Yavapai County, AZ · Yavapai County
Notice of Intent to Discharge for a Sewage Collection System
This notice is for applicants proposing a sewage collection system who submit project, design, ownership, and supporting information to Yavapai County Development Services.
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
The notice provides project and site details for a proposed sewage collection system under a Type 4.01 General Aquifer Protection Permit. The applicant supplies system design figures, treatment facility permit information, and contact details for the applicant, project agent, and responsible owners or operators. It also lists supporting items to provide, including capacity assurances, a site plan, construction drawings, design documents, and an operation and maintenance plan.
Who needs it
Applicants proposing a sewage collection system who are submitting a Notice of Intent to Discharge for a Type 4.01 General Aquifer Protection Permit need this document.
How to submit it
The form identifies Yavapai County Development Services Environmental Unit at 1120 Commerce Dr., Prescott, AZ 86305, and 10 S. 6th Street, Cottonwood, AZ 86326. It lists an appropriate fee among the submission items but does not state an amount.
About notarization
This document is signed and dated by the applicant without a notary; it does not identify any notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Notice
Download the Notice of Intent to Discharge for a Sewage Collection System PDF.
- 2
Complete The Notice
Enter project, site, design, applicant, contact, and owner or operator information, then complete the applicant certification.
- 3
Gather Supporting Items
Use the form’s checklist to gather applicable capacity assurances, site plan, fee, drawings, design-flow documentation, operation and maintenance plan, and design documents.
- 4
Submit To The County
The form identifies the Development Services Environmental Unit and lists its Prescott and Cottonwood addresses.
Frequently asked questions
- What is the sewage collection system notice for?
- It provides project, site, design, and ownership information for a proposed sewage collection system under a Type 4.01 General Aquifer Protection Permit.
- What supporting items does the notice list?
- The form lists capacity assurance forms, a site plan, a fee, construction quality drawings, design-flow documentation, an operation and maintenance plan, and signed, dated, sealed design documents.
- Do I need a notary for the sewage collection system notice?
- No. The applicant signs and dates this document without a notary; it does not identify any notarized or sworn attachment or related step.
- How do I submit the sewage collection system notice?
- The form names the Yavapai County Development Services Environmental Unit and lists addresses in Prescott and Cottonwood. It does not specify a submission method.