Environmental Division Applications, Forms & Documents

WE ARE NAPA COUNTY

Environmental Health DivisionPlanning, Building & Environmental Services

Farmers Market

 

About Us

Planning

Building

Conservation

Engineering

Environmental Health

Code Compliance

 

Applications, Additional Forms & Information

Finding What You Want:

The Environmental Health Division has a number of applications, submittal forms and informational documents to help you with your Environmental Health and Land Use needs. If you can't find what your looking for using the links below, or not sure exactly what you need, Environmental Health Division staff is available to help. Staff is available for consultation and application services weekdays (excluding holidays) from 7:30 am to 4:15 pm. If you have questions about applications, permitting, health codes, violations, or general food and establishment safety use the informational links provided, or feel free to contact us for assistance.

Available Documents:

 

 

Consumer Protection

 
  

Land Use

 
  

 Pollution Prevention 

 
  

Solid Waste 

 

 APPLICATIONS

 APPLICATIONS

 APPLICATIONS

  APPLICATIONS

  Applications for Consumer Protection

  Applications for Land Use

  Applications for Pollution Prevention

  Applications for Solid Waste

Temporary Event Vendor Application

Wastewater Hauling Permit

Business Activity Page

 

Temporary Event Organizer Application

ASTS Plan Submittal Checklist

 

 

Cottage Food Operation Permit Class B

Conventional Sewage Disposal Application Form

 

 

Cottage Food Operation Registration Class A

City of St. Helena Well Permit Application 

 

 

Current Record Update Form 06-13

Geothermal Heat Exchange Well Application

 

 

Farmers Market Organizer Application

Discretionary Groundwater Permit Application

 

 

Water System Permit Amendment Application

Instructions for Completing Groundwater Permit Application

 

 

Water System Permit Application 

Instructions-Supplemental App. and RUF

 

 

Plan Check Application for Food Facilities

Ministerial Groundwater Permit Application

 

 

Pool Plan Check Application Worksheet 2013

Monitoring Well Permit Application 

 

 

 

Record Update Form (RUF)-Onsite Wastewater  

 

 

 

Soil Boring Permit Application  

 

 

 

Supplemental Application for ASTS  

 

 

 

Supplemental Application for NEW OWNERS 

 

 

 

Water Well Construction Application

 

 

HANDOUTS

Water Well Destruction Application

 

 

Pamphlets to help you avoid common pitfalls 

 

 

 

Best Stormwater Management Practices for Food Facilities  

 

 

 

B & B Pool Sign

 

 

 

Caterers

  HANDOUTS

  HANDOUTS

  HANDOUTS

Food Demonstration and Sampling Requirements 

  Pamphlets to help you avoid common pitfalls

  Pamphlets to help you avoid common pitfalls 

  Pamphlets to help you avoid common pitfalls 

Food Facility Person in Charge 

ASTS Landscaping Guidelines 

Welcome Packet

Agreement, Solid Waste, Recyclable Materials, Green Waste Collection

Food-Notice of Availability of Inspection Report

ASTS Service Providers List

 

Clinic Ole Expired Medication

Food-One Day Non Profit Temp Event Checklist

ASTS Standards

 

Sharps Disposal Guide

Food Safety Certification Providers

Backwash Guidelines

 

 

Food Waste Flyer for Food Facilities

Building Permit Requirements-Well -Septic

 

 

Hot Dog and Coffee Cart Compliance Agreement

Groundwater Permit Handout

 

 

Menu Labeling Guidelines from CCDEH

Napa County Approved List of Leach Field Chambers

 

 

MHP Inspection Guidelines for Residents

Septic Tank Destruction Guidelines

 

 

Mobile Food Facility Information Regarding Other Napa County Agencies      

Outdoor Beverage Bar Guidelines

Sewage Permit Issuance Requirements Updated 

 

 

Preventing Food Cross Contamination  

Sewage System Contractors

 

 

Pools-Cyanuric Acid  

Site Evaluation Guidelines

 

 

Pool-Fecal, Vomit, Blood and Drowning Incident Protocol

Site Evaluation Professional List

 

 

Pool-Fecal, Vomit, Blood and Drowning Incident Record      

Retail Plan Check Guide for Food Facilities

Spring Water Supply Requirements  

 

 

Service Animals in Food Facilities  

Steps to construct and final ASTS  

 

 

Swimming Pool Maintenance  

Wastewater Pumper Trucks   

 

 

Water Contaminant Arsenic Fact Sheet

Well Destruction Guidelines  

 

 

Water Contaminant Coliform Fact Sheet

Well Owner Guide-State Water Board    

 

 

Water Contaminant Nitrate Fact Sheet 

Well Septic ElectricalFloodplain Memo   

 

 

Water Systems-Permit Instructions

Winery Pond FAQ  

 

 

Water-Spring Guidelines

Winery Pond Fencing and Sign Requirements    

 

 

Water Testing Laboratories 

Winery Pond Reporting Requirements

 

 

Water Well Chlorination Instructions

 

 

 

Water Testing FAQ from from CDC for Private Wells

 

 

 

 

 

 

 

 

 

 

 

 

   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  SUPPLEMENTAL FORMS

  SUPPLEMENTAL FORMS

  SUPPLEMENTAL FORMS

  SUPPLEMENTAL FORMS

  Supplemental forms depending upon Application

  Supplemental forms depending upon Application

  Supplemental forms depending upon Application

  Supplemental forms depending upon Application

Authorized Agent Form

Agreement for Grant of Easement and Water Rights

 Emergency Response Plan 020813

 

Commissary - Restroom Verification Form for Mobile Food Facilities

Agreement for Grant of Sewage Easement

 

 

Cottage Food Operation Planning Department Authorization Form 

Burned Dwelling Replacement Guidelines

 

 

Fish Truck Compliance Agreement

Contractor Inspection Report Form

 

 

Food Plan Check Hood Performance Test

Deed Restriction Well Destruction in Septic Reserve Area  

 

 

Handwash Sign

Future Dwelling Agreement 

 

 

  Future Winery Agreement  

 

 

Ice Cream Truck Compliance Agreement 

Grease Trap Agreement  

 

 

MFF Pre-Packaged Food Vehicle

Instructions for Water Agreement  

 

 

Mobile Food Facility Compliance Agreement

Site Evaluation Report Form

 

 

Pools-Anti-Entrapment Devices Compliance Form

Watertight Certification Form

 

 

Produce Truck Compliance Agreement

  

 

 

Swimming Pool Operating Records

 

 

 

TFF Temp Event Food Booth Self Inspection Checklist

 

 

 

TFF Fee Waiver Request Form

  

 

 

Water Agreement for Grant of Water Rights

  

 

 

Water Bacteriological Siting Plan

 

 

 

Water-Instructions for Agreement for Grant of Water Rights

 

 

 

Water System Disinfection Byproduct Plan

  

 

 

Water System Emergency Notification Plan