Harris County, GA · Harris County

No notary required

Application and Permit for Utility Facility Encroachment

Utility companies and contractors use this application to request permission from Harris County to install or work on utility facilities within county road rights of way.

At a glance

Issued by
City of Harris County · Harris County, Harris County, Georgia
Notarization
Not required: file this form without a notary.
Official source
harriscountyga.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This application requests Harris County permission to install utility facilities within county road rights of way. It asks for utility and contractor contact details, the work location, installation type and method, proposed dates, and work specifications. Applicants also provide an attached plan and signatures from a utility official and an approving county official; the permit includes requirements for notice, traffic safety, and responsibility for damage.

Who needs it

A utility company or contractor proposing utility installation or other listed work within a Harris County road right of way should complete this application.

How to submit it

Return the original application and attachments in person to the Harris County Public Works office, 9982 GA Highway 116, Hamilton, GA 31811.

About notarization

This document is signed without a notary; the utility official and approving county official sign and date it, and no notarized attachment is specified.

How to submit this form

  1. 1

    Download the Application

    Download the Utility Facility Encroachment Application and Permit PDF.

  2. 2

    Complete the Application

    Fill in the utility and contractor details, work location, proposed work, dates, and applicable installation information.

  3. 3

    Gather Attachments and Signatures

    Include the attached plan and other attachments, and complete the utility official signature and date fields.

  4. 4

    Return It to Public Works

    Return the original application and attachments in person to the Harris County Public Works office in Hamilton.

Frequently asked questions

What is the Utility Facility Encroachment Application for?
It requests county permission to install utility facilities within Harris County road rights of way and records the location, work details, contacts, dates, and signatures.
Who should complete this application?
A utility company or contractor proposing utility installation or other work described on the application within a Harris County road right of way should complete it.
How do I submit the Utility Facility Encroachment Application?
Return the original application and attachments in person to the Harris County Public Works office at 9982 GA Highway 116, Hamilton, GA 31811.
Do I need a notary for the Utility Facility Encroachment Application?
No. The document has signature and date lines for a utility official and an approving county official, but does not specify a notarized attachment.

Need something notarized?

This Application and Permit for Utility Facility Encroachment doesn’t need a notary, but if you have another Harris County form that does, a commissioned online notary can help.