Chemung County, NY · Chemung County
Application for Sanitary Waste Permit
Chemung County property owners use this application to request a sanitary sewer connection, repair, or cap-off permit for a building.
At a glance
- Issued by
- City of Chemung County · Chemung County, Chemung County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- chemungcountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request a Chemung County Sewer District permit for a sanitary sewer connection, repair, or cap-off. It asks for the property location and ownership details, the work contractor’s contact information, pipe specifications, water source, and signatures. Before a permit can be issued, the document requires insurance evidence and says a highway permit from the appropriate municipality should be submitted with the application.
Who needs it
A property owner seeking a sewer connection, repair, or cap-off permit from the Chemung County Sewer District needs to complete this application.
How to submit it
Submit the application to Chemung County Sewer Districts, 600 Milton Street, Elmira, New York 14904. Include the required insurance certificate and proof of workers’ compensation, disability, and paid family leave benefits, plus a highway permit from the appropriate municipality.
About notarization
This application is signed without a notary; the property owner and contractor sign, and no notarized or sworn attachment or related step is specified.
How to submit this form
- 1
Download the Application
Download the Sanitary Waste Permit Application PDF.
- 2
Complete the Application
Enter the property, owner, contractor, pipe, and water-source details, then have the property owner and contractor sign.
- 3
Gather Required Documents
Include the required insurance certificate, proof of workers’ compensation, disability, and paid family leave benefits, and a highway permit from the appropriate municipality.
- 4
Submit to the County
Send the application and supporting documents to Chemung County Sewer Districts, 600 Milton Street, Elmira, New York 14904.
Frequently asked questions
- What work does the Sanitary Waste Permit Application cover?
- The application is for a sanitary sewer connection, repair, or cap-off. It requests property, owner, contractor, pipe, and water-source details.
- Do I need a notary for the Sanitary Waste Permit Application?
- No. The application is signed by the property owner and contractor without a notary, and it specifies no notarized or sworn attachment or related step.
- How do I submit the Sanitary Waste Permit Application?
- Submit it to Chemung County Sewer Districts at 600 Milton Street, Elmira, New York 14904. Include the required insurance and coverage proofs and a highway permit from the appropriate municipality.
- What supporting documents does the application require?
- The document requires an insurance certificate naming the specified entities as additional insured, proof of workers’ compensation, disability, and paid family leave benefits, and a highway permit from the appropriate municipality.