Cayuga County, NY · Cayuga County

No notary required

Application to Install a New Septic System Within an Approved Subdivision

Property owners use this application to request Cayuga County Health Department review of plans for a new septic system on property within an approved subdivision.

At a glance

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

What this form is

This application requests Cayuga County Health Department review of plans for a new septic system serving property within an approved subdivision. It asks for the owner’s contact information, subdivision and property details, number of bedrooms, and whether the property has a garbage disposal. The owner also confirms the system and private well will follow the approved subdivision plan and agrees to obtain professional certification after installation, before covering.

Who needs it

A property owner planning to install a new septic system on property within an approved subdivision should submit this application for plan review.

How to submit it

Submit it to the Cayuga County Health Department at 8 Dill St, Auburn, NY 13021. The form lists [email protected] and 315-253-1405.

About notarization

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

How to submit this form

  1. 1

    Download the Application

    Download the application for a new septic system within an approved subdivision.

  2. 2

    Complete the Property Details

    Enter the owner’s contact information, subdivision and property details, number of bedrooms, and garbage disposal information.

  3. 3

    Sign and Date the Form

    The property owner signs and dates the application.

  4. 4

    Submit to the County Health Department

    Submit the application to the Cayuga County Health Department at the address listed on the form.

Frequently asked questions

What does this septic system application do?
It requests Cayuga County Health Department review of plans for a new septic system serving property within an approved subdivision.
Who should complete this application?
The property owner provides contact and property details, including the subdivision, tax map number, number of bedrooms, and garbage disposal information.
Do I need a notary for this septic system application?
No. The document has a property-owner signature and date line, but no notary block or notarized attachment requirement.
How do I submit the application?
Submit it to the Cayuga County Health Department at 8 Dill St, Auburn, NY 13021. The form also lists [email protected] and 315-253-1405.

Need something notarized?

This Application to Install a New Septic System Within an Approved Subdivision doesn’t need a notary, but if you have another Cayuga County form that does, a commissioned online notary can help.