Madison, MT · Morris County
Application for License – Public Recreational Bathing Facility
A license application for public recreational bathing facility operators to provide facility details and submit required checklist items to the Madison Health Department.
What this form is
This application is for licensing a public recreational bathing facility in Madison. It asks for the establishment and owner or manager contact details, certified pool operator information, facility type, operating hours, and NJDEP lab. The checklist calls for a $100 application fee and supporting certificates, inspection and water quality results, an aquatics facility plan, and a CB-20 form.
Who needs it
Owners or managers of public recreational bathing facilities in Madison need this application to provide facility information and the listed supporting items.
How to submit it
Return all checklist items and the $100 application fee to the Madison Health Department, 50 Kings Road, Madison, NJ 07940; email the Aquatics Facility Plan to [email protected] or include a hard copy.
About notarization
This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Madison public recreational bathing facility license application PDF.
- 2
Complete The Application
Fill in the facility, owner or manager, certified pool operator, facility type, operating hours, and NJDEP lab information.
- 3
Gather Checklist Items
Gather the listed certificates, inspection sticker, water quality test results, Aquatics Facility Plan, CB-20 Form, and $100 application fee.
- 4
Submit To The Health Department
Return all checklist items to the Madison Health Department at 50 Kings Road; email the Aquatics Facility Plan to [email protected] or include a hard copy.
Frequently asked questions
- Do I need a notary for the public bathing facility license application?
- No. The application is signed and dated without a notary, and it lists no notarized or sworn attachment.
- How do I submit the public bathing facility license application?
- Return the checklist items and $100 application fee to the Madison Health Department at 50 Kings Road, Madison, NJ 07940. Email the Aquatics Facility Plan to [email protected] or include a hard copy.
- What information does the application ask for?
- It asks for the facility name and contact information, owner or manager details, certified pool operator information, facility type, operating hours, and NJDEP lab.
- What supporting items does the checklist request?
- The checklist requests a TPO Certificate or Pool Director Certificate, bonding and grounding certificate, passed annual electrical inspection sticker, annual water quality test results, Aquatics Facility Plan, and CB-20 Form.
Need something notarized?
This Application for License – Public Recreational Bathing Facility doesn’t need a notary — but if you have another Madison form that does, a commissioned online notary can help.