forms

Application/Renewal of Registration as a Membership Association Pursuant to the NYS CIAA

These downloads contain the instructions and application for registration (or renewal of registration) as non-profit membership association for the purpose of documenting exemption from the NYS Clean Indoor Air Act (CIAA).

Environmental Health Complaint / Referral Form

The "Environmental Health Complaint / Referral Form" is used to file a complaint of a Sanitary Code violation with the Environmental Health Division.  A completed form may be submitted by mail or fax using the contact information below.

Olean Office (Main Office): 

Cattaraugus County Health Department

Attn: Environmental Health

1 Leo Moss Drive, Suite 4010 Read more

Operation Report Forms for Public Water Systems & Public Pools

The “DOH-360CUV: Water System Operation Report” form is used to report on the daily operation of disinfection systems for public water supplies.

The "DOH-1323: Report on Operation of Swimming Pool" form is used to report on the daily operation of disinfection systems for public swimming pools.

Both of these forms are available in two file types below.  One is a pdf version that may be printed and filled in by hand.  The other is a MS Excel file, for operators that wish to fill out the report on a computer.  Read more

Water-Sewage Survey Request Form

The "Water/Sewer Survey Request Form" is used to request a survey (or inspection) of private water supplies and sewage disposal systems in connection with Real Property Transfers.  Cattaraugus County requires that these surveys be performed for many types of property transfers.  In addition, lending agencies may also require them as part of the lending process.

Sewage Disposal System Permit Application & Information

Construction of small sewage disposal systems in Cattaraugus County requires a permit issued by the Cattaraugus County Health Department.

The "Application for a Small Sewage Disposal System Construction Permit" is the standard form used to obtain a permit for all sewage disposal system types. Read more

Plan Review & Approval Forms

The following forms are used to apply for review and approval of plans for engineered/permitted facilities and activities regulated by the Cattaraugus County Health Department.

"DOH-154: Notice of Intent to Construct, Enlarge or Convert a Facility" is a standard application for plan review and approval.  This form is used for most permitted facility types.

"CCHD: Application for Approval of Plans for a Food Service Establishment" is a custom application for review and approval of plans for Food Service Establishments in Cattaraugus County. Read more

Department: Environmental Health

Filed under: fee, fee schedule, forms, plan review

Application & Information for a Health Department "Permit to Operate"

Many types of establishments, facilities and activities in Cattaraugus County require a permit issued by the Cattaraugus County Health Department.  The downloads below contain information and applications to get you started in obtaining a permit. Read more

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