Yavapai County, AZ · Yavapai County

No notary required

Sewage Collection System Capacity Assurance

The downstream sewage collection system owner or operator files this form to confirm capacity for a proposed system or expansion under different ownership or control.

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

This form documents whether a downstream sewage collection system can handle additional flow from a proposed system or expansion. The downstream system owner or operator completes it when the proposed system is under different ownership or control, providing project and owner details, flow and capacity figures, and a signed capacity assurance.

Who needs it

Owners or operators of downstream sewage collection systems complete it when a proposed collection system is under different ownership or control.

How to submit it

Submit the completed form to Yavapai County Development Services Environmental Unit at 1120 Commerce Dr., Prescott, AZ 86305, or 10 S. 6th Street, Cottonwood, AZ 86326. The form lists phone numbers for both offices.

About notarization

This form is signed and dated without a notary; it identifies no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Sewage Collection System Capacity Assurance form.

  2. 2

    Complete The Project Details

    Fill in the project, owner, downstream system, flow, and capacity information requested.

  3. 3

    Review Attachments

    The form text does not identify any required attachments.

  4. 4

    Sign And Submit

    Have the downstream system owner or operator sign and date the certification, then submit it to the Environmental Unit at an address listed on the form.

Frequently asked questions

Do I need a notary for the Sewage Collection System Capacity Assurance form?
No. The form has a signature and date line but no notary block, and it identifies no notarized or sworn attachment.
Who completes the capacity assurance form?
The owner or operator of the downstream sewage collection system completes the capacity assurance section. The form applies when the proposed system is under different ownership or control.
What information does the form request?
It requests project and owner information, sewage flow figures, downstream system capacity and agency details, and a certification that the system can maintain the required performance standards.
How do I submit the Sewage Collection System Capacity Assurance form?
Submit it to Yavapai County Development Services Environmental Unit at 1120 Commerce Dr. in Prescott or 10 S. 6th Street in Cottonwood, using the addresses printed on the form.

Need something notarized?

This Sewage Collection System Capacity Assurance doesn’t need a notary, but if you have another Yavapai County form that does, a commissioned online notary can help.