Yavapai County, AZ · Yavapai County
Sewage Treatment Facility Capacity Assurance
This form documents sewage treatment capacity for a proposed subdivision and is completed by the owner or operator of the downstream sewage treatment facility.
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 downstream sewage treatment facility owner or operator completes and submits this form to provide capacity assurance for a proposed subdivision. It requests project, facility, permit, operator, and capacity information, plus a plan and schedule for additional capacity when total design flow exceeds the facility’s APP-approved capacity. The owner or operator also affirms that the added sewage volume will not exceed facility permit limits.
Who needs it
The owner or operator of the downstream sewage treatment facility serving a proposed subdivision completes and submits this capacity assurance form.
How to submit it
Complete and submit the form to Yavapai County Development Services Environmental Unit. The form lists addresses in Prescott and Cottonwood but does not specify a submission method or which address to use.
About notarization
This form has no notary block; the facility owner or operator signs and dates the capacity assurance, with no notarized attachment or related step specified.
How to submit this form
- 1
Download the Form
Download the Sewage Treatment Facility Capacity Assurance form.
- 2
Complete the Project Details
Enter the project, sewage treatment facility, owner or operator, permit, and facility capacity information requested.
- 3
Add Capacity Plans if Needed
Provide a plan and schedule for additional capacity if total design flow connected to the facility exceeds its APP-approved capacity.
- 4
Sign and Submit
The facility owner or operator signs and dates the assurance, then submits the form to the county Environmental Unit.
Frequently asked questions
- Who completes the Sewage Treatment Facility Capacity Assurance form?
- The owner or operator of the downstream sewage treatment facility completes and submits the form. It covers a facility serving a proposed subdivision.
- What information does the capacity assurance form request?
- It requests project and facility details, permit numbers, owner or operator information, facility capacity figures, and a plan and schedule for additional capacity when needed.
- Do I need a notary for the Sewage Treatment Facility Capacity Assurance form?
- No. The form has no notary block; the facility owner or operator signs and dates the capacity assurance. No notarized attachment or related step is specified.
- How do I submit the capacity assurance form?
- Complete and submit it to Yavapai County Development Services Environmental Unit. The form lists addresses in Prescott and Cottonwood but does not specify a submission method or which address to use.