Yavapai County, AZ · Yavapai County
Alternate System Permit Application
This application is for property owners and project representatives seeking a Yavapai County permit for an alternate wastewater system.
At a glance
- Issued by
- City of Yavapai County · Yavapai County, Yavapai County, Arizona
- Notarization
- Not required: file this form without a notary.
- Official source
- yavapaiaz.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request an alternate system permit, identified on the form as a Notice of Intent to Discharge for 4.03 systems. It asks for project and design-flow details, estimated construction information, designer and contractor contacts, parcel and property details, and system location. The form also lists required plans and supporting materials for the permit application and later discharge authorization.
Who needs it
Property owners or project representatives proposing an alternate system should complete this application and assemble the listed submittal materials.
How to submit it
The form names Yavapai County Development Services and lists offices at 1120 Commerce Dr., Prescott, AZ 86305, and 10 S. 6th Street, Cottonwood, AZ 86326.
About notarization
This document is signed without a notary; the form includes an affidavit statement but does not specify notarization, so the signer just signs and dates it.
How to submit this form
- 1
Download the Application
Download the Alternate System Permit Application and review its instructions and submittal requirements.
- 2
Complete the Application
Provide the project, system, contact, parcel, property, and site-location information requested.
- 3
Gather the Listed Materials
Assemble the plans, reports, plot plan, site directions, fee, and other items listed for the application.
- 4
Submit to the County
The form names Yavapai County Development Services offices in Prescott and Cottonwood; check the county website for current contact details.
Frequently asked questions
- What is the Alternate System Permit Application for?
- It requests a Yavapai County permit for an alternate system and is identified on the form as a Notice of Intent to Discharge for 4.03 systems.
- What information and materials does the application ask for?
- It asks for project, system, designer, contractor, owner, and property details. The submittal list also names plans, a site investigation report, a plot plan, directions to the site, and other materials.
- Do I need a notary for the Alternate System Permit Application?
- No. The document has no notary block. It includes an affidavit statement but does not specify notarization, so the signer just signs and dates it.
- How do I submit the Alternate System Permit Application?
- The form names Yavapai County Development Services and lists offices in Prescott and Cottonwood. It does not specify a submission method; check the county website for current contact details.