Yavapai County, AZ · Yavapai County
Onsite Wastewater System Abandonment Notification Form
Yavapai County property owners use this form to notify Development Services that an onsite wastewater system has been abandoned.
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 form to notify Yavapai County Development Services that an onsite wastewater system has been abandoned. It asks for the property address or parcel number, permit number if applicable, pumping and disposal details, the building’s sewer or wastewater connection status, and the names, signatures, and dates of parties responsible for closure work.
Who needs it
Property owners or responsible parties use this form to report closure of an onsite wastewater system to the county.
How to submit it
Submit the notification to the Yavapai County Development Services Environmental Unit at one of the Prescott or Cottonwood addresses listed on the form.
About notarization
This document is signed without a notary; the responsible parties sign and date the form, and no notarized attachment or related step is mentioned.
How to submit this form
- 1
Download the Form
Download the Onsite Wastewater System Abandonment Notification Form.
- 2
Complete the Property Details
Enter the parcel number or address and the onsite wastewater system permit number, if applicable.
- 3
Add Closure Information
Provide pumping and disposal details, indicate the building’s status, and list the responsible parties.
- 4
Sign and Submit
Have the responsible parties sign and date the form, then submit it to the county Environmental Unit at an address listed on the form.
Frequently asked questions
- What is the Onsite Wastewater System Abandonment Notification Form?
- It notifies Yavapai County Development Services that an onsite wastewater system has been abandoned and records property, pumping, disposal, and closure information.
- Who completes this abandonment notification?
- The form is for reporting an abandoned onsite wastewater system. It requests property details and identifies people responsible for pumping and system closure work.
- Do I need a notary for the Onsite Wastewater System Abandonment Notification Form?
- No. The document is signed without a notary; responsible parties sign and date it, and it does not mention a notarized attachment or related step.
- How do I submit the abandonment notification?
- Submit it to the Yavapai County Development Services Environmental Unit at one of the Prescott or Cottonwood addresses listed on the form.