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Forms and Applications

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General Forms & Applications

The following list consists of the Torrington Area Health District most frequently requested general forms and applications. The forms may be printed after downloading. Most applications must be submitted with an application fee.

ATTENTION:
ALL forms that are fillable PDFs must be printed and submitted with the applicant’s signature (via the United States Postal Service or in person).
All applications must be accompanied by the appropriate fees.

Fee Schedule

Septic Systems

  • Soil Testing Fee: $150
  • Subdivision Review per lot: $150
  • Plan Review (New): $250
  • Plan Review (Repair): $250
  • Permit to Construct: $150
  • Septic Tank Replacement: $50 (+ Permit to Construct)
  • House Sewer, Distribution Box(es), Distribution pipe: $50
  • Plan Revision Review: $50 (after 2nd revision) 
  • Change of Design: $250
  • Septic Permit Renewal: $50 (with letter from engineer indicating no changes to the plan are necessary)
  • Septic Permit Renewal: $150 (if changes to the plan are necessary)

 

Building Additions/Conversions

  • Habitable Space: $55
  • Non-Habitable Space: $35
  • Septic Feasibility (B100a study): $150 (includes building addition fee of $55.00)

 

State Health Department Review Procedures and Fees
When plan review by the State Health Department is required, either by TAHD or Health Code Regulation ( flows over 2000 gallon/day ), the plan submittal must be made through the TAHD. 
The standard application procedure should be followed along with the following additions:
(At least three sets of the design plans should be submitted with the completed application)
A check made payable to: Treasurer, State of Connecticut

  • New System: $500 
  • System Repair: $100

An additional check made payable to: Torrington Area Health District

  • TAHD Review Fee: $250

Recreational Health

  • Private Swimming Pools: $55
  • Public Pools Registration: $200 plus ($50 per additional pool)
  • Family Campground Registration$100 + $0.50/site (fee is exclusive of pools or food operation)
  • State Licensed Youth Camps: $100 (Food License Fee)

 

Water Wells

  • Well Permit: $175
  • Well Abandonments / Extend Casing: $25
  • Deepening of Existing Well – $25
  • Hydrofracture Permit: $25
  • Geothermal Well(s) Permit: $150/site
  • Well Evaluation: $100/hr. portal to portal (cross connection field visit)

 

Day Cares/Group Homes 

  • Compliance Inspection – $100

 

Private Schools

  • Infirmary Inspection$100
  • Facility Inspection: $75/hr. portal to portal

 

Personal Care Services

  • Plan Review Fee: $150
  • Hair Salon License: $55 (1 Station)
  • Nail Salon License: $100 (1 station)
  • Each additional station: $10
  • Late fee for Annual License: $10/business day ($250 Max) 

Food Service Establishments

  • Risk Category 1: $175

         Plan Review Fee: $100

  • Risk Category 2: $275

         Plan Review Fee: $150

  • Risk Category 3: $400

         Plan Review Fee: $200

  • Risk Category 4: $500

         Plan Review Fee: $250


Mobile Food Vendors
Mobile Food Vendor License Fee: $275
Plan Review Fee is dependent on Risk Category (see above under “Food Service Establishments”)

Special Alert

SEPTEMBER FLU SHOT CLINICS

Click to view the calendar of upcoming clinics in time for the new school year.