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Home  Fees, Forms & Applications

FEES, FORMS AND APPLICATIONS

FEE SCHEDULE 2021
Fee schedules are reviewed and approved by the Board of Health on an annual basis and includes the following services: 

1. Household Sewage Treatment System
2. Food Service Operations
3. Private water
4. Pools and spas
5. Tattoo and Body Art Businesses
6. RV Parks
7. Health Release 

UNREGISTERED PROFESSIONALS 
All professionals performing sewage or plumbing work are required by the Ohio Revised Code/Administrative Code to be registered with the local health district where they are working.  Please see below for a list of professionals registered with the Butler County Health District.

We advise the public to USE ONLY REGISTERED OR LICENSED PROFESSIONALS to do sewage or plumbing work. The public is advised NOT to use persons if they are not listed on our website. If you have a question about someone who may have registered after publication of this list, please call our office and ask about their registration status (513-863-1770).

Persons performing plumbing or sewage work in Butler County while unregistered will be turned over to the Prosecutor's Office for further action. If you know of persons performing work in Butler County who are not registered, please file a complaint with us in writing via the Contact Us page, by sending an email to BOH@butlercountyohio.org, or a letter by mail. 

Thank you for your assistance in keeping the people of Butler County healthy!

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Categories always sorted by seq (sub-categories sorted within each category)
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Fee Schedules1 document

  • Clinic & Nursing Fee Schedule
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Environmental3 documents

  • Animal Bite Report
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  • Pool Fecal Accident
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  • Variance Application (Non-Sewage and Non-Private Water)
    document seq 0.00

Food Service Operation9 documents

  • Facility Layout and Equipment Review (Guidelines) and Review Application
    document seq 1.00
  • Micromarket Plan Review Application
    document seq 2.00
  • Guidelines and Application for Temporary Food Service License
    document seq 3.00
  • Mobile Plan Review Guidelines & Application
    document seq 4.00
  • Fire Department Mobile Food Truck Requirements
    document seq 5.00
  • Food Truck Fire Fact Sheet
    document seq 6.00
  • Providers of Person-In-Charge (PIC) Certification in Food Protection (formerly "level one") & Manager Certification in Food Protection (formerly "level two") Food Safety Training
    document seq 7.00
  • Ohio Food Safety Code
    document seq 8.00
  • Ohio Department of Agriculture Division of Food Safety
    document seq 9.00

Private Water6 documents

  • Steps for Constructing a Private Water System
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  • Requirements for Sealing Abandonment Private Wells or Keeping a Private Well
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    After Connecting to Public Water or Drilling a New Well - FAQ's
  • Disinfection of Water Well
    document seq 0.00
  • List of Ohio Registered Private Water Contractors
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    ODH's lists of registered private water systems contractors and water haulers.
  • Private Water Variance Application
    document seq 0.00
  • Water Sample Request Form 2022
    document seq 0.00
    Updated 1/3/22

Registered Professionals5 documents

  • Registered Professionals - Septic
    document seq 0.00
    Updated 8/2/2021

While we try to update these lists monthly, information may not be up to date.  Please call (513) 863-1770 with any questions.No documents

Plumbing4 documents

  • Plumbing Permit Application
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  • Medical Gas Application
    document seq 0.00
  • Backflow Report Form
    document seq 0.00
  • 2022 Plumbing Registration Application
    document seq 0.00

Nursing2 documents

  • Vaccination Record Request Form
    document seq 1.00
  • Consent to bring a child in for shots (non-parent or guardian)
    document seq 2.00

Vital Statistics1 document

  • Application for Birth and/or Death Certificate
    document seq 0.00

Soil Scientist / Designers1 document

  • Site Soil Evaluators and Designer Consultation Professionals
    document seq 0.00
    Updated 1/11/2022

Sewage19 documents

  • Sewage Treatment System Regulation
    document seq 0.00
  • Sewage Treatment FAQ
    document seq 0.00
  • Sewage Contractor Test Link
    document seq 0.00
  • Aerobic Unit Maintenance
    document seq 0.00
  • Sewage System Operation Survey
    document seq 0.00
  • Contractor Testing Requirements
    document seq 0.00
  • Operation and Maintenance Assessment Report
    document seq 0.00
  • NPDES Information for Homeowners
    document seq 0.00
    Updated 5/3/2021
  • Operation & Maintenance of a Household Sewage Treatment System
    document seq 0.00

Sewage Grant for Home Owners1 document

  • Household Sewage Treatment System (HSTS): Program Overview and Application
    document seq 0.00
    9/20/2021

Sewage Applications for the Public6 documents

  • Application for Site Review for Household Sewage Treatment System (HSTS)
    document seq 0.00
    Updated 1/3/2022
  • Sewage Treatment System - Abandonment Permit
    document seq 0.00
    2021
  • Permit to Install or Alter a Sewage Treatment System
    document seq 0.00
    2021
  • Sanitation Review for Deed Transfer (Lot Split/Replat)
    document seq 0.00
    2021
  • Health Review for Zoning Variance Approval
    document seq 0.00
    2021
  • Butler County Board of Health Sewage Variance Application
    document seq 0.00
    2021

Registration for Sewage Service Providers3 documents

  • Sewage Treatment System Installer Registration/Application 
    document seq 0.00
    2022
  • Sewage Treatment System Service Provider Registration/Application
    document seq 0.00
    2022
  • Septage Hauler Registration/Application
    document seq 0.00
    2022