Do I need a notary for the Private Sewage Disposal System Permit Application?

No. The application asks the owner and contractor to sign and date it; the packet does not identify a notarized or sworn attachment.

How do I submit the private sewage permit application?

Submit the application packet to the Randolph County Health Department, 2515 State Street, Chester, IL 62233.

Who completes the application?

The packet requests information and signatures from the homeowner and licensed sewage contractor for the proposed system.

Randolph County, IL · Randolph County

No notary required

Private Sewage Disposal System Permit Application Packet

Property owners and licensed sewage contractors use this packet to apply to Randolph County for approval to construct or repair a private sewage disposal system.

At a glance

Issued by: City of Randolph County · Randolph County, Randolph County, Illinois
Notarization: Not required: file this form without a notary.
Official source: randolphcountyil.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This packet is used to apply for a Randolph County permit to construct or repair a private sewage disposal system, or to install a holding tank or community system. It asks for owner and contractor details, site and property information, system specifications, and signatures. Include a site drawing, a soil evaluation report from a Certified Soil Classifier, the applicable permit fee, and an NPDES permit if required.

Who needs it

Property owners proposing a private sewage disposal system and their licensed sewage contractors complete and sign the application.

How to submit it

Submit it to the Randolph County Health Department at 2515 State Street, Chester, IL 62233. The packet lists permit fees ranging from $175 to $350, with additional charges for some community systems.

About notarization

This application is signed and dated without a notary; the packet does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

1
Download the Packet
Download the Randolph County private sewage disposal system permit application packet.
2
Complete the Application
Fill in the homeowner, contractor, property, site, soil investigation, and proposed system information, then sign and date it.
3
Gather Required Items
Attach the required site drawing, soil evaluation report, appropriate permit fee, and an NPDES permit if applicable.
4
Submit to the County
Submit the completed packet to the Randolph County Health Department at 2515 State Street, Chester, IL 62233.

Frequently asked questions

Do I need a notary for the Private Sewage Disposal System Permit Application?: No. The application asks the owner and contractor to sign and date it; the packet does not identify a notarized or sworn attachment.
How do I submit the private sewage permit application?: Submit the application packet to the Randolph County Health Department, 2515 State Street, Chester, IL 62233.
What should I include with the application?: Include a drawing of the system and site, a soil evaluation report from a Certified Soil Classifier, the appropriate permit fee, and an NPDES permit if applicable.
Who completes the application?: The packet requests information and signatures from the homeowner and licensed sewage contractor for the proposed system.

Need something notarized?

This Private Sewage Disposal System Permit Application Packet doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.