Berrien County, MI · Berrien County

No notary required

Application for Sewage Permit

Berrien County property owners use this application to request an evaluation and permit for a private sewage disposal system.

At a glance

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

What this form is

This application requests a Berrien County Health Department evaluation for a private sewage disposal system and, if approved, a sewage permit. Applicants complete Sections 1, 2, and 4, provide a plot plan and driving directions, and complete Section 3 when seeking a permit or when required for future development. It asks for owner and property details, system plans, and permission for staff to evaluate the property.

Who needs it

Property owners or their agents seeking county evaluation or a permit for a private sewage disposal system should complete this application.

How to submit it

Email the completed application to [email protected], or contact the Benton Harbor or Niles office listed on the form; the document lists a $350 fee.

About notarization

This application is signed and dated without a notary; the document does not identify any attachment or related step requiring notarization or an oath.

How to submit this form

  1. 1

    Download the Application

    Download the Berrien County application for a private sewage disposal system.

  2. 2

    Complete the Required Sections

    Fill in Sections 1, 2, and 4; complete Section 3 when applicable, and provide driving directions and a plot plan.

  3. 3

    Mark the Property

    Use flagging tape to mark the property at the road and the desired drainfield area, as instructed on the form.

  4. 4

    Submit to the County

    Email the completed application to [email protected] or use the county office contact details listed on the form.

Frequently asked questions

Do I need a notary for the sewage permit application?
No. The application has an owner or agent signature and date line but no notary block. The document does not identify any attachment or related step requiring notarization or an oath.
How do I submit the sewage permit application?
The form provides an email submission address: [email protected]. It also lists the Benton Harbor and Niles office addresses and phone numbers.
What information and materials does the application require?
Complete Sections 1, 2, and 4, plus Section 3 when applicable, and include driving directions and a plot plan. The form asks for owner, property, and proposed sewage system details.
When is Section 3 required?
The form says to complete Section 3 when a sewage permit is to be issued. It also states that applicants with a Future Development letter must complete Section 3 before construction can start.

Need something notarized?

This Application for Sewage Permit doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.