Cayuga County, NY · Cayuga County
Application to Modify or Replace an Existing Septic System
Property owners use this application to propose repairs, modifications, or replacement of an existing septic system serving their property in Cayuga County.
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
The Cayuga County Health Department uses this application to review a proposed repair, modification, or replacement of an existing septic system. It asks for owner and property details, system specifications, site conditions, and a sketch showing features such as percolation holes, wells, and water bodies. The application states that construction must wait until the proposal is accepted and lists review fees by system type.
Who needs it
A property owner proposing to repair, modify, or replace an existing septic system must complete this application for the Cayuga County Health Department.
How to submit it
Send the application to the Cayuga County Health Department, 8 Dill Street, Auburn, NY 13021, or email [email protected]. Include the required review fee: $100 for conventional absorption trench systems or $150 for other types.
About notarization
This application is signed and dated without a notary; its required site sketch and later installation certification are not identified as notarized.
How to submit this form
- 1
Download the Application
Download the application and review the requested owner, property, and septic system information.
- 2
Complete the Application
Enter the owner and property details, proposed system information, site conditions, and reason for the modification.
- 3
Prepare the Site Sketch
Include a sketch showing percolation holes, the nearest well, the dwelling, streams, and other requested site features.
- 4
Sign and Submit
Sign and date the application, include the applicable review fee, and send it to the Cayuga County Health Department by mail or email.
Frequently asked questions
- Do I need a notary for the septic system modification application?
- No. The application calls for the property owner's signature and date, not notarization. It also requires a site sketch; the later installation certification is not identified as notarized.
- How do I submit the septic system modification application?
- Send it to the Cayuga County Health Department at 8 Dill Street, Auburn, NY 13021, or email [email protected]. Include the applicable review fee.
- What should I include with the application?
- Include a sketch of the proposed plan showing percolation holes, the nearest well, the dwelling, streams, and other specified site features. The form also asks for septic system and property information.
- What review fee does the form list?
- The form lists a $100 review fee for conventional absorption trench systems and a $150 fee for other types of systems.