Environmental Health Forms & Information

Environmental Health assesses, monitors, and educates about environmental factors that can potentially affect our health.

Click on the following to learn more:
• Onsite Sewage & Water Program
• Food Program
• Rabies Program
• Other Programs
• Training Programs
• Program Fees
• Applications, Forms, and Other Information

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Onsite Sewage & Water Program

What
The onsite sewage and water program ensures that we have safe water supplies by:

• Protecting surface and ground water to ensure safe drinking water
• Offering permits for private wells, sewage systems, and sewage disposal
• Investigating reports of raw sewage or other reports of ground water contamination

Fees
www.vdh.virginia.gov/LHD/ThomasJefferson/environmental/documents/Fee_Schedule.pdf

Additional Information

• How to Apply For a Sewage & Water Construction Permit
• What is & How to Apply For A Certification Letter
• Rules & Requirements for Alternative Sewage Systems
• List of Approved Onsite Soil Evaluators (AOSE)
• Information on Household Water Quality & Chlorinating Your Well
• List of State Approved Water Labs
• Access the AOSS O&M Manual Listing

Call
Charlottesville/Albemarle
Fluvanna
Greene
Louisa
Nelson

Links
VA Department of Health
www.vdh.virginia.gov/environmentalhealth/

Virginia Cooperative Extension
www.ext.vt.edu

VA Department of Environmental Quality
www.deq.state.va.us/

Environmental Protection Agency
www.epa.gov

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Food Program

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Other Programs

Tourist Establishments and Public Swimming Pools:
We inspect and permit hotels, motels, campgrounds, summer camps and we periodically inspect the swimming pools and spas of these operations.

• Application for Permit
• Swimming Pool Regulations
• Pool Posting of Water Quality Regulations

• Fee Schedule

Migrant Labor Camps:
We inspect migrant labor camps to insure that safe and healthy living conditions are provided for migrant workers and their families while they are employed and living in Virginia.

• Application for Permit

 
Child Care/Adult Care/Mental Health Facilities:
At the request of other state agencies, we inspect child care, adult care, nursing homes, and mental health facilities.

• Request for Inspection

Fees
www.vdh.virginia.gov/LHD/ThomasJefferson/environmental/documents/Fee_Schedule.pdf

Call
Charlottesville/Albemarle
Fluvanna
Greene
Louisa
Nelson

Links
Virginia Department of Health Childhood Lead Poisoning Prevention
http://www.vahealth.org/leadsafe/

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Training Classes

In cooperation with Virginia Cooperative Extension, we offer the following programs:

Upcoming Classes:

N/A

Links
NEHA Certified Professional Food Manager Recertification Course
www.vdh.virginia.gov/LHD/ThomasJefferson/environmental/documents/NEHA_CertifiedProfessional2011.pdf

ServSafe Course
www.vdh.virginia.gov/LHD/ThomasJefferson/environmental/documents/ServSafe_Course_Brochure2011.pdf

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Applications, Forms, and Other Information

Employee Health 

• Employee Illness Decision Guide - HSP
• Employee Illness Decision Guide - Non-HSP
• Employee Health Notice

On Site Sewage and Water Program

• Onsite Sewage and/or Water Supply Application
• New Construction With Existing Sewage Disposal System
• Application for Pump & Haul
• Application for Sewage Handling Permit
• Uniform Well Completion Report
• Completion Statement

Food and TES Program

• Application for Foodservice Establishment Health Permit
• Application for Temporary Food Establishment Permit
• Application for TES Health Permit
• Temporary Event Coordinator Application
• Foodservice Plan Review Guide
• Foodservice Plan Review Application
• Mobile Food Establishment Guidelines
• Mobile Food Establishment Plan Review Packet

Other Programs

• Request for Inspection
• Application for Migrant Labor Camp

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Comments or questions concerning this web page should be sent to:  roanokeweb@vdh.virginia.gov