| ENVIRONMENTAL HEALTH SERVICES
|
| Wastewater Fees
*State fee of $25 added when regular fee
is collected |
| Conventional Permit* |
$231 |
| Deep Trench Permit* |
$264 |
| At-Grade Permit* |
$528 |
| Mound / Packed Bed Media Permit* |
$693 |
| Holding Tank Permit* |
$528 |
| Plan Review |
$66 per Hour |
| Site Evaluation - per test hole |
$132 |
| Septic Tank Only Permit |
$132 |
| Permit Renewal |
$75 |
| Water Table Monitoring |
$462 |
| System Certification |
$132 |
| Water Analysis - bacteriologic |
$35 |
| Subdivision name or number change |
$66 per Hour |
| Renewable Operating Permit - Mound / Packed Bed Media |
$132 |
| Renewable Operating Permit - Holding Tank |
$66 |
| Renewable Operating Permit - Name Change |
$25 |
| Food Program |
| Restaurant permits |
| Risk Category 1 |
$84 |
| Risk Category 2 |
$168 |
| Risk Category 3 |
$252 |
| Risk Category 4 |
$337 |
| Food Establishment Site Review |
$132 |
| Failure to obtain food permit |
Normal Fee+200% |
| Permit late fee |
1-30 days late, 150% of regular fee;
Over 30 days late, permit revoked |
| Revoked permit renewal |
Normal Fee+200% |
| Temporary Establishment permits |
|
| Up to 5 days prior to event |
$35 + $5 each additional day |
| 4 days prior to event |
$43.75 + $5 each additional day |
| 3 days prior to event |
$52.50 + $5 each additional day |
| 2 days prior to event |
$61.25 + $5 each additional day |
| 1 day prior to event |
$70 + $5 each additional day |
| Failure to obtain temporary food permit |
Normal fee + 200% |
| Seasonal temporary food permit (operating 6mo. in year) |
$100 |
Intermittent Food Establishment (limited menu/preparation; in operation maximum of 144 days a year)
|
|
| Risk Level 1 - foods with no temperature control requirements |
$100 a year |
| Risk Level 2 - foods with temperature or time requirements |
$200 a year |
| Plan review- prior to construction |
$132 for 2 hours + $66 an hour after |
| after construction has started |
Normal fee + 100% |
| after construction is completed |
Normal fee + 200% |
| Food Worker card |
$10 for 3 years |
| Duplicate Food Worker card |
$2 |
| Food Safety Manager |
$20 |
| Duplicate Food Manager Certificate |
$5 |
| Offsite Food Handler testing |
$10 per person; minimum of 25 people |
| Required extra inspection |
$66 an hour |
| Chlorine Sanitizer test strips |
$1 - 25 ea. or $5 - 100 ea. |
| Inspections and Maintenance
|
| 100 Emission Certificates |
$300 |
| New Station permit |
$250 |
| Annual station renewal permit |
$25 |
| Expired station renewal permit |
$50 |
| New Station location permit |
$50 |
| Temporary station permit |
$50 |
| Official Station sign |
cost |
| Technician Certificate of Qualification |
$25 |
| Technician Self Study Course Manual-with test |
$45 |
Technician
Written Exam - if failed to pass first time
at 80% |
$20 |
| Technician Certificate renewal |
$20 |
| Duplicate Technician Certificate |
$10 |
| 30 day extension of Tester/Tech. Certificate |
$30 |
| Transfer Technician to new station |
$10 |
| Expired Technician renewal |
$40 |
Clear Tampering Lock Out, 3rd time/1 year
and each time thereafter |
$33 |
| Air Pollution Control |
$1 |
| Maximum Emission Inspection |
$25 |
| Copy of I&M Program Regulation |
$2.50 |
| Maximum duplicate compliance certificate |
$3 |
| Checking of catalytic converter |
$25 |
| Extra certificate paper |
$.10/sheet |
| Pool and Body Art |
| Public pool permit |
| Year round |
$292 + $168 each add'l pool |
| Seasonal only |
$134 + $56 each add'l pool |
| Plan review (new or remodeled pool) |
$132 for 2 hours + $66 an hour after |
| Payment overdue |
1-30 days late, 150% of regular fee;
Over 30 days late, permit revoked |
| Open without permit or under revoked permit |
Normal fee + 200% |
| Re-inspection |
$66 an hour |
| Body Art establishment |
$100 new; $75 renewal |
| Tanning establishment |
$100 new; $75 renewal |
| Miscellaneous Fees |
| Mass Gathering plan review |
$132 for 2 hours + $66 an hour after |
| Mass Gathering inspections (max. time 3 hours) |
$66 an hour; $99 an hour after hours, weekends, &
holidays |
| Illegal Drug Site plan review |
$132 for 2 hours + $66 an hour after |
| Illegal Drug Site Decontamination permit |
$198 for 3 hours + $66 an hour after |
| Non-Public Well/Spring Permit |
$342 |
| Child Care / Group Home inspection |
$49 |
| Rat Bait |
cost |
| Waste hauler permits |
Greater of $50 or $10 per vehicle |
| Infectious Waste Hauler permit |
$50 per vehicle |
| Asbestos Inspection |
$66 an hour |
| Asbestos Laboratory Transport |
$66 an hour |
| Asbestos sample |
$33 |
| File search for Environmental Assessment |
$66 |
| Business License sign-off |
$33 |
| Printed copy of food regulations |
cost |
| Computer generated list |
$10 |
| List on diskette |
$15 |
| Transportation Fee |
$66 an hour |
| ADULT PREVENTIVE SERVICES
and MATERNAL AND CHILD HEALTH |
| Family Planning Services
|
| Initial Exam |
$0-$90 |
| Annual Exam |
$0-$70 |
| Medical Revisit |
$0-$50 |
| Brief Visit |
$0-$20 |
| Refill Visit |
$0-$35 |
| Hematocrit |
$0-$5 |
| Hemoglobin |
$0-$6 |
| Urine Dip Stick |
$0-$5 |
| Oral Contraceptives |
$5-$7 |
| Contraceptive Patch |
$5-$13 |
| Depo Provera |
$15-$40 |
| IUD Insert/Removal |
$25 |
| Colposcopy |
$25 |
| Emergency Contraceptive Visit |
$15 |
| Pap Smear |
$20 |
| Gonorrhea/Chlamydia testing |
$7 |
| Pregnancy Test |
$10 |
| Wet Mount |
$8 |
| Blood Glucose Reagent Strip |
$6 |
| Phlebotomy/culture |
$5 |
| Communicable Disease |
|
| Outside laboratory work |
cost + $10 |
| Well Child Exam |
| Under 1 year |
$15-$60 |
| 1 to 4 years |
$15-$60 |
| 5 to 11 years |
$15-$60 |
| 12 to 17 years |
$15-$60 |
| Kindergarten Physical |
$15 |
| Scout Physical |
$15 |
| STD Services |
| STD Exam |
$35-$70 |
| HIV Testing & Counseling |
$15 -$28 |
| Cancer Screening |
| Complete Exam |
$20-$90 |
| Breast Exam only |
$10-$50 |
| Pap Smear only |
$15-$50 |
| Immunizations and Injections
* |
| Vaccines for Children (VFC Program) |
| Immunization Administration |
$10-$25 each |
| Non-VFC Immunizations ** |
| DTaP |
$25 |
| DT |
$30 |
| HIB |
$30 |
| MMR |
$60 |
| MMRV |
$140 |
| IPV |
$35 |
| DTaP, IPV, Hep B |
$65 |
| Chicken pox |
$95 |
| Zostavax |
$165 |
| Kinrix |
$45 |
| Pentacel |
$50 |
| Adacel |
$45 |
| Hepatitis B - Pediatric |
$20 |
| Hepatitis B - Adult |
$40 |
| Hepatitis A and Hepatitis B - Adult |
$60 |
| Hepatitis B, HIB Comvax |
$60 |
| Hepatitis A - Pediatric |
$25 |
| Hepatitis A - Adult |
$35 |
| HPV Vaccine |
$140 |
| Rotavirus vaccine |
$80 |
| TD - Adult |
$32 |
| TdaP - Adult (Tetnus, Diptheria, Pertussis) |
$53 |
| Influenza virus vaccine |
$22-$27 |
| Pneumonia |
$55 |
| Monomune |
$115 |
| Menactra |
$115 |
| Flu |
$25 |
| Flu high-potency vaccine for 65 and older |
$40 |
| Overseas Vaccines ** |
| Typhoid Typim Vi |
$65 |
| Yellow Fever |
$105 |
| Meningococcal Polysaccharide |
$100 |
| Meningococcal Conjugate |
$97 |
| Malaria Prescription |
$15 |
| Miscellaneous Injections |
| Mantoux PPD (TB Skin Test) |
$12 |
| Immune Globulin - contact Hep A |
$20-$25 |
| Immune Globulin-under 150 lbs |
$20-$25 |
| Immune Globulin-over 150 lbs |
$20-$35 |
| *prices may change due to manufacturer cost; **price includes administration fee |
| Exemption form |
$15 |
| State records copy fee |
$2 |
| Immunization record (yellow card) |
$5 |
Note: Additional
fees for special handling and affidavits may apply.
