Northeast District Department of Health

      69 South Main Street, Unit 4, Brooklyn, CT 06234
       Phone: (860) 774-7350 / Fax (860) 774-1308 / www.nddh.org  

Permit FEE
$ 190.00

An Important Notice Regarding Your Permit
To: Campground Owners
From: The Northeast District Department of Health
Date:  February 11, 2026
Subject: 2026 Campground Permit Renewal

The Campground permit issued to your establishment by the Northeast District Department of Health (NDDH) has expired and must be updated on a yearly basis. 

Please return the following to this office by Wednesday, April 15, 2026:

•	A completed Campground Application. You may access the application forms and can make payments online at www.nddh.org/formspermits. If you do not have computer access, you may complete the form at our office.
•	Pay the application fee https://nddh.org/formspermits/pay-online/.
•	If the establishment has public water, a copy of the most recent water bill
•	If the establishment has a private well, a copy of a current water analysis report. Note that the water sample must have been retrieved by a CT Certified laboratory.
•	An up-to-date map with the layout of the campground including the location of:
1)  All sites numbered and coded to depict whether the site is supplied with water hookups, black water disposal on the site, gray water disposal on the site, or whether it is a remote site without water or sewage facilities on the site
2)  The location and size of any septic tanks or leaching areas, and any black water or gray water dump stations
3)  All sanitary facilities, including rest rooms, showers, outhouses, etc.
4)  Pool, pond, or any other swimming areas
5)  All wells/well pump houses
6)  Any other outbuildings, i.e., food stores, snack bars/concession stands, game rooms, laundries, etc.
•	Copies of any brochures given to registrants
•	Camper registration form
•	The Town of Woodstock requires an NDDH permit approval prior to the issuance of a town permit

We are eager to assist you in complying with the State of Connecticut public health regulations. Upon receipt of all completed documentation, a permit will be issued for your establishment. Please be sure to provide us with a valid e-mail address, as we will be sending permits electronically.

All completed documentation and fees must be  received or postmarked by Wednesday, April 15, 2026, or your application will be considered late. The cost of a late fee is $90 and will be added to your permit fee. In addition, a penalty fee of $12 per NDDH business day with a maximum of $120 shall be assessed for each day late from April 30th  through May 13th inclusive. Please make sure that NDDH receives your application and permit fee prior to opening for the season.

Annual inspections will be conducted throughout the year.  Please be aware a re-inspection fee of $150 will be charged for a failed inspection.

If you have any questions, please feel free to contact us. We look forward to working with you.

Sincerely,
Melissa Nichols, Finance Manager

   

	

Sanitarian Approved Initial:	 Date: 	

Emailed:	

Northeast District Department of Health
69 South Main Street, Unit 4
Brooklyn, CT 06234
Phone - (860) 774-7350 / Fax - (860) 774-1308
www.nddh.org	email@nddh.org
CAMPGROUND APPLICATION

Name of Establishment: 				 Address: 				  Mailing Address (if different): 					 City: 		State:    Zip: 	Phone: 		 Fax: 	Billing Email Address:

Owner: 			Phone: 	 Mailing Address						 City: 	State: 	Zip:		Home Phone:			

Name of Manager: 	
Type of Campground:	Natural 	Family 	
Season Start Date: 		Season End Date: 	
Water Supply: Private	Public	 Sewage Disposal: Septic System	Public	
If private, what is the date of last analysis? 	
If septic, what is the date last pumped? 	
Total Number of Camp Sites: 	
	# of Restricted camp sites
	# of Water hook-ups
	# of Water/sewer hook-ups
	# of Remote sites

Is food service provided? Yes	No	

Are bathing facilities available? Yes	No	
If yes, what type(s): Swimming Pool 	Natural (Pond, Lake, Other) 	
If there is a swimming pool, list information about the filters, automatic chlorinators, etc.:

Please complete reverse side of application

Page 1 of 2
Rev. 111121

Sanitary Facilities:

Number of Flush Toilets:  Male 	 Female 	 Number of Showers:	Male 	Female 	 Number of Sinks:	Male 	 Female 	 Number of Privies:	Male 	 Female 	

Sink Waste:

Number of Individual Leaching Pits/Galleries: 	
Number of Sites Covered: 	

Sewage Waste:

Number of Holding Tank Dumping Station(s): 	
Method of Pumping or Emptying Holding Tanks: 	

List any changes made in the past year?

Print Name: 		 Signature: 	  Date: 	 Signature: 	  Date: 	 Signature: 	  Date: 	

NDDH Use Only		
Date: 	Fee: 	Check # 		CC	E-Check	Cash	Receipt #		
Date: 	Fee: 	Check # 		CC	E-Check	Cash	Receipt #		

Page 2 of 2
Rev. 111121

Northeast District Department of Health

69 South Main Street, Unit 4, Brooklyn, CT 06234
860-774-7350 / Fax 860-774-1308	www.nddh.org

***EMERGENCY CONTACT INFORMATION***

Water Interruption • Power Outage • Fire • Flood • Contamination • Natural and Man-made Disasters

There are a number of emergencies that can interrupt your establishment. To protect the public, the Northeast District Department of Health (NDDH) must be able to quickly contact decision-makers for your business/organization to provide appropriate guidance. Check our website for regular updates that impact your establishment at https://www.nddh.org.

NDDH will conduct periodic tests of our Emergency Notification Systems. You may receive messages by phone, text, fax, or email. Please complete the information below, being sure to fill all fields accurately with contact information other than the owner.

Today’s Date: ______________ 

Business/Org Name:  ____________________________________________________
Business Address:  ______________________________________________________
City:  _____________________________   State:  ___________   Zip:  ____________

Emergency Contact Name and Title:  ______________________________________
Cell Phone: ___________________________ Fax Number: ____________________

Work Phone:  _________________________ Home Phone: ____________________

Email Address: __________________________________________________________ 

Alternate Emergency Contact Name and Title:  ________________________________
Cell Phone: ___________________________ Fax Number: _____________________

Work Phone:  _________________________ Home Phone: _____________________

Email Address: __________________________________________________________

Is water for your business establishment/organization supplied by:

	____Well                      ____Community Water System 

Businesses with multiple locations: Please complete a separate form for each location.

NDDH USE ONLY:
 
Updated - EHS Database: ______________   Excel Data Sheet:     ______________ Initials: ___________

REVISED 10/27/2025