Cayuga County, NY · Cayuga County
Application to Install a Septic or Holding Tank
Property owners use this application to request Cayuga County Health Department acceptance for a proposed septic or holding tank installation or conversion.
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 Health Department acceptance to modify or replace an existing septic or holding tank, or convert an existing septic system to a holding tank. It asks for owner and property details, proposed tank information, and a sketch showing nearby wells, structures, and water bodies. The form states that construction cannot begin until the proposal is accepted and describes when a review fee applies.
Who needs it
A property owner proposing to install or replace a septic or holding tank, or convert an existing septic system to a holding tank, should complete this application.
How to submit it
The form lists the Cayuga County Health Department at 8 Dill St, Auburn, NY 13021, by phone at 315-253-1405 and email at [email protected]. If a holding tank replaces an existing septic system, a $100 review fee payable to the department must accompany the application.
About notarization
This application is signed and dated by the property owner without a notary; no notarized or sworn attachment is identified.
How to submit this form
- 1
Download the Application
Download the application to install a septic or holding tank.
- 2
Complete the Application
Fill in the owner and property details, proposed tank information, well distance, bedroom count, and proposal notes.
- 3
Prepare the Site Sketch
Include the required sketch showing existing systems, the proposed tank, the home, wells, and water bodies.
- 4
Sign and Submit
Sign and date the application and submit it to the Cayuga County Health Department. Include the stated review fee if applicable.
Frequently asked questions
- Do I need a notary for the septic or holding tank application?
- No. The property owner signs and dates this application without a notary, and the form does not identify any notarized or sworn attachment.
- How do I submit the septic or holding tank application?
- The form lists the Cayuga County Health Department at 8 Dill St, Auburn, NY 13021, and [email protected]. It says a $100 review fee must accompany applications replacing an existing septic system with a holding tank.
- What should the system site sketch show?
- Include a sketch showing existing septic tanks, trenches, or drywells; the proposed tank in relation to the home; and wells or water bodies. The form also asks for the distance to the nearest well.
- Can construction begin before the proposal is accepted?
- No. The owner agrees not to begin construction until the Cayuga County Health Department accepts the proposal.