Applications for Madison County Health Department
​Environmental Health

We accept cash, checks, credit card and debit card payments for services.

Open Monday-Friday: 8:00am-12:00pm, 1:00pm-3:30pm

Temporary Food Establishment Application
  1. Exempt Application
  2. Food Establishment Plan Review Application/Plan Review Checklist
  3. Organizers Application
  4. Vendor Application
  5. Mobile Food Unit/Push Cart Application
Facility Application
Adult Care/Nursing Home/​Daycare/After School Application/Food Establishment Plan Review Application and Plan Review Checklist
Summer Camp Permit
 Lodging Application
  1. Hotel/Motel/Food Establishment Plan Review Application and Plan Review Checklist
  2. Bed and Breakfast Inn/Food Establishment Plan Review Application and Plan Review Checklist
  3. Bed and Breakfast Home/Food Establishment Plan Review Application and Plan Review Checklist
 Septic Application
  1. Septic Construction Authorization/Improvement Application
Existing Septic Application
  1. Existing Septic Application

​Existing Septic System Information Request Form

Well Application
  1. New Well Construction Permit/Well Repair/Abandonment Permit
Water Sample Request Application
Environmental Health is NOT allowed to take the general public’s water samples unless we placed and inspected the new well.
  1. Water Sample Request 

​septicsepticapprevised.pdf