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. Addition to Existing System
2. Existing System Check
3. Home with System-no record on file
4. Repair to Existing System
5. Replacement of a Trailer/Home

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