Organization Name
Name
Email
Address 2
ZIP
Application Type
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Single or Multiple Spas or Pools
{[PNAME]}
Phone #
Address
Business Owner Information
City
State
  • Instructions
  • Facility Information
  • Contacts
  • Attachments
  • Certification

RECREATIONAL BATHING BASIC LICENSE INFORMATION:

Applications for a Public Swimming Pool or Spa are due on June 1st of each year.  The fee is $225.00 per pool and $125.00 per spa.  As per N.J.A.C. 5:23 - 2.18C and 2.20(d), ALL pools must receive an ANNUAL electrical inspection and must maintain a Bonding and Grounding Certificate.  Please contact the Electrical Sub-Code Official in the Building Department for more information on these issues.

  • Seasonal pools must complete the checklist 21 days before opening.
  • Year-Round pools must complete the checklist 30 days before expiration of current license.
  • No Seasonal Pool may open and/or operate until a Pre-Operational Inspection has been performed by The Health Dept.
  • A CB-20 Certification Form & a Bonding/Grounding Certificate must be submitted along with the Operational Checklist.
  • You must contact us 2 WEEKS IN ADVANCE To schedule an inspection.
  • Pool water must be tested by a Certified Laboratory prior to opening.

The Federal Virginia Graeme Baker Pool and Spa Safety Act went into effect on December 19, 2008. All required upgrades and changes to conform to the Act must be made prior to your opening for this coming season.  Specific questions regarding compliance with the Act should be directed to the Consumer Product Safety Commission (CPSC): 800-638-2772 or 301-504-7912.

ONLINE INSTRUCTIONS:

  • Start by selecting 1 Pool/Spa in the dropdown menu even if you have more than 1. You will need to add them later in the application process.
  • Enter the Business Owner information followed by the Facility, Pool/Spa & Supervisor information & click next.
  • Enter the Trained Pool Operation information (if it’s the same as business owner click that button to auto-fill).
  • The Contact Information is whoever oversees the application process.
  • Add Lifeguard information if necessary and click next.
  • This will bring you to the Attachments tab. PLEASE READ THAT PAGE. It has all the information on what is required. YOU MUST UPLOAD ALL YOUR DOCUMENTS IN ORDER TO SUBMIT. Failure to upload all required documents may result in the denial of your application. Click next.
  • This page will show you what the fee is for that pool/spa. You cannot pay online at this time.
  • Type your name in the certification box and click submit. If a red box appears on the left of your screen, you must make those corrections before you can proceed.
  • Once submitted, the Health Dept. will review and notify you via email of the next steps.

TO ADD ANOTHER POOL/SPA you will need the following information:  Applicant Name & Reference # from your prior application.

  • Use the online link and using the dropdown menu click Multiple Pool/Spas. A box will pop up for you to enter the information referenced above & click find my application.
  • All the prior information except the actual pool/spa information will have carried over to this application. Proceed just as you did the prior application. You need to do this for each pool/spa you have.

If you need assistance, please call Monday through Friday from 8am – 4pm: 732 615-2096.

If Other
Supervisor
Pool Location Type
Season End Date
Supervisor Details
Pool Estimated Daily Attendance
Pool Type
State
Facility Details
Season Start Date
ZIP
Phone #
Facility Name
Address
ZIP
City
Email
City
Hours Open To
Pool or Spa Name
Hours Open From
State
Address
Pool Surface Square Footage
Bathing Facility Type
State
City
Provide information for the primary contact person for this application.
Address
Lifeguard(s)
Name
Name
Trained Pool Operator
Phone #
Phone #
ZIP
Email
Email
Contact Information
Required Attachments
In order to obtain a {[PNAME]} permit, you must provide the following documents:

  • Annual Electrical Inspection from the Building Depatrment.

  • Bonding & Grounding Certificate.

  • Certification for the replacement of Main Drain Covers in Pool/Spa.

  • Trained Pool Operator Certificate.

  • Middletown Township Electrical Inspection.

  • Life Guard Certificates.

  • A CB-20 Certification Form & a Bonding/Grounding Certificate must be submitted along with the Operational Checklist.

  • Pool Water Sample/Test Results.

  • NJ Department of Health Checklist for Public Recreational Bathing Facilities.

    • Type Full Name :
    Sign With Hand
    Certification
    Pool $225 per pool
    Spa $125 per Spa
    Application Fee
    Signature
    By signing below, I the owner certify that all of the information provided in this application is true and accurate. : The undersigned agrees to operate the aforementioned swimming pool in accordance with the provisions of the N.J. State Sanitary Code Chapter IX. Public Recreational Bathing, N.J.A.C. 8:26-1 et seq.