Pool and Beach Operator Forms
Fact Sheets for Staff Certifications
NYSDOH Fact Sheets and Required Certifications
Pool and Beach Operator Forms
All permit application fees are non-refundable.
- Application for a Permit to Operate
- Report on Operation of Swimming Pool
- Fecal Incident Response Recommendations for Pool and Spray Ground Staff
- NYS Vomit and Blood Contamination Response
- Water Contamination Response Log
Supporting Documentation for Pool/Beach Permit Renewals
- Corporation Officers and Partners (Form DOH-2135)
- Daily Report on Beach Operations (Form DOH-2287)
- Recreaional Aquatic Spray Ground Operation Report (Form DOH-4429)
- Report on Operation of Swimming Pools (Form DOH-1323)
- Safety Plan Certification (WCDOH)
Safety Plans
Pool Design Forms
- Filing Instructions for Approval of Plans for Major Modifications
- Filing Instructions for Approval of Plans for Minor Modifications
- Certificate of Resolution for Authorization Form
- Authorization Form
- Application Form (DOH-1309)
- Notice of Intent Form (DOH-154)
- Corporate Affidavit Form (DOH-2135)
Beach/Pool Sanitary Code
- Article XII, Section 873.1203 of the Westchester County Sanitary Code
- Article XII, Section 873.1220 of the Westchester County Sanitary Code
- NYS Sanitary Code - Part 6, Subpart 6-1 Swimming Pools: Public Health Law 225
- NYS Sanitary Code - Part 6, Subpart 6-2 Bathing Beaches: Public Health Law 225
- NYS Sanitary Code - Part 6, Subpart 6-3 Recreationa Aquatic Spray Grounds