Berrien County, MI · Berrien County

No notary required

Sewage Permit Application

Property owners or their agents use this application to request a Berrien County sewage permit or a future development soil evaluation.

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

The Berrien County Health Department application requests a sewage permit for a private sewage disposal system or a future development soil evaluation. It asks for owner and property details, a plot plan and driving directions, and system information when a permit is to be issued. The form also requests permission for staff to evaluate the property and says the application fee must be received before action can be taken.

Who needs it

Property owners, buyers, or agents seeking a sewage permit or future development soil evaluation for property in Berrien County should complete this application.

How to submit it

The form lists email submission at [email protected] and Berrien County Health Department offices in Benton Harbor and Niles. It says the application fee must be received before action can be taken.

About notarization

This document is signed and dated without a notary; the owner or agent signs the application, and no notarized or sworn attachment is specified.

How to submit this form

  1. 1

    Download the Application

    Download the Berrien County Sewage Permit Application PDF.

  2. 2

    Complete the Application

    Fill out the driving directions and plot plan, and complete Sections 1, 2, and 4; complete Section 3 if applicable.

  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 Health Department

    Email the application to [email protected] or use one of the Health Department offices listed on the form.

Frequently asked questions

Do I need a notary for the Sewage Permit Application?
No. The owner or agent signs and dates the application; the form does not specify a notarized or sworn attachment.
How do I submit the Sewage Permit Application?
The form lists email submission at [email protected] and Health Department offices in Benton Harbor and Niles. It says the application fee must be received before action can be taken.
What should I complete with the application?
Complete the driving directions and plot plan, then fill in Sections 1, 2, and 4; complete Section 3 if applicable. The form says the plot plan and applicable sections must be completed.
What does the application ask about the property?
It asks for property details such as township, address, parcel identification, dimensions, and zoning compliance, along with system information when a sewage permit is requested.

Need something notarized?

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