Cayuga County, NY · Cayuga County
Application for Business Permit to Install or Repair Septic Systems
Businesses and individuals engaged in installing or repairing septic systems, or pumping septic tanks, use this application to request a Cayuga County business permit.
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 is for persons or corporations engaged in installing or repairing septic systems, including tanks, or pumping out septic tanks. It requests business and owner contact information, services and certifications, liability insurance details, and waste-hauler permit and disposal-site information. The application states that the permit is valid for calendar year 2026 and costs $100.
Who needs it
Any person or corporation engaged in installing or repairing septic systems or pumping out septic tanks must complete this application.
How to submit it
Return the completed application with a $100 check payable to the Cayuga County Health Department. The form lists the department at 8 Dill Street, Auburn, NY 13021.
About notarization
This application is signed and dated without a notary; the applicant certifies that the information is current and correct.
How to submit this form
- 1
Download the Application
Download the application for a business permit to install or repair septic systems.
- 2
Complete the Application
Provide business and owner details, services and certifications, insurance information, and any waste-hauler permit and disposal-site information.
- 3
Prepare the Payment
Include a $100 check payable to the Cayuga County Health Department.
- 4
Return the Application
Send the completed application and check to the Cayuga County Health Department, 8 Dill Street, Auburn, NY 13021.
Frequently asked questions
- Do I need a notary for this septic business permit application?
- No. The applicant signs and dates the application; it contains no notary block.
- Who needs to file this application?
- Persons or corporations engaged in installing or repairing septic systems, including tanks, or pumping out septic tanks must complete it.
- How do I submit the application?
- Return the completed application with a $100 check payable to the Cayuga County Health Department at 8 Dill Street, Auburn, NY 13021.