Fee Schedule

Updated April 24, 2017

Note: Additional fees for special handling and affidavits may apply.

ENVIRONMENTAL HEALTH SERVICES (return to Environmental Health Services page)

Wastewater Fees
*State fee of $25 added when regular fee is collected
Fee Amount
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
Large Systems Renewable Operating Permit $165
Water Table Monitoring $462
System Certification $132
Water Analysis - bacteriologic $35
Subdivision Application $66 per Hour (min. 2 hours)
Renewable Operating Permit - Mound / Packed Bed Media $66
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%
Sampling Permit $25-3 months, $50-6 months, $75-12 months
Seasonal temporary food permit  (operating 6 mo. 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 Handler Card (includes training) $20 for 3 years
Duplicate Food Handler Card $2
Food Safety Manager Registration $20
Duplicate Food Manager Certificate $5
Offsite Food Handler testing $20/person; minimum 25 people
Required extra inspection $66 an hour
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 $30
Copy of I&M Program Regulation $2.50
Maximum duplicate compliance certificate $3
Checking of catalytic converter $25
Pools/Body Art/Tanning
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/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/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/hour after
Mass Gathering inspections (max. time 3 hours) $66/hour; $99/hour after hours, weekends, & holidays
Illegal Drug Site plan review $132 for 2 hours + $66/hour after
Illegal Drug Site Decontamination permit $198 for 3 hours + $66/hour after
Non-Public Well/Spring Permit $362
Day 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/hour
Asbestos Laboratory Transport $66/hour
Asbestos sample $33
File search for Environmental Assessment $66
Business License sign-off $33
E-liquid manufacturing endorsement $100
Printed copy of food regulations cost
Computer generated list $10
List on diskette $15
Transportation Fee $66/hour

ADULT PREVENTIVE SERVICES and MATERNAL AND CHILD HEALTH (return to Clinical Nursing Services page)

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Family Planning Services Fee Amount
Pregnancy Test $14
Communicable Disease  
Outside laboratory work cost + $10
STD Services
STD Exam $35-$75
STD Medications $10-$20
Cancer Screening
Clients ages: 40-64 (for more details)
Complete Exam free
Breast Exam only free
Pap Smear only free
Immigration Services
Complete Exam - 15 years & older $220
Complete Exam - 14 years & younger $190
Does not include immunization fees
Immunizations and Injections *
Fees listed below are for payments made at the time of service.
Vaccines for Children (VFC Program)
Immunization Administration $15-$25 each
Non-VFC Immunizations **
DTaP $38
DTap, Polio $57
DTap, Polio, HIB $103
HIB $39
MMR (measles, mumps, rubella) $82
MMRV (measles, mumps, rubella, chickenpox) $195
Polio (IPV) $46
Chicken pox $131
Shingles $206
Hepatitis B - Pediatric $27
Hepatitis B - Adult $59
Hepatitis A and Hepatitis B - Adult $86
Hepatitis A - Pediatric $37
Hepatitis A - Adult $55
HPV Vaccine $201
Rotavirus vaccine $94
TD - Adult $48
TdaP - Adult  (Tetnus, Diptheria, Pertussis) $50
Influenza virus vaccine (Quadrivalent, injectable and mist) $30
Influenza virus vaccine (high dose) $53
Pneumonia Adult (23 valent) $105
Pneumonia (Prevnar 13) $172
Meningococcal (meningitis) $113-$144
Meningococcal (meningitis B) $119-$170
Overseas Vaccines **
Typhoid Oral and Injectable $70-$85
Yellow Fever $166
Malaria Prescription $20
Miscellaneous Injections
Mantoux PPD (TB Skin Test) $15
Immune Globulin $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

HEALTH PROMOTION (return to Health Promotion)

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Fee Amount
Bicycle Helmets $10
All-Sport Helmets $12
Child Passenger Safety Classes $20-$55
END Tobacco Class Registration $25
E-Cigarette, ENDS and ENDS Paraphernalia, E-liquid Retail Permit $100
Postnatal Smoking Cessation
One-on-one counseling $32
Telephone counseling $16
Prenatal Smoking Cessation
One-on-one counseling $12/10 min.
Group counseling $25

BIRTH AND DEATH RECORDS (return to Vital Records page)

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Fee Amount
Birth Certificates - initial copy $20
Death Certificates - initial copy $18
Marriage or Divorce Certification Summary $18
Additional Certificates - if ordered at same time as initial copy Effective 7/1/16   $10
Stillbirth certificate $18
Death Certificate Reissue Effective 7/1/16 $3
Affidavit $25
Expedite fee - one hour processing with the State $15
24 hour mail processing fee $15
Burial Transit Permit/Cremation $107
Dispositioner Death Certificate Preparation $100