Animal Encounter: 

SG-58 Animal Encounter Report Form

 

Body Piercing/Tattoo Studios: 

SG-86 Piercing Studio Plan Review 

SG-88 Piercing Technician Certification Application

SG-89 Information & Notification 

SG-90 Hepatitis B Declination 

64-80A Body Piercing Studio Rule Public Notice 

 

Food Sanitation: 

SF-5 Food Establishment Permit Application 

SF-7A Food Guide 

SF-7B Equipment Guide 

SF-7C Management and Personnel Guide 

SF-7D Employee Health Guide 

SF-7E Inspection Guide

SF-35 Plan Review for New or Remodeled Food Establishments 

SF-35 Addendum: Information Packet

Form 1-A Applicant Food Employee Interview 

Form 1-B Food Employee Reporting Agreement 

Form 1-C Applicant and Food Employee Medical Referral 

PHSD Retail Food Emergency Flip Chart 

 

Manufactured Home Community: 

EG-1 Manufactured Home Community Specification and Plan Review Summary Form 

EG-2 Application for a permit to Construct, Install, Alter, or Extend a Manufactured Home Community 

EG-4 Sewage System Information and Design Data Sheet

EG-5 Water System Design Information and Data Sheet

 

Recreational Water Facilities: 

ER-32 Recreational Water Facility Weekly Report 

SR-153 Recreation Water Facilities Tables 

Swimming Pool & Spa Construction Application

 

Sewage: 

SS-182A Application to Install or Modify a Small Sewage Disposal System

ES-57 Affidavit 

     

Home Loan Evaluations: 

SG-55 Home Loan Evaluation Report

SG-55A Home Loan Evaluation Procedures

     

Subdivision Forms: 

ES-76 Subdivision Application 

     

Septic Tank Cleaner Forms: 

SS-181 Application For Sewage Tank Cleaning Permit 

     

For Installers Only: 

SS-192 Installer Certification Renewal Application

 

Water: 

SW-253 Request for Water Analysis

SW-256 Water Well Application 

SW-258 Water Well Completion Report 

SW-260 Water Well Variance Request 

SW-261 Water Well Abandonment Report 

SW-262 Water Well Pump Installation Report

Water Quality Labs 

Private Water Well Owners–What to Do Before Drilling the Well 

Private Water Well Owners–Water Well Pumping Systems 

Private Well Owners-Four Steps to Water Well Safety 

How to Disinfect a Private Water Well 

Environmental Applications & Forms 

© 2017 by Grafton-Taylor County Health Department.

718 West Main Street, Grafton, WV 26354

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