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Applications and Forms

Please email all forms to php@northernhealth.ca or contact your local environmental health office.

Below you will find the links for:

  • General Application for Health Approval
  • Temporary Food Permit Applications
  • Water System Construction Permit Application 
  • Water System Operating Permit Application 
  • File Search Request Form
  • Record of Sewerage System Form
  • Letter of Certification Form
  • Holding Tank Application Form
  • Industrial Camp Sewage Permit Application Form  

General Application for Health Approval

Application for Health Approval

Use this application form when:

  • Opening a new food facility (restaurant, stores processors, food mobile, etc.).
  • Opening a new personal service facility (salons, spas, esthetics, tattoo shops, etc.).
  • Obtaining an operating permit for a public/commercial pool.
  • Obtaining an operating permit for a public water system or water hauling truck.
  • Change of status (ownership. address, services, etc.).

Temporary Food Applications

Temporary Food Permit Application

Use this application form when:

  • Operating a temporary food facility for less than 14 days a year.
  • Special Events when food will be served to the public such as fundraisers and fairs.
  • A caterer or a permitted food facility operator catering an event where food preparation will be done outside of your own facility.

Drinking Water System Applications

Water System Construction Permit Application

Use this form when:

  • When designing a public water system prior to any construction work.
  • Choosing a new water source.
  • Making significant modifications to an existing water system.

Water System "Minor" Construction Permit Application

Use this form when

  • You are applying on behalf of an existing water system.
  • "Minor construction" is considered simple water-main extension to service a single lot with a pipe ø ≥ 75 mm (3 in) or to service ≤ 5 lots.  For larger projects, please use the normal Waterworks Construction Permit application form. 

Water System Operating Permit Application

Use this form when:

  • Permitting an existing water system as a public water system.
  • Permitting an new water system as a public water system.
  • Updating information for a permitted public water system.

Water System Operating Permit Application - Cistern

Use this form when:

  • Permitting a cistern as a public water system.

Water System Operating Permit Application - Water Hauling Truck

Use this form when:

  • Permitting a water hauling truck.

On-Site Sewage Applications

Your browser may or may not display some of the 'fillable' forms (found below) using your browser's PDF viewer. Given this event please download and save the PDF to your desktop and open it in Adobe Acrobat Reader.

File Search Request Form

Use this form when:

  • Looking for the records on an existing onsite wastewater system.
  • A non-refundable $50 fee is required and records may or may not be available depending on the age of the system and whether documentation was filed properly at the time of installation.

Record of Sewerage System Form

Use this form when:

  • You are a registered onsite wastewater practitioner or a professional.
  • You are filing a sewerage system that you have designed.

Letter of Certification Form

Use this form when:

  • You are a onsite wastewater practitioner or a professional.
  • You are have completed installation of a onsite wastewater system that has been filed previously and now certifying it.

Holding Tank Application Form

Use this form when:

  • You have consulted preliminarily with your local Environmental Health Officer regarding the suitability of holding tank for your property.
  • Apply for a permit for a holding tank.

Holding Tank Record of Installation

Use this form when:

  • The installation of a holding tank is complete. The applicant must submit this form with supporting documentation to the local Health Protection Office. A holding tank must not be used until the Record of Installation has been accepted by the Health Authority.

Industrial Camp Sewage System Approval Application

Use this form when:

  • You have consulted with your local Environmental Health Officer regarding setting up a new industrial camp.
  • Setting up a industrial camp that requires onsite waste water disposal.