Yavapai County, AZ · Yavapai County
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
Download The Form
Download the Sewage Collection System Capacity Assurance form.
- 2
Complete The Project Details
Fill in the project, owner, downstream system, flow, and capacity information requested.
- 3
Review Attachments
The form text does not identify any required attachments.
- 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.
