Applications and forms

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

Application for food facility

Application for health approval (PDF)

Use this package when:

  • Opening a new food facility (restaurant, stores, processor, food mobile, etc.).
  • Changing ownership or renovating an existing food facility.
  • This form is to be submitted with the completed package.
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Application for personal service

Application for personal service (PDF)

Use this form when:

  • Opening a new personal service facility (salons, spas, esthetics, tattoo shops etc.).
  • Requesting to change/modify services provided within an existing facility.
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Application for waiver of operating permit fee

Food service establishment application for waiver (PDF)

Use this form when:

  • You are applying to have your permit fee waived.
  • Your facility is operated by a charitable on non-profit organization.
  • Your organization has the mandate for the relief of poverty.
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Drinking water system applications

Water system construction permit application (PDF)

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 (PDF)

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 (PDF)

Use this form when:

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

Water system operating permit application - Cistern (PDF)

Use this form when:

  • Permitting a cistern as a public water system.

Water system operating permit application - Water hauling truck (PDF)

Use this form when:

  • Permitting a water hauling truck.
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General application for health approval

Application for health approval (PDF)

Use this form when:

  • Obtaining an operating permit for a public/commercial pool.
  • Change of status (ownership. address, services, etc.).
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On-site sewage applications

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File search request form (PDF)

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.

Holding tank application form (PDF)

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 (PDF)

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.
  • A non-refundable $400 fee is required at time of application.

Industrial camp sewage system approval application (PDF)

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.

Letter of certification form (PDF)

Use this form when:

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

Record of sewerage system form (PDF)

Use this form when:

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

Temporary food permit application (PDF)

Use this 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.
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