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Cortland County Health Department Cortland County Health Department Cortland County Health Department Cortland County Health Department Division of Environmental Health Division of Environmental Health Division of Environmental Health Division of Environmental Health 60 Central Avenue, Cortland, New York 13045 Telephone: [PHONE REDACTED] Fax: [PHONE REDACTED] Plan Review Submission & Fee Checklist Complete the information below and submit with the review fee payment for construction of the regulated facilities listed. Also noted are plan reviews, which require submission of separate forms. Proposed Facility Contact Phone/Fax Proposed (please indicate with a checkmark) Facility Type Requirements Plan Review Fee Hotel / Motel; Children’s Camp; Campground. 1. Engineered plan* $150.00 (≤50 units) $250.00 (>50 units) Public Swimming Pools; Public Beaches. 1. Engineered plan* 2. Engineering Report for Swimming Pool Plan (Form DOH-1308) $250.00 Food Service Facilities: New construction or extensively remodeled. 1. Food Service Plan Review Form $150 (new)/ $75 (modified) Petroleum Bulk Storage: New construction or installation of new tanks 1. Procedure for plan submission and approval 2. Tank Installation check list 3. Specifications on equipment $15.75 per 1000 gallons of capacity with a maximum of $375 TOTAL FEE = * NYS licensed professional Engineer required. Please submit plans to this office at the above address. Payment: Please submit a check or Money Order made out to Cortland County Treasurer for the required fee as determined using the above chart. For additional information, please call [PHONE REDACTED]. J:\Environmental\Environm\WPDATA\-admin-forms-contracts\Forms to complete\plan review request form 2015.doc ---PAGE BREAK--- Fee Calculation Locate category type of your establishment on the list below food service, temporary residence). 1. Locate the specific capacity which best reflects your operation. 2. Enter the amount indicated under “Fee Calculation” on the right side of the form. 3. Enter total at bottom of form. 4. Sign and date the fee determination schedule. 5. Submit this completed form with fee in the amount indicated under “Total Fee”.