facility Permit Application
Cottage Food Operation

Mobile Food Facilities / Mobile Food Prep Units

Verification of Commissary for MFF/MFPU

Special Events / Temporary Food Booths / Wineries

Sample Site Plan - for coordinator reference
Special Event Coordinator permit
Temporary Food Facility Permit
Time / Temperature Log
Winery Permit Application
Winery Temporary Event
Veteran's Fee Exemption Form

Liquid Waste Program

Septic System Repair Permit Application
Septage Hauler Permit Application
Site Evaluation Policy
Site Evaluation and Soil Description Report
Move On Notification" Sewage Disposal Test Trench
Confirming Move On Notification" Sewage Disposal Test Trench
Loan Certification Application (water and sewage inspections)

Recreational Health

Pool/Spa Permit Application

Water Program

Bacteriological Sample Siting Plan (BSSP)
Water Quality Emergency Notification Plan for Small Water Systems
Well Permit Application
Report of Well Production

Loan Certification Application

Declaration of Small Water Systems Status

Body Art

Registration for Individuals Performing Tattooing, Body Piercing, and Permanent Cosmetics
Notification of Mechanical Stud and Clasp Ear Piercing
Body Art Facility Permit Application
Hepatitis B Declination Statement

Right Column

Right Column Content

Miscellaneous Forms

Plan Review

Service Request Form
Plan Guide for Retail Food Facilities - Construction Guidelines
Summary of Plan Review and Approval

Information Request Form

Bottom Area

Bottom Body Content