Sterling, NY · Cayuga County

No notary required

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 replacement.

What this form is

This application requests Cayuga County Health Department acceptance for a proposed septic or holding tank installation, replacement, or conversion. Complete it before construction; the form says construction must not begin until the proposal is accepted. It asks for owner and property details, proposed tank information, a system sketch, well distance, bedroom count, and the preparer’s name. A $100 review fee accompanies applications replacing an existing septic system with a holding tank.

Who needs it

Property owners proposing to install or replace a septic or holding tank, or convert an existing septic system to a holding tank, use this application.

How to submit it

Send the application to the Cayuga County Health Department, 8 Dill St, Auburn, NY 13021, or [email protected]. Include the $100 review fee payable to the department when replacing an existing septic system with a holding tank.

About notarization

This application is signed and dated by the property owner without a notary; include the required system sketch, and the form identifies no notarized attachment or related step.

How to submit this form

  1. 1

    Download The Application

    Download the septic or holding tank installation application PDF.

  2. 2

    Complete The Application

    Provide owner and property details, describe the proposed work, and sign and date the application.

  3. 3

    Prepare The System Sketch

    Add a sketch showing existing system components, the proposed tank in relation to the home, and nearby wells or water bodies.

  4. 4

    Submit To The Health Department

    Send the completed application to the Cayuga County Health Department by mail or email; include the applicable review fee.

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. Include the system sketch requested on the form; it does not identify a notarized attachment or related step.
How do I submit the septic or holding tank application?
Send it to the Cayuga County Health Department at 8 Dill St, Auburn, NY 13021, or email [email protected]. If replacing an existing septic system with a holding tank, include the $100 review fee payable to the department.
What should I include with the application?
Complete the property and proposal details, and include a sketch showing the system, home, wells, and water bodies. The form also asks for the distance to the nearest well, bedroom count, and proposal preparer.
Can I start construction before the proposal is accepted?
No. The application states that construction must not begin until the Cayuga County Health Department accepts the proposal.

Need something notarized?

This Application to Install a Septic or Holding Tank doesn’t need a notary — but if you have another Sterling form that does, a commissioned online notary can help.