Below is a complete listing of available Foothills Health District Environmental Forms. They are grouped as close as possible to the program they relate to.
Fees
Foothills Health District Environmental Fee Schedule (FH 4001.001)
Refund Request Form (FH 4001.019)
Documents Pertaining to Septic Systems
Application for Well or Septic System Services (FH 4001.066)
Septic System Repair Application (FH 4001.034)
Existing System Application (FH 4001.064)
Property Owner Consent Form (FH 4001.065)
Environmental Health Records Request (FH 4001.045)
Documents Pertaining to Water Wells
Application for Well Only (FH 4001.072)
Water Sample Request Application (FH 4001.020)
Home Owner Well Repair Application (FH 4001.039)
Water Quality Guide (FH 4001.040)
Well Disinfection Brochure (Link to State of North Carolina)
Foothills Health District Well Procedures (FH 4001.017)
Well Owner Statement (FH 4001.042)
Well Repair & Pump Repair Notification (FH 4001.018)
Application for Well Abandonment (FH 4001.069.pdf)
Well Driller Listing (Link to State of North Carolina)
North Carolina Law Pertaining to Water Wells
Well Construction, Monitoring & Abandonment Link from NC Divisions of Water Quality
Well Construction Record (Form GW-1)
Well Abandonment Record (Form GW-30)
Documents Pertaining to Child Care Facilities
Child Care Facility Application (FH 4001.043)
Documents Pertaining to Tattooing
Application for Tattooing Permit (State Form DENR 4015)
Documents Pertaining to Swimming Pools
Public Swimming Pool Application (FH 4001.054)
Swimming Pool Plan Review (CONSTRUCTION) (FH 4001.058)
Swimming Pool Packet (FH 4001.071)
Documents Pertaining to Food Service Establishments
Food Service Establishment Application (FH 4001.057)
Application For Pushcart Or Mobile Food Unit (FH 4001.055)
Boil Water Advisory Fact Sheet – Rutherford (FH 4001.061R)
Boil Water Advisory Fact Sheet – McDowell (FH 4001.061M)
Flood Permit Suspension (FH 4001.062)
Food Service Inclement Weather Action Plan – Rutherford (FH 4001.063R)
Food Service Inclement Weather Action Plan – McDowell (FH 4001.063M)
Documents Pertaining to Temporary Food Establishments
Temporary Food Establishment Packet (FH 4001.002)
Temporary Food Establishment Coordinator Sheet (FH 4001.003)
Rules Governing the Sanitation of Food Service Establishments (NC Administrative Code) – New Link Coming Soon!
Documents Pertaining to Camps
Advanced Notification for Operation (DENR 3602)
State Water Lab Sample Lookup
Inorganic Sample Lookup
Inorganic Sample Results Explanation
Bacteriological Sample Lookup
EPA Primary Drinking Water Standards
EPA Secondary Drinking Water Standards
General Environmental Health Forms
Environmental Health Customer Satisfaction Survey – English (FH 4001.022)
Environmental Health Customer Satisfaction Survey – Spanish (FH 4001.032)