FOOD PROTECTION:
Low Risk
Medium
Risk
High Risk
Catering Operations
Mobile Unit (per vehicle)
Temporary (14 days or less)
Multiple Temporary (up to 26 events per year)
$ 125 .00
$
175 .00
$
225 .00
$ 225 .00
$
100 .00
30 .00
$ 100 .00
TEMPORARY RESIDENCES, CAMPS AND RECREATION:
Children's Camp
Hotel/Motel
Campground
B
athing Beach
S
wimming Pool
Migrant
Labor Camp
Mobile Home Park
$ 200 .00
$
150 .00
$
150 .00
$
150 .00
$
165 .00
$
200.00
$ 150.00
PRIVATE SEWAGE / WATER
Well Construction Permit
Soil Percolation Test Site Evaluation
Additional
Perc Test
Permit to Construct Onsite Wastewater Treatment System (includes final inspection)
Evaluation of Onsite Watsewater Treatment System (by request for any purpose)
Onsite Wastewater Treatment System Permit Renewal (within 60 days of expiration; same
applicant) Onsite Wastewater Treatment System - Tank Only (Replace/Upgrade)
Evaluation of Water System (includes Sanitary Survey, bacteriological sample & analysis) Water
Sample (includes bacteriological sample & analysis) (Resampling)
Additional Water Testing (per test, see Water Sampling packages)
$
$
$
$
$
$
$
$
200
.00
50 .00
150
.00
150
.00
55 .00
55 .00
75 .00
30 .00
Genesee County Health Department Orleans County Health Department
3837 West Main Street Road 14012 Route 31 West
Batavia, NY 14020 Albion, NY 14411
Phone: 585-344-2580 x5555 Phone: 585-589-3278
ENVIRONMENTAL HEALTH FEE SCHEDULE
You or your representative have recently requested this Department to provide the service selected
below. In order that this service may be provided, please submit this form along with payment in the
appropriate amount to this Department at your earliest convenience.
PAID
Check #
Cash
Online Payment:
Credit:
Amount:
Received By:
OVER
Name/Facility:
Facility Address:
Mailing Address (If Different):
Phone Number:
Signature:
Date:
ENGINEERING & PLAN REVIEW FEES
Engineering Report Audit
Individual Residential Onsite Wastewater Treatment System
Commercial/Industrial Onsite Wastewater Treatment System
Campgrounds/RV Parks/MHP Projects
$ 100 .00
$ 150 .00
$ 200 .00
$ 200 .00
Public Water Supply(Source/Treatment/Distribution/Storage/Modification) Each:
$ 200 .00
$ 25 .00
$ 150 .00
$ 400. 00
$ 500 .00
$
25 .00
Distribution Additional per mile > 2
Cross Connection Control/RPZ
Swimming Pools/Bathing Beach
Mass Gathering Plan Review Fee
Realty Subdivision (fee per lot)
Food Service Establishment/Mobile Food Service Establishment
$
55 .00
GENERAL
3rd Party Audit (Including Temporary Housing)
Replace Document Fee
Smoking Waiver (Annual)
Mass Gathering
Tanning Facilities
UV Devices @ $50 each
# of UV Devices:
$ 250.00
$
7.50
$ 100 .00
$ 2500 .00
$ 30 .00
$
$ 55.00
$
$
Late Fees:
1. A late fee of $100.00 is charged to all permitted facilities that do not remit the application and fee prior to
H[SLUDWLRQRIWKHH[LVWLQJSHUPLW
A late fee of $20.00 is charged to Temporary Food Applications/Multiple Temporary Food Applications received by
thisRIILFHOHVVWKDQGD\VSULRUWRWKHHYHQW7HPSRUDU\)RRGRUILUVWHYHQW0XOWL7HPS)RRG
3. An expediting fee of $100.00 for all new applications for a permit to operate received by this office less than 7
days prior to the first date of operation. (*Exception: Temporary/Multi Temporary Food)
Facilities/individuals submitting engineered plans for review will be billed the balance of the plan review fee incurred
by the department when the bill is received from the Department's Contractual Engineer (balance amounts will vary
dependent upon scope and review time of each project).
Please make
checks payable to:
Genesee County Health Department or Orleans County Health Department
7KHUHZLOO EH D VHUYLFH FKDUJH IRU DOO UHWXUQHG FKHFNV
Updated:
0/201
Food Safety Manager Certification Exam
# of Registrants:
Late/Expediting Fee Assessed
Miscellaneous
Total Amount Due
0.00
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome