Sterling, NY · Cayuga County
Specific Waiver Application for Residential On-Site Wastewater Treatment Systems
Property owners and their engineers use this application to request a waiver when a proposed residential wastewater system cannot meet applicable design standards.
What this form is
This application asks the health department with jurisdiction to consider a waiver for a proposed residential on-site wastewater treatment system that cannot meet one or more standards. It is required before construction when the applicant seeks a specific waiver. The form requests owner and site information, reasons for noncompliance, a description of the proposed design and mitigation, and signatures from the owner and a professional engineer or registered architect.
Who needs it
A property owner seeking a waiver for a residential on-site wastewater system, together with the engineer preparing its design, needs this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; the owner and design professional provide signatures, and no notarized or sworn attachment is specified.
How to submit this form
- 1
Download the Application
Download the Specific Waiver Application PDF.
- 2
Complete the Application
Enter owner and site details, identify the reasons for noncompliance, and describe the proposed design and mitigation.
- 3
Gather Supporting Materials
Include the detailed design, soil and site information, and site plan requested for the proposal.
- 4
Sign and Submit
Have the owner and design professional sign and date the application, then submit it to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Specific Waiver Application?
- No. The document is signed and dated by the owner and design professional without a notary, and it does not specify a notarized or sworn attachment.
- Who uses this specific waiver application?
- A property owner and the engineer preparing the wastewater system design use it to request a waiver when the proposed system cannot meet applicable standards.
- What supporting information does the application ask for?
- It asks for a design description and supporting materials, which may include detailed plans, soil and site evaluation, and a site plan showing relevant conditions on nearby parcels.
- How do I submit the Specific Waiver Application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Specific Waiver Application for Residential On-Site Wastewater Treatment Systems doesn’t need a notary — but if you have another Sterling form that does, a commissioned online notary can help.